Trial reportBMC health services research2007
Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial.
Trial report in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00464009 (Development and Evaluation of a Medical Intervention for Early Childhood Caries), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development and Evaluation of a Medical Intervention for Early Childhood Caries
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review.BMC oral health · 2023Pooled it
- Evaluation of an educational intervention in oral health for primary care physicians: a cluster randomized controlled study.BMC oral health · 2018Trial
- Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial.Community dentistry and oral epidemiology · 2011Trial
- Fluoride varnish application as an oral health intervention in the well-baby clinic for children aged 1-5 years at Qatar University Health Center: a feasibility study.BMC oral health · 2026Article
- Clinician characteristics associated with fluoride varnish applications during well-child visits.The American journal of managed care · 2024Observational
- Partnering for Integrated Care: A Learning Collaborative for Primary Care and Oral Health Teams.Annals of family medicine · 2023Article
- Barriers and facilitators in the integration of oral health into primary care: a scoping review.BMJ open · 2017Article
- Performance of Preschoolers' Mothers and Senior Dental Students After Receiving Training on Fluoride Varnish Administration.Journal of dentistry (Tehran, Iran) · 2017Article
- Knowledge and attitude of pediatricians and Family Physicians in Chennai on Pediatric Dentistry: A survey.Dental research journal · 2012Article
- Provision of fluoride varnish to Medicaid-enrolled children by physicians: the Massachusetts experience.Health services research · 2011Article
- Timing of first dental visits for newly Medicaid-enrolled children with an intellectual or developmental disability in Iowa, 2005-2007.American journal of public health · 2011Article
- How a North Carolina program boosted preventive oral health services for low-income children.Health affairs (Project Hope) · 2010Article
- Restorative treatment thresholds for occlusal primary caries among dentists in the dental practice-based research network.Journal of the American Dental Association (1939) · 2010Article
- Pediatric clinicians can help reduce rates of early childhood caries: effects of a practice based intervention.Medical care · 2009Article
- Unmet dental needs in rural primary care: a clinic-, community-, and practice-based research network collaborative.Journal of the American Board of Family Medicine : JABFMArticle
- An examination of the advances in science and technology of prevention of tooth decay in young children since the Surgeon General's Report on Oral Health.Academic pediatricsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundPhysicians report willingness to provide preventive dental care, but optimal methods for their training and support in such procedures are not known. This study aimed to evaluate the effect of three forms of continuing medical education (CME) on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices.
methodsPractice-based, randomized controlled trial.
setting1,400 pediatric and family physician practices in North Carolina providing care to an estimated 240,000 Medicaid-eligible children aged 0-3 years.
interventionsGroup A practices (n = 39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish. Group B practices (n = 41) received the same as Group A and were offered weekly conference calls providing advice and support. Group C practices (n = 41) received the same as Group B and were offered in-office visit providing hands-on advice and support. In all groups, physicians were reimbursed $38-$43 per preventive dental visit. Outcome measures were computed from reimbursement claims submitted to NC Division of Medical Assistance. PRIMARY OUTCOME MEASURE: rate of preventive dental services provision per 100 well-child visits. SECONDARY OUTCOME MEASURE: % of practices providing 20 or more preventive dental visits.
results121 practices were randomized, and 107 provided data for analysis. Only one half of Group B and C practices took part in conference calls or in-office visits. Using intention-to-treat analysis, rates of preventive dental visits did not differ significantly among CME groups: GroupA = 9.4, GroupB = 12.9 and GroupC = 8.5 (P = 0.32). Twenty or more preventive dental visits were provided by 38-49% of practices in the three study groups (P = 0.64).
conclusionA relatively high proportion of medical practices appear capable of adopting these preventive dental services within a one year period regardless of the methods used to train primary health care providers.
trial registrationClinicalTrials.gov NCT00464009
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.