Randomized trial of a photography-aided behavioural intervention to reduce risk factors for caries and malocclusion in high-risk infants.

Autor: Pereira MBB; Serviço de Odontologia Neonatal, Hospital e Maternidade Dona Iris, Goiânia, Brazil.; Programa de Pós-graduação em Ciências da Saúde, Hospital das Clínicas, Universidade Federal de Goiás, Goiânia, Brazil., Pereira VBP; Departamento de Oftalmologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Pereira VBP; Departamento de Retina e Vítreo, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brazil., Pereira VGF; Hospital Santa Casa de Misericórdia de Goiânia, Goiânia, Brazil., Paula VMB; Serviço de Odontologia Neonatal, Hospital e Maternidade Dona Iris, Goiânia, Brazil., Caetano APF; Faculdade de Odontologia, Universidade Federal de Goiás, Goiânia, Brazil., Amaral WN; Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brazil.
Jazyk: angličtina
Zdroj: International journal of dental hygiene [Int J Dent Hyg] 2022 Aug; Vol. 20 (3), pp. 471-478. Date of Electronic Publication: 2021 Jun 15.
DOI: 10.1111/idh.12507
Abstrakt: Objective: To assess the efficacy of a photography-aided behavioural intervention in reducing risk factors for dental caries and malocclusion in high-risk infants.
Materials and Methods: In this randomized trial conducted in a maternity hospital, 55 mothers of recently born infants at high risk of developing oral diseases were allocated to either the intervention (n = 28) or usual care (n = 27). The intervention arm received the same usual care plus an enhanced, behaviour-oriented, photography-aided, two-stage (0 and +6 months) educational programme addressing nutritional, behavioural, lifestyle and familial factors that affect child's oral health. The primary outcome was the proportion of children classified as being at a 'low risk' of developing dental caries at the age of 12 months using a modified score based on the Caries-risk Assessment Form of the American Academy of Pediatric Dentistry. Secondary outcomes included risk factors for malocclusion, such as duration of exclusive breastfeeding, pacifier use and bottle-feeding and/or sippy cup usage.
Results: At 12 months, the proportion of children considered at low risk for dental caries was significantly higher in the intervention group compared to usual care (71% vs 15%, respectively, relative risk = 4.82, 95% confidence interval = 1.89-12.3, p < 0.001). The median duration of exclusive breastfeeding in the intervention group was 1.7 times higher than in the control arm (5 months vs 3 months, p = 0.03).
Conclusion: Altogether, our findings provide evidence that a low-cost, two-stage preventive strategy using photographs to deliver a stronger visual impact might significantly reduce the incidence of risk factors for dental caries and malocclusion in 12-month-old children.
(© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: