Healthy Kids Cambodia - A novel approach to triage for dental care in a population with extreme caries experience.
Adolescent
Cambodia
/ epidemiology
Child
Dental Atraumatic Restorative Treatment
Dental Care
/ methods
Dental Caries
/ epidemiology
Fluorides, Topical
/ administration & dosage
Humans
Pit and Fissure Sealants
Quaternary Ammonium Compounds
/ administration & dosage
Silver Compounds
/ administration & dosage
Triage
Dental services research
Triage
caries management
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
16
01
2019
revised:
21
09
2019
accepted:
03
10
2019
pubmed:
18
11
2019
medline:
18
9
2020
entrez:
18
11
2019
Statut:
ppublish
Résumé
To describe the disease experiences and treatment provided according to a set of novel triage criteria among children in the Healthy Kids Cambodia project. The present study describes the management of caries using the Healthy Kids Cambodia (HKC) strategy at one school in Phnom Penh, Cambodia. Treatment was provided across three levels of care based on a set of simple screening criteria. All children received Level 1 (L1) care, which included application of 30% silver diammine fluoride (SDF) to arrest dental caries. Level 2 (L2) care involved use of atraumatic restorative treatment (ART) and GIC fissure sealants for children between six and eight years of age, and for older children who had one or more cavitated lesions on permanent posterior teeth. Level 3 care involved conventional dental rehabilitation for those children with cavitated lesions in permanent anterior teeth, acute infections, pulpally involved permanent teeth or carious permanent posterior teeth that were not restorable using ART. Three activities were evaluated: (i) screening of all children at the school using the HKC triage criteria; (ii) a detailed re-examination of children in Grades 3 and 4; and (iii) a clinical audit of treatment provided at Level 3 (L3). 1194 children were screened using the HKC approach, and a sample of 304 8- to 12-year-old children was re-examined. Among those who were re-examined, 48 (15.7%) had been referred for L3 treatment and 88 (28.9%) referred for L2 (only). There was a significant difference in baseline caries experience by referral level, whereby those referred to higher levels of care had more severe caries experience. All children in the L3 category required advanced rehabilitative care. The application of a triage system by dental students was successful in identifying children in greatest need of complex care (L3). Further research may better validate the system for caries management.
Substances chimiques
Fluorides, Topical
0
Pit and Fissure Sealants
0
Quaternary Ammonium Compounds
0
Silver Compounds
0
silver diamine fluoride
DDU19UEV1Y
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
56-62Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
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