Implementation and evaluation of an interdisciplinary preventive program to prevent early childhood caries

Winter, Julia; Bartsch, Birgit; Schütz, Claudia; Jablonski-Momeni, Anahita; Pieper, Klaus

doi:10.1007/s00784-018-2426-x

Cited by 13 publications

(21 citation statements)

References 28 publications

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“…Twenty‐nine studies explored the impact of their intervention on caries. Of these, 19 studies showed significant reductions in caries experience 28‐30,38,40‐43,45,47,48,53‐60 . Again, however, one study found these improvements across both intervention and control groups, 54 another only identified small changes in caries experience, 56 and although there was a significant reduction in dentine caries, enamel caries was still highly prevalent in the intervention group of Villena, Pesaressi, Frencken, 59 suggesting a slowed, but not halted rate of caries progression in the intervention group post‐intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies, however, used completely novel delivery methods for their intervention, with one utilizing a smartphone app (‘ToothSense’) 35 and the other taking the form of a storybook (‘Kitten's First Tooth’) to be read by parents and children together 37 . Finally, many of these interventions supplemented their educational programmes through the provision of free toothpaste and toothbrushes, 20,24,26,31,33,36,40,42,43,46,47,49‐51,53,54,60,61 and in a small number of studies through dental care and fluoride provision, such as fluoride varnish 24,28,33,38,40,42,43,47,48,52,54,58,59 …”

Section: Discussionmentioning

confidence: 99%

“…Of these, 19 studies showed significant reductions in caries experience. [28][29][30]38,[40][41][42][43]45,47,48,[53][54][55][56][57][58][59][60] Again, however, one study found these improvements across both intervention and control groups, 54 another only identified small changes in caries experience, 56 and although there was a significant reduction in dentine caries, enamel caries was still highly prevalent in the intervention group of Villena, Pesaressi, Frencken, 59 suggesting a slowed, but not halted rate of caries progression in the intervention group post-intervention. One study reported changes in caries experience, but did not explicitly report significance statistics within their T A B L E 1 Summary of studies reporting home-based toothbrushing interventions ordered by study design…”

Section: Associationsmentioning

confidence: 99%

“…and the other taking the form of a storybook ('Kitten's First Tooth') to be read by parents and children together. 37 Finally, many of these interventions supplemented their educational programmes through the provision of free toothpaste and toothbrushes, 20,24,26,31,33,36,40,42,43,46,47,[49][50][51]53,54,60,61 and in a small number of studies through dental care and fluoride provision, such as fluoride varnish. 24,28,33,38,40,42,43,47,48,52,54,58,59 Despite the studies being broadly similar in format, there is little to no justification for the intervention components, with only two notable exceptions, 27,37 and there is a distinct lack of theoretical basis for the intervention.…”

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confidence: 99%

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Home‐based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review

Aliakbari¹,

Gray-Burrows

Vinall‐Collier

et al. 2020

Int J Paed Dentistry

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BACKGROUND Dental caries is the most prevalent preventable condition in children and remains a key public health priority both in the UK and internationally. 1,2 In some parts of the UK, typically the most deprived areas, just under half of children have dental caries affecting multiple teeth by the age of five. 3 In England, it is the most common reason why young children have a general anaesthetic. 4 Yet, caries is preventable, and UK guidance recommends twice daily parental supervised brushing (PSB) using fluoride toothpaste from the emergence of the first tooth up to the age of 8 years. 5-7

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Associationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Home‐based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review

Aliakbari¹,

Gray-Burrows

Vinall‐Collier

et al. 2020

Int J Paed Dentistry

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“…Since early childhood caries (ECC) is a major disease in the public health, understanding the factors that influence oral health such as biologic factors, parents' behaviours and economy situation [ 8 , 9 , 35 ], data on diet, and preventive behaviour [ 36 ] are important for the development of strategies to prevent dental caries and promote oral health. Among biologic factors, the microorganisms, particularly S .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Level of Salivary sHLA-G in Children Aged 3–5 Years with or without Dental Caries

