Document Detail


Do school-based dental sealant programs reach higher risk children?
MedLine Citation:
PMID:  20149063     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This report compares sealant prevalence by caries risk status among third graders at Ohio schools with and without school-based dental sealant programs (S-BSPs), and estimates the percent of children receiving sealants in S-BSPs who are higher risk for dental caries.
METHODS: We analyzed data from a statewide open-mouth oral health survey of Ohio third grade schoolchildren for sealant prevalence by S-BSP availability and caries risk classification. Children were classified as higher or lower risk for dental caries based on school lunch program enrollment and other non-clinical access-related indicators. Differences between groups were evaluated by the chi-square test (P < 0.05).
RESULTS: At schools with no S-BSPs, higher risk children were less likely to have dental sealants than lower risk children (28.7 percent versus 42.7 percent, P < 0.001). At schools with S-BSPs, sealant prevalence for both risk categories was equivalent for higher and lower risk children (59.4 percent, 63.4 percent, P = 0.428). Higher risk children at schools with S-BSPs were more than twice as likely to have a sealant as higher risk children at non-S-BSP schools (59.4 percent versus 28.7 percent, P < 0.001). Of higher risk children with at least one sealant, 61 percent attended a school with an S-BSP compared with 12.3 percent of lower risk children with at least one sealant. Higher risk children accounted for at least 75 percent of children receiving sealants through S-BSPs.
CONCLUSIONS: In Ohio, targeting S-BSPs by family income-based school-level criteria was effective in reaching higher risk children.
Authors:
Mark D Siegal; Amber M Richardson Detty
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of public health dentistry     Volume:  70     ISSN:  0022-4006     ISO Abbreviation:  J Public Health Dent     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0014207     Medline TA:  J Public Health Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  181-7     Citation Subset:  D; IM    
Affiliation:
Bureau of Oral Health Services, Ohio Department of Health, Columbus, OH 43215, USA. mark.siegal@odh.ohio.gov
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MeSH Terms
Descriptor/Qualifier:
Child
DMF Index
Dental Care
Dental Caries / classification,  prevention & control*
Dental Caries Susceptibility*
Food Services
Health Services Accessibility
Humans
Income
Medicaid
Medically Uninsured
Ohio
Pit and Fissure Sealants / therapeutic use*
Questionnaires
Risk Assessment
Rural Population
School Dentistry*
United States
Urban Population
Chemical
Reg. No./Substance:
0/Pit and Fissure Sealants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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