Effectiveness of Early Preventive Intervention with Semiannual Fluoride Varnish Application in Toddlers Living in High-Risk Areas: A Stratified Cluster-Randomized Controlled Trial

Caries Research
Maria AndersonMargaret Grindefjord

Abstract

This study evaluated whether toddlers in an extended preventive program of semiannual fluoride varnish applications from 1 year of age had a lower incidence of caries than those undergoing a standard program. A cohort of 1-year-old children (n = 3,403) living in multicultural areas of low socioeconomic standing in Stockholm participated in a cluster-randomized controlled field trial with two parallel arms. The children attended 23 dental clinics. Using the ICDAS II criteria, the examiners recorded caries at baseline and after 1 and 2 years. The children in the reference group received a standardized oral health program once yearly between 1 and 3 years of age. The children in the test group received the same standard program supplemented with topical applications of fluoride varnish every 6 months. We compared the test group and the reference group for the prevalence and increment of caries. At baseline, 5% of the children had already developed caries (ICDAS II 1-6). We reexamined the children after 1 year (n = 2,675) and after 2 years (n = 2,536). Neither prevalence nor caries increment differed between the groups. At 3 years of age, 12% of the children had developed moderate and severe carious lesions (ICDAS II 3-6), with a m...Continue Reading

Citations

Feb 9, 2017·Community Dentistry and Oral Epidemiology·Seif RedaFalk Schwendicke
Jul 7, 2017·Community Dentistry and Oral Epidemiology·Falk SchwendickeLyndie Foster Page
Oct 20, 2018·Community Dentistry and Oral Epidemiology·Mohamed ElSalhyMaryam Amin
Feb 27, 2018·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·M GrindefjordG Tsilingaridis
May 5, 2020·Acta Odontologica Scandinavica·Fernanda Cunha SoaresAnnika Julihn
Nov 20, 2016·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·V LiontouL Papagiannoulis
Jul 4, 2019·Dentistry Journal·Andreas DahlanderGöran Dahllöf
Jan 15, 2019·Acta Odontologica Scandinavica·Maria AndersonMargaret Grindefjord
Feb 13, 2018·Community Dentistry and Oral Epidemiology·Tove Irene WigenNina Johanne Wang
Nov 18, 2020·Community Dentistry and Oral Epidemiology·Bathsheba TurtonDavid J Manton
Apr 11, 2021·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Maria AndersonGeorgios Tsilingaridis
Jun 10, 2021·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·M AndersonM Grindefjord
Aug 7, 2021·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Po-Yen LinLin-Yang Chi
Sep 3, 2021·Evidence-based Complementary and Alternative Medicine : ECAM·Mohammad Nima MotallaeiAlireza Yazdanian
Jun 21, 2019·Caries Research·Fernanda Santos de Oliveira de SousaBranca Heloisa de Oliveira

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