A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries

Plonka, Kathryn A., Pukallus, Maragret L., Barnett, Adrian, Holcombe, Trevor F., Walsh, Laurence J. and Seow, W.Kim (2013) A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries. International Journal of Paediatric Dentistry, 23 1: 23-31. doi:10.1111/j.1365-263X.2011.01219.x


Author Plonka, Kathryn A.
Pukallus, Maragret L.
Barnett, Adrian
Holcombe, Trevor F.
Walsh, Laurence J.
Seow, W.Kim
Title A controlled, longitudinal study of home visits compared to telephone contacts to prevent early childhood caries
Journal name International Journal of Paediatric Dentistry   Check publisher's open access policy
ISSN 0960-7439
1365-263X
Publication date 2013-01
Year available 2012
Sub-type Article (original research)
DOI 10.1111/j.1365-263X.2011.01219.x
Volume 23
Issue 1
Start page 23
End page 31
Total pages 9
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2013
Language eng
Formatted abstract
Background.
Home visits (HV) provide excellent opportunities for health promotion.

Aim. 
This longitudinal study compared the effects of HV and telephone contacts (TC) in preventing early childhood caries (ECC) and colonisation of mutans streptococci (MS) and lactobacilli (LB) from 0 to 24 months.

Design. 
A total of 325 children were recruited from community health centres at mean age of 42 days, and randomly assigned to receive either HV or TC. A total of 188 children completed three, 6 monthly HV, and another 58 had three, 6 monthly TC. An additional 40 age-matched children from childcare facilities served as reference controls (RC). At 24 months, all groups were examined at a community dental clinic.

Results. 
At 24 months, three HV children of 188 (1.5%) had caries, compared to four TC of 58 (6.8%) and nine RC of 40 (22.5%) (P < 0.001 for HV versus RC; P = 0.05 for HV versus TC and P = 0.03 for TC versus RC). There were also more children with MS in the TC (47%) and RC (35%) compared to HV (28%) group (P = 0.01 and P = 0.02).

Conclusions. 
Home visits and telephone contacts conducted 6 monthly from birth are effective in reducing ECC prevalence by 24 months.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 18 JAN 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Dentistry Publications
 
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Created: Mon, 21 May 2012, 05:57:58 EST by Professor Laurence Walsh on behalf of School of Dentistry