Findings

What do systematic reviews say?

68 questions · 78 findings · 15 reviews · Oral Health

No studies found 1 · 1.3%GRADE not reported 74 · 94.9%Very low 1 · 1.3%Low 1 · 1.3%Moderate 1 · 1.3%High 0 · 0%

Quality of dental record keeping by DHATs · Alaska Native dental patients (children aged 6-17 and adults) and their caregivers

Dental record keeping by DHATs was high quality and met Indian Health Service guidelines (certainty not graded).

1 finding from 1 review

Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case… 2013 All outcomes
Cross-sectional (DHATs practising ~9 months to several years) · Alaska Native communities (Alaska Dental Health Aide Therapist program)
Record keeping by DHATs was consistent with evaluation criteria; the 4 practising DHATs met Indian Health Service guidelines on record keeping.
2 studies
GRADE not reported

Baby bottle tooth decay prevalence · Alaska Native Head Start children

The Alaska Native site had a 20% increase in BBTD prevalence, without a GRADE rating.

1 finding from 1 review

Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case… 2013 All outcomes
3 years · Alaska Native Head Start site · Alaska Native site
Percent increase in BBTD prevalence 20
1 study
GRADE not reported

School-based oral health promotion services · Alaska children

The PDHA program was projected to raise school-based oral health promotion service receipt from 53% to more than 90%, without a GRADE rating.

1 finding from 1 review

Significant caries index · Alaska children

The PDHA program was projected to reduce the SiC index 50% from 12.3 to 6.1 for children, without a GRADE rating.

1 finding from 1 review

Amalgam preparation deficiency · Alaska dental health aide therapists

Two of 13 DHAT amalgam preparations were deficient, without a GRADE rating.

1 finding from 1 review

Significant caries index · Alaska children aged 12 years

The PDHA program was projected to reduce the SiC index 70% from 10.5 to 3.3 for 12-year-olds, without a GRADE rating.

1 finding from 1 review

Infant dental caries · Pregnant Alaska Native women and their infants

No infant caries outcomes were assessed because the proposed randomized trial was discontinued.

1 finding from 1 review

Projected mean DMFT (children below 5 years) · Alaska Native children (below age 18)

A simulation projected mean DMFT in children under 5 would fall from 7.4 to 4.9 under the PDHA model (certainty not graded).

1 finding from 1 review

Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case… 2013 All outcomes
20-year projection · Alaska Native communities (simulation of the Alaska Dental Health Aide program)
Mean DMFT, children <5 y 4.9
1 study
GRADE not reported