Abstract
Objectives To determine if fluoride varnish applied at well child care visits would decrease the prevalence of dental caries in a group of American Indian children at high risk for early childhood caries. Methods This was an observational study in an American Indian community. Starting in 2002 all children received fluoride varnish applications at well child care visits at 9, 12, 15, 18, 24 and 30 months. The Head Start class of 2003 served as historical controls and students in 2004 and 2005 had increasing number of fluoride varnish treatments. All children entering Head Start from 2003 to 2005 had dental exams to determine the number of decayed, missing and filled surfaces (dmfs) present. The number of dmfs for each child was correlated with the number of fluoride varnish treatments received. Results Children with 4 or more treatments had 15.5 dmfs (95%CI 10.8–20.4) versus children with no fluoride varnish treatments who had 23.6 dmfs (95%CI 19.5–25.8) for a 35% decrease in overall caries. Children who received 1, 2 or 3 treatments showed no significant difference in dmfs when compared with children who had no fluoride varnish applications. Conclusions Fluoride varnish applied at well child care visits can reduce early childhood caries in American Indian children. Consideration should be given to making fluoride varnish more available to American Indian and Alaska Native children at well child visits. These findings may be applicable to other children who are at increased risk for early childhood caries.
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References
AAP Children’s’ Oral Health Initiative http://www.aap.org/healthtopics/oralhealth.cfm (Accessed November 11, 2006).
Newacheck, P. W., Hughes, D. C., Hung, Y. Y., Wong, S., & Stoddard, J. J. (2000). The unmet health needs of America’s children. Pediatrics, 1054, 989–997.
Mouradian, W., Wehr, E., & Crall, J. (2000). Disparities in childrens oral health and access to care. JAMA, 284(20), 2625–2632.
Vargas, C. M., Crall, J. J., & Schneider, D. A. (1998). Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. Journal of the American Dental Association, 129(9), 1229–1238.
Department of Health and Human Services. (2000). Oral health in America: A report of the surgeon general – executive summary (Vol. 1, pp. 5–6). Rockville, MD: National Institute of Dental and Craniofacial Research, National Institute of Health, US Department of Health and Human Services.
Indian Health Service. (1999). The 1999 Oral Health Survey of American Indian and Alaska Native Dental Patients: Findings, Regional Differences and National Comparisons (pp. 1–6). Rockville, MD: US Department of Health and Human Services.
Vaikuntam, J. (2000). Fluoride varnishes: Should we be using them? Pediatric Dentistry, 22(6), 513–516.
Strohmenger, L., & Brambilla, E. (2001). The use of fluoride varnishes in the prevention of dental caries: a short review. Oral Diseases, 7(2), 71–80.
Holm, A. K. (1979). Effect of a fluoride varnish (Duraphat®) in preschool children. Community Dentistry and Oral Epidemiology, 7, 241–245.
Seppa, L., Tuuti, H., & Luoma, H. (1982). Three year report on caries prevention of using fluoride varnishes for caries risk children in a community with fluoridated water. Scandinavian Journal of Dental Research, 90(2), 89–94.
Grodzka, K., Augustyniak, L., Budny, J. et al. (1982). Caries increment in primary teeth after application of Duraphat® fluoride varnish. Community Dentistry and Oral Epidemiology, 10(2), 55–59.
Marinho, V. C. C. C., Higgins, J. P. T., Logan, S., & Sheiham, A. (2002). Fluoride varnishes for preventing dental caries in children and adolescents. The Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD002279.DOI: 10.1002/14651858.
NIH Consensus Statement. (2001). Diagnosis and management of caries throughout life. Journal of Dental Education, 65(10), 1162–1168.
Weintraub, J., Ramos-Gomez, F., Jue, B., & Shain, S. et al. (2006). Fluoride varnish efficacy in preventing early childhood caries. Journal of Dental Research, 85(2), 172–176.
Lewis, C. W., Grossman, D. C., Domoto, P. C., & Deyo, R. A. (2000). The role of the pediatrician in the oral health of children: A national survey. Pediatrics, 106(6), E84.
Quinonez, R. B., Stearns, S. C., Talekar, B. S., Rozier, R. G., & Downs, S. M. (2006). Simulating cost-effectiveness of fluoride varnish during well-child visits for Medicaid-enrolled children. Archives of pediatrics & adolescent medicine, 160(2), 164–170.
Tenovuo, J., Hakkinen, P., Paunio, P., & Emilson, C. G. (1992). Effects of chlorhexidine-fluoride gel treatments in mothers on the establishment of mutans streptococci in primary teeth and the development of dental caries in children. Caries Research, 26(4), 275–280.
Isokangas, P., Soderling, E., Pienihakkinen, K., & Alanen, P. (2000). Occurrence of dental decay in children after maternal consumption of xylitol chewing gum, a follow-up from 0 to 5 years of age. Journal of Dental Research, 79(11), 1885–1889.
Isokangas, P., Soderling, E., Pienihakkinen, K., & Alanen, P. (2000). Influence of maternal xylitol consumption on acquisition of mutans streptococci by infants. Journal of Dental Research, 79(3), 882–887.
Acknowledgments
The author wishes to thank Craig Bruce, D.D.S. for his performance of dental exams on our patients, Kathy Phipps, DrPH for statistical assistance, and Dee Robertson, MD for his encouragement and advice.
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Holve, S. An Observational Study of the Association of Fluoride Varnish Applied During Well Child Visits and the Prevention of Early Childhood Caries in American Indian Children. Matern Child Health J 12 (Suppl 1), 64–67 (2008). https://doi.org/10.1007/s10995-007-0294-0
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DOI: https://doi.org/10.1007/s10995-007-0294-0