Effect of School-Based Fluoride Varnish Programmes on Approximal Caries in Adolescents from Different Caries Risk Areas

2005 ◽  
Vol 39 (4) ◽  
pp. 273-279 ◽  
Author(s):  
Ulla Moberg Sköld ◽  
Lars G. Petersson ◽  
Agneta Lith ◽  
Dowen Birkhed
Keyword(s):  
Fluoride Varnish ◽  
Caries Risk ◽  
School Based ◽  
Risk Areas ◽  
Approximal Caries

Temporary Tooth Separation to Improve Assessment of Approximal Caries Lesions: A School-Based Study

2020 ◽  
Vol 45 (6) ◽  
pp. 581-588
Author(s):  
MM Nascimento ◽  
AP Ribeiro ◽  
AJ Delgado ◽  
L Cassiano ◽  
MGD Caraballo ◽  
...  
Keyword(s):  
Caries Risk ◽  
Diagnostic Aid ◽  
Health Records ◽  
Lesion Depth ◽  
Lesion Location ◽  
School Based ◽  
Threshold Criterion ◽  
Oral Biofilms ◽  
Caries Lesions ◽  
Approximal Caries

Clinical Relevance Radiographic lesion depth should not be used as the single determinant of the restorative threshold for clinically inaccessible approximal caries lesions. Temporary tooth separation is a feasible and effective diagnostic aid for assessment and appropriate management of approximal lesions. SUMMARY In the era of tooth-preserving dentistry, the decision to restore approximal caries lesions must be based on the accurate assessment of tooth cavitation, as the accumulation of oral biofilms in these areas encourages lesion progression. However, lesions radiographically into dentin remain the main threshold criterion for restoring approximal lesions even though most of these lesions may not be cavitated. A school-based clinical protocol for temporary tooth separation (TTS) was developed to improve visual-tactile assessment and management of clinically inaccessible approximal lesions. TTS data retrieved from electronic health records were used to correlate radiographic lesion depth and surface cavitation status with lesion location and the patient’s caries risk and to evaluate the effectiveness of TTS as a diagnostic aid for approximal lesions. Of the 206 lesions assessed, 66.5% (n=137) were located in the maxillary arch, 56.6% (n=116) in distal surfaces, 61.3% (n=114) in premolars, and 21.5% (n=40) in molars. After tooth separation, 79.6% (n=164) of the lesions were diagnosed as noncavitated, including 90% (n=66) of the lesions radiographically at the inner half of enamel (E2) and 66% (n=49) of those at the outer-third of dentin (D1). Logistic regression analysis using E2 and D1 lesions showed no significant association between lesion depth or cavitation status with lesion location and caries risk. TTS is a feasible and effective diagnostic aid for the assessment and appropriate management of approximal caries lesions. There is a need to reevaluate the use of radiographic lesion depth as the single determinant of the restorative threshold for clinically inaccessible approximal lesions.

Effect of Quarterly Treatments with a Chlorhexidine and a Fluoride Varnish on Approximal Caries in Caries–Susceptible Teenagers: A 3–Year Clinical Study

2000 ◽  
Vol 34 (2) ◽  
pp. 140-143 ◽  
Author(s):  
L.G. Petersson ◽  
K. Magnusson ◽  
H. Andersson ◽  
B. Almquist ◽  
S. Twetmana
Keyword(s):  
Clinical Study ◽  
Fluoride Varnish ◽  
Approximal Caries

scholarly journals Cost-Effectiveness Analysis of Dental Sealants versus Fluoride Varnish in a School-Based Setting

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 78-82 ◽  
Author(s):  
Matthew Neidell ◽  
Barbara Shearer ◽  
Ira B. Lamster
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Fluoride Varnish ◽  
Base Case ◽  
Case Scenario ◽  
Base Case Scenario ◽  
School Based ◽  
Occlusal Surfaces ◽  
Context Specific ◽  
The Cost

While sealants are more effective than fluoride varnish in reducing the development of new carious lesions on occlusal surfaces, and a course of treatment requires fewer clinical visits, they are more expensive per application. This analysis assessed which treatment is more cost-effective. We estimate the costs of sealants and fluoride varnish over a 4-year period in a school-based setting, and compare this to existing estimates of the relative benefits in terms of caries reduction to calculate the relative cost-effectiveness of these two preventive treatments. In our base case scenario, varnish is more cost-effective in preventing caries. Allowing for caries benefits to nonocclusal surfaces further improves the cost-effectiveness of varnish. Although we found that varnish is more cost-effective, the results are context specific. Sealants become equally cost-effective if a dental hygienist applies the sealants instead of a dentist, while varnish becomes increasingly cost-effective when making comparisons outside of a traditional dental clinic setting.

Effect of semi-annual applications of a chlorhexidine/fluoride varnish mixture on approximal caries incidence in schoolchildren. A three-year radiographic study

1998 ◽  
Vol 106 (2p1) ◽  
pp. 623-627 ◽  
Author(s):  
Lars G. Petersson ◽  
Kerstin Magnusson ◽  
Helen Andersson ◽  
Gertrud Deierborg ◽  
Svante Twetman
Keyword(s):  
Fluoride Varnish ◽  
Radiographic Study ◽  
Approximal Caries

scholarly journals A school-based oral health intervention in East London: the Happy Teeth fluoride varnish programme

BDJ ◽  
2013 ◽  
Vol 215 (8) ◽  
pp. E14-E14 ◽  
Author(s):  
P. Evans ◽  
N. Pearson ◽  
D. Simons
Keyword(s):  
Oral Health ◽  
Health Intervention ◽  
Fluoride Varnish ◽  
School Based
Sign in / Sign up

Export Citation Format

Share Document