Effectiveness of two clinical recall intervals in the incidence of caries in preschool children who has high risk of caries: Initial follow-up, eight months of a randomized clinical

Author(s)

Thais Cordeschi

• Document type: Master's Dissertation
• Press: São Paulo.
• Institution: Universidade de São Paulo (USP). Faculdade de Odontologia (FO/SDO)
• Defense date: 2016-02-04

Examining board members

Marcelo Jose Strazzeri Bonecker; Luciana Butini Oliveira; Celso Zilbovicius

• Advisor: Marcelo Jose Strazzeri Bonecker

Abstract

The aim of this study was to evaluate the effectiveness of two clinical recall intervals in the incidence of caries in preschool children who has high risk of caries. Was also evaluated as secondary endpoints the stoppage of existing caries lesions, the level of anxiety, and oral health related quality of life (OHRQoL), according to each interval was assess. The sample consisted of 224 children between 3-5 years of age, of both genders, with high risk of caries, according to clinical criteria adapted the Municipal Department of Health of São Paulo. Children were randomly allocated into two groups: Group 1 (G1) - oral clinical examination, orientation for oral hygiene and diet with a 4-months intervals of clinical returns; Group 2 (G2) - oral clinical examination, orientation for oral hygiene and diet with a 8-month intervals of clinical returns. The oral clinical examination of each child consist in detection and activity of caries lesions according to the ICDAS index (International Caries Detection and Asessment System) and clinical characteristics of active and inactive caries lesions were associated with the criteria described in the manual ICDAS committee. An external dentist, blind to the study groups conducted the assessment of oral health care, level of anxiety using the Facial Image Scale, and also assessed the QVRSB measured by B-ECOHIS. All groups were followed for a period of 8 months, totaling two return visits for G1 and one return visit to the G2. All analyzes were done by intention to treat (ITT). In a short time, both returns, 4 and 8 moths are similar in all outcomes of this study for preschool children with high caries risk in terms of health service. (AU)

• FAPESP's process: 14/17758-6 - Impact of two recall intervals associated to oral health counseling on dental caries incidence, anxiety and quality of life of preschool children with high caries risk: randomized clinical trial
• Grantee: Thais Cordeschi
• Support Opportunities: Scholarships in Brazil - Master