The relationship between water fluoridation and socioeconomic deprivation on tooth decay in 5-year-old children

Jones, C.; Worthington, H.

doi:10.1038/sj.bdj.4800122a

Cited by 11 publications

(6 citation statements)

References 10 publications

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“…This finding is supported by results of previous ecological studies showing only a slight association between number of dentists in a community and caries level (6, 33). On the contrary, a significant association between socioeconomic status and caries level has been found in past individual and ecological studies (4–10).…”

Section: Discussionmentioning

confidence: 89%

“…Our results support such approaches based on social contextual aspects. Water fluoridation as a whole population or targeted population approach has been shown to reduce inequalities in dental decay (9,10,(28)(29)(30). A school-based sealant program (31) and a schoolbased fluoride mouth rinsing program as a geographic-targeted population approach could reduce inequalities.…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, race and ethnicity appear to be less important than socioeconomic status (4, 8). British studies have shown that caries levels are related to the degree of social deprivation in one regional area (9, 10). In Japan, a substantial proportion of the regional inequality in early childhood caries was explained by socioeconomic status (6).…”

mentioning

confidence: 99%

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Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3‐year‐old children

Aida

Ando

Oosaka

et al. 2007

Comm Dent Oral Epid

109

140

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3‐year‐old children

Aida

Ando

Oosaka

et al. 2007

Comm Dent Oral Epid

109

140

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show abstract

“…Recent studies from Britain have shown that caries levels are related to the degree of social deprivation in a geographic area (e.g. an electoral ward) (14, 19–21). Social deprivation is a broader concept than just SES and takes into account some aspects of population health.…”

Section: Population Healthmentioning

confidence: 99%

Concepts of risk in dental public health

Burt

2005

Comm Dent Oral Epid

115

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The purpose of this paper is to review the concepts of risk as we use them today in dental public health practice, and to suggest that we should broaden our view of risk. Use of terms like risk factor in the literature can be quite vague, and it is recommended that a clear definition of that and related terms be adhered to. A broader view of risk in dental research would take in the concepts of social determinants of health and population health. While some progress has been made in our understanding of these issues, better knowledge would give the public health administrator more readily available information to use in program planning. The skewed distribution of caries in the high-income countries has led to the emergence of targeted prevention programs toward those considered to be at high risk. In public health programs, targeting at the individual level is not practical: the risk assessment methods are not yet sufficiently precise, and even when individuals are identified there are practical problems with schools and with the children themselves. (For private practice, however, high-risk child patients can be identified as those with at least one approximal lesion in permanent teeth.) For public health purposes, an argument is made for geographic targeting, i.e. identification of areas of social deprivation where whole schools or school districts can be targeted. Geographic targeting is something between individual targeting and whole-population approaches. Ideally, geographic targeting would supplement population measures like water fluoridation and dental health education. Examples of geographic targeting from Ohio and New York are presented as illustrations.

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“…It was found (12) that the effect of water fluoridation in reducing decay was the same for different strata of deprivation. However, Jones and coworkers (13,14) found that, while tooth decay is strongly associated with social deprivation, the dental caries divide between rich and poor is reduced as a result of water fluoridation in 5-year-old children. This finding was supported and extended by Riley et al (15), who found that water fluoridation causes a greater reduction in dental caries experience in 5-year-olds in materially deprived areas than is the case in affluent areas.…”

Section: Introduction and General Descriptionmentioning

confidence: 99%

5.2 Ethics, equity and global responsibilities in oral health and disease

Hobdell

Sinkford

Alexander

et al. 2002

Eur J Dental Education

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The charge of this Section is ethics and global responsibilities in oral health and disease. Oral health is determined by the same factors as those for general health. To a limited extent, the level of oral health care and dental education. The philosophy and organization of the health care system and dental education, therefore, are key determinants of oral health. Dental education has expanded in many countries where there has been an increase in wealth. Unfortunately, there has been no concomitant increase in the number of dental educators. This is a problem throughout the world. This present situation raises certain ethical issues with regard to professional responsibilities. It also raises some important questions for dental education. This Section has chosen to focus its efforts on examining two issues: * What can be done within dental schools? * What can be done external to dental schools - either individually or collectively? The best practices identified are more akin to goals, as it is recognized that, in a world in which there are enormous variations in economic, environmental, social, and cultural features, a single uniform set of practices is impracticable. The central core value identified is the realization by students, and faculty/teaching staff of the quest of life-long learning against a background of the social and ethical responsibilities of health professionals. The conclusion of the group is that biology is not the sole determinant of health. Understanding the role of social, economic, environmental and other factors in determining health status is critical if greater equity in dental education and care are to be achieved.

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The relationship between water fluoridation and socioeconomic deprivation on tooth decay in 5-year-old children

Cited by 11 publications

References 10 publications

Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3‐year‐old children

Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3‐year‐old children

Concepts of risk in dental public health

5.2 Ethics, equity and global responsibilities in oral health and disease

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