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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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School dental screening programmes for oral health.
Ankita Arora1, Shivi Khattri, Noorliza Mastura Ismail
1Department of Pedodontics and Preventive Dentistry, Faculty of Dentistry, Melaka-Manipal Medical College, Jalan Batu Hampar, Bukit Baru, Melaka, Melaka, Malaysia, 751501.
The Cochrane Database of Systematic Reviews
|December 22, 2017
Summary
School dental screening effectiveness is uncertain for improving dental attendance. Criteria-based screening may offer benefits, and personalized referrals or motivation alongside screening show promise for increasing dental visits.
Area of Science:
- Public Health
- Pediatric Dentistry
- Evidence-Based Dentistry
Background:
- School dental screening involves visual inspection of children's oral health in schools.
- The aim is early identification of oral health issues to promote timely preventive and therapeutic care.
- This review assesses the effectiveness of school dental screening programs.
Purpose of the Study:
- To evaluate the impact of school dental screening on children's oral health status.
- To determine the effect of screening on the utilization of dental services.
Main Methods:
- Systematic review of randomized controlled trials (RCTs), including cluster and parallel designs.
- Searched major databases (Cochrane, MEDLINE, Embase) up to March 2017.
- Included six RCTs with 19,498 children aged 4-15 years.
Main Results:
- Evidence on traditional screening versus no screening was inconclusive due to high heterogeneity.
- Criteria-based screening showed a possible benefit for dental attendance (low-certainty evidence).
- Personalized referral letters and screening with motivation significantly improved dental attendance (low-certainty evidence).
Conclusions:
- Very low certainty evidence prevents conclusions on traditional school dental screening's role in improving attendance.
- Criteria-based screening may improve dental attendance, but evidence is low certainty.
- Personalized referrals and motivational components enhance dental attendance, supported by low-certainty evidence.
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