A randomized controlled trial of 6-month dental home visits on 24-month caries incidence in preschool children.
children
dental caries
home visits
oral health
preschool
primary teeth
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
revised:
19
11
2021
received:
16
05
2021
accepted:
22
11
2021
pubmed:
10
2
2022
medline:
10
11
2022
entrez:
9
2
2022
Statut:
ppublish
Résumé
This paper reports on the effect of 6-month dental home visits compared to no dental home visits on 24-month caries incidence in 5- to 6-year-olds. 5- to 6-year-olds attending kindergartens were randomized to receive either 6-month dental home visits and education leaflets (Intervention group) or education leaflets alone (Control group) over 24 months. To detect a 15% difference in caries incidence with a significance level of 5% and power of 80%, 88 children were calculated to be needed in the Intervention group and 88 in the Control. Baseline clinical data included oral examinations at the kindergartens. Follow-up visits were made on the 6th, 12th and 18th month. At the end of the 24 months, both the Intervention and Control groups were visited for oral examinations. The primary outcome was caries incidence, measured by the number and proportion of children who developed new caries in the primary molars after 24 months. The secondary outcome was the number of primary molars that developed new caries (d-pms). Frequency distributions of participants by baseline socio-demographic characteristics and caries experience were calculated. The chi-square test was used to test differences between the caries experience in the Intervention and Control groups. The t test was used to compare the mean number of primary molars developing new caries between the Intervention Group and the Control Group. The number of children needed to treat (NNT) was also calculated. At the 24-month follow-up, 19 (14.4%) developed new caries in the Intervention Group, compared to 60 (60.0%) in the Control Group (p = .001). On average, 0.2 (95% CI = 0.1-0.3) tooth per child in the Intervention Group was observed to have developed new caries compared to 1.1 (95% CI = 0.8-1.3) tooth per child in the Control Group (p = .001). The number of children needed to treat (NNT) to prevent one child from developing new caries was 2.2. The present study has demonstrated that 6-month home visits to families of 5- to 6-year-olds are effective in caries prevention in 5- to 6-year-olds of low-income families in a middle-income country where access to health services, including oral health promotion services, is limited.
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
559-569Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Kazeminia M, Abdi A, Shohaimi S, et al. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020;16(1):22. doi:10.1186/s13005-020-00237-z
Murray JJ, Vernazza CR, Holmes RD. Forty years of national surveys: an overview of children's dental health from 1973-2013. Br Dent J. 2015;219(6):281-285. doi:10.1038/sj.bdj.2015.723
Bencze Z, Mahrouseh N, Andrade CAS, Kovács N, Varga O. The burden of early childhood caries in children under 5 years old in the European Union and associated risk factors: an ecological study. Nutrients. 2021;13(2):455. doi:10.3390/nu13020455
Zhang X, Yang S, Liao Z, et al. Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987-2013. Sci Rep. 2016;6(1):1-9. doi:10.1038/srep18897
Peres MA, Macpherson LMD, Weyant RJ, et al. Oral diseases: a global public health challenge. Lancet. 2019;394(10194):249-260. doi:10.1016/S0140-6736(19)31146-8
Ungchusak C. Oral health promotion and prevention of Early Childhood Caries. Thai Dent Public Heal J. 2017;22:44-61.
Christensen L, Twetman S, Sundby A. Oral health in children and adolescents with different socio-cultural and socio-economic backgrounds. Acta Odontol Scand. 2010;68(1):34-42. doi:10.3109/00016350903301712
Teixeira AKM, Roncalli AG, Noro LRA. Factors related to the dental caries incidence in youth: a cohort study in Brazilian Northeastern. Cien Saude Colet. 2016;21(12):3871-3878. doi:10.1590/1413-812320152112.12582015
Cianetti S, Lombardo G, Lupatelli E, et al. Dental caries, parents educational level, family income and dental service attendance among children in Italy. Eur J Paediatr Dent. 2017;18(1):15-18. doi:10.23804/EJPD.2017.18.01.03
Llena C, Forner L. Dietary habits in a child population in relation to caries experience. Caries Res. 2008;42(5):387-393. doi:10.1159/000154784
Tinanoff N, Palmer CA. Dietary determinants of dental caries and dietary recommendations for preschool children. J Public Health Dent. 2000;60(3):197-206. doi:10.1111/j.1752-7325.2000.tb03328.x
Tinanoff N, Kanellis MJ, Vargas CM. Current understanding of the epidemiology mechanisms, and prevention of dental caries in preschool children. Pediatr Dent. 2002;24(6):543-551.
