{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:07:40Z","timestamp":1784876860178,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:00:00Z","timestamp":1698105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:00:00Z","timestamp":1698105600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The sustainability of school\u2010based oral health programs depends on the utilization of effective, efficient treatments and the availability of a trained clinical workforce. The objective of this study was to determine whether registered nurses are comparable to dental hygienists in the application and effectiveness of silver diamine fluoride (SDF) and fluoride varnish (FV) for the prevention of dental caries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>CariedAway was a school\u2010based study of SDF and FV versus dental sealants and atraumatic restorations. Within the SDF\u2009+\u2009FV arm, participants were treated by either a licensed dental hygienist or a registered nurse, both under the supervision of a paediatric dentist. Although initial treatment assignment in CariedAway was randomized, assignment to provider was not. The proportion of children who remained caries free after 2\u2009years was assessed for non\u2010inferiority using two\u2010group proportion tests, adjusting for the clustering effect of schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 417 children with no untreated caries at baseline were analysed including 298 treated by hygienists and 119 by nurses. The proportion of children who remained caries free after 2\u2009years was 0.81 and 0.80 for those treated by hygienists and nurses, respectively, for a difference of 0.01 (95% CI\u2009=\u2009\u22120.07, 0.098) and within the pre\u2010determined non\u2010inferiority margin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nurses may be effective in treating children with silver diamine fluoride and other fluoride varnishes in school\u2010based oral health programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.12925","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T05:35:15Z","timestamp":1698125715000},"page":"398-405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The effectiveness of medical nurses in treating children with silver diamine fluoride in a school\u2010based caries prevention program"],"prefix":"10.1111","volume":"52","author":[{"given":"Ryan Richard","family":"Ruff","sequence":"first","affiliation":[{"name":"Department of Epidemiology &amp; Health Promotion New York University College of Dentistry  New York New York City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamarinda Barry","family":"God\u00edn","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Health Promotion New York University College of Dentistry  New York New York City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Niederman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Health Promotion New York University College of Dentistry  New York New York City USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513490168"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12677"},{"key":"e_1_2_10_4_1","unstructured":"Centers for Disease Control and Prevention.Oral health surveillance report: trends in dental caries and sealants Tooth Retention and Edentulism United States 1999\u20132004 to 2011\u20132016. :Centers for Disease Control and Prevention US Dept of Health and Human Services;2019."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303957"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0839"},{"key":"e_1_2_10_7_1","first-page":"1","article-title":"Oral health disparities as determined by selected healthy people 2020 oral health objectives for the United States, 2009\u20102010","volume":"104","author":"Dye B","year":"2012","journal-title":"NCHS Data Brief"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.10.004"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2020.12.005"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2009.0070"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084419837587"},{"key":"e_1_2_10_12_1","unstructured":"School\u2010Based and School\u2010Linked Dental Sealant Programs. Accessed February 2 2023.https:\/\/www.cdc.gov\/oralhealth\/funded_programs\/preventive\u2010interventions\/school.htm"},{"key":"e_1_2_10_13_1","volume-title":"Silver diamine fluoride for the prevention and arresting of dental caries or hypersensitivity: a review of clinical effectiveness, cost\u2010effectiveness and guidelines","author":"Yeung SST","year":"2017"},{"issue":"5","key":"e_1_2_10_14_1","first-page":"135","article-title":"Use of silver diamine fluoride for dental caries management in children and adolescents, including those with special health care needs","volume":"39","author":"Crystal YO","year":"2017","journal-title":"Pediatr Dent"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6401301"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000488686"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01243-y"},{"key":"e_1_2_10_18_1","unstructured":"WHO Model Lists of Essential Medicines. Accessed 10 August 2022.https:\/\/www.who.int\/groups\/expert\u2010committee\u2010on\u2010selection\u2010and\u2010use\u2010of\u2010essential\u2010medicines\/essential\u2010medicines\u2010lists"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.05.011"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.55458"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckac131.010"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-020-00592-0"},{"key":"e_1_2_10_23_1","unstructured":"State Specific Information on Silver Diamine Fluoride. 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