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Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community‐randomized controlled trial
Author(s) -
Slade Gary D.,
Bailie Ross S.,
RobertsThomson Kaye,
Leach Amanda J.,
Raye Iris,
Endean Colin,
Simmons Bruce,
Morris Peter
Publication year - 2011
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/j.1600-0528.2010.00561.x
Subject(s) - fluoride varnish , medicine , randomized controlled trial , dentistry , early childhood caries , randomization , intervention (counseling) , health promotion , oral health , public health , nursing , chemistry , surgery , organic chemistry , varnish , coating
Slade GD, Bailie RS, Roberts‐Thomson K, Leach AJ, Raye I, Endean C, Simmons B, Morris P. Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community‐randomized controlled trial. Community Dent Oral Epidemiol 2011; 39: 29–43. © 2010 John Wiley & Sons A/S Abstract Objectives: We tested a dental health program in remote Aboriginal communities of Australia’s Northern Territory, hypothesizing that it would reduce dental caries in preschool children. Methods: In this 2‐year, prospective, cluster‐randomized, concurrent controlled, open trial of the dental health program compared to no such program, 30 communities were allocated at random to intervention and control groups. All residents aged 18–47 months were invited to participate. Twice per year for 2 years in the 15 intervention communities, fluoride varnish was applied to children’s teeth, water consumption and daily tooth cleaning with toothpaste were advocated, dental health was promoted in community settings, and primary health care workers were trained in preventive dental care. Data from dental examinations at baseline and after 2 years were used to compute net dental caries increment per child (d 3 mfs). A multi‐level statistical model compared d 3 mfs between intervention and control groups with adjustment for the clustered randomization design; four other models used additional variables for adjustment. Results: At baseline, 666 children were examined; 543 of them (82%) were re‐examined 2 years later. The adjusted d 3 mfs increment was significantly lower in the intervention group compared to the control group by an average of 3.0 surfaces per child (95% CI = 1.2, 4.9), a prevented fraction of 31%. Adjustment for additional variables yielded caries reductions ranging from 2.3 to 3.5 surfaces per child and prevented fractions of 24–36%. Conclusions: These results corroborate findings from other studies where fluoride varnish was efficacious in preventing dental caries in young children.