Prevention in kindergartens with 500 ppm fluoride toothpaste—a randomized clinical trial
Objectives The aim of the study was to evaluate the effect of an intensified preventive programme in kindergartens. Materials and methods Two thousand two hundred twenty-eight 2- to 4-year-old children attending kindergartens in two counties in northern Hesse were randomly allocated to two groups. C...
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Veröffentlicht in: | Clinical oral investigations 2016-07, Vol.20 (6), p.1159-1164 |
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creator | Pieper, Klaus Winter, Julia Krutisch, Martina Völkner-Stetefeld, Petra Jablonski-Momeni, Anahita |
description | Objectives
The aim of the study was to evaluate the effect of an intensified preventive programme in kindergartens.
Materials and methods
Two thousand two hundred twenty-eight 2- to 4-year-old children attending kindergartens in two counties in northern Hesse were randomly allocated to two groups. Children in the test group participated in daily tooth brushing with 500 ppm fluoride toothpaste, which was supervised by specially trained dental nurses. Children in the control group received tooth brushing instructions three to four times a year. Caries experience was recorded using WHO criteria. The basic survey was performed from October 2006 to April 2007, with the final examinations between March and July 2009. The statistical evaluation was performed by means of the software package SPSS 17.0. To compare the mean Δdmf values of the test and control groups, Mann-Whitney
U
tests were performed.
Results
Two thousand one hundred twelve children (test group, 1096; control group, 1048) participated in the final examinations. The caries increment of the test group (Δdmf-s = 1.55) was 24 % lower than the increment of the control group (Δdmf-s = 2.02,
p
= 0.043). Based on Δdmf-t values, the corresponding figures were 0.79 for the test group and 1 for the control group (
p
= 0.44). High increment values (Δdmf-s >7) were observed in the control group twice as often as in the test group.
Conclusion
The results show that an intensified preventive programme in kindergartens, based on supervised daily tooth brushing, has a positive effect on the dental health of preschool children.
Clinical relevance
It is sufficient to offer such programmes in socially deprived areas. |
doi_str_mv | 10.1007/s00784-015-1604-3 |
format | Article |
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The aim of the study was to evaluate the effect of an intensified preventive programme in kindergartens.
Materials and methods
Two thousand two hundred twenty-eight 2- to 4-year-old children attending kindergartens in two counties in northern Hesse were randomly allocated to two groups. Children in the test group participated in daily tooth brushing with 500 ppm fluoride toothpaste, which was supervised by specially trained dental nurses. Children in the control group received tooth brushing instructions three to four times a year. Caries experience was recorded using WHO criteria. The basic survey was performed from October 2006 to April 2007, with the final examinations between March and July 2009. The statistical evaluation was performed by means of the software package SPSS 17.0. To compare the mean Δdmf values of the test and control groups, Mann-Whitney
U
tests were performed.
Results
Two thousand one hundred twelve children (test group, 1096; control group, 1048) participated in the final examinations. The caries increment of the test group (Δdmf-s = 1.55) was 24 % lower than the increment of the control group (Δdmf-s = 2.02,
p
= 0.043). Based on Δdmf-t values, the corresponding figures were 0.79 for the test group and 1 for the control group (
p
= 0.44). High increment values (Δdmf-s >7) were observed in the control group twice as often as in the test group.
Conclusion
The results show that an intensified preventive programme in kindergartens, based on supervised daily tooth brushing, has a positive effect on the dental health of preschool children.
Clinical relevance
It is sufficient to offer such programmes in socially deprived areas.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-015-1604-3</identifier><identifier>PMID: 26395351</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cariostatic Agents - therapeutic use ; Child, Preschool ; Dental Caries - prevention & control ; Dentistry ; DMF Index ; Female ; Fluorides, Topical - therapeutic use ; Germany ; Humans ; Male ; Medicine ; Original Article ; Toothbrushing ; Toothpastes - therapeutic use ; Treatment Outcome</subject><ispartof>Clinical oral investigations, 2016-07, Vol.20 (6), p.1159-1164</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-33f3b2ce48fbd2c4d59da42d69a330615c6687b788a7ae4da5694fb41aded3c3</citedby><cites>FETCH-LOGICAL-c372t-33f3b2ce48fbd2c4d59da42d69a330615c6687b788a7ae4da5694fb41aded3c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-015-1604-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-015-1604-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26395351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pieper, Klaus</creatorcontrib><creatorcontrib>Winter, Julia</creatorcontrib><creatorcontrib>Krutisch, Martina</creatorcontrib><creatorcontrib>Völkner-Stetefeld, Petra</creatorcontrib><creatorcontrib>Jablonski-Momeni, Anahita</creatorcontrib><title>Prevention in kindergartens with 500 ppm fluoride toothpaste—a randomized clinical trial</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
The aim of the study was to evaluate the effect of an intensified preventive programme in kindergartens.
Materials and methods
Two thousand two hundred twenty-eight 2- to 4-year-old children attending kindergartens in two counties in northern Hesse were randomly allocated to two groups. Children in the test group participated in daily tooth brushing with 500 ppm fluoride toothpaste, which was supervised by specially trained dental nurses. Children in the control group received tooth brushing instructions three to four times a year. Caries experience was recorded using WHO criteria. The basic survey was performed from October 2006 to April 2007, with the final examinations between March and July 2009. The statistical evaluation was performed by means of the software package SPSS 17.0. To compare the mean Δdmf values of the test and control groups, Mann-Whitney
U
tests were performed.
