Randomized trial of a photography‐aided behavioural intervention to reduce risk factors for caries and malocclusion in high‐risk infants
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 dev...
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| Published in: | International journal of dental hygiene Vol. 20; no. 3; pp. 471 - 478 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Blackwell Publishing Ltd
01-08-2022
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | 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. |
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| Bibliography: | Funding information This research received no specific grant from any funding agency in the public, commercial or not‐for‐profit sectors. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-News-3 content type line 23 |
| ISSN: | 1601-5029 1601-5037 |
| DOI: | 10.1111/idh.12507 |