Progress in Early Childhood Caries and Opportunities in Research, Policy, and Clinical Management

Raul Garcia; Belinda Borrelli; Vineet Dhar; Joanna Douglass; Francisco Ramos Gomez; Kimberly Hieftje; Alice Horowitz; Yihong Li; Man Wai Ng; Svante Twetman; Norman Tinanoff

Progress in Early Childhood Caries and Opportunities in Research, Policy, and Clinical Management

Raul Garcia, Belinda Borrelli, Vineet Dhar, Joanna Douglass, Francisco Ramos Gomez, Kimberly Hieftje, Alice Horowitz, Yihong Li, Man Wai Ng, Svante Twetman, Norman Tinanoff

Section 02 - Paediatric Dentistry

26 Citations (Scopus)

Abstract

The 2014 Early Childhood Caries Conference encompassed evidence-based reviews on the state of the science regarding early childhood carries (ECC) epidemiology, etiology, prevention, and disease management. The purpose of this paper was to discuss the work presented at the conference and identify opportunities in research, policy, and clinical management that may improve early childhood caries outcomes and lower costs of care. While great progress has been made since the 1997 ECC Conference, there remains a paucity of high-quality evidence from randomized controlled trials on what are the most effective means to prevent and manage ECC. Analyses of studies indicate that some approaches, such as chlorhexidine, iodine, and remineralizing agents, have not shown consistent findings in preventing ECC. However, evidence exists to yield recommendations in some areas. There are useful risk assessment indicators to identify preschool children at risk for caries. Fluoridated toothpaste and fluoride varnish currently are the most effective chemotherapeutic strategies to prevent ECC. Motivational interviewing, a form of patient-centered counseling, is effective for motivating oral health behaviors and shows promise for reducing caries. Additionally, evidence is emerging that shows the value of chronic disease management approaches and integrating ECC oral health care within medical care settings. Recommendations for future directions in ECC research and policy were also key outcomes of the conference.

Original language	English
Journal	Pediatric Dentistry
Volume	37
Issue number	3
Pages (from-to)	294-9
Number of pages	6
ISSN	0164-1263
Publication status	Published - 1 May 2015

Cite this

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title = "Progress in Early Childhood Caries and Opportunities in Research, Policy, and Clinical Management",

abstract = "The 2014 Early Childhood Caries Conference encompassed evidence-based reviews on the state of the science regarding early childhood carries (ECC) epidemiology, etiology, prevention, and disease management. The purpose of this paper was to discuss the work presented at the conference and identify opportunities in research, policy, and clinical management that may improve early childhood caries outcomes and lower costs of care. While great progress has been made since the 1997 ECC Conference, there remains a paucity of high-quality evidence from randomized controlled trials on what are the most effective means to prevent and manage ECC. Analyses of studies indicate that some approaches, such as chlorhexidine, iodine, and remineralizing agents, have not shown consistent findings in preventing ECC. However, evidence exists to yield recommendations in some areas. There are useful risk assessment indicators to identify preschool children at risk for caries. Fluoridated toothpaste and fluoride varnish currently are the most effective chemotherapeutic strategies to prevent ECC. Motivational interviewing, a form of patient-centered counseling, is effective for motivating oral health behaviors and shows promise for reducing caries. Additionally, evidence is emerging that shows the value of chronic disease management approaches and integrating ECC oral health care within medical care settings. Recommendations for future directions in ECC research and policy were also key outcomes of the conference.",

author = "Raul Garcia and Belinda Borrelli and Vineet Dhar and Joanna Douglass and Gomez, {Francisco Ramos} and Kimberly Hieftje and Alice Horowitz and Yihong Li and Ng, {Man Wai} and Svante Twetman and Norman Tinanoff",

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T1 - Progress in Early Childhood Caries and Opportunities in Research, Policy, and Clinical Management

AU - Garcia, Raul

AU - Borrelli, Belinda

AU - Dhar, Vineet

AU - Douglass, Joanna

AU - Gomez, Francisco Ramos

AU - Hieftje, Kimberly

AU - Horowitz, Alice

AU - Li, Yihong

AU - Ng, Man Wai

AU - Twetman, Svante

AU - Tinanoff, Norman

PY - 2015/5/1

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N2 - The 2014 Early Childhood Caries Conference encompassed evidence-based reviews on the state of the science regarding early childhood carries (ECC) epidemiology, etiology, prevention, and disease management. The purpose of this paper was to discuss the work presented at the conference and identify opportunities in research, policy, and clinical management that may improve early childhood caries outcomes and lower costs of care. While great progress has been made since the 1997 ECC Conference, there remains a paucity of high-quality evidence from randomized controlled trials on what are the most effective means to prevent and manage ECC. Analyses of studies indicate that some approaches, such as chlorhexidine, iodine, and remineralizing agents, have not shown consistent findings in preventing ECC. However, evidence exists to yield recommendations in some areas. There are useful risk assessment indicators to identify preschool children at risk for caries. Fluoridated toothpaste and fluoride varnish currently are the most effective chemotherapeutic strategies to prevent ECC. Motivational interviewing, a form of patient-centered counseling, is effective for motivating oral health behaviors and shows promise for reducing caries. Additionally, evidence is emerging that shows the value of chronic disease management approaches and integrating ECC oral health care within medical care settings. Recommendations for future directions in ECC research and policy were also key outcomes of the conference.

AB - The 2014 Early Childhood Caries Conference encompassed evidence-based reviews on the state of the science regarding early childhood carries (ECC) epidemiology, etiology, prevention, and disease management. The purpose of this paper was to discuss the work presented at the conference and identify opportunities in research, policy, and clinical management that may improve early childhood caries outcomes and lower costs of care. While great progress has been made since the 1997 ECC Conference, there remains a paucity of high-quality evidence from randomized controlled trials on what are the most effective means to prevent and manage ECC. Analyses of studies indicate that some approaches, such as chlorhexidine, iodine, and remineralizing agents, have not shown consistent findings in preventing ECC. However, evidence exists to yield recommendations in some areas. There are useful risk assessment indicators to identify preschool children at risk for caries. Fluoridated toothpaste and fluoride varnish currently are the most effective chemotherapeutic strategies to prevent ECC. Motivational interviewing, a form of patient-centered counseling, is effective for motivating oral health behaviors and shows promise for reducing caries. Additionally, evidence is emerging that shows the value of chronic disease management approaches and integrating ECC oral health care within medical care settings. Recommendations for future directions in ECC research and policy were also key outcomes of the conference.

M3 - Journal article

C2 - 26063559

SN - 0164-1263

VL - 37

SP - 294

EP - 299

JO - Pediatric Dentistry

JF - Pediatric Dentistry

IS - 3

ER -

Progress in Early Childhood Caries and Opportunities in Research, Policy, and Clinical Management

Abstract

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