Evidence map›Paper›PMID 38851679›Full record

Trial reportBMC oral health2024

Effectiveness of risk-based caries management among Chinese preschool children: a randomized controlled single-blind trial.

Hao-Feng Jiang, An-Tian Shi, Jing Li, Yu-Han Zhang, Jing Yang

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Why Is Caries Prevention in Children So Difficult? A Narrative Opinion.International journal of environmental research and public health · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hao-Feng JiangCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, China.
An-Tian ShiCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, China. 164890479@qq.com.
Jing LiCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, China.
Yu-Han ZhangCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, China.
Jing YangCollege of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, China.

Funding

Natural science program of Chongqing Three Gorges Medical College XJ2021001701
6 · The paper itself

Abstract

backgroundEarly childhood caries (ECC) remain a serious oral health problem on a global scale. Risk-based caries management (RBCM) implemented in some parts of the world has been effective in preventing ECC. However, there is a lack of prospective research on the application of RBCM among Chinese children, and little is known about its effectiveness. The purpose of this study was to evaluate the effectiveness of RBCM in preventing caries among children aged 3-5 years in Wanzhou District, Chongqing Municipality, China.

methodsThree- to five-year-old children from four kindergartens in Wanzhou were randomly selected for baseline dental examination and caries risk assessment (CRA) and randomly assigned to the experimental group (EG) or the control group (CG) according to the kindergarten. The EG received caries prevention measures of different intensities based on the child's caries risk level. The CG received full-mouth fluoride twice a year according to standard prevention, regardless of their caries risk. One year later, another dental examination and CRA were conducted, to observe changes in the decayed, missing, and filled teeth (dmft) index and caries risk, and to analyze potential factors that may affect the incidence of new caries.

resultsComplete data were collected from 291 children (EG, N = 140, 84.8%; CG, N = 181, 83.4%). A total of 25.7% of the EG and 50.3% of the CG children developed new caries, with newly added dmft scores of 0.54 ± 1.12 and 1.32 ± 1.72, respectively (P < 0.05). Multivariate logistic regression indicated that children living in rural areas, assigned to the CG, and rated as high-risk at baseline were more likely to develop new caries (P < 0.05). The proportion of children with an increased caries risk in the EG was significantly lower than that in the CG (P < 0.05).

conclusionsRBCM effectively prevented new caries in 3- to 5-year-old Wanzhou children and reduced the proportion of children at increased risk of caries. It is an effective approach for preventing ECC. CLINICAL

trial registrationThis trial was registered in the Chinese Clinical Trials Register. The registration number was ChiCTR230067551 (11/01/2023).

Indexed as

Cariostatic AgentsDental CariesDMF IndexChild, PreschoolChinaDental Caries SusceptibilityEast Asian PeopleFemaleFluoridesFollow-Up StudiesHumansMaleProspective StudiesRisk AssessmentSingle-Blind MethodTreatment OutcomeCariostatic AgentsFluoridesCaries managementEarly childhood cariesPreschool childrenRisk assessment

Identifiers

PMID38851679
PMCPMC11162041

What OpenQuestion holds

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Registered trials

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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.