Evaluation of an interdisciplinary preventive programme for XXXX caries: findings of a regional German birth cohort study.

@entity1 @entity1547 @entity3148 @entity1388 @entity560
OBJECTIVES: The aim of this prospective birth cohort study was to evaluate the effect of the interdisciplinary preventive programme (PP) for @entity3148 caries in 3-year-old @entity1 in Germany. MATERIAL AND METHODS: From July 2009 to October 2010, all parents of newborns (n  =  1162) were visited after birth by the communal newborn visiting service of Jena, Thuringia, and advised on general and dental health. In the first year of life, @entity1 were invited to a dental examination in Jena University Hospital. Participating @entity1 were included in a risk-related recall system with continuous oral care over 3  years. Caries-risk assessment tool of the AAPD was used for risk categorizing. High-risk @entity1 received @entity1388 varnish biannual. In 2013, the total birth cohort ( @entity1 and non- @entity1 ) was invited to evaluate the PP. @entity1547 was scored using WHO diagnostic criteria expanded to d1-level without radiography. Data were analysed statistically (multivariate logistic regression). RESULTS: Seven hundred fifty-five @entity1 (mean age 3.26      0.51  years) were examined. @entity1 in the PP (n  =  377) showed significantly lower caries prevalence and experience than non- @entity1 (15.6 vs. 37.8  %, 0.9      3.3 d1-4mfs vs. 2.6      5.2 d1-4mfs). Lack of @entity560 supplements (OR  =  1.9, CI 0.99-3.51), familial caries experience (OR  =  2.2, CI 1.27-3.73) and visible plaque on teeth (OR  =  6.5, CI 4.41-9.43) were significant risk factors for caries development, whereas regular dental care (OR  =  0.5, CI 0.38-0.79) had a protective effect. CONCLUSIONS: The PP was an effective interdisciplinary approach for preventing @entity3148 caries in small @entity1 . CLINICAL RELEVANCE: Early dental visits with caries-risk-related preventive dental care are necessary to prevent @entity3148 caries (ECC). TRIAL REGISTRATION: German Clinical Trials Register DRKS00003438, https://drks-neu.uniklinik-freiburg.de/drks_web/navigate.do?navigationId=trial.HTML_TRIAL_ID=DRKS00003438.
