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Effect of supervised brushing with fluoride gel during primary school, taking into account the group prevention schedule in kindergarten

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Abstract

Objectives

In one region of Germany, a group of children took part in regular fluoride gel applications during primary school following intensified prevention in kindergarten. This observational study aimed to ascertain whether the dental health of primary school children can be improved by introducing a group prevention program based on applications of fluoride gel.

Materials and methods

The subjects were distributed among six groups with varying preventive measures in kindergarten and at school. The basis for determining caries experience and calculating the caries increment consisted of dental findings gathered in the second and fourth grade.

Results

While second graders without professionally supported daily toothbrushing in kindergarten exhibited an average d3 -6mft of 2.17, in those who had enjoyed intensive dental prevention, the corresponding value was 19% lower (d3-6mft = 1.74). The caries increment was significantly lower mainly among children who had received the maximum of group prevention (intensive prevention in kindergarten and gel program at school).

Conclusions

The results show that intensified preventive programs in kindergartens and schools, based mainly on supervised toothbrushing, have a positive effect on the dental health of primary school children.

Clinical relevance

Such programs are efficient in reducing caries experience especially in socially deprived areas.

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Authors and Affiliations

  1. Department of Paediatric and Community Dentistry, Philipps-University Marburg, Georg-Voigt-Str. 3, 35039, Marburg, Germany

    Julia Winter, Anahita Jablonski-Momeni & Klaus Pieper

  2. Private Practice, Briloner Str. 27, 34508, Willingen, Germany

    Annett Ladda

Authors
  1. Julia Winter
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  2. Anahita Jablonski-Momeni
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  3. Annett Ladda
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  4. Klaus Pieper
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Corresponding author

Correspondence to Julia Winter.

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Conflict of interest

J. Winter reports a grant from GABA International AG/Colgate-Palmolive Europe sàrl, during data evaluation and writing of the report. A. Jablonski-Momeni reports grants from GABA International AG/Colgate-Palmolive Europe sàrl, during the conduct of the study. A. Ladda declares that she has no conflict of interest. K. Pieper reports grants from GABA International AG/Colgate-Palmolive Europe sàrl, during the conduct of the study. K. Pieper reports reimbursement of travel expenses for ACFF meetings from Colgate-Palmolive Europe sàrl.

Funding

This study was funded by elmex research/Colgate-Palmolive Europe sàrl (GASAS-1005X). Elmex research/Colgate-Palmolive Europe sàrl played no role in the design, execution, analysis, interpretation of the data, or writing of the study.

Ethical approval

The study was approved by the ethics committee of the Faculty of Medicine, University of Marburg, Germany (file number: study 146/10, chairman: Prof. G. Richter).

Informed consent

Informed consent was obtained from all parents whose children participated in the study.

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Winter, J., Jablonski-Momeni, A., Ladda, A. et al. Effect of supervised brushing with fluoride gel during primary school, taking into account the group prevention schedule in kindergarten. Clin Oral Invest 21, 2101–2107 (2017). https://doi.org/10.1007/s00784-016-2000-3

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  • DOI: https://doi.org/10.1007/s00784-016-2000-3

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