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Caries Prevention Through Life Course Approach

  • Francisco Ramos-GomezEmail author
  • Cor van Loveren
Chapter

Abstract

Recent epidemiological analyses showed that caries risk continues throughout all age groups. Moreover, it seems that there are trajectories of oral health. Individuals seem to enter such a trajectory at an early age and it shows to be difficult to escape to another trajectory with better health perspectives. Therefore it is important to start caries prevention even before birth in order to ensure that children start in a favorable trajectory. Also health depends on social, environmental, and economic determinants which are conceptually summarized in the life course theory. For oral health, this implies that primary health-care providers integrate oral health into their routine examinations with oral health screenings, preventive education, and prophylactic fluoride applications. The main message for each age group is the twice daily toothbrushing with a fluoridated toothpaste individually supplemented with other oral hygiene techniques. If the oral hygiene technique fails, improvement can be achieved through composing self-care management goals. This method stimulates patients to formulate self-management goals, action and coping planning, and control. Patient’s adherence to his own goals is strengthened by the oral care provider who alerts the patient (and parents, caregivers, or voluntary aids) continuously about their own decisive influence on the control of caries in his own mouth. This requires tailored recall intervals for monitoring, motivation, and stimulation. The self-management goals are the take-home message towards creating a stronger and healthier dental atmosphere at home and are a vital facet to preventing caries for all age groups.

Keywords

Caries prevention Health trajectory Life course theory Self-management goals Behavior management 

Notes

Conflict of Interest

The authors have no conflict of interest to declare.

