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J Dent Res 85(10):924-928, 2006
© 2006 International and American Associations for Dental Research

RESEARCH REPORT
Clinical

The Effectiveness of School Dental Screening: a Cluster-randomized Control Trial

K. Milsom1,3, A. Blinkhorn2,3, H. Worthington2, A. Threlfall2,3, K. Buchanan1, P. Kearney-Mitchell1, and M. Tickle2,3,*

1 Halton NHS Primary Care Trust, UK;
2 Oral Health Unit of the National Primary Care R&D Centre, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK; and
3 National Oral Health Unit, UK

* corresponding author, martin.tickle{at}manchester.ac.uk

Dental screening of children in schools is undertaken in many countries. There is no evidence that this activity is effective. The objective of our study was to determine if school dental screening of children reduces untreated disease or improves attendance at the population level. A four-arm cluster-randomized controlled trial was undertaken in the northwest of England. In total, 16,864 children aged 6–9 years in 168 schools were randomly allocated to 3 test groups, which received screening according to different models, and a control, which received no intervention. There were no significant differences in caries increment in the primary and secondary dentitions or in the proportions of children attending a dentist after screening between the control group and the 3 intervention arms. School dental screening delivered according to 3 different models was not effective at reducing levels of active caries and increasing attendance in the population under study.

KEY WORDS: school • dental • screening • children • caries




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