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. 2011 Jun-Jul;16(6):351–357. doi: 10.1093/pch/16.6.351

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