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Article: Prevention of early childhood caries - Results of a fluoride toothpaste demonstration trial on Chinese preschool children after three years

TitlePrevention of early childhood caries - Results of a fluoride toothpaste demonstration trial on Chinese preschool children after three years
Authors
Issue Date1998
PublisherAmerican Association of Public Health Dentistry. The Journal's web site is located at http://www.aaphd.org/default.asp?page=masthead.htm
Citation
Journal Of Public Health Dentistry, 1998, v. 58 n. 1, p. 12-18 How to Cite?
AbstractObjectives: This field demonstration trial evaluates the long-term effects of introducing daily toothbrushing with fluoride toothpaste in a Chinese kindergarten (test group) compared to caries development in children who had no organized preventive program (control group). Methods: In the test group teacher-supervised toothbrushing was initiated with 1,000 ppm MFP toothpaste in addition to oral health education activities. Test and control children were examined at baseline (n=289, aged 3 years) and annually thereafter. Results: After three years, 251 children (87%) were still in the trial. Caries development (dmfs) calculation included only those children who were present at both baseline and subsequent annual examinations. At baseline the mean dmfs was 4.8 in the test group and 6.5 in the control group (NS). After three years the caries increment was 6.2 and 8.4 in the test group and the control group, respectively (P<.05). Adjusting for reversals, the net caries increment was 3.6 and 6.3, respectively (P<.01). Additionally, multiple linear regression analysis indicated that both baseline dmfs, the program and plaque level had a significant effect on the net caries increment. The use of hierarchical caries severity zones was useful for the identification of those children most at risk for further caries development. Conclusions: We conclude that a daily toothbrushing with limited involvement of professional staff was feasible in a Chinese kindergarten and that caries development was significantly slowed in the test children. Caries severity zones may possibly assist in determining levels of intervention.
Persistent Identifierhttp://hdl.handle.net/10722/65884
ISSN
2015 Impact Factor: 1.182
2015 SCImago Journal Rankings: 0.603
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSchwarz, Een_HK
dc.contributor.authorLo, ECMen_HK
dc.contributor.authorWong, MCMen_HK
dc.date.accessioned2010-09-06T05:41:48Z-
dc.date.available2010-09-06T05:41:48Z-
dc.date.issued1998en_HK
dc.identifier.citationJournal Of Public Health Dentistry, 1998, v. 58 n. 1, p. 12-18en_HK
dc.identifier.issn0022-4006en_HK
dc.identifier.urihttp://hdl.handle.net/10722/65884-
dc.description.abstractObjectives: This field demonstration trial evaluates the long-term effects of introducing daily toothbrushing with fluoride toothpaste in a Chinese kindergarten (test group) compared to caries development in children who had no organized preventive program (control group). Methods: In the test group teacher-supervised toothbrushing was initiated with 1,000 ppm MFP toothpaste in addition to oral health education activities. Test and control children were examined at baseline (n=289, aged 3 years) and annually thereafter. Results: After three years, 251 children (87%) were still in the trial. Caries development (dmfs) calculation included only those children who were present at both baseline and subsequent annual examinations. At baseline the mean dmfs was 4.8 in the test group and 6.5 in the control group (NS). After three years the caries increment was 6.2 and 8.4 in the test group and the control group, respectively (P<.05). Adjusting for reversals, the net caries increment was 3.6 and 6.3, respectively (P<.01). Additionally, multiple linear regression analysis indicated that both baseline dmfs, the program and plaque level had a significant effect on the net caries increment. The use of hierarchical caries severity zones was useful for the identification of those children most at risk for further caries development. Conclusions: We conclude that a daily toothbrushing with limited involvement of professional staff was feasible in a Chinese kindergarten and that caries development was significantly slowed in the test children. Caries severity zones may possibly assist in determining levels of intervention.en_HK
dc.languageengen_HK
dc.publisherAmerican Association of Public Health Dentistry. The Journal's web site is located at http://www.aaphd.org/default.asp?page=masthead.htmen_HK
dc.relation.ispartofJournal of Public Health Dentistryen_HK
dc.subject.meshCariostatic Agents - administration & dosage - therapeutic useen_HK
dc.subject.meshChi-Square Distributionen_HK
dc.subject.meshChild, Preschoolen_HK
dc.subject.meshChina - epidemiologyen_HK
dc.subject.meshCohort Studiesen_HK
dc.subject.meshDMF Indexen_HK
dc.subject.meshDental Caries - epidemiology - prevention & controlen_HK
dc.subject.meshDental Caries Susceptibilityen_HK
dc.subject.meshDental Plaque - prevention & controlen_HK
dc.subject.meshEvaluation Studies as Topicen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFluorides - administration & dosage - therapeutic useen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshGingival Hemorrhage - prevention & controlen_HK
dc.subject.meshHealth Education, Dentalen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLinear Modelsen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPhosphates - administration & dosage - therapeutic useen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSchool Dentistryen_HK
dc.subject.meshTeachingen_HK
dc.subject.meshToothpastes - therapeutic useen_HK
dc.titlePrevention of early childhood caries - Results of a fluoride toothpaste demonstration trial on Chinese preschool children after three yearsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-4006&volume=58&spage=12&epage=18&date=1998&atitle=Prevention+of+early+childhood+caries+-+results+of+a+fluoride+toothpaste+demonstration+trial+on+Chinese+preschool+children+after+three+yearsen_HK
dc.identifier.emailLo, ECM:hrdplcm@hkucc.hku.hken_HK
dc.identifier.emailWong, MCM:mcmwong@hkucc.hku.hken_HK
dc.identifier.authorityLo, ECM=rp00015en_HK
dc.identifier.authorityWong, MCM=rp00024en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9608441en_HK
dc.identifier.scopuseid_2-s2.0-0032351511en_HK
dc.identifier.hkuros35246en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032351511&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume58en_HK
dc.identifier.issue1en_HK
dc.identifier.spage12en_HK
dc.identifier.epage18en_HK
dc.identifier.isiWOS:000073634300003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridSchwarz, E=7202730481en_HK
dc.identifier.scopusauthoridLo, ECM=7101705982en_HK
dc.identifier.scopusauthoridWong, MCM=26029250900en_HK

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