Effectiveness of early preventive intervention with semiannual fluoride varnish application in toddlers living in high-risk areas: A stratified cluster-randomized controlled trial
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Effectiveness of early preventive intervention with semiannual fluoride varnish application in toddlers living in high-risk areas : A stratified cluster-randomized controlled trial. / Anderson, Maria; Dahllöf, Göran; Twetman, Svante; Jansson, Leif; Bergenlid, Ann Cathrine; Grindefjord, Margaret.
In: Caries Research, Vol. 50, No. 1, 2016, p. 17-23.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Effectiveness of early preventive intervention with semiannual fluoride varnish application in toddlers living in high-risk areas
T2 - A stratified cluster-randomized controlled trial
AU - Anderson, Maria
AU - Dahllöf, Göran
AU - Twetman, Svante
AU - Jansson, Leif
AU - Bergenlid, Ann Cathrine
AU - Grindefjord, Margaret
PY - 2016
Y1 - 2016
N2 - This study evaluated whether toddlers in an extended preventive program of semiannual fluoride varnish applications from 1 year of age had a lower incidence of caries than those undergoing a standard program. A cohort of 1-year-old children (n = 3,403) living in multicultural areas of low socioeconomic standing in Stockholm participated in a cluster-randomized controlled field trial with two parallel arms. The children attended 23 dental clinics. Using the ICDAS II criteria, the examiners recorded caries at baseline and after 1 and 2 years. The children in the reference group received a standardized oral health program once yearly between 1 and 3 years of age. The children in the test group received the same standard program supplemented with topical applications of fluoride varnish every 6 months. We compared the test group and the reference group for the prevalence and increment of caries. At baseline, 5% of the children had already developed caries (ICDAS II 1-6). We reexamined the children after 1 year (n = 2,675) and after 2 years (n = 2,536). Neither prevalence nor caries increment differed between the groups. At 3 years of age, 12% of the children had developed moderate and severe carious lesions (ICDAS II 3-6), with a mean increment of 0.5 (SD 2.4) in the test group and 0.6 (SD 2.2) in the reference group. In conclusion, semiannual professional applications of fluoride varnish, as a supplement to a standard oral health program, failed to reduce caries development in toddlers from high-risk communities.
AB - This study evaluated whether toddlers in an extended preventive program of semiannual fluoride varnish applications from 1 year of age had a lower incidence of caries than those undergoing a standard program. A cohort of 1-year-old children (n = 3,403) living in multicultural areas of low socioeconomic standing in Stockholm participated in a cluster-randomized controlled field trial with two parallel arms. The children attended 23 dental clinics. Using the ICDAS II criteria, the examiners recorded caries at baseline and after 1 and 2 years. The children in the reference group received a standardized oral health program once yearly between 1 and 3 years of age. The children in the test group received the same standard program supplemented with topical applications of fluoride varnish every 6 months. We compared the test group and the reference group for the prevalence and increment of caries. At baseline, 5% of the children had already developed caries (ICDAS II 1-6). We reexamined the children after 1 year (n = 2,675) and after 2 years (n = 2,536). Neither prevalence nor caries increment differed between the groups. At 3 years of age, 12% of the children had developed moderate and severe carious lesions (ICDAS II 3-6), with a mean increment of 0.5 (SD 2.4) in the test group and 0.6 (SD 2.2) in the reference group. In conclusion, semiannual professional applications of fluoride varnish, as a supplement to a standard oral health program, failed to reduce caries development in toddlers from high-risk communities.
KW - Early childhood caries
KW - Preschool children
KW - Prevention
KW - Topical fluoride
U2 - 10.1159/000442675
DO - 10.1159/000442675
M3 - Journal article
C2 - 26795957
AN - SCOPUS:84955622065
VL - 50
SP - 17
EP - 23
JO - Caries Research
JF - Caries Research
SN - 0008-6568
IS - 1
ER -
ID: 179052330