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Research ArticleOriginal Research

Prevalence and Associated Factors of Fluoride Varnish Application

Mary C. Tandon, John J. Warren and Jeanette M. Daly
The Journal of the American Board of Family Medicine September 2024, 37 (5) 826-832; DOI: https://doi.org/10.3122/jabfm.2024.240066R1
Mary C. Tandon
From the Clinical Assistant Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (MCT); Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (JJW); Research Scientist, Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA (JMD).
DDS, MS
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John J. Warren
From the Clinical Assistant Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (MCT); Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (JJW); Research Scientist, Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA (JMD).
DDS, MS
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Jeanette M. Daly
From the Clinical Assistant Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (MCT); Professor, Department of Preventive & Community Dentistry, College of Dentistry, University of Iowa, Iowa City, IA (JJW); Research Scientist, Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA (JMD).
RN, PhD
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Tables

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    Table 1.

    Numbers and Rates of Fluoride Varnish (FV) Application During Well-Child Exams by Year at a Tertiary Care Academic Medical Center1,2

    Year
    2018201920202021
    Total Number of FV Applications13110222280
    Family Medicine Clinics3135439
    Pediatric Clinics1097168241
    Total Number of Well-Child Exams13,69214,24313,61314,776
    Family Medicine Clinics3,2113,2662,9343,205
    Pediatric Clinics10,48110,97710,67911,571
    Rate FV applications during well-child exams0.09%0.77%1.63%1.89%
    Family Medicine Clinics0.09%0.40%1.84%1.22%
    Pediatric Clinics0.10%0.88%1.57%2.08%
    • ↵1All ages.

    • ↵2Many individuals had multiple FV application in a year or subsequent years.

    • Abbreviation: FV, Fluoride Varnish.

    • View popup
    Table 2.

    Bivariate Analyses and Multivariable Analysis of Factors Associated and Not Associated with Fluoride Varnish (FV) Application During Well-Child Exams (n = 788)

    FactorFluoride Varnish ApplicationBivariate AnalysesMultivariable Analysis
    YesNoP-valueOdds Ratio (CI)P-value
    n (row%)n (row%)
    Sex0.1991
     Female (n = 376)179 (47.6)197 (52.4)
     Male (n = 412)215 (52.2)197 (47.8)
    Race and ethnicity<0.001)1<0.001
     White (n = 428)169 (39.5)259 (60.5)Reference
     Asian (32)9 (28.1)23 (71.9)0.532 (0.237, 1.198)0.128
     Black (n = 141)92 (65.2)49 (34.8)1.632 (1.021, 2.609)0.041
     Hispanic (n = 132)91 (68.9)41 (31.1)2.321 (1.477, 3.647)<0.001
     Others (n = 55)33 (60.0)22 (40.0)1.908 (1.057, 3.443)0.032
    Type of provider2<0.0013
     ARNP/PA (n = 20)0 (0.0)20 (100.0)
     MD (n = 768)394 (51.3)374 (48.7)
    Insurance type<0.0011<0.001
     Private (n = 453)172 (38.0)281 (62.0)Reference–
     Medicaid/none (n = 335)222 (66.3)113 (33.7)2.34 (1.63, 3.34)<0.001
    • ↵1Chi-Square test.

    • ↵2Provider type not included because no FV reported by nurse practitioner or physician assistant clinicians.

    • ↵3Fisher’s exact test.

    • Abbreviations: ARNP, Advanced Registered Nurse Practitioner; PA, Physician assistant; MD, Doctor of Medicine; CI, Confidence interval.

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The Journal of the American Board of Family     Medicine: 37 (5)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 5
September-October 2024
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Prevalence and Associated Factors of Fluoride Varnish Application
Mary C. Tandon, John J. Warren, Jeanette M. Daly
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 826-832; DOI: 10.3122/jabfm.2024.240066R1

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Prevalence and Associated Factors of Fluoride Varnish Application
Mary C. Tandon, John J. Warren, Jeanette M. Daly
The Journal of the American Board of Family Medicine Sep 2024, 37 (5) 826-832; DOI: 10.3122/jabfm.2024.240066R1
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