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Pediatr Dent. 2008 Nov-Dec;30(6):499-504.

Evaluation of an early childhood caries prevention program at an urban pediatric clinic.

Author information

1
Department of Biomedical Sciences, University of Maryland Dental School, Baltimore, Md, USA. gminah@umaryland.edu

Abstract

PURPOSE:

The purpose of this study was to evaluate a risk-based dental caries prevention program at an urban pediatric primary care clinic serving low-income residents.

METHODS:

A demonstration caries prevention trial lasting 26 months was conducted with 219 6- to 27-month-old children. A "prevention" group of 6- to 15-month-old children (initial visit) were compared at the end of the trial with a "comparison" group at their initial visit. The latter children were patients of the same clinic who were 12 months older (18-27 months). Preventive services included: caries-risk assessments; mutans streptococci (MS) monitoring; fluoride varnish applications; dental health counseling; referral for dental treatment, if indicated; and periodic recalls.

RESULTS:

Prevention group children at the last recall experienced fewer mean carious dental surfaces (0.1 vs 1.29, P=.01) and over 8-fold less MS (P=.01) than comparison group subjects at their initial visit. The number of precavitated lesions was not significantly different

CONCLUSIONS:

Administration of prevention measures was shown to reduce dental caries experience in low socioeconomic status infants and toddlers, and oral MS levels were a reliable indicator of future caries status. Outcomes support establishment of caries prevention programs at urban primary care pediatric clinics.

PMID:
19186776
[Indexed for MEDLINE]

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