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A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries

International Journal of Paediatric Dentistry 2013; 23: 23–31 Background.  Home visits (HV) provide excellent opportunities for health promotion. Aim.  This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans...

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Published in:International journal of paediatric dentistry 2013-01, Vol.23 (1), p.23-31
Main Authors: PLONKA, KATHRYN A., PUKALLUS, MARGARET L., BARNETT, ADRIAN, HOLCOMBE, TREVOR F., WALSH, LAURENCE J., SEOW, W. KIM
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container_title International journal of paediatric dentistry
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creator PLONKA, KATHRYN A.
PUKALLUS, MARGARET L.
BARNETT, ADRIAN
HOLCOMBE, TREVOR F.
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SEOW, W. KIM
description International Journal of Paediatric Dentistry 2013; 23: 23–31 Background.  Home visits (HV) provide excellent opportunities for health promotion. Aim.  This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans streptococci (MS) and lactobacilli (LB) from 0 to 24 months. Design.  A total of 325 children were recruited from community health centres at mean age of 42 days, and randomly assigned to receive either HV or TC. A total of 188 children completed three, 6 monthly HV, and another 58 had three, 6 monthly TC. An additional 40 age‐matched children from childcare facilities served as reference controls (RC). At 24 months, all groups were examined at a community dental clinic. Results.  At 24 months, three HV children of 188 (1.5%) had caries, compared to four TC of 58 (6.8%) and nine RC of 40 (22.5%) (P 
doi_str_mv 10.1111/j.1365-263X.2011.01219.x
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KIM</creator><creatorcontrib>PLONKA, KATHRYN A. ; PUKALLUS, MARGARET L. ; BARNETT, ADRIAN ; HOLCOMBE, TREVOR F. ; WALSH, LAURENCE J. ; SEOW, W. KIM</creatorcontrib><description>International Journal of Paediatric Dentistry 2013; 23: 23–31 Background.  Home visits (HV) provide excellent opportunities for health promotion. Aim.  This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans streptococci (MS) and lactobacilli (LB) from 0 to 24 months. Design.  A total of 325 children were recruited from community health centres at mean age of 42 days, and randomly assigned to receive either HV or TC. A total of 188 children completed three, 6 monthly HV, and another 58 had three, 6 monthly TC. An additional 40 age‐matched children from childcare facilities served as reference controls (RC). At 24 months, all groups were examined at a community dental clinic. Results.  At 24 months, three HV children of 188 (1.5%) had caries, compared to four TC of 58 (6.8%) and nine RC of 40 (22.5%) (P &lt; 0.001 for HV versus RC; P = 0.05 for HV versus TC and P = 0.03 for TC versus RC). There were also more children with MS in the TC (47%) and RC (35%) compared to HV (28%) group (P = 0.01 and P = 0.02). Conclusions.  Home visits and telephone contacts conducted 6 monthly from birth are effective in reducing ECC prevalence by 24 months.</description><identifier>ISSN: 0960-7439</identifier><identifier>EISSN: 1365-263X</identifier><identifier>DOI: 10.1111/j.1365-263X.2011.01219.x</identifier><identifier>PMID: 22251427</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Bacterial Load ; Bottle Feeding ; Cariostatic Agents - therapeutic use ; Case-Control Studies ; Child, Preschool ; Dental care ; Dental caries ; Dental Caries - prevention &amp; control ; Dentistry ; Female ; Fluorides - therapeutic use ; Follow-Up Studies ; Health Behavior ; Health Education, Dental ; Health facilities ; Health Promotion ; House Calls ; Humans ; Infant ; Infant, Newborn ; Lactobacillus - growth &amp; development ; Lactobacillus - isolation &amp; purification ; Longitudinal Studies ; Male ; Medical research ; Oral Hygiene - education ; Pediatrics ; Streptococcus mutans - growth &amp; development ; Streptococcus mutans - isolation &amp; purification ; Telephone ; Tooth - microbiology ; Toothbrushing - methods ; Toothpastes - therapeutic use ; Treatment Outcome</subject><ispartof>International journal of paediatric dentistry, 2013-01, Vol.23 (1), p.23-31</ispartof><rights>2012 The Authors. International Journal of Paediatric Dentistry © 2012 BSPD, IAPD and Blackwell Publishing Ltd</rights><rights>2012 The Authors. 