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A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers
dc.contributor.authorSchroth, Robert J.
dc.contributor.authorRothney, Janet
dc.contributor.authorSturym, Melina
dc.contributor.authorDabiri, Darya
dc.contributor.authorDabiri, Donya
dc.contributor.authorDong, Cecilia C.
dc.contributor.authorGrant, Cameron G.
dc.contributor.authorKennedy, Tara
dc.contributor.authorSihra, Rena
dc.date.accessioned2021-12-02T02:30:26Z
dc.date.available2022-12-01 21:30:25en
dc.date.available2021-12-02T02:30:26Z
dc.date.issued2021-11
dc.identifier.citationSchroth, Robert J.; Rothney, Janet; Sturym, Melina; Dabiri, Darya; Dabiri, Donya; Dong, Cecilia C.; Grant, Cameron G.; Kennedy, Tara; Sihra, Rena (2021). "A systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers." International Journal of Paediatric Dentistry (6): 767-791.
dc.identifier.issn0960-7439
dc.identifier.issn1365-263X
dc.identifier.urihttps://hdl.handle.net/2027.42/171003
dc.description.abstractBackgroundCaries risk assessment (CRA) tools may assist in identifying children at risk of early childhood caries.AimTo complete a systematic review of CRA and develop a Canadian CRA tool for preschool children for use in non‐dental clinical settings.DesignSystematic searches of relevant databases were conducted. Potential variables were based on strength of associations (odd ratios, relative risk, hazard ratios, etc), frequency of occurrence, and existing CRA tools. Quality of the evidence assessments were performed by at least two review teams through consensus following GRADE.ResultsOverall, 25 publications met the inclusion criteria, all prospective in design. Based on this review, variables to be considered when developing a new CRA tool for use with preschool children are as follows: age, socioeconomic status, family toothbrushing habits, fluoride exposure, infant feeding practices, dietary habits/behaviours, dental home, caries experience, visible plaque, and enamel defects. The environmental scan identified 22 CRA tools suggesting other additional variables to consider including in a CRA tool, including special healthcare needs, enamel defects, and dental attendance.ConclusionsThis review informed the development of a Canadian CRA tool for use by primary healthcare professionals, which may improve access to oral health assessments and increase interprofessional collaboration.
dc.publisherWiley Periodicals, Inc.
dc.publisherCanadian Institute for Health Information
dc.subject.othercommunity paediatric dentistry
dc.subject.otherpreschool children
dc.subject.otherscreening tool
dc.subject.othercaries risk assessment
dc.titleA systematic review to inform the development of a Canadian caries risk assessment tool for use by primary healthcare providers
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbsecondlevelPediatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171003/1/ipd12776_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171003/2/ipd12776.pdf
dc.identifier.doi10.1111/ipd.12776
dc.identifier.sourceInternational Journal of Paediatric Dentistry
dc.identifier.citedreferenceSavage MF, Lee JY, Kotch JB, Vann WF Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics. 2004; 114 ( 4 ): e418 ‐ e423.
dc.identifier.citedreferenceSchroth RJ, Guenther K, Ndayisenga S, et al. Dentists’ perspectives on the Manitoba dental association’s free first visit program. J Can Dent Assoc. 2015; 81: f21.
dc.identifier.citedreferenceSchroth RJ, Boparai G, Boparai M, et al. Tracking early visits to the dentist: a look at the first 3 years of the Manitoba Dental Association’s free first visit program. J Can Dent Assoc. 2015; 81: f8.
dc.identifier.citedreferenceCanadian Dental Association. CDA Position on First Visit to the Dentist; 2012.
dc.identifier.citedreferenceAmerican Academy of Pediatrics Section on Oral Health. Maintaining and improving the oral health of young children. Pediatrics. 2014; 134 ( 6 ): 1224 ‐ 1229.
dc.identifier.citedreferenceLee JY, Bouwens TJ, Savage MF, Vann WF Jr. Examining the cost‐effectiveness of early dental visits. Pediatr Dent. 2006; 28 ( 2 ): 102 ‐ 105.
