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Do school‐based dental sealant programs reach higher risk children?
Author(s) -
Siegal Mark D.,
Detty Amber M. Richardson
Publication year - 2010
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/j.1752-7325.2009.00162.x
Subject(s) - sealant , medicine , dentistry , risk factor , test (biology) , risk assessment , paleontology , chemistry , computer security , organic chemistry , computer science , biology
Objectives: This report compares sealant prevalence by caries risk status among third graders at Ohio schools with and without school‐based dental sealant programs (S‐BSPs), and estimates the percent of children receiving sealants in S‐BSPs who are higher risk for dental caries. Methods: We analyzed data from a statewide open‐mouth oral health survey of Ohio third grade schoolchildren for sealant prevalence by S‐BSP availability and caries risk classification. Children were classified as higher or lower risk for dental caries based on school lunch program enrollment and other non‐clinical access‐related indicators. Differences between groups were evaluated by the chi‐square test ( P < 0.05). Results: At schools with no S‐BSPs, higher risk children were less likely to have dental sealants than lower risk children (28.7 percent versus 42.7 percent, P < 0.001). At schools with S‐BSPs, sealant prevalence for both risk categories was equivalent for higher and lower risk children (59.4 percent, 63.4 percent, P = 0.428). Higher risk children at schools with S‐BSPs were more than twice as likely to have a sealant as higher risk children at non–S‐BSP schools (59.4 percent versus 28.7 percent, P < 0.001). Of higher risk children with at least one sealant, 61 percent attended a school with an S‐BSP compared with 12.3 percent of lower risk children with at least one sealant. Higher risk children accounted for at least 75 percent of children receiving sealants through S‐BSPs. Conclusions: In Ohio, targeting S‐BSPs by family income‐based school‐level criteria was effective in reaching higher risk children.