Dental health Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 05/09/2017: 1. Attend a participating school 2. Aged 11-12 years (in Year 7 in England/Wales and 1st Year in Scotland) or 12-13 years (in Year 8 in England/Wales and 2nd Year in Scotland) Previous inclusion criteria: 1. Attend a participating school 2. Aged 11-12 years (in Year 7, England/Wales and S1 year in Scotland) or 12-13 years (in Year 8 in England/Wales and S2 Year in Scotland)
Exclusion criteria
Exclusion criteria: No functioning mobile telephone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 26/10/2020: Presence of at least one treated or untreated carious lesion in any permanent tooth, measured at the young person-level at 2.5 years follow-up using the permanent tooth index ‘DMFT’ (Decayed, Missing, and Filled Teeth) where: 1. Decay is measured as carious lesions extending into dentine - International Caries Detection and Assessment System (ICDAS) levels 4-6 (“obvious decay experience”) 2. Missing includes all teeth extracted due to caries 3. Filled includes any restoration but not an obvious pit or fissure sealant Previous primary outcome measure from 24/02/2020 to 26/10/2020: Presence of at least one treated or untreated carious lesion in any permanent tooth, measured at the young person-level at 3 years follow-up using the permanent tooth index ‘DMFT’ (Decayed, Missing, and Filled Teeth) where: 1. Decay is measured as carious lesions extending into dentine - International Caries Detection and Assessment System (ICDAS) levels 4-6 (“obvious decay experience”) 2. Missing includes all teeth extracted due to caries 3. Filled includes any restoration but not an obvious pit or fissure sealant Previous primary outcome measure: Incidence of carious lesions in permanent teeth, measured using decayed, missing, and filled teeth (DMFT) index, where decay is measured as caries into dentine - International Caries Detection and Assessment System [ICDAS] levels 4-6, at 3 years follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 26/10/2020: 1. Frequency of twice-daily tooth brushing, measured using self-report: baseline, at time of CBS (pilot only), between CBS and 12 weeks (pilot only), 6 months, 1 year, 2 years (pilot only) and 2.5 years; clinically assessed plaque levels and gingival bleeding scores recorded at baseline, 2 years (pilot only) and 2.5 years 2. Caries prevalence for all carious lesions at 2 years (pilot only) and 2.5 years: Presence of at least one treated or untreated carious lesion of any severity (ICDAS levels 1-6) in any permanent tooth at 2 years (pilot only) and 2.5 years clinical follow-up 3. Number of treated or untreated carious teeth (using the DMFT) at 2 years (pilot only) and 2.5 years (ICDAS 1-6), and caries into dentine (ICDAS 4-6) at 2 years (pilot only) and 2.5 years follow-up 4. Caries prevalence for obvious decay experience at 2 years (pilot only) - Presence of at least one treated or untreated carious lesion in any permanent tooth, measured at the young person-level using DMFT where decay is measured as caries into dentine (ICDAS levels 4-6), at 2 years follow-up (pilot only) 5. Child health-related quality of life and oral health-related quality of life, measured using Child Health Utility-9D and CARIES-QC at baseline, 1 year, 2 years (pilot only), and 2.5 years 6. School attendance, measured using school records at baseline, 1 year, 2 years (pilot only), and 2.5 years 7. Cost-effectiveness. Resource use will be assessed via parent questionnaires at baseline, 1 year, 2 years (pilot only) and 2.5 years and may be estimated from routine data sources. Quality-adjusted life years will be calculated using CHU-9D data from young people via questionnaires. Cost-effectiveness will be calculated over 2.5 years and modelled to a child’s lifetime. Previous secondary outcome measures from 24/02/2020 to 26/10/2020: 1. Frequency of twice-daily tooth brushing, measured using self-report: 0, at time of CBS (pilot only), 3 month | — |
Countries
England, Scotland, United Kingdom, Wales