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December 22, 1989, Vol 262, No. 24 >
ARTICLE | December 22, 1989

Preventive Dentistry: Title and subTitle BreakI. Dental Caries FREE

John C. Greene, DMD, MPH; Reginald Louie, DDS, MPH; Samuel J. Wycoff, DMD, MPH
[+] Author Affiliations

Reprint requests to University of California, San Francisco, School of Dentistry, 513 Parnassus Ave, S-630, San Francisco, CA 94143-0430 (Dr Greene).


JAMA. 1989;262(24):3459-3463. doi:10.1001/jama.1989.03430240095038
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References

Primary care physicians and nurses have numerous opportunities to assist in the prevention of dental caries, periodontal diseases, malocclusion, trauma to the mouth and teeth, and oral cancer. This is the first of two articles that provide background for the US Preventive Services Task Force recommendations for interventions by physicians, nurses, and other clinicians to prevent these oral diseases and conditions. Physicians and other health professionals are urged to be aware of these opportunities and to take appropriate action in collaboration with the patient's dentist.

(JAMA. 1989;262:3459-3463)

REFERENCES

1 +
Current Estimates From the National Health Interview Survey, United States, 1986 . Washington, DC: National Center for Health Statistics; 1987;:10. Series 10, No. (164) .
2 +
Survey of Current Business . Washington, DC: Dept of Commerce; 1985;.
3 +
Health Care Financing Review . Washington, DC: Health Care Financing Administration; 1987;;VIII.
4 +
Granath L, McHugh WD, eds. Systematized Prevention of Oral Disease: Theory and Practice . Boca Raton, Fla: CRC Press Inc; 1986;.
5 +
Murray JJ, ed. The Prevention of Oral Disease . New York, NY: Oxford University Press Inc; 1983;.
6 +
Striffler DF, Young WD, Burt BA. Dentistry, Dental Practice, and the Community . 3rd ed. Philadelphia, Pa: WB Saunders Co; 1983;.
7 +
Fritz ME, Rundle DG.  Dental disease . In: Amler RW, Dull HB, eds. Closing the Gap, the Burden of Unnecessary Illness . New York, NY: Oxford University Press Inc; 1987;:55-64.
8 +
Dunning JM. Principles of Dental Public Health . Cambridge, Mass: Harvard University Press; 1986;:409-414.
9 +
Newbrun E, ed. Fluorides and Dental Caries . 3rd ed. Springfield, Ill: Charles C Thomas Publisher; 1986;.
10 +
Newbrun E. Cariology . 2nd ed. Baltimore, Md: Williams & Wilkins; 1983;.
11 +
McKay FS.  Mottled enamel: fundamental problem in dentistry . Dent Cosmos. 1925;;67:847.
12 +
Dean HT.  Epidemiological studies in the United States . In: Moulton FR, ed. Dental Caries and Fluoride . Washington, DC: American Association for the Advancement of Science; 1942;. Publication 19.
13 +
Bell RM, Klein SP, Bohannan HM, et al. Results of Baseline Dental Exams in the National Preventive Dentistry Demonstration Program . Santa Monica, Calif: The RAND Corp; 1982;:31. Publication R-2862-RWJ.
14 +
Brunelle JA, Miller AJ, Smith JI.  DMFS in U.S. children with and without lifelong exposure to water fluoridation . J Dent Res. 1983;;62:203. Abstract 302.
15 +
de Leifde B, Herbison GP.  Prevalence of developmental defects of enamel and dental caries in New Zealand children receiving differing fluoride supplementation . Community Dent Oral Epidemiol. 1985;;13:164-167.
16 +
Driscoll WS, Heifetz SB, Horowitz KS, et al.  Prevalence of dental caries and dental fluorosis in areas with negligible, optimal, and above-optimal fluoride concentrations in drinking water . J Am Dent Assoc. 1986;;113:29-33.
17 +
Hunter PBV.  The prevalence of caries in 8- and 9-year-old New Zealand children . N Z Dent J. 1985;;81:23-25.
18 +
Katz RV, Jensen ME, Meskin LH.  Dental caries prevalence in a community of schoolchildren: fluoridated vs. non fluoridated . J Dent Res. 1983;;62:202. Abstract.
