ArticleMedical care2009
Pediatric clinicians can help reduce rates of early childhood caries: effects of a practice based intervention.
Article in Medical care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05761197 (Association Between Early Candida Infection), which is not on this map. Cited by 31 papers, 3 of them syntheses 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.
Association Between Early Candida Infection (Oral Thrush) and Severe Early Childhood Caries (S-ECC)
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Dental caries prevention strategies among children and adolescents with immigrant - or low socioeconomic backgrounds- do they work? A systematic review.BMC oral health · 2018Pooled it
- Integrating Maternal and Children's Oral Health Promotion into Nursing and Midwifery Practice- A Systematic Review.PloS one · 2016Pooled it
- Pooled it
- Parent-Targeted Oral Health Text Messaging for Underserved Children Attending Pediatric Clinics: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Caries disparities among Medicaid-enrolled young children from pediatric primary care settings.Journal of public health dentistry · 2021Trial
- Cluster-randomized trial of infant nutrition training for caries prevention.Journal of dental research · 2013Trial
- Primary tooth emergence in young children is associated with a stress biomarker.Journal of developmental origins of health and disease · 2026Article
- Psychosocial determinants of oral health outcomes in young children.Frontiers in pediatrics · 2024Article
- A Prospective Longitudinal Study of Early Childhood Caries Onset in Initially Caries-Free Children.JDR clinical and translational research · 2023Article
- Social, Psychological, and Behavioral Predictors of Salivary Bacteria, Yeast in Caries-Free Children.JDR clinical and translational research · 2022Article
- Impact of Motivational Interviewing on Parental Risk-Related Behaviors and Knowledge of Early Childhood Caries: A Systematic Review.International journal of preventive medicine · 2021Review
- Formative and Pilot Study for an Effectiveness-Implementation Hybrid Cluster Randomized Trial to Incorporate Oral Health Activities into Pediatric Well-Child Visits.Dentistry journal · 2020Article
- Article
- Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing.JDR clinical and translational research · 2018Article
- Pioneering and Interprofessional Pediatric Dentistry Programs Aimed at Reducing Oral Health Disparities.Frontiers in public health · 2017Article
- Health nurses' experiences and attitudes regarding collaboration with dental personnel.BMC oral health · 2016Article
- The early childhood oral health program: a qualitative study of the perceptions of child and family health nurses in South Western Sydney, Australia.BMC oral health · 2016Article
- A Narrative Synthesis of the Components of and Evidence for Patient- and Family-Centered Care.Clinical pediatrics · 2016Article
- Article
- Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru.BMC oral health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectiveEarly childhood caries (ECC) is a serious and preventable disease which pediatric clinicians can help address by counseling to reduce risk. RESEARCH
designWe implemented a multifaceted practice-based intervention in a pediatric outpatient clinic treating children vulnerable to ECC (N = 635), comparing results to those from a similar nearby clinic providing usual care (N = 452).
interventionWe provided communication skills training using the approach of patient centered counseling, edited the electronic medical record to prompt counseling, and provided parents/caregivers with an educational brochure. OUTCOME MEASURES: We assessed changes in provider knowledge about ECC after the intervention, and examined providers' counseling practices and incidence of ECC over time by site, controlling for baseline ECC, patient sociodemographics and parents'/caregivers' practice of risk factors (diet, oral hygiene, tooth-monitoring), among 1045 children with complete data.
resultsProvider knowledge about ECC increased after the intervention training (percentage correct answers improved from 66% to 79%). Providers at the intervention site used more counseling strategies, which persisted after adjustment for sociodemographic characteristics. Children at the intervention site had a 77% reduction in risk for developing ECC at follow up, after controlling for age and race/ethnicity, sociodemographics and ECC risk factors; P <or= 0.004.
conclusionsThe multifaceted intervention was associated with increased provider knowledge and counseling, and significantly attenuated incidence of ECC. If validated by additional studies, similar interventions could have the potential to make a significant public health impact on reducing ECC among young children.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.