DCT, Glasgow Dental Hospital & School, Glasgow, UK.
Evid Based Dent. 2021 Jan;22(1):18-19. doi: 10.1038/s41432-021-0147-5.
Design Three-armed randomised clinical trial.Study selection The study's aim was to examine the effectiveness of providing oral health promotion, prevention and a restorative programme at mother and child health clinics (MCHs) through a multidisciplinary team. This was studied by collecting data on the participants' caries rates. The study sample consisted of 368 Peruvian children, aged 0-3 years, who were from low socioeconomic areas of Peru and were studied over three different MCHs. The interventions used in this study are split into active intervention group (AG), passive intervention group (PG) and control group (CG). The AG group had multiple interventions, such as multiple training courses for nurses on dental health, oral health-related information cards (OHICs) and atraumatic restorative treatment (ART)-trained dentists. The PG implemented OHICs and ART-trained dentists, and the CG nurses received a 45-minute lecture on the importance of oral health and regular protocols followed.Data analysis/data extraction and synthesis Caries Assessment Spectrum and Treatment (CAST) scores were used to measure the participants' caries rates. The CAST scores were collected over a three-year period by two calibrated and trained dentists. The CAST scores ranged from 0 (no caries) to 8 (loss of tooth due to caries), although the authors only collected data from scores 3-8 as this was indicating disease presence.Results The results were gathered for each arm of the study and compared using analysis of variance. The results showed that it was statistically significant (P <0.001) that the AG group had a lower rate of carious dentine compared to the PG and CG groups. The percentage of carious dentine prevalence was 10%, 60.5% and 63.0%, respectively.Conclusion The conclusion of the paper is that using a multidisciplinary approach - with trained nurses, delivery of oral health inspection and advice - can reduce the rate of caries in 0-3-year-olds.
设计 三臂随机临床试验。研究选择 该研究旨在通过多学科团队在母婴健康诊所（MCH）中提供口腔健康促进、预防和修复计划，以评估其有效性。通过收集参与者龋齿率的数据来研究这一点。该研究样本由 368 名秘鲁儿童组成，年龄在 0-3 岁之间，来自秘鲁的低收入社会经济地区，在三个不同的 MCH 中进行了研究。本研究中使用的干预措施分为主动干预组（AG）、被动干预组（PG）和对照组（CG）。AG 组有多项干预措施，例如对护士进行多次牙科健康培训课程、口腔健康相关信息卡（OHIC）和受过非创伤性修复治疗（ART）培训的牙医。PG 实施了 OHIC 和 ART 培训的牙医，CG 护士接受了关于口腔健康重要性和遵循的常规方案的 45 分钟讲座。数据分析/数据提取和综合 使用龋齿评估谱和治疗（CAST）评分来衡量参与者的龋齿率。CAST 评分由两名经过校准和培训的牙医在三年内收集。CAST 评分范围从 0（无龋齿）到 8（因龋齿而失去牙齿），尽管作者仅收集了评分 3-8 的数据，因为这表明存在疾病。结果 对研究的每个分支收集结果并使用方差分析进行比较。结果表明，AG 组的龋齿率明显低于 PG 和 CG 组（P <0.001）。龋齿的患病率百分比分别为 10%、60.5%和 63.0%。结论 本文的结论是，使用多学科方法-训练有素的护士提供口腔健康检查和建议-可以降低 0-3 岁儿童的龋齿率。