19 +
O'Mullane D, Clarkson J, Holland T, et al. Children's Dental Health in Ireland. Dublin, Ireland: Stationery Office; 1984:39.
20 +
Kumar JV, Green EL, Wallace W, Cornahan T.  Trends in dental fluorosis and dental caries prevalences in Newburgh and Kingston, N.Y . Am J Public Health. 1989;;79:565-569.
21 +
Horowitz HS, Heifetz SB, Law FE.  Effect of school water fluoridation on dental caries: final results in Elk Lake, Pa, after 12 years . J Am Dent Assoc. 1972;;84:832-838.
22 +
Fluoridation Census, 1985 . Washington, DC: US Dept of Health and Human Services; 1988;.
23 +
Driscoll WS.  The use of fluoride tablets for the prevention of dental caries . In: Forrester DJ, Schulz EM Jr, eds. International Workshop on Fluorides and Dental Caries Reductions . Baltimore: University of Maryland School of Dentistry; 1974;:25-93.
24 +
Council on Dental Therapeutics. Accepted Dental Therapeutics . 40th ed. Chicago, Ill: American Dental Association; 1984;:399-402.
25 +
Carlos JP.  Fluoride mouthrinses . In: Wei SHY, ed. Clinical Uses of Fluorides . Philadelphia, Pa: Lea & Febiger; 1985;:75-82.
26 +
Heifetz SB, Meyers RJ, Kingman A.  A comparison of the anticaries effectiveness of daily and weekly rinsing with sodium-fluoride: final results after three years . Pediatr Dent. 1982;;4:300-303.
27 +
Driscoll WS, Swango PA, Horowitz AM, et al.  Caries-preventive effects of daily and weekly fluoride mouthrinsing in a fluoridated community: final results after 30 months . J Am Dent Assoc. 1982;; 105:1010-1013.
28 +
Stookey GH.  Are all fluoride dentifrices the same?  In: Wei SHY, ed. Clinical Uses of Fluoride . Philadelphia, Pa: Lea & Febiger; 1985;:105-131.
29 +
Mellberg JM, Ripa LW.  Fluoride dentifrices . In: Mellberg JM, Ripa LW, eds. Fluoride in Preventive Dentistry: Theory and Clinical Application . Chicago, Ill: Quintessence; 1983;:215-241.
30 +
Ripa LW.  Professionally (operator) applied topical fluoride therapy: a critique . Clin Prev Dent. 1982;;4:3-10.
31 +
Brudevold T, Naujoks R.  Caries-preventive fluoride treatment of the individual: progress in caries prevention . Caries Res. 1978;;12( (suppl 1) ):52-64.
32 +
Wei SHY.  The potential benefits to be derived from topical fluorides in fluoridated communities . In: Forrester DJ, Schulz EM Jr, eds. International Workshop on Fluorides and Dental Caries Reduction . Baltimore: University of Maryland School of Dentistry; 1974;:178-258.
33 +
Horowitz HS.  A review of systemic and topical fluorides for the prevention of dental caries . Community Dent Oral Epidemiol . 1973;;1:104-114.
34 +
Horowitz AM. Preventing Tooth Decay: A Guide for Implementing Self-applied Fluoride in School Settings . Bethesda, Md: National Caries Program; 1981;.
35 +
Sealant Task Force. Preventing Pit and Fissure Caries: A Guide to Sealant Use . Boston: Massachusetts Dept of Public Health; 1986;.
36 +
Ripa LW.  The current status of pit and fissure sealants: a review . Can Dent Assoc J. 1985;;5:367-380.
37 +
Mertz-Fairhurst EJ, Fairhurst CW, Williams JE, et al.  A comparative clinical study of two pit and fissure sealants: 7-year results in Augusta, Ga. J Am Dent Assoc. 1984;;109:252-255.
38 +
Mertz-Fairhurst EJ.  Current status of sealant retention and caries prevention . J Dent Educ. 1984;;48( (suppl) ):18-26.
39 +
Simonsen RJ.  Retention and effectiveness of a single application of white sealant after 10 years . J Am Dent Assoc. 1987;;115:31-36.
40 +
Brunelle J.  Prevalence of dental sealants in U.S. schoolchildren . J Dent Res. 1989;;68:183. Abstract.
41 +
Gustafsson BE, Quensel CE, Lanke LS, et al.  The Vipeholm dental caries study: the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for 5 years . Acta Odontol Scand. 1954;;11:232-364.
