Antenatal Health Care and Postnatal Dental Check-Ups Prevent Early Childhood Caries

Nakai, Yukie; Mori, Yukako; Tamaoka, Izumi

doi:10.1620/tjem.240.303

Cited by 8 publications

(15 citation statements)

References 20 publications

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“…One was conducted in the USA [Leverett et al, 1997], 1 in Germany [Günay et al, 1998], and 1 in Australia [Plutzer and Spencer, 2008]. Two were conducted in Japan [Nakai et al, 2010[Nakai et al, , 2016. Among the 5 studies, 3 were randomized control trials [Leverett et al, 1997;Plutzer and Spencer, 2008;Nakai et al, 2010], 1 was a prospective cohort study [Günay et al, 1998], and 1 was a nested case-control in a cohort study [Nakai et al, 2016].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two were conducted in Japan [Nakai et al, 2010[Nakai et al, , 2016. Among the 5 studies, 3 were randomized control trials [Leverett et al, 1997;Plutzer and Spencer, 2008;Nakai et al, 2010], 1 was a prospective cohort study [Günay et al, 1998], and 1 was a nested case-control in a cohort study [Nakai et al, 2016]. Oral health care intervention adopted in all qualitative studies extended the intervention period from the prenatal to infant stage.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Oral health care intervention adopted in all qualitative studies extended the intervention period from the prenatal to infant stage. The interventions included: (a) fluoride-based intervention, where fluoride supplement intake was provided to pregnant women and their infant in a population that was not exposed to optimal water fluoridation [Leverett et al, 1997]; (b) primary-primary prevention originally proposed by Axelsson [1988], where all prophylactic measures were carried out in pregnant women in order to prevent the transmission of cariogenic bacteria and improve feeding behaviors after birth [Günay et al, 1998]; (c) oral health education promotion in pregnant women, which was used in the studies by Plutzer and Spencer [2008] and Nakai et al [2016], who called it antenatal health care; (d) xylitol gum chewing in pregnant women [Nakai et al, 2010]. The intervention approaches are further detailed in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Three studies [Günay et al, 1998;Plutzer and Spencer, 2008;Nakai et al, 2016] revealed a lower ECC incidence in the group that received oral health care intervention during pregnancy and early infancy when compared to the control group. The prenatal oral health care intervention approaches used in these 3 studies were primary-primary prevention, oral examination and cleaning, and oral health education.…”

Section: Prenatal Oral Health Care and Ecc Preventionmentioning

confidence: 99%

“…Compared to the control group, the empirical OR (95% CI) of ECC is 0.17 (0.06, 0.49) in children whose mothers received oral health education [Plutzer and Spencer, 2008], 0.36 (0.15, 0.85) in children whose mothers received antenatal health care [Nakai et al, 2016], and 0.94 (0.57, 1.56) in children whose mothers received a fluoride supplement [Leverett et al, 1997].…”

Section: Cariesmentioning

confidence: 99%

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Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

et al. 2019

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Despite the advancement of early childhood caries (ECC) prediction and treatment, ECC remains a significant public health burden in need of more effective preventive strategies. Pregnancy is an ideal period to promote ECC prevention given the profound influence of maternal oral health and behaviors on children’s oral health. However, studies have shown debatable results with respect to the effectiveness of ECC prevention by means of prenatal intervention. Therefore, this study systematically reviewed the scientific evidence relating to the association between prenatal oral health care, ECC incidence, and Streptococcus mutans carriage in children. Five studies (3 randomized control trials, 1 prospective cohort study, and 1 nested case-control study) were included for qualitative assessment. Tested prenatal oral health care included providing fluoride supplements, oral examinations/cleanings, oral health education, dental treatment referrals, and xylitol gum chewing. Four studies that assessed ECC incidence reduction were included in meta-analysis using an unconditional generalized linear mixed effects model with random study effects and age as a covariate. The estimated odds ratio and 95% confidence intervals suggested a protective effect of prenatal oral health care against ECC onset before 4 years of age: 0.12 (0.02, 0.77) at 1 year of age, 0.18 (0.05, 0.63) at 2 years of age, 0.25 (0.09, 0.64) at 3 years of age, and 0.35 (0.12, 1.00) at 4 years of age. Children’s S. mutans carriage was also significantly reduced in the intervention group. Future studies should consider testing strategies that restore an expectant mother’s oral health to a disease-free state during pregnancy.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Prenatal Oral Health Care and Ecc Preventionmentioning

