Motivational Interviewing in Preventing Early Childhood Caries in Primary Healthcare: A Community-based Randomized Cluster Trial

Colvara, Beatriz Carriconde; Faustino-Silva, Daniel Demétrio; Meyer, Elisabeth; Hugo, Fernando Neves; Hilgert, Juliana Balbinot; Celeste, Roger Keller

doi:10.1016/j.jpeds.2018.05.016

Cited by 36 publications

(48 citation statements)

References 25 publications

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“…The dental visits took place between January 2013 and December 2015 at the HCCs to which the children were registered. In the present study, the sample from a previous study was expanded to include children born in the year 2014, since they are regularly attended by the service . All the mothers and caregivers of the children had previously signed an informed consent form authorizing them to participate in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Examiners and participants did not know which group they evaluated and joined, respectively. More details about training and intervention are given in a previous publications …”

Section: Methodsmentioning

confidence: 99%

“…It is a non‐confrontational and nonjudgemental practice that, through an empathic approach, has demonstrated positive results for addicted patients, as well as being effective in weight loss and blood pressure control . In respect to oral health, findings have been mixed, but suggest that MI might be effective in changing oral health behaviours and preventing oral diseases . A number of individual approaches have been tested for the prevention of ECC, and studies using an approach based on motivational interviewing (MI) have shown that this is more effective than others in preventing the disease in some populations .…”

Section: Introductionmentioning

confidence: 99%

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Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Faustino-Silva

Colvara

Meyer

et al. 2019

Comm Dent Oral Epid

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Objectives:This study aimed to investigate the differential preventive effect of motivational interviewing (MI) on early childhood caries (ECC) according to socioeconomic variables, using a community-based trial in a public healthcare setting. Methods:A cluster-randomized, double-blind study with two parallel groups in healthcare clinical settings (HCCs) comparing conventional oral health education (CE) and MI aimed at mothers of children born in 2013 and 2014. The oral health team of 6 of the 12 HCCs were trained in MI. This training was intensive for active learning of the basic MI principles, conducted by a psychologist who is a PhD in psychiatry and has extensive experience in conducting MI training workshops. It was held in an experiential format divided into two 4-hour shifts, with a 1-week interval. Children who attended at least one dental visit in the first year of life at their HCC were clinically evaluated by trained examiners and parents responded to a questionnaire. The effect of MI on the caries outcome compared with CE was evaluated in different subgroups: family income, mother's education and skin colour. Results:One hundred and eighty-six were included in the CE group and 228 in the MI group. The caries rate per 100 surface-year was 1.29 (95%CI: 0.92-1.80) in the CE group and 0.46 (95%CI: 0.29-0.73) in the MI group. The effect of MI was statistically significant in the lower-income category (P = .03); MI prevented 57% of carious lesions (IRR = 0.43, 95% CI 0.22-0.83) and reduced the occurrence of the disease on more than one surface per 100 followed surface-year in this same category in the equivalent income subgroup (IRD = −1.37, P = .04). Conclusions:Motivational interviewing had a greater preventive effect against caries in children whose families are of lower income.

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Section: Methodsmentioning

confidence: 99%

“…Examiners and participants did not know which group they evaluated and joined, respectively. More details about training and intervention are given in a previous publications …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Faustino-Silva

Colvara

Meyer

et al. 2019

Comm Dent Oral Epid

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show abstract

“…32 It was also found that an intervention based on the principles of motivational interviewing style was more effective in reducing the number of surfaces affected by early childhood. 33 Traditional dental health education approaches with a main focus on improving parental oral health knowledge have not been effective in improving preschool children's oral health. 34 Motivational interviewing has shown to be more effective in pediatric oral care through prevention.…”

Section: Relation To Pediatric Dentistrymentioning

confidence: 99%

Motivational Interviewing in Pediatric Dentistry: Role in Behavior Management

Acharya¹

2019

Journal of South Asian Association of Pediatric Dentistry

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There is a rise in demand for pediatric dentists in pediatric settings to look into not only the physical but also the psychological health of their child and adolescent patients. Brief interventions (BIs), and in particular motivational interviewing (MI), offers an ideal means of changing behavioral, developmental and social problems within the scenario of dental practice in pedodontics. Motivational interviewing is a well-established and tested method of counseling made by Miller and Rollnick and thought of as a useful modification strategy in treatment of lifestyle diseases. This makes the patients motivated and helps them to the process of change. Once the healthier behavior is learned, it can increase or decrease the likelihood for sustained behavior change. Motivational interviewing is a psychological instrument developed in recent times with main objective of providing patients, including children with low motivation to achieve and retain behavioral changes. Motivational interviewing can be used in pedodontics for increased capability in proper brushing, flossing, and application of fluoride varnish. Thus, this review is aimed to know the role of MI in pediatric dentistry as a whole.

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“…A growing number of effective measures for prophylaxis [1][2][3] is making a favorable impact on oral health at large and has been reducing the prevalence of caries and tooth loss. Despite these improvements, extensive dental rehabilitations continue to be required in daily clinical practice to compensate for losses of dental hard tissue and entire teeth.…”

Section: Introductionmentioning

confidence: 99%

Oral-health implications and maintenance needs of Removable Partial Dentures (RPDs) worn during pre-prosthetic treatment

Winter¹,

Kochel²,

Szep³

et al. 2019

J Dent Probl Solut

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Patients undergoing a variety of pre-prosthetic treatment regimens are commonly provided with a removable partial denture (RPD) to preserve or restore function and esthetics during this interim period. The service duration of such an interim RPD is usually limited by its inexpensive fabrication, and prolonged coverage of the abutment teeth by the denture base and clasp structures can give rise to periodontal and carious lesions. We therefore conducted a study to analyze the oral-health implications and maintenance requirements based on clinical documentation available for 575 interim RPDs covering a mean observation period of 31.21±22.02 (3−158) months. The total success rate of these RPDs was 60.7% and signifi cantly higher for the mandibular (65.9%) than the maxillary (56.0%) dentures (p=0.014). They were associated with a signifi cantly increased risk of carious decay (p<0.05) and actual loss (p<0.05) of abutment teeth. In one-quarter of cases (24.9%), they involved increases in tooth mobility. Patient compliance with the prescribed recall schedule yielded a signifi cantly higher success rate than noncompliance (p=0.023). Clasp and resin fractures were frequent causes of repair, and repair needs increased with the duration of intraoral service. Based on our fi ndings, we recommend the use of an interim RPD for 3 to 6 months of intraoral service, which is appropriate for many pretreatment regimens. We do not recommend uses for longer than 9 months, considering that one-third of the RPDs in our study had already been repaired by that time. To minimize periodontal and carious lesions, it is advisable to take advantage of periodic recalls, which should include meeting any relining needs and checking for pressure sores to ensure good seating of the RPD. Whenever a need for repair arises, an appropriate material should be selected to avoid the development of denture stomatitis.

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Motivational Interviewing in Preventing Early Childhood Caries in Primary Healthcare: A Community-based Randomized Cluster Trial

Cited by 36 publications

References 25 publications

Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Motivational Interviewing in Pediatric Dentistry: Role in Behavior Management

Oral-health implications and maintenance needs of Removable Partial Dentures (RPDs) worn during pre-prosthetic treatment

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