42 +
Harris R.  Biology of the children of Hopewood House, Bowral, Australia, IV: observations of dental caries experience extending over five years (1957-1961) . J Dent Res. 1963;;42:1387-1398.
43 +
Burt BA, Eklund SA, Morgan KJ, et al. The Effect of Diet on the Development of Dental Caries: Final Report . Bethesda, Md: National Institute of Dental Research; 1987;. Contract DE-22438.
44 +
Rugg-Gunn AJ, Hackett AF, Appleton DR, et al.  Relationship between dietary habits and caries increments assessed over two years in 405 English adolescent schoolchildren . Arch Oral Biol. 1984;; 29:983-992.
45 +
Ripa LW.  Nursing caries: a comprehensive review . Pediatr Dent. 1988;;4:268-282.
46 +
Loesche WJ.  Nutrition and dental decay in infants . Am J Clin Nutr. 1985;;41:423-435.
47 +
Ripa LW.  Nursing habits and dental decay in infants: 'nursing bottle caries .' J Dent Child. 1978;; 45:274-275.
48 +
Andlaw RJ.  Oral hygiene and dental caries: a review . Int Dent J. 1978;;28:1-6.
49 +
Axelsson P, Lindhe J.  The effect of a preventive programme on dental plaque, gingivitis and caries in school children: results after one and two years . J Clin Periodontol. 1974;;1:126-138.
50 +
Axelsson P, Lindhe J.  Effect of fluoride on gingivitis and dental caries in a preventive program based on plaque control . Community Dent Oral Epidemiol. 1975;;3:156-160.
51 +
Axelsson P, Lindhe J, Waseby J.  The effect of various plaque control measures on gingivitis and caries in school children . Community Dent Oral Epidemiol. 1976;;4:232-239.
52 +
Agerback N, De Paola PF, Brudevold F.  Effects of professional toothcleaning every third week on gingivitis and dental caries in children . Community Dent Oral Epidemiol. 1978;;6:40-41.
53 +
Ashley FP, Sainsbury RH.  The effect of a school-based plaque control programme on caries and gingivitis . Br Dent J. 1981;;150:41-45.
54 +
Badersten A, Egelberg J, Koch G.  Effect of monthly prophylaxis on caries and gingivitis in schoolchildren . Community Dent Oral Epidemiol. 1975;;3:1-4.
55 +
Hamp SE, Lindhe J, Fornell LA, et al.  Effect of a field program based on systematic plaque control on caries and gingivitis in schoolchildren after 3 years . Community Dent Oral Epidemiol. 1978;; 6:17-23.
56 +
Sheiham A.  Is there a scientific basis for six-monthly dental examinations? Lancet. 1977;;2:442-444.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Current Estimates From the National Health Interview Survey, United States, 1986 . Washington, DC: National Center for Health Statistics; 1987;:10. Series 10, No. (164) .
2 +
Survey of Current Business . Washington, DC: Dept of Commerce; 1985;.
3 +
Health Care Financing Review . Washington, DC: Health Care Financing Administration; 1987;;VIII.
4 +
Granath L, McHugh WD, eds. Systematized Prevention of Oral Disease: Theory and Practice . Boca Raton, Fla: CRC Press Inc; 1986;.
5 +
Murray JJ, ed. The Prevention of Oral Disease . New York, NY: Oxford University Press Inc; 1983;.
6 +
Striffler DF, Young WD, Burt BA. Dentistry, Dental Practice, and the Community . 3rd ed. Philadelphia, Pa: WB Saunders Co; 1983;.
7 +
Fritz ME, Rundle DG.  Dental disease . In: Amler RW, Dull HB, eds. Closing the Gap, the Burden of Unnecessary Illness . New York, NY: Oxford University Press Inc; 1987;:55-64.
8 +
Dunning JM. Principles of Dental Public Health . Cambridge, Mass: Harvard University Press; 1986;:409-414.
9 +
Newbrun E, ed. Fluorides and Dental Caries . 3rd ed. Springfield, Ill: Charles C Thomas Publisher; 1986;.
10 +
Newbrun E. Cariology . 2nd ed. Baltimore, Md: Williams & Wilkins; 1983;.
11 +
McKay FS.  Mottled enamel: fundamental problem in dentistry . Dent Cosmos. 1925;;67:847.
