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Unmet Dental Needs in Children Following Suspension of School-Based Oral Health Services Due to COVID-19

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Title: Unmet Dental Needs in Children Following Suspension of School-Based Oral Health Services Due to COVID-19
Language: English
Authors: Ryan R. Ruff (ORCID 0000-0003-0731-5614), Tamarinda J. Barry Godín, Rachel Whittemore, Topaz Murray Small, Nydia Santiago-Galvin, Priyanka Sharma
Source: Journal of School Health. 2024 94(5):427-432.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 6
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Children, Dental Health, Access to Health Care, COVID-19, Pandemics, Disadvantaged Youth, Dental Evaluation, Health Education
DOI: 10.1111/josh.13433
ISSN: 0022-4391
1746-1561
Abstract: Background: Dental caries (tooth decay) is the world's most prevalent noncommunicable disease and can lead to pain, infection, and edentulism. Many children with caries lack access to traditional dental services. School-based caries prevention can increase access to care and reduce health inequities. Disruptions in school-based care due to pandemic control policies may result in children losing access to their primary dental care option. Methods: The CariedAway project was a school-based caries prevention program in operation from 2019 to 2023 in urban schools with a high proportion of low-income, minority students. Program operations were suspended for 2 years due to the COVID-19 pandemic. We estimated the prevalence of untreated decay, swelling, fistula, and pulpal involvement in participants at baseline and again after restrictions were lifted. Results: A total of 2998 children between the ages of 5 and 13 years were enrolled and received preventive care prior to pandemic shutdowns, and 1398 (47%) completed a follow-up observation after 2 years. At baseline, approximately 30% had untreated caries on any dentition, 11% of children presented with evidence of dental sealants, and no participants had swelling, fistula, or pulpal involvement. After 24 months, 12% of participants had swelling fistula, or pulpal involvement that was not treated during the pandemic period. Conclusion: There are considerable unmet dental needs in high-risk children that may be further exacerbated by a lack of access to care during disease outbreaks.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1418755
Database: ERIC
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  Data: Unmet Dental Needs in Children Following Suspension of School-Based Oral Health Services Due to COVID-19
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  Data: <searchLink fieldCode="AR" term="%22Ryan+R%2E+Ruff%22">Ryan R. Ruff</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0731-5614">0000-0003-0731-5614</externalLink>)<br /><searchLink fieldCode="AR" term="%22Tamarinda+J%2E+Barry+Godín%22">Tamarinda J. Barry Godín</searchLink><br /><searchLink fieldCode="AR" term="%22Rachel+Whittemore%22">Rachel Whittemore</searchLink><br /><searchLink fieldCode="AR" term="%22Topaz+Murray+Small%22">Topaz Murray Small</searchLink><br /><searchLink fieldCode="AR" term="%22Nydia+Santiago-Galvin%22">Nydia Santiago-Galvin</searchLink><br /><searchLink fieldCode="AR" term="%22Priyanka+Sharma%22">Priyanka Sharma</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Health%22"><i>Journal of School Health</i></searchLink>. 2024 94(5):427-432.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: 6
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  Data: <searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Dental+Health%22">Dental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Pandemics%22">Pandemics</searchLink><br /><searchLink fieldCode="DE" term="%22Disadvantaged+Youth%22">Disadvantaged Youth</searchLink><br /><searchLink fieldCode="DE" term="%22Dental+Evaluation%22">Dental Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Education%22">Health Education</searchLink>
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  Data: 10.1111/josh.13433
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  Data: 0022-4391<br />1746-1561
– Name: Abstract
  Label: Abstract
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  Data: Background: Dental caries (tooth decay) is the world's most prevalent noncommunicable disease and can lead to pain, infection, and edentulism. Many children with caries lack access to traditional dental services. School-based caries prevention can increase access to care and reduce health inequities. Disruptions in school-based care due to pandemic control policies may result in children losing access to their primary dental care option. Methods: The CariedAway project was a school-based caries prevention program in operation from 2019 to 2023 in urban schools with a high proportion of low-income, minority students. Program operations were suspended for 2 years due to the COVID-19 pandemic. We estimated the prevalence of untreated decay, swelling, fistula, and pulpal involvement in participants at baseline and again after restrictions were lifted. Results: A total of 2998 children between the ages of 5 and 13 years were enrolled and received preventive care prior to pandemic shutdowns, and 1398 (47%) completed a follow-up observation after 2 years. At baseline, approximately 30% had untreated caries on any dentition, 11% of children presented with evidence of dental sealants, and no participants had swelling, fistula, or pulpal involvement. After 24 months, 12% of participants had swelling fistula, or pulpal involvement that was not treated during the pandemic period. Conclusion: There are considerable unmet dental needs in high-risk children that may be further exacerbated by a lack of access to care during disease outbreaks.
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