TABLE 1.
Levels of evidence and grade of recommendations for individual-level ‘clinical/prevention’ recommendations
Recommendation |
US Preventive Services Task Force (63) |
Canadian Task Force on Preventive Health Care (64) |
||
---|---|---|---|---|
Grade | Level of certainty | Grade | Level of evidence | |
Utilize motivational interviewing and anticipatory guidance for the parents and caregivers of infants and children on oral hygiene and diet | B | Moderate | B | II-3 |
Promote the supervised use of fluoridated toothpaste in all Indigenous and other high-risk children after the first tooth has erupted (‘smear’ of toothpaste for infants and ‘green pea-size’ amount for children) | A | High | A | I |
Community health nurses, family physicians or paediatricians should perform oral health screening during child health assessments and provide referrals as needed to dental health providers | B | Moderate | B | II-3 |
Provide women with preconception and prenatal screening for oral health, anticipatory guidance for oral health and hygiene, and referral for dental care if required | B | Moderate | B | I |
Ensure that all Indigenous children have access to | ||||
a) the series of fluoride varnish, and | A | Moderate | A | II-1 |
b) an assessment to determine the need for sealant placement on deep grooves and fissures | A | High | A | I |
US United States. References are provided in parentheses in the headings. Refer to Appendix 1 (available at www.cps.ca) for definitions of the grades of recommendations and levels of evidence or certainty