Long-term effects of a community-based oral health intervention for young children in the Netherlands: A 5-year follow-up

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2023-12-06 DOI:10.1111/cdoe.12935

Deborah Ashley Verlinden, Annemarie A. Schuller, Jan H. Vermaire, Sijmen A. Reijneveld

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Abstract

Objectives

The aim of this study was to assess whether referral of parents of 6 months old children by a well-child care (WCC) clinic medical practitioner for an early first dental visit combined with the Non Operative Caries Treatment and Prevention (NOCTP) approach in dental practices was effective to maintain oral health in children.

Methods

The study was conducted as a quasi-experimental comparative pre-post trial with a baseline measurement before the intervention. In total 1347 children were allocated at the age of 6 months and 306 children (intervention group: n = 166; care as usual (CAU) group: n = 140) underwent an oral examination at 5 years of age and their parents completed a questionnaire. Nonparametric tests and Hurdle models were used to determine differences in caries experience between the intervention and CAU groups.

Results

Children in the intervention group had significantly lower caries experience (d_1,2,3mfs) than children in the CAU group (Median = 2 vs. 5, r = .15, p < .01). Children in the intervention group had significantly fewer inactive caries lesions compared with children in the CAU group (Median = 2 vs. 3, r = .18, p < .001). No differences were found for dentin caries experience and also no differences for active caries lesions.

Conclusions

Referral of parents of newborns for a preventive first dental visit by a WCC medical practitioner combined with NOCTP in dental practices may offer a new opportunity to reduce enamel caries lesions in young children.

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荷兰社区儿童口腔健康干预的长期效果:5年随访

目的:本研究的目的是评估6个月大儿童的父母由儿童保健(WCC)诊所医生推荐进行早期首次牙科就诊，并结合牙科实践的非手术龋齿治疗和预防(NOCTP)方法是否有效地维持儿童的口腔健康。方法:本研究采用干预前基线测量的准实验前后对比试验。6月龄儿童1347例，干预组306例(n = 166;照旧护理(CAU)组:n = 140)于5岁时接受口腔检查，其父母填写问卷。使用非参数检验和障碍模型来确定干预组和CAU组之间龋齿经历的差异。结果:干预组患儿的龋病经历(d1,2,3 mfs)明显低于CAU组患儿(中位数= 2 vs. 5, r =。结论:新生儿父母由WCC医生推荐进行预防性首次牙科就诊，结合NOCTP在牙科实践中可能为减少幼儿牙釉质龋齿病变提供新的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.