Testing the efficacy of a brief-caries risk assessment form to evaluate the dental health status among preschool children, Bangkok, Thailand

Abstract

PurposeThe study aims to test the efficacy of brief-caries risk assessment form with standard caries risk assessment form and to evaluate the application of caries risk assessment following American Academy of Pediatric Dentistry (AAPD) between brief and standard caries risk assessment on dental health status among preschool children.Design/methodology/approachBrief-caries risk assessment form was developed. Then, experimental study was conducted in public health center 54 among 70 patients (35 test and 35 control) from January to July 2019. Test group used brief-caries assessment form, and control group used standard form. Both groups received the same caries risk assessment criteria and management protocol from AAPD. At baseline, 3-month and 6-month follow-up, caries risk and dental health status (plaque index, cavitated caries lesion and non-cavitated caries lesion) were assessed. Data were analyzed by descriptive statistic, t-test, chi-square test, Fisher's exact test and repeated measures ANOVA.FindingsPercentage of high caries risk decreased from baseline (93.9%: test and 96.9%: control) to 6-month follow-up (66.7%: test and 65.6%: control) in both groups, with no statistically significant differences between groups. Plaque index, cavitated caries lesion and non-cavitated caries lesion were not statistically significant differences between groups. Brief-caries assessment decreased times/visit from 10-15 minutes to 5 minutes.Originality/valueBrief-caries assessment form decreased caries risk and prevented dental caries as the standard form. Using brief-caries assessment form could save time, is cost-effective and is appropriate for use in public health centers. However, a short follow-up time might have insufficient power to detect the differences between groups.

Comparative Evaluation of Oral Health and Behavior Changes in Children after Motivational Interviewing and Traditional Method of Oral Health Education among Mothers: A Systematic Review and Meta-analysis

“…The present systematic review and meta-analysis is one of its kind to represent oral health behavioral changes in children as an effect of MI compared to traditional health education among children's mothers. Overall, the quality of studies included in the review ranged from low to high risk as assessed with the Cochrane ROB tool results in significantly favoring MI, which were reported in five studies by Mohammadi et al, 22 Nomaire et al, 21 Manchanda et al, 18 Colvara et al, 16 Naidu R et al 19 while in one study Gonzalez et al 17 reported that MI is an effective and promising technique for establishing preventive behaviors, another study by Weinstein et al 9 reported that MI enhanced the preventive behavior of mothers of young children at high risk of developing caries, yet another study by Saengtipbovorn et al 20 demonstrated that combination of MI and caries risk assessment in one program, decreased early childhood caries in preschool children. The review reported only one study by Ismail et al 15 that did not favor MI and signified that a single MI intervention might change some reported oral health behaviors, but it failed to reduce the number of new untreated carious lesions among children.…”

“…Risk of bias (ROB) as assessed by the Cochrane ROB tool revealed that one study by Saengtipbovorn et al 20 was of low risk, two studies reported by Nomaire et al 21 , Manchanda et al 18 were of moderate risk, while six studies by Gonzalez et al, 17 Weinstein et al, 9 Naidu et al, 19 Mohammadi et al, 22 Colvara et al, 16 and Ismail et al 15 were of high risk ( Fig. 4 ).…”