Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/121507
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Dental caries experience in children of a remote Australian Indigenous community following passive and active preventive interventions |
Author: | Kroon, J. Lalloo, R. Tadakamadla, S.K. Johnson, N.W. |
Citation: | Community Dentistry and Oral Epidemiology, 2019; 47(6):470-476 |
Publisher: | Wiley |
Issue Date: | 2019 |
ISSN: | 0301-5661 1600-0528 |
Statement of Responsibility: | Jeroen Kroon, Ratilal Lalloo, Santhosh K. Tadakamadla, Newell W. Johnson |
Abstract: | OBJECTIVES:To report on changes in dental caries experience in children of a remote Indigenous community following 6 years of passive preventive intervention (PPI) and 2 years of active preventive intervention (API). METHODS:Five consecutive cross-sectional surveys were conducted on 4- to 15-year-old school going children between 2004 and 2017 following phases of Community Water Fluoridation (CWF), post-cessation of CWF and API. Following treatment of any cavities present, API included selective placement of fissure sealants (FS) and an annual application of povidone-iodine (PI) and fluoride varnish (FV). The World Health Organization's (WHO) "Oral Health Surveys - Basic Methods (4th Edition)" methodology was used in the first two and the International Caries Detection and Assessment System (ICDAS-II) in the latter three surveys. ICDAS-II codes of 3-6, representing advanced caries, were combined to allow comparison to the decayed component of the DMF caries index. RESULTS:Age-weighted mean dmft decreased by 37.7% in the deciduous (DD) and DMFT by 35% in the permanent (PD) dentitions between the pre- and post-CWF surveys, followed by increases of 25% and 7.7%, respectively, between the 1-year and 4-year post-CWF surveys. After 2 years of API, mean dmft decreased by 14.3% and DMFT by 7.1%. Untreated dental caries however remained a concern in the DD and PD during both phases of PPI and of API. The decline in caries experience for both dentitions following 2 years of API exceeded that for the 6-year period of PPI. CONCLUSIONS:The annual reductions in caries experience of 7.2% (DD) and 8% (PD) during the phase of API exceeded annual decreases of 4.7% (DD) and 4.6% (PD) during the phase of PPI. Due to remoteness, cost and logistics in ensuring long-term viability of API programmes, CWF remains necessary in this type of community. |
Keywords: | Indigenous people children community water fluoridation dental caries prevention remote |
Rights: | © 2019 The Authors Community Dentistry and Oral Epidemiology Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1111/cdoe.12486 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1081320 |
Published version: | http://dx.doi.org/10.1111/cdoe.12486 |
Appears in Collections: | Aurora harvest 4 Dentistry publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
hdl_121507.pdf | Published version | 608.02 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.