Abstract:
:When used properly, sealants result in improved dental health. However, their use on all occlusal tooth surfaces for preventive reasons will result in wasted dental care resources. To optimize the preventive effects of sealants, a delivery model should be initiated that uses specially trained dental hygienists or dental assistants who visit schools to explain oral health-related issues, conduct visual inspections of clinical oral health status, identify patients at risk for dental caries, and generate a central database for program operation. When a high-risk patient is identified, auxiliary personnel could place sealants and recall the patient for a new visual inspection six months later. If caries is suspected at that time, the patient could be sent to a dentist for additional treatment. To offset the negative effects caused by overutilization of sealants, their usage should be divided into two categories. First, a preventive option should be available, and the fee for use of sealants in this option should be lower compared to the fees used today. By using specially trained auxiliary personnel to place such sealants, the fee could be kept reasonably low. Second, a sealant treatments option that targets treatments of incipient lesions also should be available. The fee for such a treatment should be close to that of the traditional occlusal restoration, and the application should be by a dentist. By using such a fee structure based on market forces, one would expect that sealant usage would increase among patients suffering from early carious lesions, while the usage of preventive sealants would remain the same or decline. This utilization pattern for dental sealants would contribute to improved efficiency of sealant usage in the treatment of dental caries, particularly at a time when caries frequency is declining. The improved efficiency could release dental care resources that should be used to target risk groups with improved education in dental health. By using such a strategy, the long-term effect would be not only the placement of fewer restorations, but an improvement in dental health among adolescents and adults.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Söderholm KJdoi
10.1111/j.1752-7325.1995.tb02384.xsubject
Has Abstractpub_date
1995-01-01 00:00:00pages
302-11issue
5 Spec Noeissn
0022-4006issn
1752-7325journal_volume
55pub_type
评论,杂志文章,评审abstract:OBJECTIVES:The "optimal" intake of fluoride has been widely accepted for decades as between 0.05 and 0.07 mg fluoride per kilogram of body weight (mg F/kg bw) but is based on limited scientific evidence. The purpose of this paper is to present longitudinal fluoride intake data for children free of dental fluorosis in t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00108.x
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:To test the feasibility of colocating registered dental hygienists (RDHs) into medical practices and to evaluate parent/caregiver oral health characteristics. METHODS:From December 2008 to April 2009, we colocated five RDHs into five medical practices identified for their service to low-income children. Dua...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12010
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:To describe perceived benefits and safety of community water fluoridation (CWF) and investigate factors associated with those perceptions of CWF among respondents to a proprietary survey in the United States. METHODS:We obtained data from the 2009 HealthStyles survey, a convenience sample of 4,556 responden...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12104
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those placed by dentists. METHODS:Between July 1, 2007, and June 30, 2008, we matched 455 restorations placed by RFAs working at HealthPartners Dental Group with the same number placed by dentists. Restorations we...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2011.00291.x
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:Dentistry is increasingly challenged by payers and the public to demonstrate quality measurement (QM) activities that substantiate value. Unknown is how various components of the US oral health-care financing and delivery systems have adopted QM. The objective of this study is to explore QM activities by US ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12117
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12072
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:This study investigated the associations between dental caries prevalence and severity and social factors in 3- to 5-year-old African children. METHODS:Dental caries was diagnosed in natural light using WHO criteria, minors, and explorers. Socioeconomic information was obtained by questionnaire. RESULTS:The...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb02984.x
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:The specific aims of this study were to describe the baseline oral health status of persons residing in North Carolina assisted living facilities and determine how identified oral health problems vary according to resident and facility demographic variables. METHODS:This cross-sectional descriptive epidemio...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12310
更新日期:2019-09-01 00:00:00
abstract::In 1986, the Columbus (Ohio) Health Department conducted an oral health survey of children in grades 1, 2, 6, and 7. The World Health Organization's Pathfinder methodology served as the basis for survey design. The survey was made possible through collaboration and sharing resources among the local and state health de...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1988.tb03178.x
更新日期:1988-04-01 00:00:00
abstract::This study was conducted to determine whether Venturi Fluoride Saturator (VFS) systems could be used to fluoridate small community and school water supply systems with an acceptable level of maintenance. VFS systems were installed and operated at four school and six community well sites according to state and federal ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1991.tb02209.x
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:Clinical guidelines for tobacco use cessation (TUC) counseling recommend that healthcare professionals should provide brief tobacco counseling for all tobacco users. Widespread implementation of these guidelines seems to be insufficient. To enhance adherence to TUC counseling guidelines, it is essential to i...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12019
