hegde-communitybased-2016.pdf (1.65 MB)
Download fileCommunity-based population-level interventions for promoting child oral health
journal contribution
posted on 2016-09-15, 00:00 authored by A M de Silva, Shalika Hegde, B Akudo Nwagbara, Hanny CalacheHanny Calache, M G Gussy, M Nasser, H R Morrice, E Riggs, P M Leong, L K Meyenn, R Yousefi-NooraieAuthors' conclusions
This review provides evidence of low certainty suggesting that community-based oral health promotion interventions that combine oral health education with supervised toothbrushing or professional preventive oral care can reduce dental caries in children. Other interventions, such as those that aim to promote access to fluoride, improve children's diets or provide oral health education alone, show only limited impact. We found no clear indication of when is the most effective time to intervene during childhood. Cost-effectiveness, long-term sustainability and equity of impacts and adverse outcomes were not widely reported by study authors, limiting our ability to make inferences on these aspects. More rigorous measurement and reporting of study results would improve the quality of the evidence.
This review provides evidence of low certainty suggesting that community-based oral health promotion interventions that combine oral health education with supervised toothbrushing or professional preventive oral care can reduce dental caries in children. Other interventions, such as those that aim to promote access to fluoride, improve children's diets or provide oral health education alone, show only limited impact. We found no clear indication of when is the most effective time to intervene during childhood. Cost-effectiveness, long-term sustainability and equity of impacts and adverse outcomes were not widely reported by study authors, limiting our ability to make inferences on these aspects. More rigorous measurement and reporting of study results would improve the quality of the evidence.
History
Journal
Cochrane database of systematic reviewsIssue
9Season
Article number: CD009837Article number
CD009837Pagination
1 - 151Publisher
John Wiley & SonsLocation
Chichester, Eng.Publisher DOI
ISSN
1361-6137eISSN
1469-493XLanguage
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2016, The Cochrane CollaborationUsage metrics
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Categories
Keywords
Science & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal MedicineRANDOMIZED CONTROLLED-TRIALEFFECTIVE PSYCHOEDUCATIONAL INTERVENTIONSUPERVISED TOOTHBRUSHING PROGRAMCARIES PREVENTION PROGRAMDENTAL-CARIESEDUCATION-PROGRAMFLUORIDE VARNISHPERIODONTAL-DISEASESHYGIENE INSTRUCTIONPRESCHOOL-CHILDREN