THREE-YEAR FOLLOW-UP OF AN ORAL HEALTH PROMOTION PARTNERSHIP FOR ABORIGINAL CHILDREN IN A REMOTE BRITISH COLUMBIA COMMUNITY.
Bibliographic record
Abstract
Background Caries is the most common infectious disease and chronic health condition affecting children. Caries and periodontal disease are associated with increased incidence of diabetes, heart disease, stroke, and premature labor in adult life. Prevention programs have had little success in achieving a sustained improvement in the oral health of aboriginal children. Methods A remote aboriginal community and our Pediatric Residency Program formed a partnership to develop a school-based oral health intervention involving daily classroom brush-ins, regular age-appropriate topical fluoride application, oral health education, and community awareness. Follow-up data were compared for children caries free; decayed, missing, and filled surface (DMFS) scores; and brushing and nutrition. Results All 58 school-age children were recruited; 26 children had prestudy dental examinations and 42 were examined after 3 years. Conclusions A combination of great community commitment and educational/health check visits resulted in conscientious adherence to the protocol. The incidence of caries-free children rose significantly at year 1, and at year 3, this improvement has been sustained, along with increased child and parent awareness of good oral health practices and reported improvement in nutrition practices. This school-based program serves as a model that other committed aboriginal communities could readily adopt. The level of involvement by a pediatric residency program may be difficult to duplicate due to costs related to travel to remote communities.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".