dc.identifier.citedreferenceNowak AJ, Casamassimo PS, Scott J, Moulton R. Do early dental visits reduce treatment and treatment costs for children? Pediatr Dent. 2014; 36 ( 7 ): 489 ‐ 493.
dc.identifier.citedreferenceNicolae A, Levin L, Wong PD, et al. Identification of early childhood caries in primary care settings. Paediatr Child Health. 2018; 23 ( 2 ): 111 ‐ 115.
dc.identifier.citedreferenceElSalhy M, Gill M, Isaac DM, et al. Integrating preventive dental care into general Paediatric practice for Indigenous communities: paediatric residents’ perceptions. Int J Circumpolar Health. 2019; 78 ( 1 ): 1573162.
dc.identifier.citedreferenceShrivastava R, Couturier Y, Kadoch N, et al. Patients’ perspectives on integrated oral healthcare in a northern Quebec Indigenous primary health care organisation: a qualitative study. BMJ Open. 2019; 9 ( 7 ): e030005.
dc.identifier.citedreferencePierce KM, Rozier RG, Vann WF Jr. Accuracy of pediatric primary care providers’ screening and referral for early childhood caries. Pediatrics. 2002; 109 ( 5 ): E82.
dc.identifier.citedreferenceLong CM, Quinonez RB, Rozier RG, Kranz AM, Lee JY. Barriers to pediatricians’ adherence to American Academy of Pediatrics oral health referral guidelines: North Carolina general dentists’ opinions. Pediatr Dent. 2014; 36 ( 4 ): 309 ‐ 315.
dc.identifier.citedreferenceClose K, Rozier RG, Zeldin LP, Gilbert AR. Barriers to the adoption and implementation of preventive dental services in primary medical care. Pediatrics. 2010; 125 ( 3 ): 509 ‐ 517.
dc.identifier.citedreferencedela Cruz GG, Rozier RG, Slade G. Dental screening and referral of young children by pediatric primary care providers. Pediatrics. 2004; 114 ( 5 ): e642 ‐ e652.
dc.identifier.citedreferencePahel BT, Rozier RG, Stearns SC, Quinonez RB. Effectiveness of preventive dental treatments by physicians for young Medicaid enrollees. Pediatrics. 2011; 127 ( 3 ): e682 ‐ e689.
dc.identifier.citedreferenceQuinonez RB, Kranz AM, Lewis CW, et al. Oral health opinions and practices of pediatricians: updated results from a national survey. Acad Pediatr. 2014; 14 ( 6 ): 616 ‐ 623.
dc.identifier.citedreferenceRozier RG, Slade GD, Zeldin LP, Wang H. Parents’ satisfaction with preventive dental care for young children provided by nondental primary care providers. Pediatr Dent. 2005; 27 ( 4 ): 313 ‐ 322.
dc.identifier.citedreferenceRozier RG, Sutton BK, Bawden JW, et al. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003; 67 ( 8 ): 876 ‐ 885.
dc.identifier.citedreferenceBader JD, Rozier RG, Lohr KN, Frame PS. Physicians’ roles in preventing dental caries in preschool children: a summary of the evidence for the U.S. Preventive Services Task Force. Am J Prev Med. 2004; 26 ( 4 ): 315 ‐ 325.
dc.identifier.citedreferenceDouglass JM, Clark MB. Integrating oral health into overall health care to prevent early childhood caries: need, evidence, and solutions. Pediatr Dent. 2015; 37 ( 3 ): 266 ‐ 274.
dc.identifier.citedreferenceHolve S. An observational study of the association of fluoride varnish applied during well child visits and the prevention of early childhood caries in American Indian Children. Matern Child Health J. 2008; 12 ( S1 ): 64 ‐ 67.
dc.identifier.citedreferenceMeyer BD, Wang R, Steiner MJ, Preisser JS. The effect of physician oral health services on dental use and expenditures under general anesthesia. JDR Clin Trans Res. 2020; 5: 146 ‐ 155.