12 +
Dean HT.  Epidemiological studies in the United States . In: Moulton FR, ed. Dental Caries and Fluoride . Washington, DC: American Association for the Advancement of Science; 1942;. Publication 19.
13 +
Bell RM, Klein SP, Bohannan HM, et al. Results of Baseline Dental Exams in the National Preventive Dentistry Demonstration Program . Santa Monica, Calif: The RAND Corp; 1982;:31. Publication R-2862-RWJ.
14 +
Brunelle JA, Miller AJ, Smith JI.  DMFS in U.S. children with and without lifelong exposure to water fluoridation . J Dent Res. 1983;;62:203. Abstract 302.
15 +
de Leifde B, Herbison GP.  Prevalence of developmental defects of enamel and dental caries in New Zealand children receiving differing fluoride supplementation . Community Dent Oral Epidemiol. 1985;;13:164-167.
16 +
Driscoll WS, Heifetz SB, Horowitz KS, et al.  Prevalence of dental caries and dental fluorosis in areas with negligible, optimal, and above-optimal fluoride concentrations in drinking water . J Am Dent Assoc. 1986;;113:29-33.
17 +
Hunter PBV.  The prevalence of caries in 8- and 9-year-old New Zealand children . N Z Dent J. 1985;;81:23-25.
18 +
Katz RV, Jensen ME, Meskin LH.  Dental caries prevalence in a community of schoolchildren: fluoridated vs. non fluoridated . J Dent Res. 1983;;62:202. Abstract.
19 +
O'Mullane D, Clarkson J, Holland T, et al. Children's Dental Health in Ireland. Dublin, Ireland: Stationery Office; 1984:39.
20 +
Kumar JV, Green EL, Wallace W, Cornahan T.  Trends in dental fluorosis and dental caries prevalences in Newburgh and Kingston, N.Y . Am J Public Health. 1989;;79:565-569.
21 +
Horowitz HS, Heifetz SB, Law FE.  Effect of school water fluoridation on dental caries: final results in Elk Lake, Pa, after 12 years . J Am Dent Assoc. 1972;;84:832-838.
22 +
Fluoridation Census, 1985 . Washington, DC: US Dept of Health and Human Services; 1988;.
23 +
Driscoll WS.  The use of fluoride tablets for the prevention of dental caries . In: Forrester DJ, Schulz EM Jr, eds. International Workshop on Fluorides and Dental Caries Reductions . Baltimore: University of Maryland School of Dentistry; 1974;:25-93.
24 +
Council on Dental Therapeutics. Accepted Dental Therapeutics . 40th ed. Chicago, Ill: American Dental Association; 1984;:399-402.
25 +
Carlos JP.  Fluoride mouthrinses . In: Wei SHY, ed. Clinical Uses of Fluorides . Philadelphia, Pa: Lea & Febiger; 1985;:75-82.
26 +
Heifetz SB, Meyers RJ, Kingman A.  A comparison of the anticaries effectiveness of daily and weekly rinsing with sodium-fluoride: final results after three years . Pediatr Dent. 1982;;4:300-303.
27 +
Driscoll WS, Swango PA, Horowitz AM, et al.  Caries-preventive effects of daily and weekly fluoride mouthrinsing in a fluoridated community: final results after 30 months . J Am Dent Assoc. 1982;; 105:1010-1013.
28 +
Stookey GH.  Are all fluoride dentifrices the same?  In: Wei SHY, ed. Clinical Uses of Fluoride . Philadelphia, Pa: Lea & Febiger; 1985;:105-131.
29 +
Mellberg JM, Ripa LW.  Fluoride dentifrices . In: Mellberg JM, Ripa LW, eds. Fluoride in Preventive Dentistry: Theory and Clinical Application . Chicago, Ill: Quintessence; 1983;:215-241.
30 +
Ripa LW.  Professionally (operator) applied topical fluoride therapy: a critique . Clin Prev Dent. 1982;;4:3-10.
31 +
Brudevold T, Naujoks R.  Caries-preventive fluoride treatment of the individual: progress in caries prevention . Caries Res. 1978;;12( (suppl 1) ):52-64.
32 +
Wei SHY.  The potential benefits to be derived from topical fluorides in fluoridated communities . In: Forrester DJ, Schulz EM Jr, eds. International Workshop on Fluorides and Dental Caries Reduction . Baltimore: University of Maryland School of Dentistry; 1974;:178-258.
