Evaluation of an intensified prevention program for 4th graders with increased caries risk using ICDAS

Background In order to investigate correlations between specific parameters and dental caries, it is useful to record incipient and dentine lesions. Aim The aim of this study was to evaluate the effect of a selective intensified preventive program (SIP) on oral health of fourth graders using ICDAS....

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Veröffentlicht in:International journal of paediatric dentistry 2016-07, Vol.26 (4), p.250-258
Hauptverfasser: Winter, Julia, Weber, Kristina, Martin, Katharina, Heinzel-Gutenbrunner, Monika, Pieper, Klaus
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container_end_page 258
container_issue 4
container_start_page 250
container_title International journal of paediatric dentistry
container_volume 26
creator Winter, Julia
Weber, Kristina
Martin, Katharina
Heinzel-Gutenbrunner, Monika
Pieper, Klaus
description Background In order to investigate correlations between specific parameters and dental caries, it is useful to record incipient and dentine lesions. Aim The aim of this study was to evaluate the effect of a selective intensified preventive program (SIP) on oral health of fourth graders using ICDAS. Design A cohort study was performed. ICDAS and DMFT index were recorded. Prevention and social factors were collected with psychometric questionnaires. The test group and the control group were parallelized using sociodemographic variables. Results The participants in the fluoride varnish program in the test region showed a significantly lower caries experience than pupils in the control region. The bivariate analysis revealed that a migrant background had a negative impact on oral health whereas fissure sealants, use of fluoridated table salt, use of fluoride tablets, early start of toothbrushing and high social status exerted a positive influence on dental health. Stepwise backward logistic regression analysis confirmed that fissure sealants, a high social status and an early start of toothbrushing had a significant positive impact on dental health. Conclusion The results of our study suggest that a SIP impedes the primary occurrence of incipient lesions and the transition from incipient to advanced lesions.
doi_str_mv 10.1111/ipd.12191
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Aim The aim of this study was to evaluate the effect of a selective intensified preventive program (SIP) on oral health of fourth graders using ICDAS. Design A cohort study was performed. ICDAS and DMFT index were recorded. Prevention and social factors were collected with psychometric questionnaires. The test group and the control group were parallelized using sociodemographic variables. Results The participants in the fluoride varnish program in the test region showed a significantly lower caries experience than pupils in the control region. The bivariate analysis revealed that a migrant background had a negative impact on oral health whereas fissure sealants, use of fluoridated table salt, use of fluoride tablets, early start of toothbrushing and high social status exerted a positive influence on dental health. Stepwise backward logistic regression analysis confirmed that fissure sealants, a high social status and an early start of toothbrushing had a significant positive impact on dental health. Conclusion The results of our study suggest that a SIP impedes the primary occurrence of incipient lesions and the transition from incipient to advanced lesions.</description><identifier>ISSN: 0960-7439</identifier><identifier>EISSN: 1365-263X</identifier><identifier>DOI: 10.1111/ipd.12191</identifier><identifier>PMID: 26374492</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Child ; Children &amp; youth ; Cohort Studies ; Dental caries ; Dental Caries - epidemiology ; Dental Caries - prevention &amp; control ; Dental health ; Dentistry ; Female ; Fluoridation ; Fluorides ; Fluorides, Topical - therapeutic use ; Germany ; Humans ; Logistic Models ; Male ; Oral Health - statistics &amp; numerical data ; Pit and Fissure Sealants - therapeutic use ; Preventive Health Services - standards ; Program Evaluation ; Risk Assessment ; Sociological Factors ; Surveys and Questionnaires ; Toothbrushing</subject><ispartof>International journal of paediatric dentistry, 2016-07, Vol.26 (4), p.250-258</ispartof><rights>2015 BSPD, IAPD and John Wiley &amp; Sons A/S. 