dc.identifier.citedreferenceLewis C, Lynch H, Richardson L. Fluoride varnish use in primary care: what do providers think? Pediatrics. 2005; 115 ( 1 ): e69 ‐ e76.
dc.identifier.citedreferenceBernstein RS, Johnston B, Mackay K, Sanders J. Implementation of a primary care physician‐led Cavity Clinic using silver diamine fluoride. J Public Health Dent. 2019; 79 ( 3 ): 193 ‐ 197.
dc.identifier.citedreferenceLewis CW, Boulter S, Keels MA, et al. Oral health and pediatricians: results of a national survey. Acad Pediatr. 2009; 9 ( 6 ): 457 ‐ 461.
dc.identifier.citedreferenceHerndon JB, Tomar SL, Catalanotto FA, Vogel WB, Shenkman EA. The effect of Medicaid primary care provider reimbursement on access to early childhood caries preventive services. Health Serv Res. 2015; 50: 136 ‐ 160.
dc.identifier.citedreferenceClark MB, Douglass AB, Maier R, et al. Smiles for Life: A National Oral Health Curriculum. Society of Teachers of Family Medicine 2010; 2019. www.smilesforlifeoralhealth.org. Accessed August 23, 2019
dc.identifier.citedreferenceIrvine J, Holve S, Krol D, Schroth RJ. Policy statement ‐ Early childhood caries in indigenous communities. Paediatr Child Health. 2011; 16 ( 6 ): 351 ‐ 357.
dc.identifier.citedreferenceAmerican Academy of Pediatrics, Committee on Native American Child Health, Canadian Paediatric Society, First Nations, Inuit and Métis Committee. Early childhood caries in indigenous communities. Pediatrics. 2011; 127 ( 6 ): 1190 ‐ 1198.
dc.identifier.citedreferenceYokomichi H, Tanaka T, Suzuki K, Akiyama T, Yamagata Z. Macrosomic neonates carry increased risk of dental caries in early childhood: findings from a cohort study, the Okinawa Child Health Study. Japan. PLoS.One. 2015; 10 ( 7 ): e0133872.
dc.identifier.citedreferenceDye BA, Tan S, Smith V, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11. 2007; 11 ( 248 ): 1 ‐ 92.
dc.identifier.citedreferenceEl Tantawi M, Folayan MO, Mehaina M, et al. Prevalence and data availability of early childhood caries in 193 United Nations Countries, 2007–2017. Am J Public Health. 2018; 108 ( 8 ): 1066 ‐ 1072.
dc.identifier.citedreferenceTinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019; 29 ( 3 ): 238 ‐ 248.
dc.identifier.citedreferenceSchroth RJ, Smith W. A review of repeat general anesthesia for pediatric dental surgery in Alberta, Canada. Pediatr Dent. 2007; 29 ( 6 ): 480 ‐ 487.
dc.identifier.citedreferenceCanadian Institute for Health Information. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia. Ottawa: Canadian Institute for Health Information; 2013: 1 – 34.
dc.identifier.citedreferenceSchroth RJ, Pang JL, Levi JA, Martens PJ, Brownell MD. Trends in pediatric dental surgery for severe early childhood caries in Manitoba, Canada. J Can Dent Assoc. 2014; 80: e65.
dc.identifier.citedreferenceFontana M, Young DA, Wolff MS. Evidence‐based caries, risk assessment, and treatment. Dent Clin North Am. 2009; 53 ( 1 ): 149 ‐ 161.
dc.identifier.citedreferenceBerg JH, Slayton RL. Early Childhood Oral Health. Ames, IA: Wiley‐Blackwell; 2009.
dc.identifier.citedreferenceAmerican Academy of Pediatric Dentistry. Guideline on caries‐risk assessment and management for infants, children, and adolescents. Pediatr Dent. 2013; 35 ( 5 ): E157.
dc.identifier.citedreferenceCanadian Dental Association. CDA Position on Early Childhood Caries. Ottawa: Canadian Dental Association; 2010.
dc.identifier.citedreferenceTwetman S, Fontana M, Featherstone JD. Risk assessment–can we achieve consensus? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): e64 ‐ e70.
