Skip to main content
Erschienen in: Clinical Oral Investigations 8/2016

12.12.2015 | Original Article

Evaluation of an interdisciplinary preventive programme for early childhood caries: findings of a regional German birth cohort study

verfasst von: Yvonne Wagner, Roswitha Heinrich-Weltzien

Erschienen in: Clinical Oral Investigations | Ausgabe 8/2016

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this prospective birth cohort study was to evaluate the effect of the interdisciplinary preventive programme (PP) for early childhood caries in 3-year-old children in Germany.

Material and methods

From July 2009 to October 2010, all parents of newborns (n = 1162) were visited after birth by the communal newborn visiting service of Jena, Thuringia, and advised on general and dental health. In the first year of life, children were invited to a dental examination in Jena University Hospital. Participating children were included in a risk-related recall system with continuous oral care over 3 years. Caries-risk assessment tool of the AAPD was used for risk categorizing. High-risk children received fluoride varnish biannual. In 2013, the total birth cohort (participants and non-participants) was invited to evaluate the PP. Dental caries was scored using WHO diagnostic criteria expanded to d1-level without radiography. Data were analysed statistically (multivariate logistic regression).

Results

Seven hundred fifty-five children (mean age 3.26 ± 0.51 years) were examined. Children in the PP (n = 377) showed significantly lower caries prevalence and experience than non-participants (15.6 vs. 37.8 %, 0.9 ± 3.3 d1-4mfs vs. 2.6 ± 5.2 d1-4mfs). Lack of vitamin D supplements (OR = 1.9, CI 0.99–3.51), familial caries experience (OR = 2.2, CI 1.27–3.73) and visible plaque on teeth (OR = 6.5, CI 4.41–9.43) were significant risk factors for caries development, whereas regular dental care (OR = 0.5, CI 0.38–0.79) had a protective effect.

Conclusions

The PP was an effective interdisciplinary approach for preventing early childhood caries in small children.