33 +
Horowitz HS.  A review of systemic and topical fluorides for the prevention of dental caries . Community Dent Oral Epidemiol . 1973;;1:104-114.
34 +
Horowitz AM. Preventing Tooth Decay: A Guide for Implementing Self-applied Fluoride in School Settings . Bethesda, Md: National Caries Program; 1981;.
35 +
Sealant Task Force. Preventing Pit and Fissure Caries: A Guide to Sealant Use . Boston: Massachusetts Dept of Public Health; 1986;.
36 +
Ripa LW.  The current status of pit and fissure sealants: a review . Can Dent Assoc J. 1985;;5:367-380.
37 +
Mertz-Fairhurst EJ, Fairhurst CW, Williams JE, et al.  A comparative clinical study of two pit and fissure sealants: 7-year results in Augusta, Ga. J Am Dent Assoc. 1984;;109:252-255.
38 +
Mertz-Fairhurst EJ.  Current status of sealant retention and caries prevention . J Dent Educ. 1984;;48( (suppl) ):18-26.
39 +
Simonsen RJ.  Retention and effectiveness of a single application of white sealant after 10 years . J Am Dent Assoc. 1987;;115:31-36.
40 +
Brunelle J.  Prevalence of dental sealants in U.S. schoolchildren . J Dent Res. 1989;;68:183. Abstract.
41 +
Gustafsson BE, Quensel CE, Lanke LS, et al.  The Vipeholm dental caries study: the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for 5 years . Acta Odontol Scand. 1954;;11:232-364.
42 +
Harris R.  Biology of the children of Hopewood House, Bowral, Australia, IV: observations of dental caries experience extending over five years (1957-1961) . J Dent Res. 1963;;42:1387-1398.
43 +
Burt BA, Eklund SA, Morgan KJ, et al. The Effect of Diet on the Development of Dental Caries: Final Report . Bethesda, Md: National Institute of Dental Research; 1987;. Contract DE-22438.
44 +
Rugg-Gunn AJ, Hackett AF, Appleton DR, et al.  Relationship between dietary habits and caries increments assessed over two years in 405 English adolescent schoolchildren . Arch Oral Biol. 1984;; 29:983-992.
45 +
Ripa LW.  Nursing caries: a comprehensive review . Pediatr Dent. 1988;;4:268-282.
46 +
Loesche WJ.  Nutrition and dental decay in infants . Am J Clin Nutr. 1985;;41:423-435.
47 +
Ripa LW.  Nursing habits and dental decay in infants: 'nursing bottle caries .' J Dent Child. 1978;; 45:274-275.
48 +
Andlaw RJ.  Oral hygiene and dental caries: a review . Int Dent J. 1978;;28:1-6.
49 +
Axelsson P, Lindhe J.  The effect of a preventive programme on dental plaque, gingivitis and caries in school children: results after one and two years . J Clin Periodontol. 1974;;1:126-138.
50 +
Axelsson P, Lindhe J.  Effect of fluoride on gingivitis and dental caries in a preventive program based on plaque control . Community Dent Oral Epidemiol. 1975;;3:156-160.
51 +
Axelsson P, Lindhe J, Waseby J.  The effect of various plaque control measures on gingivitis and caries in school children . Community Dent Oral Epidemiol. 1976;;4:232-239.
52 +
Agerback N, De Paola PF, Brudevold F.  Effects of professional toothcleaning every third week on gingivitis and dental caries in children . Community Dent Oral Epidemiol. 1978;;6:40-41.
53 +
Ashley FP, Sainsbury RH.  The effect of a school-based plaque control programme on caries and gingivitis . Br Dent J. 1981;;150:41-45.
54 +
Badersten A, Egelberg J, Koch G.  Effect of monthly prophylaxis on caries and gingivitis in schoolchildren . Community Dent Oral Epidemiol. 1975;;3:1-4.
55 +
Hamp SE, Lindhe J, Fornell LA, et al.  Effect of a field program based on systematic plaque control on caries and gingivitis in schoolchildren after 3 years . Community Dent Oral Epidemiol. 1978;; 6:17-23.
56 +
Sheiham A.  Is there a scientific basis for six-monthly dental examinations? Lancet. 1977;;2:442-444.

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