Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]

Background: The reduction in dental caries seen between Irish national surveys of children’s oral health in 1984 and 2002 was accompanied by an increase in the prevalence of enamel fluorosis.  To minimise the risk of enamel fluorosis in Irish children, in 2007, the level of fluoride in drinking wate...

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Main Authors: Patrice James, Mairead Harding, Tara Beecher, Carmel Parnell, Deirdre Browne, Marie Tuohy, Dympna Kavanagh, Denis O'Mullane, Helena Guiney, Michael Cronin, Helen Whelton
Format: Article
Language:English
Published: F1000 Research Ltd 2018-02-01
Series:HRB Open Research
Online Access:https://hrbopenresearch.org/articles/1-4/v1
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author Patrice James
Mairead Harding
Tara Beecher
Carmel Parnell
Deirdre Browne
Marie Tuohy
Dympna Kavanagh
Denis O'Mullane
Helena Guiney
Michael Cronin
Helen Whelton
author_facet Patrice James
Mairead Harding
Tara Beecher
Carmel Parnell
Deirdre Browne
Marie Tuohy
Dympna Kavanagh
Denis O'Mullane
Helena Guiney
Michael Cronin
Helen Whelton
author_sort Patrice James
collection DOAJ
description Background: The reduction in dental caries seen between Irish national surveys of children’s oral health in 1984 and 2002 was accompanied by an increase in the prevalence of enamel fluorosis.  To minimise the risk of enamel fluorosis in Irish children, in 2007, the level of fluoride in drinking water was reduced from 0.8-1.0 ppm to 0.6-0.8 ppm fluoride. Recommendations on the use of fluoride toothpastes in young children were issued in 2002. Fluoride and Caring for Children’s Teeth (FACCT) is a collaborative project between the Oral Health Services Research Centre, University College Cork and the Health Service Executive dental service, with funding from the Health Research Board. Aim: FACCT aims to evaluate the impact and the outcome of the change in community water fluoridation (CWF) policy (2007) on dental caries and enamel fluorosis in Irish schoolchildren, while also considering the change in policy on the use of fluoride toothpastes (2002). Methods/Design: A cross-sectional study with nested longitudinal study will be conducted in school year (SY) 2013-2014 by trained and calibrated dental examiners in primary schools in counties Dublin, Cork and Kerry for a representative sample of children born either prior to or post policy changes; age 12 (born 2001) and age 5, (born 2008). Five-year-olds will be followed-up when they are 8-year-olds (SY 2016-2017). The main explanatory variable will be fluoridation status of the children (lifetime exposure to CWF yes/no). Information about other explanatory variables will be collected via parent (of 5-, 8- and 12-year-olds) and child completed (8- and 12-year-olds only) questionnaires.  The main outcomes will be dental caries (dmf/DMF Index), enamel fluorosis (Dean’s Index) and oral health-related quality of life (OHRQoL). Multivariate regression analyses will be used to determine the impact and outcome of the change in CWF policy on oral health outcomes controlling for other explanatory variables.
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spelling doaj.art-b459fa459500429aa7ade257f95f78772022-12-22T00:40:11ZengF1000 Research LtdHRB Open Research2515-48262018-02-01110.12688/hrbopenres.12799.113859Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]Patrice James0Mairead Harding1Tara Beecher2Carmel Parnell3Deirdre Browne4Marie Tuohy5Dympna Kavanagh6Denis O'Mullane7Helena Guiney8Michael Cronin9Helen Whelton10Oral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandOral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandOral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandLouth Meath Dental Service, Health Service Executive , Navan, Co. Meath, C15RK7Y, IrelandOral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandNational Oral Health Office, St. Joseph's Hospital, Mulgrave Street, Limerick, Co. Limerick, V94C8DV, IrelandCommunity Pharmacy, Dental, Optical and Aural Policy Section, Department of Health, Dublin, Co. Dublin, DO2VW90, IrelandOral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandOral Health Services Research Centre, University College Cork, Cork, Co. Cork, T12E8YV, IrelandSchool of Mathematical Sciences, University College Cork, Cork, Co. Cork, T12YN60, IrelandCollege of Medicine and Health, University College Cork, Cork, Co. Cork, T12EDK0, IrelandBackground: The reduction in dental caries seen between Irish national surveys of children’s oral health in 1984 and 2002 was accompanied by an increase in the prevalence of enamel fluorosis.  To minimise the risk of enamel fluorosis in Irish children, in 2007, the level of fluoride in drinking water was reduced from 0.8-1.0 ppm to 0.6-0.8 ppm fluoride. Recommendations on the use of fluoride toothpastes in young children were issued in 2002. Fluoride and Caring for Children’s Teeth (FACCT) is a collaborative project between the Oral Health Services Research Centre, University College Cork and the Health Service Executive dental service, with funding from the Health Research Board. Aim: FACCT aims to evaluate the impact and the outcome of the change in community water fluoridation (CWF) policy (2007) on dental caries and enamel fluorosis in Irish schoolchildren, while also considering the change in policy on the use of fluoride toothpastes (2002). Methods/Design: A cross-sectional study with nested longitudinal study will be conducted in school year (SY) 2013-2014 by trained and calibrated dental examiners in primary schools in counties Dublin, Cork and Kerry for a representative sample of children born either prior to or post policy changes; age 12 (born 2001) and age 5, (born 2008). Five-year-olds will be followed-up when they are 8-year-olds (SY 2016-2017). The main explanatory variable will be fluoridation status of the children (lifetime exposure to CWF yes/no). Information about other explanatory variables will be collected via parent (of 5-, 8- and 12-year-olds) and child completed (8- and 12-year-olds only) questionnaires.  The main outcomes will be dental caries (dmf/DMF Index), enamel fluorosis (Dean’s Index) and oral health-related quality of life (OHRQoL). Multivariate regression analyses will be used to determine the impact and outcome of the change in CWF policy on oral health outcomes controlling for other explanatory variables.https://hrbopenresearch.org/articles/1-4/v1
spellingShingle Patrice James
Mairead Harding
Tara Beecher
Carmel Parnell
Deirdre Browne
Marie Tuohy
Dympna Kavanagh
Denis O'Mullane
Helena Guiney
Michael Cronin
Helen Whelton
Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
HRB Open Research
title Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
title_full Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
title_fullStr Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
title_full_unstemmed Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
title_short Fluoride And Caring for Children’s Teeth (FACCT): Clinical Fieldwork Protocol [version 1; peer review: 2 approved]
title_sort fluoride and caring for children s teeth facct clinical fieldwork protocol version 1 peer review 2 approved
url https://hrbopenresearch.org/articles/1-4/v1
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