School Based Tooth Brushing and Annual Silver Diammine Fluoride Application as a Highest Priority Package for Achieving Universal Oral Health Care for Cambodian Children

摘要: Background: Achieving Universal Oral Health Care among Low-to Middle-Income settings is challenging and little literature exists around exploring what a ‘Highest Priority Package’ of care might look like in the context oral health. The Healthy Kids Cambodia (HKC) program differs from most conventional school dental services that initial package offered daily toothbrushing with 1500ppm fluoride toothpaste (DTB) together topical application Silver Diamine (SDF) for management lesions primary teeth. Aim: To examine tooth level outcomes 8-to 10-year old children two schools performed DTB SDF at differing time-points. Design: This was an observational cohort study examined lesion progression late mixed dentition schools. Data were collected using dmft pufa indices. Both received materials training baseline. School One baseline while Two after 9-months. Intraoral examinations presentation teeth cavitated carious compared 12m. If still caries-active or had become pulpally involved, this considered to be unacceptable outcome. Descriptive analysis chi-squared test used differences proportion by membership. Results: Of 521 recruited, 470 (90.2%) followed. Where there delay (School 2) three times greater chance 10% 33% outcomes. Conclusion: present offers data on expected effect sizes inform future step-wedged clinical trials validate health Highest Package Cambodian children. delivery includes both can prevent adverse outcomes, such as infections, lesions.