References

  1. 1.
    Broadbent JM, Foster Page LA, Thomson WM, Poulton R. Permanent dentition caries through the first half of life. Br Dent J. 2013;215(7), E12.PubMedCrossRefGoogle Scholar
  2. 2.
    Fejerskov O, Escobar G, Jøssing M, Baelum V. A functional natural dentition for all – and for life? The oral healthcare system needs revision. J Oral Rehabil. 2013;40(9):707–22.PubMedCrossRefGoogle Scholar
  3. 3.
    Glick M, Monteiro da Silva O, Seeberger GK, Xu T, Pucca G, Williams DM, et al. FDI Vision 2020: shaping the future of oral health. Int Dent J. 2012;62(6):278–91.PubMedCrossRefGoogle Scholar
  4. 4.
    Hausen H, Kärkkäinen S, Seppä L. Application of the high-risk strategy to control dental caries. Community Dent Oral Epidemiol. 2000;28:26–34.PubMedCrossRefGoogle Scholar
  5. 5.
    Hausen H, Seppä L, Poutanen R, Niinimaa A, Lahti S, Kärkkäinen S, et al. Noninvasive control of dental caries in children with active initial lesions a randomized clinical trial. Caries Res. 2007;41(5):384–91.PubMedCrossRefGoogle Scholar
  6. 6.
    Ng MW, Ramos-Gomez F, Lieberman M, Lee JY, Scoville R, Hannon C, et al. Disease management of early childhood caries: ECC Collaborative Project. Int J Dent. 2014; Article ID 327801. Epub 2014 Mar 3.Google Scholar
  7. 7.
    Heyduck C, Meller C, Schwahn C, Splieth CH. Effectiveness of sealants in adolescents with high and low caries experience. Caries Res. 2006;40(5):375–81.PubMedCrossRefGoogle Scholar
  8. 8.
    World Health Organization. Health Promotion Glossary. 1998. http://www.who.int/healthpromotion/about/HPG/en/.
  9. 9.
    Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000;28(6):399–406.PubMedCrossRefGoogle Scholar
  10. 10.
    Monse B, Naliponguit E, Belizario V, Benzian H, van Helderman WP. Essential health care package for children – the ‘Fit for School’ program in the Philippines. Int Dent J. 2010;60(2):85–93.PubMedGoogle Scholar
  11. 11.
    Fine A, Kotelchuck M. Rethinking MCH. The life course model as an organizing framework. 2010. U.S. Department of Health and Human Services, Health Resources and Services Administration, and Maternal and Child Health Bureau.Google Scholar
  12. 12.
    American Academics of Pediatrics. Recommendations for Preventative Pediatric Healthcare AAP/Bright Futures. Recommendations for Preventative Pediatric Healthcare AAP/Bright Futures 2015. October 2015 [cited 2015 12/04/2015]; [Recommendations for Preventative Pediatric Healthcare AAP/Bright Futures]. Available from: https://www.aap.org/en-us/professional-resources/practice-support/Periodicity/Periodicity%20Schedule_FINAL.pdf.
  13. 13.
    American Academics of Pediatrics Oral Health Coding Fact Sheet for Primary Care Physicians. 2015 [12/04/15]; Available from: https://www.aap.org/en-us/Documents/coding_factsheet_oral_health.pdf.
  14. 14.
    Berkowitz O, Kaufman LB, Russell M. Introduction of an interprofessional oral health curriculum. J Physician Assist Educ. 2015;26(1):43–6.PubMedCrossRefGoogle Scholar
  15. 15.
    FDI General Assembly. FDI POLICY STATEMENT Perinatal and Infant Oral Health. Perinatal and Infant Oral Health (n.d.): n. pag. Web. 19 Jan 2016. http://www.fdiworldental.org/media/55238/1-fdi_ps-perinatal_and_infant_oral_health_approved_gab_2014.pdf.
  16. 16.
    Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O’Connor KG, et al. Oral health and pediatricians: results of a national survey. Acad Pediatr. 2009;9(6):457–61.PubMedCrossRefGoogle Scholar
  17. 17.
    American Dental Association. Breaking Down Barriers to Oral Health for All Americans: The Community Dental Health Coordinator, A Statement from the American Dental Association. 2012.Google Scholar
  18. 18.
    California Health Care Foundation. Virtual dental home to provide care to underserved communities in California. 2010.Google Scholar
  19. 19.
    Carr BR, Isong U, Weintraub JA. Identification and description of mobile dental programs – a brief communication. J Public Health Dent. 2008;68(4):234–7.PubMedCrossRefGoogle Scholar
  20. 20.
    Schwarzer R. Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors. Appl Psychol. 2008;57(1):1–29.CrossRefGoogle Scholar
  21. 21.
    Prochaska JO, DiClemente CC. Trans-theoretical therapy – toward a more integrative model of change. Psychother Theory Res Pract. 1982;19(3):276–88.CrossRefGoogle Scholar
  22. 22.
    Gao X, Lo EC, Kot SC, Chan KC. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials. J Periodontol. 2014;85(3):426–37.PubMedCrossRefGoogle Scholar
  23. 23.
    Cascaes AM, Bielemann RM, Clark VL, Barros AJ. Effectiveness of motivational interviewing at improving oral health: a systematic review. Rev Saude Publica. 2014;48(1):142–53.PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Harrison R, Benton T, Everson-Stewart S, Weinstein P. Effect of motivational interviewing on rates of early childhood caries: a randomized trial. Pediatr Dent. 2007;29(1):16–22.PubMedGoogle Scholar
  25. 25.
    Gruythuysen RJM, van Strijp AJP, van Palenstein Helderman WH, Frankenmolen FW. Niet-restauratieve behandeling van cariës in het tijdelijke gebit: doelmatig en kindvriendelijk. Ned Tijdschrift Geneeskd. 2011;155(42):2112–9.Google Scholar
  26. 26.
    Mijan M, de Amorim G, Leal SC, Mulder J, Oliviera L, Creugers NHJ, et al. The 3.5-year survival rates of primary molars treated according to three treatment protocols: a controlled clinical trial. Clin Oral Invest. 2014;18(4):1061–9.Google Scholar
  27. 27.
    Santamaria RM, Innes NPT, Machiulskiene V, Evans DJP, Splieth CH. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res. 2014;93(11):1062–9.PubMedPubMedCentralCrossRefGoogle Scholar
  28. 28.
