Article Data

  • Views 1002
  • Dowloads 154

Original Research

Open Access

Fluoride Varnish Application in the Primary Care Setting. A Clinical Study

  • Rolnick SJ1,*,
  • Jackson JM1
  • DeFor TA1
  • Flottemesch TJ1

1From Health Partners Institute for Education and Research, Minneapolis, Minnesota, USA.

DOI: 10.17796/1053-4628-39.4.311 Vol.39,Issue 4,July 2015 pp.311-314

Published: 01 July 2015

*Corresponding Author(s): Rolnick SJ E-mail: cheri747@gmail.com artncheri@aol.com

Abstract

The study objectives were twofold: 1. To examine how an intervention to apply fluoride varnish (FV) in a primary health setting to all young, low-income children was implemented and sustained and 2. To assess the feasibility of tracking medical care utilization in this population. Study Design: The study included children age 1-5, insured through a government program, seen (7/1/2010- 4/30/ 2012). Data on age, race, sex, clinic encounter, eligibility for and receipt of FV was obtained. The level of data in primary care, specialty care, urgent care and hospitalizations to assess feasibility of future patient tracking was also acquired.. Results: Of 12,067 children, 85% received FV. Differences were found by age (youngest had highest rates). Small differences by race (81%-88%, highest in Blacks.) was found. No differences were found by sex. Ability to track over time was mixed. Approximately 50% had comprehensive data. However, primary care visit and hospitalization data was available on a larger percentage. Conclusions: FV programs can be introduced in the primary care setting and sustained. Further, long-term follow up is possible. Future study of such cohorts capturing health and cost benefits of oral health prevention efforts is needed.

Keywords

Fluoride varnish, caries prevention. Children. Primary care center

Cite and Share

Rolnick SJ,Jackson JM, DeFor TA,Flottemesch TJ. Fluoride Varnish Application in the Primary Care Setting. A Clinical Study. Journal of Clinical Pediatric Dentistry. 2015. 39(4);311-314.

References

1. Edelstein BL. Dental care considerations for young children. Spec Care Dentist. 2002;22(3 Suppl):11S-25S.

2. Edelstein BL, Douglass CW. Dispelling the myth that 50 percent of u.S. Schoolchildren have never had a cavity. Public Health Rep. Sep-Oct 1995;110(5):522-530; discussion 521, 531-523.

3. Silk H. Making oral health a priority in your preventive pediatric visits. Clin Pediatr (Phila). Mar 2010;49(2):103-109.

4. Yost J, Li Y. Promoting oral health from birth through childhood: Prevention of early childhood caries. MCN Am J Matern Child Nurs. Jan-Feb 2008;33(1):17-23; quiz 24-15.

5. Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for america’s children. Acad Pediatr. Nov-Dec 2009;9(6):415-419.

6. Wysen KH, Hennessy PM, Lieberman MI, Garland TE, Johnson SM. Kids get care: Integrating preventive dental and medical care using a public health case management model. J Dent Educ. May 2004;68(5):522-530.

7. Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Winn DM, Brown LJ. Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United states, 1988-1991. J Dent Res. Feb 1996;75 Spec No:631-641.

8. Newacheck PW, Hughes DC, Hung YY, Wong S, Stoddard JJ. The unmet health needs of america’s children. Pediatrics. Apr 2000;105(4 Pt 2):989-997.

9. Lewis CW, Grossman DC, Domoto PK, Deyo RA. The role of the pediatrician in the oral health of children: A national survey. Pediatrics. Dec 2000;106(6):E84.

10. Berg P, Coniglio D. Oral health in children overlooked and undertreated. JAAPA. Apr 2006;19(4):40, 42, 44 passim.

11. Mouradian WE, Berg JH, Somerman MJ. Addressing disparities through dental-medical collaborations, part 1. The role of cultural competency in health disparities: Training of primary care medical practitioners in children’s oral health. J Dent Educ. Aug 2003;67(8):860-868.

12. Pourat N, Nicholson G. Unaffordable dental care is linked to frequent school absences. Policy Brief UCLA Cent Health Policy Res. Nov 2009(PB2009-10):1-6.

13. American Academy of Pediatric Dentistry. Infant oral health care policy statement. J Pediatric Dentistry Special Issue Reference Manual. 1999-00;21(5).

14. The Nation’s Health - The Official Newspaper of the American Public Health Association. The Nation’s Health - The Official Newspaper of the American Public Health Association,1999.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 1.8 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top