Enrollment in and Compliance with a Community Demonstration Program of Caries Prevention for Grades Kindergarten Through 12 <sup>†</sup>

Eckhaus, B; Silverstein, Steven M.; Fine, Jared I.; Boriskin, Joel M.

doi:10.1111/j.1752-7325.1982.tb04055.x

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…Three historical comparison studies reported the caries reductions associated with children who began rinsing as kindergartners (117)(118)(119). The results of these studies are graphed in Figure 5, in which the number of surfaces saved annually is compared to the baseline caries activity of the communities.…”

Section: Figure 5 Canes-preventive Effects Of Three Nidr Community Camentioning

confidence: 99%

“…While these results indicate the effects to the permanent teeth of a school-based fluoride mouthrinsing program, they do not present the entire story. For the younger age group the primary teeth are also protected (90,112,117,118,120); for the older children who are no longer rinsing, a posttreatment benefit has been reported (118,121).…”

Section: Figure 5 Canes-preventive Effects Of Three Nidr Community Camentioning

confidence: 99%

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A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

Ripa

1991

J Public Health Dent

146

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Within the last 20 years there has been a decrease in the caries prevalence of US schoolchildren, a change in the intraoral caries pattern, and a slowing of the progress of lesions. Simultaneously, the prevalence of enamel milder, cosmetically acceptable forms and is more noticeable in fluoride-deficient communities than those with optimal or above-optimal water fluoride concentrations. Circumstantial evidence indicates that a principal contributor to the caries decline is the extensive use of fluoride dentifrices. Conversely, although use of a fluoride dentifrice can add to the total daily amount of ingested fluoride in preschool children, there is little evidence to suggest that dentifrice ingestion is a principal factor causing the fluorosis increase. The value of fluoride methods may be assessed in relative or absolute terms. The relative, or percentage, caries reduction attributed to fluoride mouthrinses and gels appears to be a property intrinsic to the methods themselves and generally is little affected by the caries activity of the population being treated. Conversely, the absolute, or numerical, caries reduction is dependent upon the level of disease in the population. Thus, the reported caries decline reduces the number of surfaces prevented from developing caries, even though the percentage reduction remains substantially unchanged. Although inadvertent ingestion of fluoride can result from the use of mouthrinses and gels, there is little evidence to suggest that they have contributed to the fluorosis increase. When using topical methods, prudence should prevail to avoid ingestion of fluoride. Fluoride dentifrices should continue to be used routinely, and although lower potency dentifrices may be considered, the literature does not provide strong support for their need. Use of fluoride mouthrinses and gels for individual patients should be predicted upon their caries activity or risk. Use of these methods in public health programs is a matter of cost-effectiveness, which will be influenced by the caries prevalence of the target population.

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Section: Figure 5 Canes-preventive Effects Of Three Nidr Community Camentioning

confidence: 99%

Section: Figure 5 Canes-preventive Effects Of Three Nidr Community Camentioning

confidence: 99%

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

Ripa

1991

J Public Health Dent

146

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“…During the past decade there was a noticeable shift from the true randomized clinical trial employing concurrent controls to less rigorous study designs based on historical comparisons. This trend is particularlv evident in reports of fluoride mouthrinse studies in both fluoridated and nonfluoridated areas (32)(33)(34)(35)(36)(37)(38)(39).…”

Section: Implications For Program Evaluationmentioning

confidence: 88%

“…Data from two sites of the 17-site, NIDR-supported fluoride-mouthrinsing demonstration program, conducted between 1975 and 1978, serve to illustrate this point. One program attributed a 33 percent decline in caries solelv to the use of the rinse ( Table 2 ) (37). A second +rogram, extended for a total of six years (197?1981), indicated a 55 percent savings for children in grades 1-6 ( Table 3) (38).…”

Section: Implications For Program Evaluationmentioning

confidence: 99%

Effect of Secular Decline in Caries on the Evaluation of Preventive Dentistry Demonstrations*

Bohannan

Graves

Disney

et al. 1985

J Public Health Dent

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Studies of dental preventive interventions often do not incorporate a concurrent, longitudinal control group in their study design. The existence of a secular decline in dental caries during the conduct of these studies may result in an overstatement of the effectiveness of the preventive intervention. Results of a recent large caries preventive study are analyzed using both a concurrent, longitudinal control group and an historical comparison group to demonstrate this effect. Differences in effectiveness of preventive procedures determined using the two types of control groups are sufficient to suggest a probable misinterpretation of results of studies using only historical comparisons.

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“…The review revealed serious design deficiencies in many FMR studies in both fluoride deficient (12) and fiuoridated areas (13). The most serious shortcoming was the rather common practice of basing treatment effectiveness figures on historical comparisons rather than concurrent, longitudinal control groups (14)(15)(16)(17)(18)(19)(20)(21)(22).…”

mentioning

confidence: 99%

Comparative effects of a 4‐year fluoride mouthrinse program on high and low caries forming grade 1 children

Disney

Graves

Stamm

et al. 1989

Comm Dent Oral Epid

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This paper presents the comparative effectiveness of fluoride mouthrinse (FMR) on high and low caries forming children after a 4-yr exposure to weekly rinse beginning in the first grade. Over 1200 grade 1 children drawn from both fluoride deficient and fluoridated sites were divided into treatment and concurrent, longitudinal control groups. After 4 yr these children were stratified according to caries increment; those above the 75th percentile were considered high caries formers, all others were designated low caries formers. After adjustment of the mean increments for differences in SES, age, race, and sex in rinse and control groups, high caries formers (approximately 25% of the children) in the rinse and control groups in fluoride deficient areas showed increments of 7.00 and 7.79 surfaces, respectively, indicating a savings of 0.79 surfaces. Low caries formers (approximately 75% of the children) demonstrated increments of 1.11 DMFS in the rinse group and 1.40 in the control group (savings 0.29 DMFS). The pattern was quite similar for children in fluoridated areas except that the increments, as well as the savings realized, were lower. The results raise questions as to the practical effectiveness of school based FMR programs even for high caries forming children.

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Enrollment in and Compliance with a Community Demonstration Program of Caries Prevention for Grades Kindergarten Through 12 ^†

Abstract: GRADES 9-12 I(77-78) 15 15 0 UPPER I1 (78-79) 32 47 19-21 GRADE 111 (79-80) 15 62 5 1-53 PROGRAM *Dental examinations were conducted during a three-week period in November of each program year.

Cited by 9 publications

References 7 publications

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

Effect of Secular Decline in Caries on the Evaluation of Preventive Dentistry Demonstrations*

Comparative effects of a 4‐year fluoride mouthrinse program on high and low caries forming grade 1 children

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Enrollment in and Compliance with a Community Demonstration Program of Caries Prevention for Grades Kindergarten Through 12 †

Abstract: GRADES 9-12 I(77-78) 15 15 0 UPPER I1 (78-79) 32 47 19-21 GRADE 111 (79-80) 15 62 5 1-53 PROGRAM *Dental examinations were conducted during a three-week period in November of each program year.

Cited by 9 publications

References 7 publications

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

Effect of Secular Decline in Caries on the Evaluation of Preventive Dentistry Demonstrations*

Comparative effects of a 4‐year fluoride mouthrinse program on high and low caries forming grade 1 children

Contact Info

Product

Resources

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Enrollment in and Compliance with a Community Demonstration Program of Caries Prevention for Grades Kindergarten Through 12 ^†