Long‐term effectiveness of a nutritional program in reducing early childhood caries: a randomized trial

Feldens, Carlos Alberto; Giugliani, Elsa Regina Justo; Duncan, Bruce Bartholow; Drachler, Maria de Lourdes; Vítolo, Márcia Regina

doi:10.1111/j.1600-0528.2010.00540.x

Cited by 125 publications

(155 citation statements)

References 30 publications

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“…Stronger effects were observed in São Leopoldo, where counseling in the same guidelines was provided directly to mothers (Feldens et al, 2010b). The impact on exclusive breastfeeding in Porto Alegre (Bernardi et al, 2011) was also weaker than that observed in São Leopoldo (Vítolo et al, 2005).…”

Section: Discussionmentioning

confidence: 91%

“…These 715 mother-child pairs were enrolled at baseline, prior to the decision that dental outcomes would be assessed. For this study, we aimed to detect a 25% relative reduction in the prevalence of caries at 2 to 3 yrs, while expecting 55% prevalence in the control group and 30% loss to followup, based on interpolation from the São Leopoldo study (Feldens et al, 2010b), which measured caries at different ages. At an alpha of 5% (two-sided) and a design effect of 1.5, this available sample would have 71% power for the outcome ECC.…”

Section: Statistical Powermentioning

confidence: 99%

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Cluster-randomized Trial of Infant Nutrition Training for Caries Prevention

2013

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Section: Discussionmentioning

confidence: 91%

Section: Statistical Powermentioning

confidence: 99%

Cluster-randomized Trial of Infant Nutrition Training for Caries Prevention

2013

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“…Studies demonstrate that the instructions provided to the mother on the oral hygiene and diet of the infant helped in decreasing the incidence and severity of early childhood caries as well as ECC damaging effects on the children at long term [16,17]. Thus, the evaluation of the habits change because of the instructions received in prevention and education programs are important.…”

Section: Discussionmentioning

confidence: 99%

Changes in Oral Health-related Behavior of Infants following a Preventive Program of Continuing Education Directed to their Parents

Ionta¹,

Gonçalves²,

Alencar³

et al. 2015

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate changes in oral health-related behavior of infants following preventive program of continuing education directed to their parents. Material and Methods: We analyzed 53 dental files of infants aged up to 36 months, who participated in the Prevention and Education Program of the Infants Clinic, School of Dentistry of Bauru (USP), and attended at least 2 visits with a maximum of 4 missing appointments. Initially an educational lecture was conducted, pointing issues related to diet and oral hygiene. At the following visit, the professional filled in a form with questions about diet and hygiene performed at home. The following information was extracted from dental files: reason of the first visit, age, number of teeth, number of visits, missing appointments, and dietary and oral hygiene risk factors. The data were tabulated and analyzed using descriptive statistics comparing the information obtained from the first visit to that of the last one. Results: The reason for the first visit was dental caries prevention (88.68%) followed by dental trauma (7.55%), and needed of curative treatment (3.77%). The mean age of the sample was 14.85 months, the tooth number mean was 12.64 at first visit, the mean number of visits was 7 and the mean missing appointments was 0.83. The percentage of infants with inadequate diet and hygiene habits was 88.68% and 62.26%, and only 12.762% and 57.57% of these have changed their habits, respectively. Conclusion: After the preventive program of continuing education, the dietary habits showed were more difficult to change in relation to hygiene ones.

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“…Unlike previous dental MI studies targeting infants whose oral health is predominantly taken care of by their parents [15,21,22], this study focuses on preschoolers who are at a stage of forming their own health habits [12]. While the impact of early intervention (from infancy or even prenatal) is supported by sizeable scientific evidence [15,21,33,34], preschool age represents another window for behavioral intervention, because children’s food preference is being shaped [35], their toothbrushing habits are being reinforced [4], and parents are often receptive to health messages during this period of time [9,36]. Interventions in this age group are both promising and challenging.…”

Section: Discussionmentioning

confidence: 99%

Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children: study protocol for a randomized controlled trial

Gao

McGrath

et al. 2013

Trials

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BackgroundDental caries (tooth decay) is highly prevalent and is largely attributable to unhealthy self-care behaviors (diet and oral hygiene). The conventional (health) education (CE), focusing on disseminating information and giving normative advice, often fails to achieve sustained behavioral changes. This study incorporates two innovative elements into CE: (i) motivational interviewing (MI), a client-centered counseling for changing behaviors, and (ii) an interactive caries risk assessment (RA) tool, which is devised to facilitate dental counseling and may enhance MI in several ways. Through a randomized, controlled, evaluator-blinded trial, three intervention schemes (CE, CE + MI, and CE + MI + RA) will be compared for their effectiveness in eliciting dentally healthy behaviors and preventing caries in preschool children.Methods/DesignThis study targets 3-year-old children who are at a critical stage for embedding health habits. Children with unfavorable dental behaviors (insufficient toothbrushing and/or frequent snacking) and their parents will be recruited from 12 participating kindergartens. Parent-child dyads (n = 690) will be randomly assigned into three groups. In the first group (CE), oral health information and advice will be delivered to parents through pamphlets. In the second group (CE + MI), in addition to the pamphlets, individual MI counseling with each parent will be performed by one of two trained dental hygienists. In the third group (CE + MI + RA), besides pamphlets and MI, interactive RA will be integrated into MI to motivate parents and facilitate their informed decision making and goal planning. At baseline and after 12 and 24 months, parents will complete a questionnaire and children will undergo a dental examination. The effectiveness of the intervention schemes will be compared over 12 and 24 months. The primary outcome will be caries increment in children and proportion of caries-free children. Secondary outcomes will be changes in parental efficacy for protecting children’s oral health and changes in children’s dental behaviors.DiscussionMotivating and empowering parents to cultivate dentally healthy habits of young children presents both promises and challenges. With careful methodological considerations, this study is expected to provide scientific evidence for public health workers, dentists, and dental auxiliaries (nurses and hygienists) to choose appropriate interventions to advance children’s oral health.Trial registrationHKCTR-1455

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Long‐term effectiveness of a nutritional program in reducing early childhood caries: a randomized trial

Abstract: Home nutritional advice during the first year of life decreases caries incidence and severity at four years of age in a low income community.

Cited by 125 publications

References 30 publications

Cluster-randomized Trial of Infant Nutrition Training for Caries Prevention

Cluster-randomized Trial of Infant Nutrition Training for Caries Prevention

Changes in Oral Health-related Behavior of Infants following a Preventive Program of Continuing Education Directed to their Parents

Innovative interventions to promote positive dental health behaviors and prevent dental caries in preschool children: study protocol for a randomized controlled trial

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