Mosdøl A, Forsetlund L, Straumann G. Effect of parent education on ways to prevent dental caries in pre-school children. The Norwegian Institute of Public Health (NIPH). 2015.
de Silva AM, Hegde S, Akudo Nwagbara B, et al. Community-based population-level interventions for promoting child oral health. Cochrane Database Syst Rev. 2016;9:CD009837. doi:10.1002/14651858.CD009837.pub2
Van den Branden S, Van den Broucke S, Leroy R, Declerck D, Bogaerts K, Hoppenbrouwers K. Effect evaluation of an oral health promotion intervention in preschool children. Eur J Public Health. 2014;24(6):893-898. doi:10.1093/eurpub/ckt204
Aliakbari E, Gray-Burrows KA, Vinall-Collier KA, et al. Home-based toothbrushing interventions for parents of young children to reduce dental caries: a systematic review. Int J Paediatr Dent. 2021;31(1):37-79. doi:10.1111/ipd.12658
Amin M, Perez A. Is the wait-for-patient-to-come approach suitable for African newcomers to Alberta, Canada? Community Dent Oral Epidemiol. 2012;40(6):523-531. doi:10.1111/J.1600-0528.2012.00698.X
Skeie M, Klock K, Haugejorden O, Riordan P, Espelid I. Tracking of parents’ attitudes to their children's oral health-related behavior-Oslo, Norway, 2002-04. Acta Odontol Scand. 2010;68(1):49-56. doi:10.3109/00016350903364926
Plonka KA, Pukallus ML, Barnett A, Holcombe TF, Walsh LJ, Seow WK. A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries. Int J Paediatr Dent. 2013;23(1):23-31. doi:10.1111/j.1365-263X.2011.01219.x
Kowash MB, Pinfield A, Smith J, Curzon MEJ. Effectiveness on oral health of a long-term health education programme for mothers with young children. Br Dent J. 2000;188(4):201-205. doi:10.1038/sj.bdj.4800431
Weinstein P, Harrison R, Benton T. Motivating mothers to prevent caries: confirming the beneficial effect of counseling. J Am Dent Assoc. 2006;137(6):789-793. doi:10.14219/JADA.ARCHIVE.2006.0291
Chai HH, Gao SS, Chen KJ, Duangthip D, Lo ECM, Chu CH. A kindergarten-based oral health preventive approach for hong kong preschool children. Healthcare. 2020;8(4):545. doi:10.3390/HEALTHCARE8040545
Hancock S, Zinn C, Schofield G. The consumption of processed sugar- and starch-containing foods, and dental caries: a systematic review. Eur J Oral Sci. 2020;128(6):467-475. doi:10.1111/eos.12743
Colvara BC, Faustino-Silva DD, Meyer E, Hugo FN, Celeste RK, Hilgert JB. Motivational interviewing for preventing early childhood caries: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2021;49(1):10-16. doi:10.1111/cdoe.12578
Brännemo I, Dahllöf G, Cunha Soares F, Tsilingaridis G. Impact of an extended postnatal home visiting programme on oral health among children in a disadvantaged area of Stockholm, Sweden. Acta Paediatr. 2021;110(1):230-236. doi:10.1111/apa.15457
Henshaw MM, Borrelli B, Gregorich SE, et al. Randomized trial of motivational interviewing to prevent early childhood caries in public housing. JDR Clin Transl Res. 2018;3(4):353-365. doi:10.1177/2380084418794377
Harrison R, Veronneau J, Leroux B. Design and implementation of a dental caries prevention trial in remote Canadian Aboriginal communities. Trials. 2010;11(1):54. doi:10.1186/1745-6215-11-5
Andiesta NS, Hamid MA, Lee K, Pau A. Dental home visits for caries prevention among preschool children: protocol for a cost-effectiveness analysis on a randomized control trial. JMIR Res Protoc. 2018;7(6):e10053. doi:10.2196/10053
Naidu R, Nunn J, Irwin JD. The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: An exploratory cluster randomised controlled study. BMC Oral Health. 2015;15(1):1-15. doi:10.1186/s12903-015-0068-9
World Health Organization. WHO | Oral Health Surveys: Basic Methods, 5th ed. World Health Organization; 2013.
