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Updated: Jun 10, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Childsmile: the national child oral health improvement programme in Scotland. Part 2: Monitoring and delivery
1University of Glasgow Medical Faculty, Glasgow Dental School, 378 Sauchiehall Street, Glasgow, G2 3JZ. s.turner@cpse.dundee.ac.uk
Insights
The Childsmile programme provided caries risk assessments, dental practice enrollment, and fluoride varnish treatments to thousands of children in deprived areas of Scotland between 2006-2009. Monitoring data informed programme delivery and coverage.
Area of Science:
- Public Health
- Pediatric Dentistry
- Health Services Research
Background:
- The Childsmile programme aims to improve the oral health of children in Scotland.
- Effective monitoring is crucial for assessing the reach and impact of public health interventions.
Purpose of the Study:
- To describe the monitoring arrangements for the Childsmile programme.
- To summarise monitoring data from 2006 to 2009.
- To evaluate programme coverage and delivery.
Main Methods:
- Data collection through health visitors, Childsmile practices, and school programmes.
- Monitoring of caries risk assessments, practice enrollment, and treatment delivery.
- Feedback mechanisms for programme managers.
Main Results:
- By mid-2009, approximately 28,000 infants received caries risk assessments.
- 14,000 children were enrolled in Childsmile practices, with over 10,000 attending visits.
- 28,000 fluoride varnish treatments were administered through nursery and school programmes.
- Daily supervised toothbrushing and oral health packs reached nearly all targeted nursery and primary school classes.
Conclusions:
- The Childsmile programme demonstrated significant reach in deprived areas of Scotland.
- Monitoring data provided insights into programme coverage and identified areas for improvement.
- The programme's infrastructure facilitated widespread delivery of preventive dental care interventions.
Abstract:
This paper, the second of two reviewing the Childsmile programme, describes monitoring arrangements and summarises monitoring data covering the period 2006-2009. By mid-2009, around 28,000 infants in deprived areas of the West of Scotland had been given caries risk assessments by Health Visitors; 14,000 were enrolled with 142 Childsmile practices or clinics; and over 10,000 had begun making practice visits. The Childsmile Nursery and School programmes had provided 28,000 fluoride varnish treatments to nursery and primary school children. Daily supervised toothbrushing and distribution of oral health packs covered almost 100% of nursery schools and P1 and P2 classes in primary schools in the most deprived areas of Scotland. Feedback of monitoring information to programme managers is used to identify any variation or shortfall in programme coverage and delivery.
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