dc.identifier.citedreferenceGao X, Di Wu I, Lo ECM, et al. Validity of caries risk assessment programmes in preschool children. J Dent. 2013; 41 ( 9 ): 787 ‐ 795.
dc.identifier.citedreferenceSlayton RL. Clinical decision‐making for caries management in children: an update. Pediatr Dent. 2015; 37 ( 2 ): 106 ‐ 110.
dc.identifier.citedreferenceMejàre I, Axelsson S, Dahlén G, et al. Caries risk assessment. A systematic review. Acta Odontol Scand. 2014; 72 ( 2 ): 81 ‐ 91.
dc.identifier.citedreferenceTellez M, Gomez J, Pretty I, Ellwood R, Ismail A. Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol. 2013; 41 ( 1 ): 67 ‐ 78.
dc.identifier.citedreferenceZero D, Fontana M, Lennon ÁM. Clinical applications and outcomes of using indicators of risk in caries management. J Dent Educ. 2001; 65 ( 10 ): 1126 ‐ 1132.
dc.identifier.citedreferenceGuyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011; 64 ( 4 ): 380 ‐ 382.
dc.identifier.citedreferenceHultquist AI, Bågesund M. Dentin caries risk indicators in 1‐year‐olds. A two year follow‐up study. Acta Odontol Scand. 2016; 74 ( 8 ): 613 ‐ 619.
dc.identifier.citedreferencePienihäkkinen K, Jokela J, Alanen P. Assessment of caries risk in preschool children. Caries Res. 2004; 38 ( 2 ): 156 ‐ 162.
dc.identifier.citedreferenceLin Y‐T, Lin Y‐TJ. Factors associated with the risk of caries development after comprehensive dental rehabilitation under general anesthesia. J Dent Sci. 2016; 11 ( 2 ): 164 ‐ 169.
dc.identifier.citedreferenceJi Y, Du X, Okazaki Y, et al. Risk behaviors and its association with caries activity and dental caries in Japanese children. Pediatr Dent J. 2006; 16 ( 1 ): 91 ‐ 95.
dc.identifier.citedreferenceSchroth RJ, Lavelle C, Tate R, et al. Prenatal vitamin D and dental caries in infants. Pediatrics. 2014; 133: e1277‐8 4.
dc.identifier.citedreferenceWang SS, Zhang H, Si Y, Xu T. Analysis of forecasting indexes for dental caries in 3‐to 6‐year‐old children. Chin J Dent Res. 2016; 19 ( 3 ): 153 ‐ 158.
dc.identifier.citedreferenceAlaki SM, Burt BA, Garetz SL. Middle ear and respiratory infections in early childhood and their association with early childhood caries. Pediatr Dent. 2008; 30 ( 2 ): 105 ‐ 110.
dc.identifier.citedreferenceWarren JJ, Weber‐Gasparoni K, Marshall TA, et al. A longitudinal study of dental caries risk among very young low SES children. Community Dent Oral Epidemiol. 2009; 37 ( 2 ): 116 ‐ 122.
dc.identifier.citedreferenceYokomichi H, Tanaka T, Suzuki K, et al. Macrosomic neonates carry increased risk of dental caries in early childhood: findings from a cohort study, the Okinawa child health study, Japan. PLoS One. 2015; 10 ( 7 ): e0133872.
dc.identifier.citedreferenceMacRitchie HM, Longbottom C, Robertson M, et al. Development of the Dundee Caries Risk Assessment Model (DCRAM)–risk model development using a novel application of CHAID analysis. Community Dent Oral Epidemiol. 2012; 40 ( 1 ): 37 ‐ 45.
dc.identifier.citedreferenceHong L, Levy S, Warren J, Broffitt B. Association between enamel hypoplasia and dental caries in primary second molars: a cohort study. Caries Res. 2009; 43 ( 5 ): 345 ‐ 353.
dc.identifier.citedreferenceWagner Y, Heinrich‐Weltzien R. Evaluation of an interdisciplinary preventive programme for early childhood caries: findings of a regional German birth cohort study. Clin Oral Investig. 2016; 20 ( 8 ): 1943 ‐ 1952.
