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• W1193662009 abstract "Dear Editor-in-ChiefDental caries is one of the most prevalent diseases among children and adolescents. The results of Polish surveys conducted regularly since 1987 indicate high level of dental caries. In north-eastern Poland 5.3% of 6-yr-olds from urban and 8.2% from rural areas were caries free. In 2005 only 8.2% and in 2008, 24.4% of Polish 6-yr-old children participated in caries-preventive programs (1-3). The most common form of caries-preventive program is supervised tooth brushing with fluoride gels. This is in accordance with regulations issued by the Polish Ministry of Health, which state that a school-based program should be conducted among pupils from 1 to 6 grades with brushings 6 times during the school year (4). WHO target of reducing the number of 6-year-old children with caries to 60% is impossible to achieve in Poland (5). The Polish National Health Program for 2007-2015 emphasized the need to increase school-based fluoride prevention in children aged between 7 and 12 (4).This study aimed to assess the effect of high frequency of 2-year supervised tooth brushing with fluoride gel on caries reduction in permanent teeth in children from north-eastern Poland.The study was conducted among 7-yr-old school children. Two-stage cluster sampling was used to select participants. Participating were only those schools whose headmasters allowed the program to be conducted, and those pupils whose parents or caregivers gave their written consent. The total of 271 children was divided into 4 groups according to frequency of brushings with aminofluoride gel containing 1.25% F: focus group A32 and 3 control groups, B6, Bx and B0. In focus group A32 children brushed their teeth 32 times during a school year. In group B6 children brushed their teeth every 6 weeks, 6 times a year, as recommended by the Ministry of Health (4); in group Bx brushing every 6 weeks was declared while in fact it was carried out irregularly. In group B0 children did not have any form of organized caries prevention procedure. Children brushed their teeth for 3 minutes with aminofluoride gel, spat out the residue and rinsed their mouths with a small amount of water. To eliminate the risk of adverse effects, the amount of gel was limited to about 0.3 g, which corresponded to about 3.75 mg of fluoride and daily intake balance was performed, including all the fluoride sources: drinking water, toothpaste and gel. Preliminary, after a year and 2 years clinical examinations were conducted in artificial light in school rooms using a dental mirror and blunt probe. The decayed, missing and filled teeth (DMFT) index for permanent teeth was recorded with WHO recommendations (6). Caries increment (Ic) calculated as the difference between baseline and final examination was expressed numerically and by percentage.Reduction in caries development was expressed by the preventive fraction (PF), the proportion of the difference between mean Ic in each examined and reference group divided by mean Ic in the reference group; Icref - Icexam / Icref x 100. Number of children needed to treat (NNT) was measured on the basis of the mean annual Ic in reference to the control group. Statistical analysis was performed using the STATISTICA 8.0 package from StatSoft. Results with a PWe analyzed the intensified frequency of supervised tooth brushing with aminofluoride gel from clinical and pharmacoeconomical point of view. There were no statistical differences in caries experience between groups A32 and B6 in the second and final examination (Table 1).Throughout the 2-year preventive program mean Ic was statistically significant in each group. The lowest Ic appeared in group A32 (0.48 DMFT). Caries reduction was measured as the PF in reference to subsequent groups: B0, Bx and B6. Biannual prevention resulted in caries reduction in all test groups (Table 2). …" @default.
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• W1193662009 date "2015-06-01" @default.
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• W1193662009 title "Effectiveness of High Frequency of Two-Year Supervised Brushing with Fluoride Gel in Permanent Teeth in Children from Poland." @default.
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