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A comparison of community based preventative services to improve child dental health

Document type: Projects: In progress/completed
Document language: English
Uploaded By: Allan Colver (allancolver)
Date Uploaded: 2012/01/06 20:09:22.114 GMT+1
URL to a webpage or document based online: http://

Basic Information

Authors: Professor Cynthia Pine, Salford Primary Care Trust
Published on Date: 2010
Funding source project: National Institute for Health Research: Research for Patient Benefit
Abstract:

Over 50% of 5 year olds in Salford have experienced tooth decay; with extraction of teeth being the main reason for planned admission to hospital for children under 10. Most young children with decay live in disadvantaged communities. They have sugary snacks, are less likely to attend the dentist, start toothbrushing later and do not brush everyday. Salford PCT and City Council have a plan to improve children’s dental health and the PCT is planning to establish a new service. We have talked to mothers and carers of young children in the Children’s Centre in Ordsall. Families struggle to have a bedtime routine including toothbrushing and sugary drinks are common. Parents are worried about their children’s teeth and would join a study to look at new preventive dental services.

The PCT will compare new services to work out which would be best for families. To make the comparison fair, we will ask families with babies aged 8-10 months if they would accept us assigning them to be in one of the 3 service groups until their children are 3. Families in the standard or “Control” Group will be offered appointments at a local dentist attached to the Children’s Centres where the study will be based. Families in “Test Group 1”will have the standard service plus will be asked to attend mother (carer) and toddler sessions to give families support to establish a sugar-free bedtime routine and twice daily toothbrushing. Families in “Test Group 2” will have the standard service plus will be given appointments to bring their child to the Children’s Centre for fluoride varnish to be put on their teeth. Families will be asked questions about their child’s dental health and habits at 12, 24 and 36 months in the control group with some extra questions in test groups at 18, 24 and 30 months. All visits and time taken will be recorded. The PCT is working with the Universities of Salford, Liverpool and Bangor to measure the costs to the NHS and the benefits to the families of each service.


Riche Classification

Taxonomy:
Demography: Infant (first year of life / baby not walking): , Young (pre-school ) child (including those attending Kindergarten / playgroup / child care) ,
Population Groups: Socio-economic status ,
Child Related Topics: Health care involving children , Primary care settings involving children ,
Health issues, determinants and measures: Oral health ,
Languages and Geographical Perspective: England , English ,
Study type / scale / state of progress / setting: Randomised controlled trial , Evaluation research - of policy or of practice, interventions. ,