A school-based fluoride mouth rinsing programme in Sarawak: a 3-year field study

Chen, C.J.A. and Ling, K.S. and Esa, R. and Chia, J.C. and Eddy, A. and Yaw, S.L. (2010) A school-based fluoride mouth rinsing programme in Sarawak: a 3-year field study. Community Dentistry and Oral Epidemiology, 38 (4). pp. 310-314. ISSN 0301-5661, DOI https://doi.org/10.1111/j.1600-0528.2010.00529.x.


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Background: This study was undertaken to assess the impact of fluoride mouth rinsing on caries experience in a cohort of schoolchildren 3 years after implementation. Methods: 270 children aged 8-9 years from four schools in Sarawak were selected at baseline. Baseline data was collected to ensure that the selected schools did not differ significantly. Children from two schools rinsed with 0.2 sodium fluoride under supervision, while those from the other schools did not. Results: After 3 years, 242 schoolchildren remained in the study. At the end of the study, the mean DMFT for the test group was 2.3 (95 CI, 1.93-2.67) while the mean DMFT for the control group was 4.01 (95 CI, 3.39-4.63). The mean DMFS for the test group was 3.40 (95 CI, 2.68-4.12) while the mean DMFS for the control group was 6.67 (95 CI, 5.47-7.87). After 3 years, 24.2 of those in the test group remained caries free compared to 11.5 in the control group. The risk of developing caries decreased 0.52 times among the children from the 'test' group exposed to the fluoride mouth rinsing programme as compared to the unexposed 'control' group (RR = 0.48, 95 CI, 0.26-0.85). Discussion and conclusion: The findings show that a school-based weekly 0.2 sodium fluoride mouth rinsing programme is an effective caries preventive measure and should be implemented in fluoride-deficient areas as a means of reducing the prevalence of dental caries in these communities.

Item Type: Article
Additional Information: ISI Document Delivery No.: 621WT Times Cited: 1 Cited Reference Count: 28 Cited References: ABDULKADIR R, 1998, ANN DENT U MALAYA, V5, P2 Chikte U M, 1996, J Dent Assoc S Afr, V51, P697 FIELD A, 2005, DISCOVERING STAT USI, P286 FULAI K, 1999, J DENT HLTH, V49, P262 Goggin G, 1991, J Ir Dent Assoc, V37, P38 HOLLAND TJ, 1995, CARIES RES, V29, P431 KIM JS, 2008, BIOSTATISTICS ORAL H, P165 KOBAYASHI S, 1995, J PUBLIC HEALTH DENT, V55, P229, DOI 10.1111/j.1752-7325.1995.tb02374.x Levin KA, 2009, COMMUNITY DENT ORAL, V37, P19, DOI 10.1111/j.1600-0528.2008.00445.x LING KS, 2006, STUDY FLUORIDE LEVEL Louw A J, 1995, J Dent Assoc S Afr, V50, P43 Marinho VC, 2003, COCHRANE DB SYST REV, DOI DOI 10.1002/14651858.CD002284 MUSA S, 1998, ANN DENT U MALAYA, V5, P45 Pieterse S, 2006, Int J Dent Hyg, V4, P133, DOI 10.1111/j.1601-5037.2006.00183.x POULSEN S, 1984, COMMUNITY DENT ORAL, V12, P283, DOI 10.1111/j.1600-0528.1984.tb01456.x RANTALA EV, 1979, COMMUNITY DENT ORAL, V7, P213, DOI 10.1111/j.1600-0528.1979.tb01218.x RIPA LW, 1983, COMMUNITY DENT ORAL, V11, P1, DOI 10.1111/j.1600-0528.1983.tb01346.x RUGGGUNN AJ, 1973, BRIT DENT J, V135, P353, DOI 10.1038/sj.bdj.4803087 Sakuma S, 2004, INT DENT J, V54, P126 SAKUMA S, 2009, SCH BASED FLUORIDE M SCHEUTZ F, 2007, COMMUNITY ORAL HLTH, P123 TORRELL P, 1965, ACTA ODONTOL SCAND, V23, P287 Twetman S, 2004, ACTA ODONTOL SCAND, V62, P223, DOI 10.1080/00016350410001658 Wei S H, 1993, Int Dent J, V43, P541 World Health Organisation (WHO), 1997, OR HLTH SURV BAS MET *NAT OR HLTH SURV, 1998, NAT OR HLTH SURV SCH *SAR STAT HLTH DEP, 2009, ANN REP 2008 SAR STA *WHO EXP COMM, 1984, WHO EXP COMM TECHN R, V713 Chen, Catherine Jean-Ai Ling, Kwok Sung Esa, Rashidah Chia, Jit Chie Eddy, Andrew Yaw, Siew Lian Wiley-blackwell Malden
Uncontrolled Keywords: Caries prevention field study fluoride mouth rinsing clinical-trial children caries prevention field study fluoride mouth rinsing anticaries agent fluoride sodium mouthwash toothpaste article beverage child classification cohort analysis comparative study dental caries female follow up food health survey human Malaysia male risk factor school dentistry sugar intake tooth brushing water supply Beverages Cariostatic Agents Cohort Studies Dental Caries Susceptibility Dietary Sucrose DMF Index Follow-Up Studies Humans Mouthwashes Risk Factors Sodium Fluoride Toothbrushing
Subjects: R Medicine > RK Dentistry
Depositing User: Ms Nursyafiqah Abd Malek
Date Deposited: 28 Nov 2012 03:44
Last Modified: 28 Nov 2012 03:44
URI: http://eprints.um.edu.my/id/eprint/4012

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