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Erschienen in: Clinical Oral Investigations 1/2019

26.03.2018 | Original Article

Implementation and evaluation of an interdisciplinary preventive program to prevent early childhood caries

verfasst von: Julia Winter, Birgit Bartsch, Claudia Schütz, Anahita Jablonski-Momeni, Klaus Pieper

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2019

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Abstract

Objectives

Since early childhood caries (ECC) is a major disease in the public health sector, an interdisciplinary prevention concept to avert this disease was developed, launched in a project region, and evaluated. It was examined whether the emergence of ECC could be prevented or curbed with the newly developed program.

Materials and methods

The program encompasses seven pulses of information from an interdisciplinary team (gynecologists, midwives, pediatricians, dentists, municipal social services, and the public health office). The primary dependent variables were caries experience and prevalence among the 3- to 4-year-olds who took part in the ECC prevention program, compared to children of the same age without such measures. The effect of the prevention program was assessed by means of a “historical” comparison. The dental diagnoses were performed by two calibrated dentists based on the “ICDAS collapsed.” Data on diet and preventive behavior were gathered using a standardized parental questionnaire. The significance was tested using the nonparametric Mann-Whitney U test.

Results

There were 661 3- to 4-year-olds in the control group and 706 in the test group. The mean d3−6mf-t for the control group (0.92) was significantly higher than that for the test group (0.46). While 78.8% of the children examined in the control group exhibited predominantly sound primary dentition, this was the case for 86.3% of the test group. The proportion of children with S-ECC was 7.9% in the test group and 14.5% in the control group. The test group differed significantly from the control group both in terms of reported diet and dental hygiene habits.

Conclusions and clinical relevance

The interdisciplinary prevention program presented here is an effective concept for preventing ECC and considerably helps reduce problems in the treatment of small children.
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Metadaten
Titel
Implementation and evaluation of an interdisciplinary preventive program to prevent early childhood caries
verfasst von
Julia Winter
Birgit Bartsch
Claudia Schütz
Anahita Jablonski-Momeni
Klaus Pieper
Publikationsdatum
26.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 1/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2426-x

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