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KIM</creatorcontrib><title>A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries</title><title>International journal of paediatric dentistry</title><addtitle>Int J Paediatr Dent</addtitle><description>International Journal of Paediatric Dentistry 2013; 23: 23–31 Background.  Home visits (HV) provide excellent opportunities for health promotion. Aim.  This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans streptococci (MS) and lactobacilli (LB) from 0 to 24 months. Design.  A total of 325 children were recruited from community health centres at mean age of 42 days, and randomly assigned to receive either HV or TC. A total of 188 children completed three, 6 monthly HV, and another 58 had three, 6 monthly TC. An additional 40 age‐matched children from childcare facilities served as reference controls (RC). At 24 months, all groups were examined at a community dental clinic. Results.  At 24 months, three HV children of 188 (1.5%) had caries, compared to four TC of 58 (6.8%) and nine RC of 40 (22.5%) (P &lt; 0.001 for HV versus RC; P = 0.05 for HV versus TC and P = 0.03 for TC versus RC). There were also more children with MS in the TC (47%) and RC (35%) compared to HV (28%) group (P = 0.01 and P = 0.02). 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KIM</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries</atitle><jtitle>International journal of paediatric dentistry</jtitle><addtitle>Int J Paediatr Dent</addtitle><date>2013-01</date><risdate>2013</risdate><volume>23</volume><issue>1</issue><spage>23</spage><epage>31</epage><pages>23-31</pages><issn>0960-7439</issn><eissn>1365-263X</eissn><abstract>International Journal of Paediatric Dentistry 2013; 23: 23–31 Background.  Home visits (HV) provide excellent opportunities for health promotion. Aim.  This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans streptococci (MS) and lactobacilli (LB) from 0 to 24 months. Design.  A total of 325 children were recruited from community health centres at mean age of 42 days, and randomly assigned to receive either HV or TC. A total of 188 children completed three, 6 monthly HV, and another 58 had three, 6 monthly TC. An additional 40 age‐matched children from childcare facilities served as reference controls (RC). At 24 months, all groups were examined at a community dental clinic. Results.  At 24 months, three HV children of 188 (1.5%) had caries, compared to four TC of 58 (6.8%) and nine RC of 40 (22.5%) (P &lt; 0.001 for HV versus RC; P = 0.05 for HV versus TC and P = 0.03 for TC versus RC). There were also more children with MS in the TC (47%) and RC (35%) compared to HV (28%) group (P = 0.01 and P = 0.02). Conclusions.  Home visits and telephone contacts conducted 6 monthly from birth are effective in reducing ECC prevalence by 24 months.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22251427</pmid><doi>10.1111/j.1365-263X.2011.01219.x</doi><tpages>9</tpages></addata></record>
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subjects Adult
Bacterial Load
Bottle Feeding
Cariostatic Agents - therapeutic use
Case-Control Studies
Child, Preschool
Dental care
Dental caries
Dental Caries - prevention & control
Dentistry
Female
Fluorides - therapeutic use
Follow-Up Studies
Health Behavior
Health Education, Dental
Health facilities
Health Promotion
House Calls
Humans
Infant
Infant, Newborn
Lactobacillus - growth & development
Lactobacillus - isolation & purification
Longitudinal Studies
Male
Medical research
Oral Hygiene - education
Pediatrics
Streptococcus mutans - growth & development
Streptococcus mutans - isolation & purification
Telephone
Tooth - microbiology
Toothbrushing - methods
Toothpastes - therapeutic use
Treatment Outcome
title A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries
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