Abstract
A comparison of community based preventative services to improve child dental health
Highlights
Analyses were undertaken to estimate the effect had all the children who were recruited been available at the end. These analyses found that children in the Fluoride Varnish group had average odds of 28% less of developing tooth decay than those in the control group; and the Behavioural group, 22% less
At age 3 years, this trial did not show a benefit for the extra services provided i.e. fluoride varnish nor behavioural support
Two parents were recruited through the Salford City Council programme 'Parent Pathways'
Summary
PARTICIPANTS: children 13 months or younger, parental consent; community settings in Salford and parts of Manchester. TEST GROUP 1: Programme of four behavioural intervention sessions, co-delivered by a dental nurse and “expert parent” to parent from child age 12 to 30 months in SSCC or venue near home. Analyses undertaken to estimate effects had all the children who were recruited been available at the end This sensitivity analysis used multiple imputation, which gave estimated odds ratios of 0.72 (95%CI 0.20, 2.56) for the behavioural group vs the control, and 0.78 (95% CI 0.33, 1.87) for the fluoride group vs the control. EXPECTED IMPACT ON THE RELEVANT FIELD: As no significant differences were found at age 3 years, no additional recommendations can be made in relation to the benefits of fluoride varnish nor behavioural interventions in improving dental health of very young children. Findings from focus groups and interviews on recruitment and retention of very young children into community clinical trials will assist researchers working with this age group
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