Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children

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dc.contributor.author Pine, C. M.
dc.contributor.author Adair, P. M.
dc.contributor.author Burnside, G.
dc.contributor.author Brennan, L.
dc.contributor.author Sutton, L.
dc.contributor.author Edwards, R.T.
dc.contributor.author Ezeofor, V.
dc.contributor.author Albadri, S.
dc.contributor.author Curnow, M.
dc.contributor.author Deery, C.
dc.contributor.author Hosey, M. T.
dc.contributor.author Willis-Lake, J.
dc.contributor.author Lynn, J.
dc.contributor.author Parry, Jennifer A.
dc.contributor.author Wong, F. S. L.
dc.date.accessioned 2020-03-23T10:17:54Z
dc.date.available 2020-03-23T10:17:54Z
dc.date.issued 2020-01-16
dc.identifier.citation Pine, C. M.; Adair, P. M.; Burnside, G.; Brennan, L.; Sutton, L.; Edwards, R.T.; Ezeofor, V.; Albadri, S.; Curnow, M.; Deery, C.; Hosey, M. T.; Willis-Lake, J.; Lynn, J.; Parry, J.; Wong, F. S. L. (2020) 'Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children'. Journal of Dental Research, 99, pp. 168-174. doi: 10.1177/0022034519886808 en
dc.identifier.volume 99 en
dc.identifier.startpage 168 en
dc.identifier.endpage 174 en
dc.identifier.issn 0022-0345
dc.identifier.uri http://hdl.handle.net/10468/9781
dc.identifier.doi 10.1177/0022034519886808 en
dc.description.abstract The purpose of this study was to determine the efficacy of a dental nurse-delivered intervention-the Dental RECUR Brief Negotiated Interview for Oral Health (DR-BNI)-in reducing the recurrence of dental caries in children who have a primary tooth extracted. It was based on a 2-arm multicenter randomized controlled trial with blinded outcome assessment. Participants were 5- to 7-y-old children (n = 241) scheduled to have primary teeth extracted in 12 UK centers. Test intervention parents (n = 119) received DR-BNI led by trained dental nurses. DR-BNI is a 30-min structured conversation informed by motivational interviewing with a forward focus to prevent future caries. Preventive goals are agreed, and a review appointment is made with child's general dental practitioner, who is advised to treat the child as being at high caries risk. The control intervention (n = 122) was a parent-nurse conversation about child's future tooth eruption, with advice given to visit a general dental practitioner as usual. At baseline, the DR-BNI group's mean dmft was 6.8, and the control group's was 6.3. A median of 5 teeth were extracted, mainly under general anesthesia. Final dental assessments were conducted by a single examiner visiting 189 schools 2 y after intervention; 193 (80%) of 241 children were examined. In the control group, 62% developed new caries in teeth that were caries-free or unerupted at baseline, as compared with 44% in the test group, a significant reduction (P = 0.021). The odds of new caries experience occurring were reduced by 51% in the DR-BNI group as compared with control. There was a 29% decrease in the relative risk of new caries experience in the DR-BNI group as compared with control. This single low-cost, low-intensity intervention was successful in significantly reducing the risk of recurrence of dental caries in children. This trial has implications for changing pediatric dental practice internationally. Training in and implementation of a motivational interviewing-informed brief intervention provides opportunities for dental nurses to facilitate behavior change improving the oral health of children at high caries risk (ISRCTN 24958829). en
dc.description.sponsorship Salford Royal Foundation Trust (R&D Department, the trial sponsor); UK National Institute for Health Research under the Research for Patient Benefit Programme (grant PB-PG-0610-22310). en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Sage Publications en
dc.rights © International & American Associations for Dental Research 2019. Published under a Creative Commons CC BY license en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Caries detection en
dc.subject Diagnosis/prevention en
dc.subject Caries treatment en
dc.subject Child dentistry en
dc.subject Clinical studies/trials en
dc.subject Health services research en
dc.subject Motivational interviewing en
dc.title Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Jennifer Parry, Oral Health & Development, University College Cork, Cork, Ireland. +353-21-490-3000 Email: jennifer.parry@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2020-03-23T10:07:25Z
dc.description.version Published Version en
dc.internal.rssid 500932633
dc.internal.wokid WOS:000507829600001
dc.contributor.funder Salford Royal NHS Foundation Trust en
dc.contributor.funder National Institute for Health Research en
dc.contributor.funder Department of Health & Social Care en
dc.contributor.funder Barts and The London School of Medicine and Dentistry en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Dental Research en
dc.internal.copyrightchecked No
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress jennifer.parry@ucc.ie en


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© International & American Associations for Dental Research 2019. Published under a Creative Commons CC BY license Except where otherwise noted, this item's license is described as © International & American Associations for Dental Research 2019. Published under a Creative Commons CC BY license
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