更新日期:2013-07-01 00:00:00
abstract::The high prevalence of disorders in the mouths of elderly residents in long-term care (LTC) facilities suggests that the dental services available to the residents are inadequate. A questionnaire was sent to most of the dentists practicing in Vancouver (British Columbia) to solicit their opinions on treating older pat...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02280.x
更新日期:1992-07-01 00:00:00
abstract::Water fluoridation has been repeatedly associated with lower caries experience in children but uncertainty still exists on strength and extent of the association into adulthood. OBJECTIVE:To analyze the preventive effect of access to fluoridated water on dental caries among young adults. METHODS:In 1991/92 a cross-s...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12207
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:This review updates the evidence regarding caries risk assessment for infants, toddlers, and preschool children and formulates recommendations for preventive strategies for WIC, Head Start, and Early Head Start. METHODS:Literature on caries risk assessment and preventive strategies for infants, toddlers, an...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,meta分析
doi:10.1111/j.1752-7325.2000.tb03330.x
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To ascertain caregiver satisfaction with silver diamine fluoride (SDF) application(s) as an intermediate care path for their children with caries. METHODS:Caregivers were recruited at two community health centers when they arrived for a previously scheduled operating room/sedation appointment for their child...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12338
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:Community water fluoridation (CWF) is one of the greatest public health achievements of the 20th century. Despite this achievement, there are still misunderstandings about the safety of water fluoridation. Previous communication campaigns advocating CWF have been unsuccessful in combating these misunderstand...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12404
更新日期:2020-10-15 00:00:00
abstract:OBJECTIVE:To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. MATERIAL AND METHODS:A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variabl...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2007.00056.x
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:This paper reviews case definitions and clinical diagnostic criteria of early childhood caries (ECC) and severe ECC (S-ECC) in children aged 1 to 5 years old. The acronym S-ECC as used in this paper refers to nursing caries, baby bottle tooth decay, rampant caries, labial caries, maxillary anterior caries, an...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,meta分析
doi:10.1111/j.1752-7325.1999.tb03267.x
更新日期:1999-07-01 00:00:00
abstract::Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02286.x
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relativ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00148.x
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:This study investigated possible reasons for observed discrepancies in prevalence estimates and measures of association for periodontal disease between phases (1988-91 and 1991-94) of the third National Health and Nutrition Examination Survey (NHANES III). METHODS:NHANES III data on CD-ROM were obtained fro...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1999.tb03237.x
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To translate and validate the Chinese version of General Oral Health Assessment Index (GOHAI) for elderly in Hong Kong and to investigate factors that possibly may influence the GOHAI scores. METHODS:The English version of GOHAI was translated into Chinese. Persons aged 60-80 years were interviewed by two tr...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2002.tb03426.x
更新日期:2002-04-01 00:00:00
abstract::An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1975.tb04029.x
更新日期:1975-04-01 00:00:00
abstract:OBJECTIVE:As dental caries can progress throughout a person's lifetime, understanding caries risk factors unique to specific life phases is important. This study aims to assess caries incidence and risk factors for young adolescents. METHODS:Participants in the longitudinal Iowa Fluoride Study were assessed for dental...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12028
更新日期:2013-10-01 00:00:00
abstract::Until a few years ago, the results of most surveys of the prevalence of dental caries among school-age children in the United States, particularly those done in the south, showed that black children had a lower prevalence of dental caries than did white children who lived in the same community.4-6,11,16,19,20-23,25 Ho...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1976.tb02853.x
更新日期:1976-04-01 00:00:00
abstract:OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12262
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00367.x
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:Studies examining satisfaction with dental health care among the poor are quite rare. This study was done to confirm the internal structure and reliability of the Dental Satisfaction Questionnaire (DSQ), a measure of dental care satisfaction, among a low-income population, and provide normative data regardin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1995.tb02372.x
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:Very little independent research has been done on the new self-etching primer/adhesives in dentistry. A recent clinical study compared two sealant application techniques involving self-etching primer adhesives and the traditional phosphoric acid etch. The purpose of this study was to compare these two techni...
journal_title:Journal of public health dentistry
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1752-7325.2004.tb02752.x
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:In Canada and the United States, professionally applied topical fluorides (PATF) are usually applied as a gel or foam. However, fluoride varnish has also been found to be effective for caries prevention and may be a preferred method because less time is required and fluoride exposure can be better controlled...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2004.tb02736.x
更新日期:2004-04-01 00:00:00