An Examination of the Advances in Science and Technology of Prevention of Tooth Decay in Young Children Since the Surgeon General's Report on Oral Health

Peter Milgrom, Domenick Zero, Jason M. Tanzer

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

This paper addresses a number of areas related to how effectively science and technology have met Healthy People 2010 goals for tooth decay prevention. In every area mentioned, it appears that science and technology are falling short of these goals. Earlier assessments identified water fluoridation as one of the greatest public health accomplishments of the last century. Yet, failure to complete needed clinical and translational research has shortchanged the caries prevention agenda at a critical juncture. Science has firmly established the transmissible nature of tooth decay. However, there is evidence that tooth decay in young children is increasing, although progress has been made in other age groups. Studies of risk assessment have not been translated into improved practice. Antiseptics, chlorhexidine varnish, and polyvinylpyrrolidone iodine (PVI-I) may have value, but definitive trials are needed. Fluorides remain the most effective agents, but are not widely disseminated to the most needy. Fluoride varnish provides a relatively effective topical preventive for very young children, yet definitive trials have not been conducted. Silver diamine fluoride also has potential but requires study in the United States. Data support effectiveness and safety of xylitol, but adoption is not widespread. Dental sealants remain a mainstay of public policy, yet after decades of research, widespread use has not occurred. We conclude that research has established the public health burden of tooth decay, but insufficient research addresses the problems identified in the report Oral Health in America: A Report of the Surgeon General. Transfer of technology from studies to implementation is needed to prevent tooth decay among children. This should involve translational research and implementation of scientific and technological advances into practice.

Original languageEnglish (US)
Pages (from-to)404-409
Number of pages6
JournalAcademic Pediatrics
Volume9
Issue number6
DOIs
StatePublished - Nov 2009
Externally publishedYes

Fingerprint

Oral Health
Tooth
Technology
Translational Medical Research
Public Health
Healthy People Programs
Research
Topical Fluorides
Pit and Fissure Sealants
Technology Transfer
Xylitol
Fluoridation
Povidone-Iodine
Local Anti-Infective Agents
Chlorhexidine
Paint
Public Policy
Fluorides
Age Groups
Surgeons

Keywords

  • chlorhexidine
  • dental caries
  • detection
  • diamine silver fluoride
  • early childhood caries
  • iodine
  • risk assessment
  • topical fluorides
  • xylitol

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

An Examination of the Advances in Science and Technology of Prevention of Tooth Decay in Young Children Since the Surgeon General's Report on Oral Health. / Milgrom, Peter; Zero, Domenick; Tanzer, Jason M.

In: Academic Pediatrics, Vol. 9, No. 6, 11.2009, p. 404-409.

Research output: Contribution to journalArticle

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