Investigación
Caries OUT: Estudio multicéntrico en niños con CariesCare International adaptado para la pandemia de COVID-19
Abreu-Placeres, Ninoska
Resumen:
Introduction CariesCare International (CCI) is a practice-friendly, health outcomes-focused, patient-centred, risk-based approach to caries management designed for clinical practice. The unfeasibility of conducting a randomized clinical trial and the limitations imposed by aerosol-generating procedures (AGPs) during the COVID-19 pandemic to test the caries control effectiveness of CCI led to the adaptation of a non-AGP, reduced on-site consultation, single-interventional study. Aim This 12-month, multicentre, single-group, interventional study primarily aimed to assess the control of caries progression using a pandemic-adapted CCI protocol in children. Methods In total, 17 centres (n ≥ 20, 3–8-year-old children per centre) participated. Trained examiners assessed: (baseline: T0; one-year follow-up: T1y) CCI caries risk; oral health-related behaviours; decayed, missing, and filled teeth (primary, permanent) using the epidemiological merged International Caries Detection and Assessment System (severity, activity); dental sepsis; and toothache. Trained practitioners provided one-year CCI-adapted personalized care. Dental care process acceptance was assessed by both parents and dentists. Results A total of 16 centres completed the study (n = 337, 78.6%; mean age = 5.5 ± 1.6 years). There was a decrease in the mean number of combined primary and permanent tooth surfaces with caries lesions from 8.4 ± 9.7 at T0 to 6.2 ± 7.6 at T1y, with most children showing control over caries progression (75.1%), high caries risk (86.6%), and non-adequate oral health behaviours (72.7%) (p < 0.05). CCI acceptance was very high among parents and high/very high among dentists. Discussion The limitations posed by pandemic challenges, the single-interventional study design, and the non-AGP and reduced in-office consultation adaptations may have influenced the observed control over caries progression, as well as the feasibility and acceptance of CCI. Conclusion The one-year implementation of CCI demonstrated control over caries progression and risk, along with high acceptance among both parents and dentists.
Área de investigación:
Ciencias de la Salud
Tema de investigación:
Cariología
Área de impacto
ODS 3: Salud y bienestar |
Unidad de investigación:
Instituciones colaboradoras
Universidad El Bosque (Colombia)
Investigador Principal
Coinvestigador(es):
Estado:
Completado