    Chu CH, Lo EC, Lin HC. Effectiveness of silver diamine fluoride and sodium fluoride varnish in arresting dentin caries in Chinese pre-school children. J Dent Res. 2002;81(11):767–70.PubMedCrossRefGoogle Scholar
  29. 29.
    Contreras A, Herrera JA, Soto JE, Arce RM, Jaramillo A, Botero JE. Periodontitis is associated with preeclampsia in pregnant women. J Periodontol. 2006;77(2):182–8.PubMedCrossRefGoogle Scholar
  30. 30.
    Yeo BK, Lim LP, Paquette DW, Williams RC. Periodontal disease – the emergence of a risk for systemic conditions: pre-term low birth weight. Ann Acad Med Singapore. 2005;34(1):111–6.PubMedGoogle Scholar
  31. 31.
    Dasanayake AP. Poor periodontal health of the pregnant woman as a risk factor for low birth weight. Ann Periodontol. 1998;3(1):206–12.PubMedCrossRefGoogle Scholar
  32. 32.
    Boggess KA, Society for Maternal-Fetal Medicine Publications Committee. Maternal oral health in pregnancy. Obstet Gynecol. 2008;111(4):976–86.PubMedCrossRefGoogle Scholar
  33. 33.
    Han YW, Fardini Y, Chen C, Iacampo KG, Peraino VA, Shamonki JM, et al. Term stillbirth caused by oral Fusobacterium nucleatum. Obstet Gynecol. 2010;115(2 Pt 2):442–5.PubMedPubMedCentralCrossRefGoogle Scholar
  34. 34.
    American College of Obstetricians and Gynecologists, Committee on Health Care for Underserved Women. Oral health care during pregnancy and through the lifespan. 2013.Google Scholar
  35. 35.
    New York State Department of Health. Oral health care during pregnancy and early childhood: practice guidelines. 2006.Google Scholar
  36. 36.
    National Maternal and Child Oral Health Resource Center. Oral health care during pregnancy: a National Consensus Statement. Washington, DC: Georgetown University; 2012.Google Scholar
  37. 37.
    California Dental Association Foundation, American College of Obstetricians and Gynecologists, and I.X. District. Oral health during pregnancy and early childhood: evidence-based guidelines for health professionals. J Calif Dent Assoc. 2010; 38(6):391–440.Google Scholar
  38. 38.
    Shiboski CH, Gansky SA, Ramos-Gomez F, Ngo L, Isman R, Pollick HF. The association of early childhood caries and race/ethnicity among California preschool children. J Public Health Dent. 2003;63(1):38–46.PubMedCrossRefGoogle Scholar
  39. 39.
    Ramos-Gomez FJ, Gansky SA, Featherstone JD, Jue B, Gonzalez-Beristain R, Santo W, et al. Mother and youth access (MAYA) maternal chlorhexidine, counselling and paediatric fluoride varnish randomized clinical trial to prevent early childhood caries. Int J Paediatr Dent. 2012;22(3):169–79.PubMedCrossRefGoogle Scholar
  40. 40.
    American Dental Association. Statement on early childhood caries. 2004 [18 Jun 2014]; Available from: http://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-early-childhood-caries.
  41. 41.
    American Academy of Pediatrics. Oral health risk assessment timing and establishment of the dental home. Pediatrics. 2003;111(6):1113–6.Google Scholar
  42. 42.
    Ramos-Gomez F, Ng MW. Into the future: keeping healthy teeth caries free: pediatric CAMBRA protocols. J Calif Dent Assoc. 2011;39(10):723–33.PubMedPubMedCentralGoogle Scholar
  43. 43.
    Yaacob M, Worthington HV, Deacon SA, Deery C, Walmsley AD, Robinson PG, et al. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev. 2014;6:CD002281.Google Scholar
  44. 44.
    Carvalho JC, Thylstrup A, Ekstrand KR. Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol. 1992;20:187–92.PubMedCrossRefGoogle Scholar
  45. 45.
    Evans RW, Dennison PJ. The Caries Management System: an evidence-based preventive strategy for dental practitioners. Application for children and adolescents. Aust Dent J. 2009;54:381–9.PubMedCrossRefGoogle Scholar
  46. 46.
    Ng MW, Torresyap G, White A, Melvin P, Graham D, Kane D, et al. Disease management of early childhood caries: results of a pilot quality improvement project. J Health Care Poor Underserved. 2012;23:193–209.PubMedCrossRefGoogle Scholar
  47. 47.
    Abanto J, Celiberti P, Braga MM, Vidigal EA, Cordeschi T, Haddad AE, et al. Effectiveness of a preventive program based on caries risk assessment and recall intervals on the incidence and regression of initial caries lesions in children. Int J Paediatr Dent. 2015;25:291–9.PubMedCrossRefGoogle Scholar
  48. 48.
    Ekstrand KR, Christiansen ME. Outcomes of a non-operative caries treatment programme for children and adolescents. Caries Res. 2005;39(6):455–67.PubMedCrossRefGoogle Scholar
  49. 49.
    Ekstrand KR, Kuzmina IN, Kuzmina E, Christiansen ME. Two and a half-year outcome of caries-preventive programs offered to groups of children in the Solntsevsky district of Moscow. Caries Res. 2000;34(1):8–19.PubMedCrossRefGoogle Scholar
  50. 50.
    Vermaire JH, Poorterman JH, van Herwijnen L, van Loveren C. A three-year randomized controlled trial in 6-year-old children on caries-preventive strategies in a general dental practice in the Netherlands. Caries Res. 2014;48(6):524–33.PubMedCrossRefGoogle Scholar
  51. 51.
    Mejàre IA, Klingberg G, Mowafi FK, Stecksén-Blicks C, Twetman S, Tranæus SH. A systematic map of systematic reviews in pediatric dentistry – what do we really know? PLoS One. 2015;10(2), e0117537. doi: 10.1371/journal.pone.0117537. eCollection 2015.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Professor, Division of Pediatric DentistryUCLA University, School of DentistryLos AngelesUSA
  2. 2.Preventive DentistryAcademic Centre for Dentistry (ACTA)AmsterdamThe Netherlands
  3. 3.Professor, Department of Cariology, Endodontology and PedodontologyUniversity of AmsterdamAmsterdamThe Netherlands

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