Clinical relevance

Early dental visits with caries-risk-related preventive dental care are necessary to prevent early childhood caries (ECC).
Anhänge
Nur mit Berechtigung zugänglich
Literatur
2.
Zurück zum Zitat Vadiakas G (2008) Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent 9:114–125CrossRefPubMed Vadiakas G (2008) Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent 9:114–125CrossRefPubMed
3.
Zurück zum Zitat Blumenshine SL, Vann WF, Gizlice Z, Lee JY (2008) Children’s school performance: impact of general and oral health. J Public Health Dent 68:82–87CrossRefPubMed Blumenshine SL, Vann WF, Gizlice Z, Lee JY (2008) Children’s school performance: impact of general and oral health. J Public Health Dent 68:82–87CrossRefPubMed
4.
Zurück zum Zitat Sheiham A (2006) Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 201:625–626CrossRefPubMed Sheiham A (2006) Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 201:625–626CrossRefPubMed
5.
Zurück zum Zitat Wendt LK, Hallonsten AL, Koch G, Birkhead D (1994) Oral hygiene in relation to caries development and immigrant status in infants and toddlers. Scand J Dent Res 102:269–273PubMed Wendt LK, Hallonsten AL, Koch G, Birkhead D (1994) Oral hygiene in relation to caries development and immigrant status in infants and toddlers. Scand J Dent Res 102:269–273PubMed
7.
Zurück zum Zitat Fisher J, Johnston S, Hewson N, Van Dijk W, Reich E, Eisele JL, Bourgeois D (2012) FDI global caries initiative: implementing a paradigm shift in dental practice and the global policy context. Int Dent J 62:169–174CrossRefPubMed Fisher J, Johnston S, Hewson N, Van Dijk W, Reich E, Eisele JL, Bourgeois D (2012) FDI global caries initiative: implementing a paradigm shift in dental practice and the global policy context. Int Dent J 62:169–174CrossRefPubMed
9.
Zurück zum Zitat Bertness J, Holt K (eds) (2010) Fluoride varnish: a resource guide. National Maternal and Child Oral Health Resource Center, Washington DC Bertness J, Holt K (eds) (2010) Fluoride varnish: a resource guide. National Maternal and Child Oral Health Resource Center, Washington DC
11.
Zurück zum Zitat European Academy of Pediatric Dentistry (2009) Guidelines on the use of fluoride in children: an EAPD policy document. Arch Paediatr Dent 10:129–135CrossRef European Academy of Pediatric Dentistry (2009) Guidelines on the use of fluoride in children: an EAPD policy document. Arch Paediatr Dent 10:129–135CrossRef
13.
Zurück zum Zitat SBU The Swedish Council on Technology Assessment in Health Care (2007) Caries-diagnosis, risk assessment and non-invasive treatment. A systematic review summary and conclusions Tech Rep 188 SBU The Swedish Council on Technology Assessment in Health Care (2007) Caries-diagnosis, risk assessment and non-invasive treatment. A systematic review summary and conclusions Tech Rep 188
15.
Zurück zum Zitat Harrison R, Benton T, Everson-Stewart S, Weinstein P (2007) Effect of motivational interviewing on rates of early childhood caries: a randomized trial. Pediatr Dent 29:16–22PubMed Harrison R, Benton T, Everson-Stewart S, Weinstein P (2007) Effect of motivational interviewing on rates of early childhood caries: a randomized trial. Pediatr Dent 29:16–22PubMed
16.
Zurück zum Zitat Plutzer K, Spencer AJ (2008) Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 36:335–346CrossRefPubMed Plutzer K, Spencer AJ (2008) Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 36:335–346CrossRefPubMed
18.
Zurück zum Zitat World Health Organization (1997) Oral health surveys, basic methods. 4th edition, Geneva World Health Organization (1997) Oral health surveys, basic methods. 4th edition, Geneva
19.
Zurück zum Zitat FDI Working Group (1992) A review of the developmental defects of enamel index (DDE index): Commission on Oral Health, Research & Epidemiology. Int Dent J 42:411–426 FDI Working Group (1992) A review of the developmental defects of enamel index (DDE index): Commission on Oral Health, Research & Epidemiology. Int Dent J 42:411–426
20.
Zurück zum Zitat Declerck D, Leroy R, Martens L, Lesaffre E, Garcia-Zattera M-J, Vanden Broucke S, Debyser M, Hoppenbrouwers K (2008) Factors associated with prevalence and severity of caries experience in preschool children. Community Dent Oral Epidemiol 36:168–178CrossRefPubMed Declerck D, Leroy R, Martens L, Lesaffre E, Garcia-Zattera M-J, Vanden Broucke S, Debyser M, Hoppenbrouwers K (2008) Factors associated with prevalence and severity of caries experience in preschool children. Community Dent Oral Epidemiol 36:168–178CrossRefPubMed