Results
Two thousand one hundred twelve children (test group, 1096; control group, 1048) participated in the final examinations. The caries increment of the test group (Δdmf-s = 1.55) was 24 % lower than the increment of the control group (Δdmf-s = 2.02,
p
= 0.043). Based on Δdmf-t values, the corresponding figures were 0.79 for the test group and 1 for the control group (
p
= 0.44). High increment values (Δdmf-s >7) were observed in the control group twice as often as in the test group.
Conclusion
The results show that an intensified preventive programme in kindergartens, based on supervised daily tooth brushing, has a positive effect on the dental health of preschool children.
Clinical relevance
It is sufficient to offer such programmes in socially deprived areas.</description><subject>Cariostatic Agents - therapeutic use</subject><subject>Child, Preschool</subject><subject>Dental Caries - prevention & control</subject><subject>Dentistry</subject><subject>DMF Index</subject><subject>Female</subject><subject>Fluorides, Topical - therapeutic use</subject><subject>Germany</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Original Article</subject><subject>Toothbrushing</subject><subject>Toothpastes - therapeutic use</subject><subject>Treatment Outcome</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE9OFzEYhhuiAUQOwMY0ceNmtP-mnS4NQTEh0QU7F02n_QaKM-3YdiCw4hAcwLNwFE_iwA-NMXHTNunzvt-XB6EDSt5SQtS7sh6daAhtGyqJaPgW2qWCy4YrRZ89vlkjdUd30ItSLgihQiq-jXaY5LrlLd1FX79kuIRYQ4o4RPwtRA_5zOYKseCrUM9xS8j9j3me8DAuKQcPuKZUz2dbKvy8vbM42-jTFG7AYzeGGJwdcc3Bji_R88GOBfaf7j10-uHo9PC4Ofn88dPh-5PGccVqw_nAe-ZAdEPvmRO-1d4K5qW2nBNJWydlp3rVdVZZEN62UouhF9R68NzxPfRmUzvn9H2BUs0UioNxtBHSUgxVutNaCC1X9PU_6EVaclyXe6QYoR1hK0U3lMuplAyDmXOYbL42lJgH8WYj3qzizYN4w9fMq6fmpZ_A_0n8Nr0CbAOU9SueQf5r9H9bfwHG3ZAk</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Pieper, Klaus</creator><creator>Winter, Julia</creator><creator>Krutisch, Martina</creator><creator>Völkner-Stetefeld, Petra</creator><creator>Jablonski-Momeni, Anahita</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Prevention in kindergartens with 500 ppm fluoride toothpaste—a randomized clinical trial</title><author>Pieper, Klaus ; Winter, Julia ; Krutisch, Martina ; Völkner-Stetefeld, Petra ; Jablonski-Momeni, Anahita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-33f3b2ce48fbd2c4d59da42d69a330615c6687b788a7ae4da5694fb41aded3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Cariostatic Agents - therapeutic use</topic><topic>Child, Preschool</topic><topic>Dental Caries - prevention & control</topic><topic>Dentistry</topic><topic>DMF Index</topic><topic>Female</topic><topic>Fluorides, Topical - therapeutic use</topic><topic>Germany</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Original Article</topic><topic>Toothbrushing</topic><topic>Toothpastes - therapeutic use</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pieper, Klaus</creatorcontrib><creatorcontrib>Winter, Julia</creatorcontrib><creatorcontrib>Krutisch, Martina</creatorcontrib><creatorcontrib>Völkner-Stetefeld, Petra</creatorcontrib><creatorcontrib>Jablonski-Momeni, Anahita</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pieper, Klaus</au><au>Winter, Julia</au><au>Krutisch, Martina</au><au>Völkner-Stetefeld, Petra</au><au>Jablonski-Momeni, Anahita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention in kindergartens with 500 ppm fluoride toothpaste—a randomized clinical trial</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>20</volume><issue>6</issue><spage>1159</spage><epage>1164</epage><pages>1159-1164</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
The aim of the study was to evaluate the effect of an intensified preventive programme in kindergartens.
Materials and methods
Two thousand two hundred twenty-eight 2- to 4-year-old children attending kindergartens in two counties in northern Hesse were randomly allocated to two groups. Children in the test group participated in daily tooth brushing with 500 ppm fluoride toothpaste, which was supervised by specially trained dental nurses. Children in the control group received tooth brushing instructions three to four times a year. Caries experience was recorded using WHO criteria. The basic survey was performed from October 2006 to April 2007, with the final examinations between March and July 2009. The statistical evaluation was performed by means of the software package SPSS 17.0. To compare the mean Δdmf values of the test and control groups, Mann-Whitney
U
tests were performed.
Results
Two thousand one hundred twelve children (test group, 1096; control group, 1048) participated in the final examinations. The caries increment of the test group (Δdmf-s = 1.55) was 24 % lower than the increment of the control group (Δdmf-s = 2.02,
p
= 0.043). Based on Δdmf-t values, the corresponding figures were 0.79 for the test group and 1 for the control group (
p
= 0.44). High increment values (Δdmf-s >7) were observed in the control group twice as often as in the test group.
Conclusion
The results show that an intensified preventive programme in kindergartens, based on supervised daily tooth brushing, has a positive effect on the dental health of preschool children.
Clinical relevance
It is sufficient to offer such programmes in socially deprived areas.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26395351</pmid><doi>10.1007/s00784-015-1604-3</doi><tpages>6</tpages></addata></record> |
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language | eng |
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source | MEDLINE; SpringerLink Journals (MCLS) |
subjects | Cariostatic Agents - therapeutic use Child, Preschool Dental Caries - prevention & control Dentistry DMF Index Female Fluorides, Topical - therapeutic use Germany Humans Male Medicine Original Article Toothbrushing Toothpastes - therapeutic use Treatment Outcome |
title | Prevention in kindergartens with 500 ppm fluoride toothpaste—a randomized clinical trial |
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