Bijani

Mostafazadeh

Mina

et al. 2020

International Journal of Dentistry

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Aim and Background. Early childhood caries (ECC) is a common type of dental caries affecting children. As dental caries is a bacterial infectious disease, the host immune system parameters including soluble human leukocyte antigen-G (sHLA-G) are essential factors in estimating dental caries. The study aimed to investigate and compare the concentration of sHLA-G in the saliva of children with or without dental caries. Methods and Materials. This analytic cross-sectional study was carried out on 83 healthy children aged 3 to 5 years of both genders, who were divided into three groups based on decayed dental surfaces (ds): group 1, caries-free children (CF, n = 29); group 2, children with 1 ≤ ds ≤ 3, 1 ≤ ds ≤ 4, and 1 ≤ ds ≤ 5 for age 3, 4, and 5 years, respectively (ECC, n = 20); and group 3, children with ds ≥ 4, ds ≥ 5, and ds ≥ 6 for age 3, 4, and 5 years, respectively (S-ECC, n = 34). The unstimulated saliva samples were collected, and the salivary sHLA-G concentration was measured by the ELISA kit. The SPSS Statistics v17.0 software and Mann–Whitney, Kruskal–Wallis, chi-square, and Spearman’s rank correlation tests were used for statistical analysis. The level of significance was considered at p<0.05. Results. The mean concentrations of salivary sHLA-G in CF, ECC, and S-ECC groups were 3.18 ± 2.28, 5.64 ± 5.51, and 6.21 ± 6.03 ng/l, respectively (p=0.047), and the mean salivary sHLA-G level was comparatively higher in children with dental caries than that of the CF group (p=0.02), but there is no significant difference between ECC and S-ECC groups (p>0.05). Spearman’s rank correlation test showed a weak positive correlation (p=0.039, r = 0.22), between the level of salivary sHLA-G and dental caries. Conclusion. The present study provides some preliminary evidences on relationship between sHLA-G and dental caries in children.

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Important aspects of conducting an interdisciplinary public preventive oral health project for children in areas with low socioeconomic status: staff perspective

Blomma¹,

Krevers²

2020

BMC Oral Health

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Background To achieve good and equal oral health in children, interdisciplinary preventive oral health actions, directed toward disadvantaged areas, can be an important means. Staff play a crucial role in the implementation of these actions. The aim of the present study was to analyze circumstances of importance for conducting an interdisciplinary public preventive oral health project for children, directed toward parents in areas with low socioeconomic status from the interdisciplinary perspective of the involved staff. Method The present study consisted of a qualitative content analysis with an inductive approach, based on interviews with interdisciplinary staff who had participated in a public preventive oral health project directed toward parents in areas with low socioeconomic status. The interviews were analyzed using text-driven analysis. Results The main category concerned the staff members’ prerequisites and understanding necessary to perform their tasks in interdisciplinary public preventive oral health project. To have the right prerequisites and understanding regarding the oral health project enabled staff to be committed, able and willing to perform in it. Important aspects of this are to have knowledge, motivation and to experience a supportive professional context, to have good leadership and for certain resources to fulfilled. A crucial aspect was to reach the targeted mothers. Conclusions For interdisciplinary cooperation in preventive oral health care to be achieved, it is essential for the involved disciplines and professions to embrace a common view on the project’s aim, their duties, and oral health, from the leadership to the individual level. Staff require competent leadership but also allocated time and adapted method support to be successful in this context. When allocating preventive health actions directed at low SES areas, it is important to acknowledge the risk of stigmatization and for staff to understand that families might be facing social challenges that prevent them from taking part in health-promoting actions. An important conclusion is that to be able to reach people, it is important for both those who design preventive programs for oral health and the staff who administer them to have sufficient knowledge about the target group.

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Implementation and evaluation of an interdisciplinary preventive program to prevent early childhood caries

Abstract: The interdisciplinary prevention program presented here is an effective concept for preventing ECC and considerably helps reduce problems in the treatment of small children.

Cited by 13 publications

References 28 publications

Home‐based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review

Home‐based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review

Evaluation of the Level of Salivary sHLA-G in Children Aged 3–5 Years with or without Dental Caries

Important aspects of conducting an interdisciplinary public preventive oral health project for children in areas with low socioeconomic status: staff perspective

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