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Aim The aim of this study was to evaluate the effect of a selective intensified preventive program (SIP) on oral health of fourth graders using ICDAS. Design A cohort study was performed. ICDAS and DMFT index were recorded. Prevention and social factors were collected with psychometric questionnaires. The test group and the control group were parallelized using sociodemographic variables. Results The participants in the fluoride varnish program in the test region showed a significantly lower caries experience than pupils in the control region. The bivariate analysis revealed that a migrant background had a negative impact on oral health whereas fissure sealants, use of fluoridated table salt, use of fluoride tablets, early start of toothbrushing and high social status exerted a positive influence on dental health. Stepwise backward logistic regression analysis confirmed that fissure sealants, a high social status and an early start of toothbrushing had a significant positive impact on dental health. Conclusion The results of our study suggest that a SIP impedes the primary occurrence of incipient lesions and the transition from incipient to advanced lesions.</description><subject>Child</subject><subject>Children &amp; youth</subject><subject>Cohort Studies</subject><subject>Dental caries</subject><subject>Dental Caries - epidemiology</subject><subject>Dental Caries - prevention &amp; control</subject><subject>Dental health</subject><subject>Dentistry</subject><subject>Female</subject><subject>Fluoridation</subject><subject>Fluorides</subject><subject>Fluorides, Topical - therapeutic use</subject><subject>Germany</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Oral Health - statistics &amp; numerical data</subject><subject>Pit and Fissure Sealants - therapeutic use</subject><subject>Preventive Health Services - standards</subject><subject>Program Evaluation</subject><subject>Risk Assessment</subject><subject>Sociological Factors</subject><subject>Surveys and Questionnaires</subject><subject>Toothbrushing</subject><issn>0960-7439</issn><issn>1365-263X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1P3DAQhq2qVdlCD_0DlaVe2kPAn3F8RMvXSqitVBB7syaOTQ1ZZ7ETKP8ewwKHSlXnMhrN874a-0XoEyW7tNReWHe7lFFN36AZ5bWsWM2Xb9GM6JpUSnC9hT7kfEUIlYSR92ir7JUQms2QP7yFfoIxDBEPHkPEIY4u5uCD6_A6uVsXn5brNFwmWGE_JCzG37gMnUsZ34UyhGiTg1wUFlJwGaeQr_GUQ7zEi_nB_q8d9M5Dn93H576Nzo8Oz-Yn1emP48V8_7Sysha0Yl1LhGva1jZgJSUSOK27mindUivbRgHzwGyniADR-pq3QDQTCiiVXjacb6OvG99y7s3k8mhWIVvX9xDdMGVDG9Ko8mWS_h9VWjZSC8IK-uUv9GqYUiwPeaSEYlozWahvG8qmIefkvFmnsIJ0bygxjzmZkpN5yqmwn58dp3blulfyJZgC7G2Au9C7-387mcXPgxfLaqMIeXR_XhWQrk2tuJLm4vuxYctGC7k8MoQ_AGp8qhM</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Winter, Julia</creator><creator>Weber, Kristina</creator><creator>Martin, Katharina</creator><creator>Heinzel-Gutenbrunner, Monika</creator><creator>Pieper, Klaus</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><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>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201607</creationdate><title>Evaluation of an intensified prevention program for 4th graders with increased caries risk using ICDAS</title><author>Winter, Julia ; 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source MEDLINE; Wiley Journals
subjects Child
Children & youth
Cohort Studies
Dental caries
Dental Caries - epidemiology
Dental Caries - prevention & control
Dental health
Dentistry
Female
Fluoridation
Fluorides
Fluorides, Topical - therapeutic use
Germany
Humans
Logistic Models
Male
Oral Health - statistics & numerical data
Pit and Fissure Sealants - therapeutic use
Preventive Health Services - standards
Program Evaluation
Risk Assessment
Sociological Factors
Surveys and Questionnaires
Toothbrushing
title Evaluation of an intensified prevention program for 4th graders with increased caries risk using ICDAS
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