National Health and Morbidity Survey 2015 (NHMS 2015). Vol I: Methodology and General Findings. Kuala Lumpur; Institute For Public Health (IPH), Malaysia; 2015.
Che-Salleh N, Yaw SL, Abd-Muttalib K, Ab-Rahman J. National Oral Health Survey of Preschool Children 2015 (NOHPS 2015), Vol. I: Oral Health Status and Caries Treatment Needs of 5-Year-Old Children. Oral Health Program, Ministry of Health Malaysia; 2017.
Phantumvanit P, Makino Y, Ogawa H, et al. WHO Global Consultation on Public Health Intervention against Early Childhood Caries. Community Dent Oral Epidemiol. 2018;46(3):280-287. doi:10.1111/cdoe.12362
Rozier RG, White BA, Wang M, Meyer BD, Lee JY. Development and testing of a patient-centered dental home assessment for low-income families. J Public Health Dent. 2019;79(3):253-263. doi:10.1111/jphd.12323
Feldens CA, Vítolo MR, de Drachler ML. A randomized trial of the effectiveness of home visits in preventing early childhood caries. Community Dent Oral Epidemiol. 2007;35(3):215-223. doi:10.1111/j.1600-0528.2006.00337.x
Tambs K, Rønning T, Prescott CA, et al. The Norwegian Institute of Public Health Twin Study of Mental Health: Examining Recruitment and Attrition Bias. Twin Res Hum Genet. 2009;12(2):158-168. doi:10.1375/TWIN.12.2.158
Bjerkeset O, Nordahl HM, Larsson S, Dahl AA, Linaker O. A 4-year follow-up study of syndromal and sub-syndromal anxiety and depression symptoms in the general population. Soc Psychiatry Psychiatr Epidemiol. 2008;43(3):192-199. doi:10.1007/S00127-007-0289-6
Miller RB, Wright DW. Detecting and correcting attrition bias in longitudinal family research. J Marriage Fam. 1995;57(4):921. doi:10.2307/353412
Galea S, Tracy M. Participation rates in epidemiologic studies. Ann Epidemiol. 2007;17(9):643-653. doi:10.1016/J.ANNEPIDEM.2007.03.013
Langley AK, Nadeem E, Kataoka SH, Stein BD, Jaycox LH. Evidence-based mental health programs in schools: barriers and facilitators of successful implementation. Springer. 2010;2(3):105-113. doi:10.1007/s12310-010-9038-1
Abu Bakar AhSH, Islam MR, Sulaiman S, Omar N. Material deprivation status of Malaysian children from low-income families. Child Adolesc Soc Work J. 2021;38(2):139-148. doi:10.1007/s10560-020-00732-x
André Kramer A-C, Petzold M, Hakeberg M, Östberg A-L. Multiple socioeconomic factors and dental caries in swedish children and adolescents. Caries Res. 2018;52(1-2):42-50. doi:10.1159/000481411
Qin Y, Zhang R, Yuan B, et al. Structural equation modelling for associated factors with dental caries among 3-5-year-old children: A cross-sectional study. BMC Oral Health. 2019;19(1):102. doi:10.1186/s12903-019-0787-4
Meira GF, Knorst JK, Maroneze MC, Ortiz FR, Ardenghi TM. Effect of dental caries and socioeconomic status on social capital throughout adolescence: a 6-year follow-up. Braz Oral Res. 2020;34:1-9. doi:10.1590/1807-3107bor-2020.vol34.0104
Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life. Health Qual Life Outcomes. 2014;12(1):41. doi:10.1186/1477-7525-12-41
Wm T. Social inequality in oral health. Community Dent Oral Epidemiol. 2012;40(Suppl 2):28-32. doi:10.1111/J.1600-0528.2012.00716.X
Koh R, Pukallus M, Kularatna S, et al. Relative cost-effectiveness of home visits and telephone contacts in preventing early childhood caries. Community Dent Oral Epidemiol. 2015;43(6):560-568. doi:10.1111/cdoe.12181