March 2009

Volume 26, Issue 1

Predictive tool for estimating the potential effect of water fluoridation on dental caries

Authors: G.R.K. Foster M. Downer M. Lunt V. Aggarwal M. Tickle
doi: 10.1922/CDH_2352Tickle07

Abstract

Objective To provide a tool for public health planners to estimate the potential improvement in dental caries in children that might be expected in a region if its water supply were to be fluoridated. Basic Research Design Recent BASCD (British Association for the Study of Community Dentistry) dental epidemiological data for caries in 5- and 11-year-old children in English primary care trusts in fluoridated and non-fluoridated areas were analysed to estimate absolute and relative improvement in dmft/DMFT and caries-free measures observed in England. Where data were sufficient for testing significance this analysis included the effect of different levels of deprivation. Results A table of observed improvements was produced, together with an example of how that table can be used as a tool for estimating the expected improvement in caries in any specific region of England. Observed absolute improvements and 95% confidence intervals were: for 5-year-olds reduction in mean dmft 0.56 (0.38, 0.74) for IMD 12, 0.73 (0.60, 0.85) for IMD 20, and 0.94 (0.76, 1.12) for IMD 30, with 12% (9%, 14%) more children free of caries; for 11-year-olds reduction in mean DMFT 0.12 (0.04, 0.20) for IMD 12, 0.19 (0.13, 0.26) for IMD 20, 0.29 (0.18, 0.40) and for IMD 30, with 8% (5%, 11%) more children free from caries. Conclusions The BASCD data taken together with a deprivation measure are capable of yielding an age-specific, ‘intention to treat’ model of water fluoridation that can be used to estimate the potential effect on caries levels of a notional new fluoridation scheme in an English region. Key words: Caries prediction, dental caries, deprivation, predictive tool, water fluoridation.

£10 single article

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Editorial - Closing the gap in a generation: Health equity through action on the social determinants of health. A Report of the WHO Commission on Social Determinants of Health (CSDH) 2008. 2-3 £10 single article
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Short Communication - Changing dental caries levels in the 1980’s, 1990’s and 2005 among children of a Jerusalem region. 62-64 £10 single article

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