June 2018

Volume 35, Issue 2

Challenges associated with implementation of a school-based tooth-brushing and fluoride varnish programme in a diverse and transient urban population

Authors: Jilla Burgess-Allen Madeleine Braithwaite Sandra Whiston
doi: 10.1922/CDH_4101Burgess-Allen04


Public health competencies being illustrated; Planning, delivery and evaluation of health improvement programmes, addressing health inequalities, awareness of cultural impacts on health and wellbeing. Smile4Life, a schools-based, evidence informed oral health promotion programme was designed to address high levels of oral health need and inequality within a UK City.  The aims of the pilot were to test the feasibility of delivering the programme (supervised toothbrushing, take home kits, educational resources and application of fluoride varnish) in six culturally diverse schools in disadvantaged neighbourhoods, and evaluate its impact on caries prevalence.  High levels of participation were achieved (98% positive consent), however, only 44% received more than one application of fluoride varnish.   A reduction in decay prevalence and improved oral hygiene were observed. This paper examines the challenges faced in working with transient and culturally diverse population groups, working effectively with schools to deliver an effective intervention for this population, and in responding effectively across agencies to address safeguarding concerns. Key words: Fluoride Varnish, Tooth-brushing, Inequalities

£10 single article

Other articles in this issue

Article Pages Access
The Brussels statement on the future needs for caries epidemiology and surveillance in Europe 66-66 £10 single article
Readying community water fluoridation advocates through training, surveillance, and empowerment 67-70 £10 single article
Challenges associated with implementation of a school-based tooth-brushing and fluoride varnish programme in a diverse and transient urban population 71-74 £10 single article
Social gradient in intermediary determinants of oral health at school level in Finland 75-80 £10 single article
Community-based nutrition intervention to promote oral health and restore healthy body weight in refugee children: A scoping review 81-88 £10 single article
Child, caregiver, and family factors associated with child dental utilization among Mexican migrant families in California 89-94 £10 single article
Factors associated with Brazilian adolescents’ satisfaction with oral health 95-101 £10 single article
Chronic Intra Oral Pain and Depressive Symptoms in Japanese Community-Dwelling Elderly: A Longitudinal Study 102-108 £10 single article
Use and misuse of mixed methods in population oral health research: A scoping review 109-118 £10 single article
Adaptation and validation of a Nepali version of the Child-Oral Impacts on Daily Performances Index (C-OIDP) 119-126 £10 single article


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