Martin Ejnar Hansen, Steven David Pickering
The role of religion and COVID-19 vaccine uptake in England
Vaccine
background achieving universal oral health care among lowto middleincome settings challenging little literature exists around exploring highest priority package care might look like context oral health healthy kids cambodia hkc program differs conventional school dental services initial package care offered daily toothbrushing 1500 ppm fluoride toothpaste dtb together topical application silver diamine fluoride sdf management lesions primary teeth aim examine tooth level outcomes 8 10year old children two schools performed dtb application sdf differing timepoints design observational cohort study examined lesion progression among children late mixed dentition two schools data collected using dmft pufa indices schools received materials training dtb baseline school one received sdf baseline school two received sdf 9months intraoral examinations performed presentation primary teeth cavitated carious lesions compared baseline 12 tooth still cariesactive become pulpally involved considered unacceptable outcome descriptive analysis performed chisquared test used examine differences proportion teeth unacceptable outcomes school membership results 521 children recruited 470 902 followed delay sdf application school 2 three times greater chance unacceptable outcome ten percentage primary teeth school one 33 primary teeth school two unacceptable outcomes conclusion present study offers data expected effect sizes might inform future stepwedged clinical trials validate oral health highest priority package care cambodian children delivery package care includes dtb sdf prevent adverse outcomes dental infections primary teeth carious lesions