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Effectiveness of a school-based fluoride mouthrinse program.

K Divaris1, R G Rozier, R S King

  • 1Department of Pediatric Dentistry, School of Dentistry, University of North Carolina-Chapel Hill, 228 Brauer Hall, CB#7450, Chapel Hill, NC 27599, USA.

Journal of Dental Research
|December 29, 2011
PubMed
Summary
This summary is machine-generated.

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A school-based weekly fluoride mouthrinse program showed a trend toward greater caries prevention in high-risk schools. Long-term participation may offer substantial benefits for children in these areas.

Area of Science:

  • Dental Public Health
  • Pediatric Dentistry
  • Preventive Dentistry

Background:

  • Dental caries remains a significant public health issue among schoolchildren.
  • School-based interventions are crucial for improving oral health outcomes.
  • Fluoride mouthrinse programs are a recognized strategy for caries prevention.

Purpose of the Study:

  • To evaluate the effectiveness of a school-based weekly fluoride mouthrinse program in preventing dental caries.
  • To determine if the caries-preventive effects vary based on school-level caries risk.
  • To assess the association between program participation duration and caries reduction.

Main Methods:

  • A cohort of 1,363 schoolchildren (grades 1-5) in North Carolina participated.
  • Caries experience was measured using decayed, missing, and filled tooth surfaces (d(2,3)fs and D(2,3)MFS).

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  • School-level caries risk was categorized using untreated decay data; program participation was quantified in 'FMR years'.

    • Main Results:

    • Overall, each 'FMR year' showed a weak reduction in caries prevalence in primary and mixed dentitions (PR=0.98).
    • A trend indicated greater caries reduction in high-risk schools (55% reduction for 5-6 yrs FMR) compared to low-risk schools (10% reduction).
    • Statistical significance for the difference in benefit between risk groups was not achieved, but a trend was observed.

    Conclusions:

    • School-based weekly fluoride mouthrinse programs may offer caries-preventive benefits.
    • Children in high-risk schools might experience more substantial benefits from long-term fluoride mouthrinse participation.
    • School-level caries risk assessment can help identify populations that may benefit most from such interventions.