21.
Zurück zum Zitat Hallett KB, O’Rourke PK (2003) Social and behavioural determinants of early childhood caries. Aust Dent J 48:27–33CrossRefPubMed Hallett KB, O’Rourke PK (2003) Social and behavioural determinants of early childhood caries. Aust Dent J 48:27–33CrossRefPubMed
22.
Zurück zum Zitat Hujoel PP (2013) Vitamin D and dental caries in controlled clinical trials: systematic review and meta-analysis. Nutr Rev 71:88–97CrossRefPubMed Hujoel PP (2013) Vitamin D and dental caries in controlled clinical trials: systematic review and meta-analysis. Nutr Rev 71:88–97CrossRefPubMed
23.
Zurück zum Zitat Nelson S, Albert JM, Lombardi G, Wishnek S, Asaad G, Kirchner HL, et al. (2010) Dental caries and enamel defects in very low birth weight adolescents. Caries Res 44:509–518CrossRefPubMedPubMedCentral Nelson S, Albert JM, Lombardi G, Wishnek S, Asaad G, Kirchner HL, et al. (2010) Dental caries and enamel defects in very low birth weight adolescents. Caries Res 44:509–518CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Neves BG, Pierro VS, Maia LC (2008) Pediatricians’ perceptions of the use of sweetened medications related to oral health. J Clin Pediatr Dent 32:133–137CrossRefPubMed Neves BG, Pierro VS, Maia LC (2008) Pediatricians’ perceptions of the use of sweetened medications related to oral health. J Clin Pediatr Dent 32:133–137CrossRefPubMed
25.
Zurück zum Zitat Böhm A, Ellsäßer G, Lüdecke K (2007) Der Brandenburger Sozialindex: Ein Werkzeug für die Gesundheits- und Sozialberichterstattung auf Landes- und kommunaler Ebene bei der Analyse von Einschülerdaten. Gesundheitswesen 69:555–559CrossRefPubMed Böhm A, Ellsäßer G, Lüdecke K (2007) Der Brandenburger Sozialindex: Ein Werkzeug für die Gesundheits- und Sozialberichterstattung auf Landes- und kommunaler Ebene bei der Analyse von Einschülerdaten. Gesundheitswesen 69:555–559CrossRefPubMed
27.
Zurück zum Zitat Kay EJ, Locker D (1996) Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol 24:231–235CrossRefPubMed Kay EJ, Locker D (1996) Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol 24:231–235CrossRefPubMed
28.
Zurück zum Zitat Mazhari F, Talebi M, Zoghi M (2007) Prevalence of early childhood caries and its risk factors in 6–60 months old children in Quchan. Dent Res J 4:96–101 Mazhari F, Talebi M, Zoghi M (2007) Prevalence of early childhood caries and its risk factors in 6–60 months old children in Quchan. Dent Res J 4:96–101
29.
Zurück zum Zitat Schenk L, Knopf H (2007) Oral health behavior of children and adolescents in Germany. First results of the children and adolescent health survey (KIGGS). Bundesgesundheitsblatt 50(5–6):653–658CrossRef Schenk L, Knopf H (2007) Oral health behavior of children and adolescents in Germany. First results of the children and adolescent health survey (KIGGS). Bundesgesundheitsblatt 50(5–6):653–658CrossRef
30.
Zurück zum Zitat Schroth RJ, Jeal NS, Kliewer E, Sellers EA (2012) The relationship between vitamin D and severe early childhood caries: a pilot study. Int J Vitam Nutr Res 82:53–62CrossRefPubMed Schroth RJ, Jeal NS, Kliewer E, Sellers EA (2012) The relationship between vitamin D and severe early childhood caries: a pilot study. Int J Vitam Nutr Res 82:53–62CrossRefPubMed
31.
Zurück zum Zitat Brown T, Creed S, Alexander S, Barnard K, Bridges N, Hancock M (2012) Vitamin D deficiency in children with dental caries—a prevalence study. Arch Dis Child 97:103 Brown T, Creed S, Alexander S, Barnard K, Bridges N, Hancock M (2012) Vitamin D deficiency in children with dental caries—a prevalence study. Arch Dis Child 97:103
32.
Zurück zum Zitat Kühnisch J, Thiering E, Kratzsch J, Heinrich-Weltzien R, Hickel R, Heinrich J (2014) Elevated serum 25 (OH)-vitamin D levels are negatively correlated with molar-incisor hypomineralization. J Dent Res. doi:10.1177/0022034514561657 PubMed Kühnisch J, Thiering E, Kratzsch J, Heinrich-Weltzien R, Hickel R, Heinrich J (2014) Elevated serum 25 (OH)-vitamin D levels are negatively correlated with molar-incisor hypomineralization. J Dent Res. doi:10.​1177/​0022034514561657​ PubMed
Metadaten
Titel
Evaluation of an interdisciplinary preventive programme for early childhood caries: findings of a regional German birth cohort study
verfasst von
Yvonne Wagner
Roswitha Heinrich-Weltzien
Publikationsdatum
12.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 8/2016
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-015-1685-z

Weitere Artikel der Ausgabe 8/2016

Clinical Oral Investigations 8/2016 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.