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Summary
This summary is machine-generated.

School and community factors impact child dental caries risk. School-based caries prevention is more effective in certain student populations, highlighting its potential to reduce oral health inequities.

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Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Social Epidemiology

Background:

  • Child oral health inequities are influenced by school and community environments.
  • The impact of these environments on school-based caries prevention effectiveness is not well understood.

Purpose of the Study:

  • To assess the association between school/community environments and dental caries.
  • To examine the moderating effects of these environments on school-based caries prevention.

Main Methods:

  • Multilevel mixed-effects regression analysis.
  • Analysis of a 6-year prospective cohort study of children in a school-based caries prevention program.

Main Results:

  • Living in dental shortage areas and higher proportions of children on free/reduced lunch were linked to increased caries risk.
  • Caries prevention reduced untreated caries risk per visit, but total caries experience increased over time.
  • Prevention was more effective for children with prior dental care and in schools with higher proportions of low socioeconomic status students.

Conclusions:

  • School and community environments directly affect oral health and modify the impact of school-based caries prevention.
  • School-based caries prevention can reduce oral health inequities, particularly when integrated into schools.
  • The socioeconomic context of schools and communities influences the effectiveness of preventive dental care programs.