dc.identifier.citedreferenceChankanka O, Cavanaugh JE, Levy SM, et al. Longitudinal associations between children’s dental caries and risk factors. J Public Health Dent. 2011; 71 ( 4 ): 289 ‐ 300.
dc.identifier.citedreferenceGao X‐L, Hsu C‐Y, Xu Y, et al. Building caries risk assessment models for children. J Dent Res. 2010; 89 ( 6 ): 637 ‐ 643.
dc.identifier.citedreferenceBernabé E, MacRitchie H, Longbottom C, Pitts NB, Sabbah W. Birth weight, breastfeeding, maternal smoking and caries trajectories. J Dent Res. 2017; 96 ( 2 ): 171 ‐ 178.
dc.identifier.citedreferenceGao X, Hsu C‐YS, Loh T, Hwarng B, Koh D. Role of microbiological factors in predicting early childhood caries. Pediatr Dent. 2014; 36 ( 4 ): 348 ‐ 354.
dc.identifier.citedreferenceLeverett D, Adair S, Vaughan B, Proskin H, Moss M. Randomized clinical trial of the effect of prenatal fluoride supplements in preventing dental caries. Caries Res. 1997; 31 ( 3 ): 174 ‐ 179.
dc.identifier.citedreferenceWagner Y, Heinrich‐Weltzien R. Evaluation of a regional German interdisciplinary oral health programme for children from birth to 5 years of age. Clin Oral Invest. 2017; 21 ( 1 ): 225 ‐ 235.
dc.identifier.citedreferenceGhazal T, Levy SM, Childers NK, et al. Factors associated with early childhood caries incidence among high caries‐risk children. Community Dent Oral Epidemiol. 2015; 43 ( 4 ): 366 ‐ 374.
dc.identifier.citedreferenceCorrea‐Faria P, Paixao‐Goncalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Braz Oral Res. 2016; 30 ( 1 ). https://doi.org/10.1590/1807‐3107BOR‐2016.vol30.0059
dc.identifier.citedreferenceAbanto J, Celiberti P, Braga MM, et al. Effectiveness of a preventive program based on caries risk assessment and recall intervals on the incidence and regression of initial caries lesions in children. Int J Paediatr Dent. 2015; 25 ( 4 ): 291 ‐ 299.
dc.identifier.citedreferenceHallett KB, O’Rourke PK. Baseline dental plaque activity, mutans streptococci culture, and future caries experience in children. Pediatr Dent. 2013; 35 ( 7 ): 523 ‐ 528.
dc.identifier.citedreferenceSkeie M, Raadal M, Strand G, Espelid I. Caries in primary teeth at 5 and 10 years of age: a longitudinal study. Eur J Paediatr Dent. 2004; 5 ( 4 ): 194 ‐ 202.
dc.identifier.citedreferencePeltzer K, Mongkolchati A, Satchaiyan G, Rajchagool S, Pimpak T. Sociobehavioral factors associated with caries increment: a longitudinal study from 24 to 36 months old children in Thailand. Int J Environ Res Public Health. 2014; 11 ( 10 ): 10838 ‐ 10850.
dc.identifier.citedreferenceCanada Go Breastfeeding and Infant Nutrition. Canada: Government of Canada; 2014. https://www.canada.ca/en/public‐health/services/health‐promotion/childhood‐adolescence/stages‐childhood/infancy‐birth‐two‐years/breastfeeding‐infant‐nutrition.htm l. Accessed January 1, 2019
dc.identifier.citedreferenceWHO Organization. Infant and Young Child Feeding; 2018. https://www.who.int/en/news‐room/fact‐sheets/detail/infant‐and‐young‐child‐feeding. Accessed October 15, 2018.
dc.identifier.citedreferenceDabiri D, Eckert GJ, Li Y, et al. Diagnosing developmental defects of enamel: pilot study of online training and accuracy. Pediatr Dent. 2018; 40 ( 2 ): 105 ‐ 109.
