Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children

Simple item page
dc.contributor.authorPine, C. M.
dc.contributor.authorAdair, P. M.
dc.contributor.authorBurnside, G.
dc.contributor.authorBrennan, L.
dc.contributor.authorSutton, L.
dc.contributor.authorEdwards, R.T.
dc.contributor.authorEzeofor, V.
dc.contributor.authorAlbadri, S.
dc.contributor.authorCurnow, M.
dc.contributor.authorDeery, C.
dc.contributor.authorHosey, M. T.
dc.contributor.authorWillis-Lake, J.
dc.contributor.authorLynn, J.
dc.contributor.authorParry, Jennifer A.
dc.contributor.authorWong, F. S. L.
dc.contributor.funderSalford Royal NHS Foundation Trusten
dc.contributor.funderNational Institute for Health Researchen
dc.contributor.funderDepartment of Health & Social Careen
dc.contributor.funderBarts and The London School of Medicine and Dentistryen
dc.date.accessioned2020-03-23T10:17:54Z
dc.date.available2020-03-23T10:17:54Z
dc.date.issued2020-01-16
dc.date.updated2020-03-23T10:07:25Z
dc.description.abstractThe 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.sponsorshipSalford 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationPine, 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: 10.1177/0022034519886808en
dc.identifier.doi10.1177/0022034519886808en
dc.identifier.endpage174en
dc.identifier.issn0022-0345
dc.identifier.journaltitleJournal of Dental Researchen
dc.identifier.startpage168en
dc.identifier.urihttps://hdl.handle.net/10468/9781
dc.identifier.volume99en
dc.language.isoenen
dc.publisherSage Publicationsen
dc.rights© International & American Associations for Dental Research 2019. Published under a Creative Commons CC BY licenseen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectCaries detectionen
dc.subjectDiagnosis/preventionen
dc.subjectCaries treatmenten
dc.subjectChild dentistryen
dc.subjectClinical studies/trialsen
dc.subjectHealth services researchen
dc.subjectMotivational interviewingen
dc.titleDental RECUR Randomized Trial to Prevent Caries Recurrence in Childrenen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
0022034519886808.pdf
Size:
541.94 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Cork University Dental School and Hospital - Journal Articles