# Impact of Interrupting Oral Prevention on Dental Health of 7- to 8-Year-Old Children Due to COVID-19

## TL;DR

A study in Germany found that interrupting a dental prevention program during the pandemic did not worsen children's oral health.

## Contribution

This study provides evidence that SIP interruption during the pandemic did not lead to increased tooth decay in children.

## Key findings

- No significant difference in caries increment was found between the test and control groups.
- Up to 61% of children with caries experience were completely treated in both groups.
- No significant difference was observed in the percentage of sealed first permanent molars or restoration levels.

## Abstract

Background/Objectives: In Marburg (Hesse, Germany), the selective intensive preventive program (SIP) with fluoride varnish applications had to be interrupted due to the COVID-19 pandemic. The aim of this retrospective anonymized evaluation was to investigate possible effects of SIP interruption on oral health in socially vulnerable 7- and 8-year-olds. Methods: The caries increment in 7- and 8-year-olds for the test group (N = 180) between last dental check-up before the interruption of SIP (02/2019–02/2020) and the first check-up after restart (01/2022–07/2022) were calculated from dental public health service data. The test group was compared to a control group of children (N = 215; same age and schools, with SIP, data collected between the school year 2017/18 and 2019/20). One dentist conducted the dental examinations. The University of Marburg ethics committee approved the study. The Mann–Whitney U test and Pearson’s chi-square test were used for statistical analysis. Results: There was no significant difference in the caries increment in the first dentition between the test and the control group for both age groups. In the different groups, a maximum of 61% of the children with caries experience were completely treated. There was no significant difference between the test and control groups in either the percentage of sealed first permanent molars or the degree of restoration. Conclusions: The interruption of SIP had no negative impact on caries increment. It is possible that the children examined went through the pandemic without a significant increase in tooth decay because the children were well-trained in tooth brushing since kindergarten.