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A program self-administered fluorides in a rural school system.

H S Horowitz, S B Heifetz, R J Meyers

    Community Dentistry and Oral Epidemiology
    |August 1, 1980
    PubMed
    Summary
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    A school-based fluoride program combining daily tablets, weekly rinses, and home toothpaste significantly reduced cavities in children. This preventive dental care approach demonstrated lasting benefits and effectiveness in a fluoride-deficient area.

    Area of Science:

    • Public Health
    • Pediatric Dentistry
    • Preventive Dentistry

    Background:

    • Nelson County, VA, initiated a self-administered fluoride program in 1972 due to fluoride deficiency.
    • The program targeted elementary schoolchildren (grades K-6) with daily fluoride tablets, weekly sodium fluoride (NaF) rinses, and fluoride dentifrice for home use.

    Purpose of the Study:

    • To evaluate the effectiveness of a comprehensive school-based fluoride program in preventing dental caries.
    • To assess the long-term cariostatic effects of combined fluoride interventions.

    Main Methods:

    • A longitudinal study involving elementary schoolchildren (ages 6-12) in Nelson County, VA.
    • Participants continuously engaged in daily 1-mg fluoride tablet ingestion, weekly 0.2% NaF mouthrinses, and home fluoride dentifrice use.

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  • Dental examinations were conducted at baseline and follow-up surveys over several years.
  • Main Results:

    • A 45% reduction in decayed, missing, or filled surfaces (DMFS) was observed in elementary schoolchildren after 1-6 years of participation (2.70 DMFS vs. 4.89 DMFS at baseline).
    • The program showed significant inhibition of dental caries across all tooth surfaces, with an 85% reduction in proximal surfaces.
    • High school students (ages 13-17) not in the program showed strong post-treatment effects, indicating sustained benefits.
    • Benefits increased progressively over time, with 44.8% caries reduction after 6 years for elementary participants.

    Conclusions:

    • School-based fluoride interventions, including daily tablets and weekly rinses, are feasible and effective for dental caries prevention.
    • The combined use of these school-based procedures with home fluoride dentifrice use yields a pronounced cariostatic effect.
    • The study highlights the long-term public health benefits of sustained, community-level fluoride application programs.