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<p><b>Introduction</b> CariesCare International (CCI) is a practice-friendly, health outcomes-focused, patient-centred, risk-based approach to caries management designed for the practice. The unfeasibility of a randomised clinical trial and of aerosol generating procedures (AGPs) during the COVID-19 pandemic to test the caries control effectiveness of CCI shifted it to a non-AGP, reduced on-site consultation, single-interventional study.</p><p><b>Aim</b> This 12-month, multicentre, single-group, interventional study aimed at primarily assessing the control of caries progression of a pandemic CCI-adapted protocol in children.</p><p><b>Methods</b> In total, 17 centres (<i>n</i>≥ 20, 3-8-year-old children/centre) were included. Trained examiners assessed (baseline: T0; one-year follow-up: T1y): CCI caries risk; oral health-related behaviours; decayed, missing and filled teeth (primary, permanent) with the epidemiological merged International Caries Detection and Assessment System (severity, activity); dental sepsis; and toothache. Trained practitioners performed one-year CCI-adapted personalised care. Dental care process acceptance was assessed in parents and dentists.</p><p><b>Results</b> A total of 16 centres finished the study (<i>n</i> = 337, 78.6%; mean age: 5.5 ± 1.6 years). There was a T0-T1y decrease in the mean number of combined primary and permanent tooth surfaces with caries lesions (8.4 ± 9.7 to 6.2 ± 7.6), with most children showing control of caries progression (75.1%), high caries risk (86.6%) and non-adequate oral-health behaviour (72.7%) (<i>p</i> &lt;0.05). CCI acceptance was very high in parents and high/very high in dentists.</p><p><b>Discussion</b> The limitations given by the pandemic challenges, the single-interventional study design, and the non-AGP and reduced in-office-consultation adaptations, might as well highlight the shown caries progression control, feasibility and acceptance of CCI.</p><p><b>Conclusion</b> The one-year implementation of CCI showed control of caries progression and of risk and high acceptance among parents and dentists.</p>

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How did CariesCare International perform under pandemic conditions in children? A one-year, multicentre, single-group, interventional study

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  • 发表日期：

    2025年8月4日

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  • Stefania Martignon,
  • Edgar O. Beltrán,
  • Gail V. A. Douglas,
  • Jonathon Timothy Newton,
  • Nigel B. Pitts,
  • Christopher Deery,
  • Fabiana Carletto-Körber,
  • Olga Lucia Cifuentes,
  • Natalia Fortich,
  • Nathaly Chavarria,
  • Beatriz Echeverri,
  • Irina Kuzmina,
  • Michèle Muller-Bolla,
  • Jesús Ricardo Osorio,
  • Ketty Ramos,
  • Johanna Sanjuán,
  • Magdalena San-Martin,
  • Aldo Squassi,
  • Rita Villena,
  • Elody Aïem,
  • Sandra Cáceres-Matta,
  • Laura Marcela Carreño,
  • Maria P. Cerezo,
  • Adriana Conrado,
  • Laura Hermida,
  • José Ignacio Llamas,
  • Jennifer A. Oña,
  • Angie Sanabria,
  • Daria Said,
  • Angela Sarrazola,
  • Ana Sorazabal,
  • Diana Zelada,
  • Ninoska Abreu-Placeres,
  • Mariana Braga,
  • Juan Sebastián Lara,
  • Paulo Melo,
  • Cristina Areias,
  • Ana Clara Falabello de Luca,
  • Alejandra Rubi Tello,
  • Paula Yunes-Fragoso,
  • E. Angeles Martinez-Mier,
  • Andrea Ferreira Zandona,
  • Andrea Cortes

摘要

Introduction CariesCare International (CCI) is a practice-friendly, health outcomes-focused, patient-centred, risk-based approach to caries management designed for the practice. The unfeasibility of a randomised clinical trial and of aerosol generating procedures (AGPs) during the COVID-19 pandemic to test the caries control effectiveness of CCI shifted it to a non-AGP, reduced on-site consultation, single-interventional study.

Aim This 12-month, multicentre, single-group, interventional study aimed at primarily assessing the control of caries progression of a pandemic CCI-adapted protocol in children.

Methods In total, 17 centres (n≥ 20, 3-8-year-old children/centre) were included. Trained examiners assessed (baseline: T0; one-year follow-up: T1y): CCI caries risk; oral health-related behaviours; decayed, missing and filled teeth (primary, permanent) with the epidemiological merged International Caries Detection and Assessment System (severity, activity); dental sepsis; and toothache. Trained practitioners performed one-year CCI-adapted personalised care. Dental care process acceptance was assessed in parents and dentists.

Results A total of 16 centres finished the study (n = 337, 78.6%; mean age: 5.5 ± 1.6 years). There was a T0-T1y decrease in the mean number of combined primary and permanent tooth surfaces with caries lesions (8.4 ± 9.7 to 6.2 ± 7.6), with most children showing control of caries progression (75.1%), high caries risk (86.6%) and non-adequate oral-health behaviour (72.7%) (p <0.05). CCI acceptance was very high in parents and high/very high in dentists.

Discussion The limitations given by the pandemic challenges, the single-interventional study design, and the non-AGP and reduced in-office-consultation adaptations, might as well highlight the shown caries progression control, feasibility and acceptance of CCI.

Conclusion The one-year implementation of CCI showed control of caries progression and of risk and high acceptance among parents and dentists.