Improving Family's Adherence to Dental Care After DGA (HECC-CAN-study)
Study Details
Study Description
Brief Summary
Early childhood caries (ECC) is a common disease. Its prevalence is highest in poor, socially disadvantaged, and minority groups. Dental treatment under General Anaesthesia (DGA) is common, especially among the youngest patients. Parental adherence to child's post-DGA dental treatment is varying. Non-attendance to preventive care appointments and dental check-ups after the DGA is also common. The primary aim of this study is to explore if a multi-professional (paediatrician and social worker) intervention after the child's DGA can increase the adherence to post-DGA dental care. The secondary aim is to compare its possible influence on children's oral health 18 months after the DGA. Our hypothesis is that multi-professional counselling and support after the DGA will lead to better adherence to the scheduled preventive dental programme and better oral health for these children in the long run.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
In an earlier Finnish study 26% of the children did not attend to their first scheduled appointment after the DGA and during a four years follow-up period 63% of the patients had one or more no-shows.
Based on the assumption that reducing the amount of no-shows to half of the reported earlier (60% vs. 30%) is a clinically relevant result, we need 42 patients for both groups (alpha 0.05, beta 0.2, power 0.8).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Social Paediatric Intervention Multiprofessional social paediatric meeting with the family. |
Other: Social Paediatric Intervention
Family will meet the hospital's social-paediatrician and social worker. Together they will evaluate the need for social support, risk for neglect and refer families for local social services if needed. The visit will contain primary and secondary prophylaxis of child abuse and neglect.
|
| No Intervention: Control group Normal post-DGA dental programme. |
Outcome Measures
Primary Outcome Measures
- Number of uncancelled dental appointments after DGA [0-18 months after the DGA]
Amount of unused or uncancelled dental appointment times after DGA
Secondary Outcome Measures
- Number of new decayed teeth after DGA [0-18 months after the DGA]
Amount of caries lesions observed after DGA
Eligibility Criteria
Criteria
Inclusion Criteria:
-
reason for DGA is dental caries
-
place of birth is Finland
-
primary dentition
Exclusion Criteria:
- chronic disease which needs treatment in tertiary hospital
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | New Children's Hospital | Helsinki | Finland |
Sponsors and Collaborators
- Helsinki University Central Hospital
Investigators
- Principal Investigator: Eeva Nikkola, MD, PhD, Consultant
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HUS/180/220