Patricia A Braun1, Katina Widmer-Racich1, Carter Sevick1, Erin J Starzyk1, Katya Mauritson1, Simon J Hambidge1. 1. Patricia A. Braun, Katina Widmer-Racich, and Carter Sevick are with the Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz School of Medicine, Aurora. Erin J. Starzyk and Katya Mauritson are with the Colorado Department of Public Health and Environment, Denver. Patricia A. Braun is also with and Simon J. Hambidge is with Denver Health and Hospital, Denver, CO.
Abstract
OBJECTIVES: To assess an oral health promotion (OHP) intervention for medical providers' impact on early childhood caries (ECC). METHODS: We implemented a quasiexperimental OHP intervention in 8 federally qualified health centers that trained medical providers on ECC risk assessment, oral examination and instruction, dental referral, and fluoride varnish applications (FVAs). We measured OHP delivery by FVA count at medical visits. We measured the intervention's impact on ECC in 3 unique cohorts of children aged 3 to 4 years in 2009 (preintervention; n = 202), 2011 (midintervention; n = 420), and 2015 (≥ 4 FVAs; n = 153). We compared numbers of decayed, missing, and filled tooth surfaces using adjusted zero-inflated negative binomial models. RESULTS: Across 3 unique cohorts, the FVA mean (range) count was 0.0 (0), 1.1 (0-7), and 4.5 (4-7) in 2009, 2011, and 2015, respectively. In adjusted zero-inflated negative binomial models analyses, children in the 2015 cohort had significantly fewer decayed, missing, and filled tooth surfaces than did children in previous cohorts. CONCLUSIONS: An OHP intervention targeting medical providers reduced ECC when children received 4 or more FVAs at a medical visit by age 3 years.
OBJECTIVES: To assess an oral health promotion (OHP) intervention for medical providers' impact on early childhood caries (ECC). METHODS: We implemented a quasiexperimental OHP intervention in 8 federally qualified health centers that trained medical providers on ECC risk assessment, oral examination and instruction, dental referral, and fluoride varnish applications (FVAs). We measured OHP delivery by FVA count at medical visits. We measured the intervention's impact on ECC in 3 unique cohorts of children aged 3 to 4 years in 2009 (preintervention; n = 202), 2011 (midintervention; n = 420), and 2015 (≥ 4 FVAs; n = 153). We compared numbers of decayed, missing, and filled tooth surfaces using adjusted zero-inflated negative binomial models. RESULTS: Across 3 unique cohorts, the FVA mean (range) count was 0.0 (0), 1.1 (0-7), and 4.5 (4-7) in 2009, 2011, and 2015, respectively. In adjusted zero-inflated negative binomial models analyses, children in the 2015 cohort had significantly fewer decayed, missing, and filled tooth surfaces than did children in previous cohorts. CONCLUSIONS: An OHP intervention targeting medical providers reduced ECC when children received 4 or more FVAs at a medical visit by age 3 years.
Authors: Rocio B Quinonez; Ashley M Kranz; Charlotte W Lewis; Lauren Barone; Suzanne Boulter; Karen G O'Connor; Martha Ann Keels Journal: Acad Pediatr Date: 2014-10-30 Impact factor: 3.107
Authors: Bruce A Dye; Sylvia Tan; Vincent Smith; Brenda G Lewis; Laurie K Barker; Gina Thornton-Evans; Paul I Eke; Eugenio D Beltrán-Aguilar; Alice M Horowitz; Chien-Hsun Li Journal: Vital Health Stat 11 Date: 2007-04
Authors: Heilok Cheng; Rebecca Chen; Maxim Milosevic; Chris Rossiter; Amit Arora; Elizabeth Denney-Wilson Journal: Int J Environ Res Public Health Date: 2021-11-23 Impact factor: 3.390
Authors: Ashima Goyal; Ashoo Grover; Krishan Gauba; Arpit Gupta; Nishant Mehta; Sourabh Dutta; R M Pandey; Ashish Joshi; J S Thakur; Utkal Mohanty; R S Dhaliwal Journal: BMC Public Health Date: 2019-12-03 Impact factor: 3.295