dc.identifier.citedreferenceFan CC, Wang WH, Xu T, Zheng SG. Risk factors of early childhood caries (ECC) among children in Beijing ‐ a prospective cohort study. BMC Oral Health. 2019; 19 ( 1 ): 34.
dc.identifier.citedreferenceBoustedt K, Roswall J, Twetman S, Dahlgren J. Influence of mode of delivery, family and nursing determinants on early childhood caries development: a prospective cohort study. Acta Odontol Scand. 2018; 76 ( 8 ): 595 ‐ 599.
dc.identifier.citedreferenceAkinkugbe AA, Brickhouse TH, Nascimento MM, Slade GD. Prenatal smoking and the risk of early childhood caries: a prospective cohort study. Prev Med Rep. 2020; 20: 101201.
dc.identifier.citedreferenceBoustedt K, Roswall J, Kjellberg E, Twetman S, Dahlgren J. A prospective study of perinatal and metabolic risk factors for early childhood caries. Acta Paediatr. 2020; 109 ( 11 ): 2356 ‐ 2361.
dc.identifier.citedreferenceBoustedt K, Dahlgren J, Twetman S, Roswall J. Tooth brushing habits and prevalence of early childhood caries: a prospective cohort study. Eur Arch Paediatr Dent. 2020; 21 ( 1 ): 155 ‐ 159.
dc.identifier.citedreferenceSchroth RJ, Rothney J, Sturym M, Dabiri D, Dabiri D, Dong C, Grant C, Kennedy T, Sihra R. A systematic review of evidence on caries risk assessment for preschool children and recommendations for the development of a Canadian caries risk assessment tool for screening purposes. Winnipeg, MB; 2017: 98.
dc.identifier.citedreferenceSchroth RS, Sturym M, Finch A, et al. Caries Risk Assessment Project – Critical Appraisal and Revision/Refinement to Caries Risk Assessment Report and Focus Group and Pilot Testing of the Draft Caries Risk Assessment Tool. Winnipeg, MB; 2018: 35.
dc.identifier.citedreferenceAgouropoulos A, Birpou E, Twetman S, Kavvadia K. Validation of three caries risk assessment tools for preschool children from areas with high caries prevalence. Pediatr Dent. 2019; 41 ( 5 ): 391 ‐ 399.
dc.identifier.citedreferenceChaffee BW, Featherstone JD, Gansky SA, Cheng J, Zhan L. Caries risk assessment item importance: risk designation and caries status in children under Age 6. JDR Clin Trans Res. 2016; 1 ( 2 ): 131 ‐ 142.
dc.identifier.citedreferenceChaffee BW, Featherstone JDB, Zhan L. Pediatric caries risk assessment as a predictor of caries outcomes. Pediatr Dent. 2017; 39 ( 3 ): 219 ‐ 232.
dc.identifier.citedreferenceGeorge A, Sousa MS, Kong AC, et al. Effectiveness of preventive dental programs offered to mothers by non‐dental professionals to control early childhood dental caries: a review. BMC Oral Health. 2019; 19 ( 1 ): 172.
dc.identifier.citedreferenceJorgensen MR, Twetman S. A systematic review of risk assessment tools for early childhood caries: is there evidence? Eur Arch Paediatr Dent. 2020; 21 ( 2 ): 179 ‐ 184.
dc.identifier.citedreferenceDarmawikarta D, Chen Y, Carsley S, et al. Factors associated with dental care utilization in early childhood. Pediatrics. 2014; 133 ( 6 ): e1594 ‐ e1600.
dc.identifier.citedreferenceSchroth RJ, Cheba V. Determining the prevalence and risk factors for early childhood caries in a community dental health clinic. Pediatr Dent. 2007; 29 ( 5 ): 387 ‐ 396.
dc.identifier.citedreferenceSchroth RJ, Ndayisenga S, Guenther K, et al. Parents’ perspectives on the Manitoba Dental Associaton’s Free First Visit program. J Public Health Dent. 2016; 76 ( 3 ): 206 ‐ 212.
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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