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Related Experiment Videos

Fluoride Use in Health Care Settings: Association with Children's Caries Risk.

M Fontana1, G J Eckert2, M A Keels3

  • 11 University of Michigan, Ann Arbor, MI, USA.

Advances in Dental Research
|January 23, 2018
PubMed
Summary
This summary is machine-generated.

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Children receiving in-office fluoride treatments by age one were more likely to develop cavities. This highlights the need to address underlying caries risk factors and improve dental care access for young children.

Area of Science:

  • Pediatric Health
  • Dental Public Health
  • Caries Prevention

Background:

  • Dental caries disparities persist, necessitating expanded partnerships between medical and dental communities.
  • Early intervention strategies are crucial for mitigating caries development in young children.
  • In-office fluoride (F) applications by healthcare professionals are a key strategy in pediatric dental care.

Purpose of the Study:

  • To assess the relationship between early in-office fluoride exposure and subsequent caries development.
  • To examine the association between in-office fluoride application and other caries risk factors or mediators.
  • To validate a caries risk assessment tool for primary healthcare settings.

Main Methods:

  • A longitudinal cohort study of 1,325 child-primary caregiver pairs.
Keywords:
dental cariesfluoride drops or tabletsfluoride supplementsfluoride varnishinterprofessionalpediatrician

Related Experiment Videos

  • Caries risk questionnaires and International Caries Detection and Assessment System (ICDAS) examinations at ages 1, 2.5, and 4 years.
  • Generalized estimating equation models applied to logistic regression to analyze associations.

    • Main Results:

    • Children receiving in-office fluoride by age 1 were significantly more likely to develop cavitated caries lesions by ages 2.5 and 4 (ORs: 3.5 and 2.3).
    • Factors associated with receiving in-office fluoride included Medicaid enrollment, unemployment in the household, and high sugary snack/drink consumption.
    • Most children (69%) had no prior dental visit, indicating potential reliance on medical providers for caries risk assessment and fluoride recommendations.

    Conclusions:

    • Early in-office fluoride application was associated with higher caries risk, suggesting that risk factors may influence provider recommendations.
    • Addressing socioeconomic factors and promoting early dental visits are essential for effective caries prevention.
    • State-specific policies, such as fluoride varnish reimbursement, may influence in-office fluoride application practices.