Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

97 questions · 107 findings · 24 reviews

No studies found 8 · 7.5%GRADE not reported 79 · 73.8%Very low 10 · 9.3%Low 7 · 6.5%Moderate 2 · 1.9%High 1 · 0.9%

DHAT-delivered dental care vs Dentist-delivered dental care

Caregiver satisfaction · Caregivers of Alaska Native children aged 6 to 17 years

More than 90% of caregivers reported being usually or always satisfied with DHAT care, without a GRADE rating.

1 finding from 1 review

DHAT-delivered dental care vs Dentist-delivered dental care

Composite restoration deficiency · Alaska dental health aide therapists

Composite restoration deficiency was 15% for DHATs versus 12% for dentists, without a GRADE rating.

1 finding from 1 review

DHAT-delivered dental care vs Dentist-delivered dental care

Consistency of diagnosis and postoperative complications · Alaska dental health aide therapists

No significant difference was reported between DHATs and dentists in diagnosis consistency or postoperative complications, without a GRADE rating.

1 finding from 1 review

Community and caregiver oral health education plus media campaign vs Pre-intervention baseline (and sites that discontinued the prevention program)

Reduction in prevalence of baby bottle tooth decay (BBTD) · Alaska Native and American Indian Head Start children

Community and caregiver oral health education was associated with a significant ~25% overall reduction in baby bottle tooth decay among Head Start children (certainty not graded).

1 finding from 1 review

Ongoing BBTD Prevention Program vs BBTD Prevention Program discontinued in 1989

Baby bottle tooth decay prevalence · Alaska Native and American Indian Head Start children

Sites discontinuing the prevention program had a non-significant 15% reduction in tooth decay rate, without a GRADE rating.

2 findings from 1 review

DHAT-delivered dental care vs Dentist-delivered dental care

Stainless steel crown preparation and placement deficiency · Alaska dental health aide therapists

No stainless steel crown preparation deficiencies were reported; placement deficiency was 3% for DHATs versus 9% for dentists, without a GRADE rating.

1 finding from 1 review

Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention) vs Baseline pre-intervention service-delivery scenario

Projected dental care utilisation · Alaska Native children (below age 18)

A simulation projected that the PDHA program would raise dental care utilisation from 75% to 90% (certainty not graded).

1 finding from 1 review

DHAT-delivered dental care vs Dentist-delivered dental care

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

Community and caregiver oral health education plus media campaign vs Pre-intervention BBTD rate

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

PDHA program vs Baseline pre-intervention service-delivery scenario

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

Primary dental health aide (PDHA) service-delivery models (PDHA program; PDHA + intensive staffing; PDHA + robust prevention) vs Baseline pre-intervention service-delivery scenario

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