Cargando…
The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations
BACKGROUND: The 'high-risk approach' is a commonly adopted strategy recommended for the prevention of dental caries in populations. The scientific basis for the strategy has been questioned. The objective of this study is to assess the contribution that children identified at 'high-ri...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2006
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1382220/ https://www.ncbi.nlm.nih.gov/pubmed/16448565 http://dx.doi.org/10.1186/1472-6831-6-3 |
_version_ | 1782126847332450304 |
---|---|
author | Batchelor, Paul A Sheiham, Aubrey |
author_facet | Batchelor, Paul A Sheiham, Aubrey |
author_sort | Batchelor, Paul A |
collection | PubMed |
description | BACKGROUND: The 'high-risk approach' is a commonly adopted strategy recommended for the prevention of dental caries in populations. The scientific basis for the strategy has been questioned. The objective of this study is to assess the contribution that children identified at 'high-risk' made towards the total of new caries lesions over a 4-year period, by analysing the distribution of new lesions per 100 children. METHODS: Data are from the National Preventive Dentistry Demonstration Programme (NPDDP) in the United States. The analyses identified the distribution of new carious lesions over a 4-year period in four groups of 7 year-old children who received differing preventive regimes. RESULTS: The majority of new lesions occurred in those children classified at lowest caries risk at baseline. Irrespective of the preventive regime adopted and the initial caries levels, children classified as 'highest risk' contributed less than 6% of the total number of new lesions developing over 4 years. CONCLUSION: These findings challenge the basis for the adoption of a high-risk strategy. |
format | Text |
id | pubmed-1382220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-13822202006-02-25 The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations Batchelor, Paul A Sheiham, Aubrey BMC Oral Health Research Article BACKGROUND: The 'high-risk approach' is a commonly adopted strategy recommended for the prevention of dental caries in populations. The scientific basis for the strategy has been questioned. The objective of this study is to assess the contribution that children identified at 'high-risk' made towards the total of new caries lesions over a 4-year period, by analysing the distribution of new lesions per 100 children. METHODS: Data are from the National Preventive Dentistry Demonstration Programme (NPDDP) in the United States. The analyses identified the distribution of new carious lesions over a 4-year period in four groups of 7 year-old children who received differing preventive regimes. RESULTS: The majority of new lesions occurred in those children classified at lowest caries risk at baseline. Irrespective of the preventive regime adopted and the initial caries levels, children classified as 'highest risk' contributed less than 6% of the total number of new lesions developing over 4 years. CONCLUSION: These findings challenge the basis for the adoption of a high-risk strategy. BioMed Central 2006-01-31 /pmc/articles/PMC1382220/ /pubmed/16448565 http://dx.doi.org/10.1186/1472-6831-6-3 Text en Copyright © 2006 Batchelor and Sheiham; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Batchelor, Paul A Sheiham, Aubrey The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title | The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title_full | The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title_fullStr | The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title_full_unstemmed | The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title_short | The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
title_sort | distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1382220/ https://www.ncbi.nlm.nih.gov/pubmed/16448565 http://dx.doi.org/10.1186/1472-6831-6-3 |
work_keys_str_mv | AT batchelorpaula thedistributionofburdenofdentalcariesinschoolchildrenacritiqueofthehighriskcariespreventionstrategyforpopulations AT sheihamaubrey thedistributionofburdenofdentalcariesinschoolchildrenacritiqueofthehighriskcariespreventionstrategyforpopulations AT batchelorpaula distributionofburdenofdentalcariesinschoolchildrenacritiqueofthehighriskcariespreventionstrategyforpopulations AT sheihamaubrey distributionofburdenofdentalcariesinschoolchildrenacritiqueofthehighriskcariespreventionstrategyforpopulations |