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- Title
Home visits providing diet advice may reduce early childhood caries.
- Authors
Walker, Cameron; White, Valerie AA
- Abstract
DesignThis was a randomised controlled trial (RCT).InterventionParticipants were randomised to either the control group, which received routine assistance from health service paediatricians, or an intervention group that received these routine visits and, in addition, regular home visits from trained fieldworkers who advised on healthy breastfeeding and weaning practice based on World Health Organization recommendations.Outcome measureThe prevalence of early childhood caries (ECC) was assessed by visual inspection at 12 months and the odds ratio (OR) of developing ECC at 12 months was calculated. ECC was considered present if one or more decayed surfaces were detected.ResultsECC was recorded in 10.2% of the intervention group and 18.3% of the control group. The odds of developing ECC was 48% lower for the intervention group than in the control group when adjusted for number of teeth [OR, 0.52; 95% confidence interval (CI), 0.27–0.97]. A significant difference in the mean number of decayed surfaces was found between the groups [intervention group, 0.37; standard deviation (SD), 1.37; control group, 0.63; SD, 1.62; Mann Whitney U test P 0.03].ConclusionsHome visits giving dietary advice appear to help reduce ECC in infants.Evidence-Based Dentistry (2007) 8, 108–109. doi:10.1038/sj.ebd.6400527
- Subjects
DENTAL caries in children; NUTRITION &; oral health; PERIODONTAL disease; DENTAL caries; BREASTFEEDING; NUTRITION
- Publication
Evidence-Based Dentistry, 2007, Vol 8, Issue 4, p108
- ISSN
1462-0049
- Publication type
Article
- DOI
10.1038/sj.ebd.6400527