confidence: 99%

Section: Cariesmentioning

confidence: 99%

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Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

et al. 2019

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Is the mode of childbirth delivery linked to the prevalence of early childhood caries? A systematic review and meta-analysis

Boustedt

Dahlgren

Roswall

et al. 2021

Eur Arch Paediatr Dent

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Aim The mode of childbirth delivery can influence the child’s future health and the aim of this study was to explore the association between the delivery mode and the prevalence of early childhood caries. Methods We searched the PubMed, Google Scholar and Cochrane databases up to September 15, 2020. Two independent reviewers screened the papers for relevance, extracted data and assessed the risk of bias with the Newcastle–Ottawa Scale. We performed a random effects meta-analysis to pool the prevalence of early childhood caries according to the mode of delivery. Results The authors included 11 studies in the review, comprising 47,688 children with vaginal delivery and 10,994 with caesarean section (C-section). The publication years ranged from 1997 to 2020 and included birth cohorts, cross-sectional, register-based and case–control studies. We assessed three publications with low or moderate risk of bias. The median caries prevalence in the C-section group was 56.4% compared to 45.9% in the vaginal group and this difference was statistically significant (p < 0.05). The pooled overall odds ratio was 1.48 (95% CI 1.07–2.05) indicating a weak but statistically significant trend towards a higher caries occurrence among children delivered with C-section. The certainty of this finding was low due to heterogeneity and inconsistencies across the studies. Conclusion We found a weak but inconsistent association between the mode of delivery and the prevalence of early childhood caries. Further studies based on representative, prospective cohorts reporting a standardized core outcome set are required to answer the research question with higher certainty.

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Oral healthcare attendance and the effectiveness of referrals for rural antenatal women

Ragade¹,

Yiannis²,

Opie³

2022

Australian J Rural Health

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Objectives: To analyse the effectiveness of targeted stakeholder engagement strategies and the impact they have on antenatal referrals, oral health admission, attendance and education of pregnant women in a rural public dental clinic.Method: Key stakeholders (obstetric trained general practitioners [GPs] and midwives) were educated and motivated to refer pregnant women to the rural public dental clinic via priority referral pathways. A 10-month pre-and postintervention period of oral health assessments and treatments was compared and contrasted.Design: Quasi-experimental study. Setting: A rural health service in the Loddon Mallee region, Victoria. Participants: Local pregnant women, 18 years of age or older, eligible for public dental care. Main outcome measures: Increased oral health admission, attendance and education of pregnant women. Results: Active engagement with key stakeholders significantly increased the oral health referral, admission and attendance of eligible antenatal women. Prior to the intervention, only 15.04% of eligible antenatal women sought oral health treatment, in comparison with 40.37% post-intervention. Of the 62 women referred, 44 actively received dental care. Conclusion: Active engagement with key stakeholders has demonstrated a clinically effective method of increasing antenatal referrals of socially disadvantaged women to a rural public dental clinic. Further collaboration between healthcare professionals can improve the oral health admission rates, attendance and education of antenatal women and their children.

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Antenatal Health Care and Postnatal Dental Check-Ups Prevent Early Childhood Caries

Cited by 8 publications

References 20 publications

Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis

Is the mode of childbirth delivery linked to the prevalence of early childhood caries? A systematic review and meta-analysis

Oral healthcare attendance and the effectiveness of referrals for rural antenatal women

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