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Biomedical subjects

K M Milsom

Publications and source records attributed to K M Milsom.

6 recordsLinked to original sources
PubMed1997

Oral heath status of 12-year-old children in Nepal in 1994.

A survey of twelve-year-old Nepalese children was undertaken in 1994 according to the WHO pathfinder methodology and examination criteria. The study sample was drawn from randomly selected schools within the capital city, and two randomly selected urban settings, together with children drawn from schools in four randomly selected villages within rural Nepal. Three hundred and sixty children were examined. Drinking water samples were obtained from all sources at each examination site and subsequently analysed for fluoride content. The overall caries experience in the country was found to be very low or low. Analysis of drinking water samples revealed that with the exception of one town in the south of the country, all sites had low fluoride levels.

Cariostatic Agents↗
PubMed1996

Enamel defects in the deciduous dentition as a potential predictor of defects in the permanent dentition of 8- and 9-year-old children in fluoridated Cheshire, England.

It is claimed that dental fluorosis in both deciduous and permanent teeth is increasing in fluoridated and non-fluoridated communities. What is unclear is whether fluoride-induced enamel opacities in the deciduous dentition are associated with the subsequent appearance of enamel defects in the permanent dentition. The aim of this study was to establish whether a relationship existed between the presence of diffuse enamel defects on the deciduous molars and permanent incisors of schoolchildren who were lifetime residents in an optimally fluoridated community in Cheshire, England. The dentitions of eight-and nine-year-old children were examined by two examiners, each unaware of the findings of the other. There was a significant increased risk of diffuse enamel defects in the permanent incisors for those children who presented with diffuse defects on their first deciduous molars (Relative Risk, 1.45; 95% confidence interval, 1.05 to 2.0) or second deciduous molars (Relative Risk, 1.86; 95% confidence interval, 1.36 to 2.54). In light of these findings, it is worth considering the potential of the presence of enamel defects in deciduous molars in children aged 1 to 3 years as a predictor of the future appearance of similar lesions in their permanent incisors.

Case-Control Studies↗
PubMed1993

Community dental service based out of hours emergency dental care--a pilot study.

Twenty-nine out-of-hours calls were received during the 6-week period. Advice was offered to 27 patients and two call-outs were made for treatment of acute abscesses in children. Eight patients claimed to be under treatment with the CDS, 17 claimed to be registered with a general dental practitioner, while four claimed not to be registered. A demand for an emergency service was demonstrated, as was the need to define accurately the categories of patients eligible for emergency treatment within the CDS. The pilot study also highlighted the requirement to fund this service adequately.

Community Health Services↗
PubMed1993

Enamel defects in 4- to 5-year-old children in fluoridated and non-fluoridated parts of Cheshire, UK.

The aim of this study was to compare the prevalence of developmental defects of enamel in the deciduous dentition of 4- to 5-year-old children residing in fluoridated (1 ppmF) and non-fluoridated (less than 0.2 ppmF) communities in Cheshire, UK. The significant difference in the prevalence of developmental defects of enamel between the two communities was accounted for by the higher prevalence of diffuse opacities in fluoridated Nantwich (29%), than in non-fluoridated Northwich (14%). The results also showed that when controlling for the age at which parents claimed toothbrushing commenced, the children in fluoridated Nantwich still had significantly more diffuse defects than the children in Northwich.

Child, Preschool↗
PubMedDate not supplied

The relationship between registration and dental health benefit in 8- and 9-year-old children in Cheshire.

The dental treatment needs of 8- and 9-year-old children registered with a GDP for at least 6 months were compared with the dental treatment needs of children from a similar social background who were neither registered nor regularly attending the Community Dental Service. The children were examined by one of the authors without prior knowledge of registration status for evidence of treatment need. Unequivocal treatment need was defined as untreated dental caries in permanent teeth, sepsis associated with deciduous teeth, instanding maxillary incisors, and untreated permanent teeth fractured into dentine; untreated caries in the deciduous teeth was also recorded. Registration status of the children was subsequently obtained from the Dental Practice Board. Sixty-three per cent of the children had been registered with a GDP for at least 6 months at the time of the survey, 6% had been registered for less than 6 months and 31% had never been registered under the new dental contract. Of the children who had been registered for more than 6 months, 18.5% had unequivocal treatment need as against 17.5% in the unregistered group; 40.4% of the registered children had decay in their deciduous teeth, as against 36.5% of the unregistered children. Comparison of the dental treatment needs of registered and unregistered children showed no significant difference between the two groups.

Capitation Fee↗