dc.contributor.author | Martignon, Stefania | |
dc.contributor.author | Cortes, Andrea | |
dc.contributor.author | Douglas, Gail V. A. | |
dc.contributor.author | Newton, J. Timothy | |
dc.contributor.author | Pitts, Nigel B. | |
dc.contributor.author | Ávila, Viviana | |
dc.contributor.author | Usuga Vacca, Margarita | |
dc.contributor.author | Deery, Christopher | |
dc.contributor.author | Abreu - Placeres, Ninoska | |
dc.contributor.author | Bonifacio, Clarisa | |
dc.contributor.author | Braga, Mariana M. | |
dc.contributor.author | Carletto Körber, Fabiana | |
dc.contributor.author | Castro, Patricia | |
dc.contributor.author | Cerezo, María P. | |
dc.contributor.author | Chavarría, Nathaly | |
dc.contributor.author | Echeverri, Beatriz | |
dc.contributor.author | Jácome Lievano, Sofía | |
dc.contributor.author | Kuzmina, Irina | |
dc.contributor.author | Lara, J. Sebastián | |
dc.contributor.author | Manton, David | |
dc.contributor.author | Martínez Mier, E. Ángeles | |
dc.contributor.author | Melo, Paulo | |
dc.contributor.author | Muller Bolla, Michele | |
dc.contributor.author | Ochoa, Emilia | |
dc.contributor.author | Osorio, Jesús R. | |
dc.contributor.author | Ramos, Ketty | |
dc.contributor.author | Sanabria, Angie F. | |
dc.contributor.author | Sanjuán, Johanna | |
dc.contributor.author | San Martín, Magdalena | |
dc.contributor.author | Velasco, A. Karina | |
dc.contributor.author | Villena, Rita | |
dc.contributor.author | Ferreira Zandona, Andrea | |
dc.contributor.author | Beltrán, Edgar O. | |
dc.contributor.author | Gamboa, Luis F. | |
dc.date.accessioned | 2024-03-13T15:53:58Z | |
dc.date.available | 2024-03-13T15:53:58Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | http://hdl.handle.net/11086/551042 | |
dc.description.abstract | Background: Comprehensive caries care has shown effectiveness in controlling caries progression and improving health outcomes by controlling caries risk, preventing initial-caries lesions progression, and patient satisfaction. To date, the caries-progression control effectiveness of the patient-centred risk-based cariesCare International (CCI) system, derived from ICCMS™ for the practice (2019), remains unproven. With the onset of the COVID-19 pandemic a previously planned multi-centre RCT shifted to this “Caries OUT” study, aiming to assess in a single-intervention group in children, the caries-control effectiveness of CCI adapted for the pandemic with non-aerosols generating procedures (non-AGP) and reducing in-office time. Methods: In this 1-year multi-centre single-group interventional trial the adapted-CCI effectiveness will be assessed in one single group in terms of tooth-surface level caries progression control, and secondarily, individual-level caries progression control, children’s oral-health behaviour change, parents’ and dentists’ process acceptability, and costs exploration. A sample size of 258 3–5 and 6–8 years old patients was calculated after removing half from the previous
RCT, allowing for a 25% dropout, including generally health children (27 per centre). The single-group intervention will be the adapted-CCI 4D-cycle caries care, with non-AGP and reduced in-office appointments’ time. A trained examiner per centre will conduct examinations at baseline, at 5–5.5 months (3 months after basic management), 8.5 and 12 months, assessing the child’s CCI caries risk and oral-health behaviour, visually staging and assessing carieslesions severity and activity without air-drying (ICDAS-merged Epi); fillings/sealants; missing/dental-sepsis teeth, and tooth symptoms, synthetizing together with parent and external-trained dental practitioner (DP) the patient- and tooth-surface level diagnoses and personalised care plan. DP will deliver the adapted-CCI caries care. Parents’ and dentists’ process acceptability will be assessed via Treatment-Evaluation-Inventory questionnaires, and costs in terms of number of appointments and activities. Twenty-one centres in 13 countries will participate. Discussion: The results of Caries OUT adapted for the pandemic will provide clinical data that could help support shifting the caries care in children towards individualised oral-health behaviour improvement and tooth-preserving care, improving health outcomes, and explore if the caries progression can be controlled during the pandemic by conducting non-AGP and reducing in-office time. | en |
dc.format.medium | Digital | |
dc.language.iso | eng | en |
dc.rights | Attribution-NonCommercial-ShareAlike 4.0 International | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | * |
dc.subject | Dental caries | en |
dc.subject | Children | |
dc.subject | COVID 19 | |
dc.subject | Dental care | |
dc.subject | Conservative care | |
dc.subject | Aerosols | |
dc.subject | Remote consultation | |
dc.subject | Outcome assessment | |
dc.subject | Multicenter study | |
dc.title | CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol | en |
dc.type | article | en |
dc.description.version | publishedVersion | |
dc.description.fil | Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom. | |
dc.description.fil | Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. | |
dc.description.fil | Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. | |
dc.description.fil | Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. | |
dc.description.fil | Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom. | |
dc.description.fil | Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana. | |
dc.description.fil | Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos. | |
dc.journal.country | Reino Unido | |
dc.journal.editorial | BioMed Central, UK | |
dc.journal.pagination | 2 - 13 | |
dc.journal.referato | Con referato | |
dc.journal.title | BMC Oral Health | |
dc.description.field | Otras Ciencias de la Salud | |
dc.identifier.eissn | 1472-6831 | |