Findings

What do systematic reviews say?

6 questions · 9 findings · 1 reviews

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No studies found 0 · 0%GRADE not reported 9 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

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

Projected Significant Caries (SiC) index · Alaska Native children (below age 18)

A simulation projected a 50% drop in the Significant Caries index for children (12.3 to 6.1) under the PDHA model (certainty not graded).

2 findings 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) · Children overall
Significant Caries (SiC) index, children 6.1
1 study
GRADE not reported
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) · 12-year-olds
Significant Caries (SiC) index, 12-year-olds 3.3
1 study
GRADE not reported

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

Projected proportion of caries-free children (5-18 years) · Alaska Native children (below age 18)

A simulation projected 0% of children aged 5-18 would be caries-free under the baseline scenario (certainty not graded).

3 findings 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) · Baseline (pre-intervention) model
Caries-free children 5-18 y (%) 0
1 study
GRADE not reported
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) · PDHA + robust prevention model
Caries-free children 5-18 y (%) >50
1 study
GRADE not reported
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) · PDHA or PDHA + intensive staffing model
Caries-free children 5-18 y (%) 8
1 study
GRADE not reported

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

Projected receipt of school-based prevention services · Alaska Native children (below age 18)

A simulation projected that over 90% of children would receive school-based prevention services under the PDHA model, up from 53% (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)
Children receiving school-based prevention services (%) >90
1 study
GRADE not reported

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

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)
Projected dental care utilisation (%) 90
1 study
GRADE not reported

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

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

PDHA program with robust prevention vs PDHA program or PDHA program with intensive staffing

Tooth decay-free children · Alaska children aged 5 to 18 years

The robust prevention PDHA model was projected to yield more than 50% tooth decay-free children versus 8% with other PDHA models, 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
20 years · Alaska
Percentage tooth decay-free >50% vs 8%
1 study
GRADE not reported