Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial
This 3-year multicentre randomised controlled trial compared, in 6-7-year-old Colombian children, the effectiveness of the ICCMS (International Caries Classification and Management System) with a conventional caries-management system (CCMS) in terms of individual caries-risk, caries lesions, and sec...
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| Veröffentlicht in: | Acta odontologica Scandinavica 2022-10, Vol.80 (7), p.501-512 |
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| creator | Martignon, Stefania Cortes, Andrea Gamboa, Luis Fernando Jácome-Liévano, Sofia Arango-De-la-Cruz, Maria Cristina Cifuentes-Aguirre, Olga Lucia Fortich-Mesa, Natalia Ramos-Martínez, Ketty Sanjuán-Acero, Johanna Alfaro, Lizelia Mejía, Lofthy Usuga-Vacca, Margarita |
| description | This 3-year multicentre randomised controlled trial compared, in 6-7-year-old Colombian children, the effectiveness of the ICCMS (International Caries Classification and Management System) with a conventional caries-management system (CCMS) in terms of individual caries-risk, caries lesions, and secondarily, oral-health-related knowledge/attitudes/practices, and number of appointments.
With ethical approval, 240 6-7-year olds from six Colombian clinics were recruited. Trained examiners conducted the following baseline/follow-up assessments: Caries risk (Cariogram-ICCMS); caries severity/activity staging (ICDAS-merged combined radiographic/visual); sealants/fillings/missing teeth, and oral-health-related knowledge, attitudes and practices. Children received their randomly allocated (ICCMS/CCMS) care from dental practitioners. Outcomes: caries-risk control (children); caries-progression control (tooth surfaces); oral-health-related knowledge/attitudes/practices improvement (parents/children), and appointments' number (children). Descriptive and non-parametric/parametric bivariate analyses were performed.
Three-year-follow-up: n = 187 (77.9%; ICCMS: n = 92; CCMS: n = 95) disclosed a baseline-to-3-year overall high-caries-risk children decrease (ICCMS: 60.9-0%, p |
| doi_str_mv | 10.1080/00016357.2022.2038263 |
| format | Article |
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With ethical approval, 240 6-7-year olds from six Colombian clinics were recruited. Trained examiners conducted the following baseline/follow-up assessments: Caries risk (Cariogram-ICCMS); caries severity/activity staging (ICDAS-merged combined radiographic/visual); sealants/fillings/missing teeth, and oral-health-related knowledge, attitudes and practices. Children received their randomly allocated (ICCMS/CCMS) care from dental practitioners. Outcomes: caries-risk control (children); caries-progression control (tooth surfaces); oral-health-related knowledge/attitudes/practices improvement (parents/children), and appointments' number (children). Descriptive and non-parametric/parametric bivariate analyses were performed.
Three-year-follow-up: n = 187 (77.9%; ICCMS: n = 92; CCMS: n = 95) disclosed a baseline-to-3-year overall high-caries-risk children decrease (ICCMS: 60.9-0%, p < .001; CCMS: 54.7-5.3%, p < .001) (p > .05). ICCMS versus CCMS showed: fewer tooth-surface caries progression (6.2% vs 7.1%, p = .010) and fewer active-caries lesions (49.8% vs. 59.1%, p < .05); higher proportion of children with ≥2/day fluoride-toothpaste tooth-brushing practice (p < .05); similar mean number of appointments (10.9 ± 5.9 vs. 10.0 ± 3.8, p = .15).
Both caries-management systems showed similar effectiveness in caries-risk control, with ICCMS more effectively controlling tooth-surface caries progression and improving toothbrushing practices.</description><identifier>ISSN: 0001-6357</identifier><identifier>EISSN: 1502-3850</identifier><identifier>DOI: 10.1080/00016357.2022.2038263</identifier><identifier>PMID: 35166190</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>children ; comprehensive dental care ; conservative care ; Dental caries ; guideline ; randomised controlled trial</subject><ispartof>Acta odontologica Scandinavica, 2022-10, Vol.80 (7), p.501-512</ispartof><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Acta Odontologica Scandinavica Society. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-71a6215836fd0d045aa34b450449782325a9537e5a8cba4a41a86c2dac02a0a3</citedby><cites>FETCH-LOGICAL-c413t-71a6215836fd0d045aa34b450449782325a9537e5a8cba4a41a86c2dac02a0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35166190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martignon, Stefania</creatorcontrib><creatorcontrib>Cortes, Andrea</creatorcontrib><creatorcontrib>Gamboa, Luis Fernando</creatorcontrib><creatorcontrib>Jácome-Liévano, Sofia</creatorcontrib><creatorcontrib>Arango-De-la-Cruz, Maria Cristina</creatorcontrib><creatorcontrib>Cifuentes-Aguirre, Olga Lucia</creatorcontrib><creatorcontrib>Fortich-Mesa, Natalia</creatorcontrib><creatorcontrib>Ramos-Martínez, Ketty</creatorcontrib><creatorcontrib>Sanjuán-Acero, Johanna</creatorcontrib><creatorcontrib>Alfaro, Lizelia</creatorcontrib><creatorcontrib>Mejía, Lofthy</creatorcontrib><creatorcontrib>Usuga-Vacca, Margarita</creatorcontrib><title>Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial</title><title>Acta odontologica Scandinavica</title><addtitle>Acta Odontol Scand</addtitle><description>This 3-year multicentre randomised controlled trial compared, in 6-7-year-old Colombian children, the effectiveness of the ICCMS (International Caries Classification and Management System) with a conventional caries-management system (CCMS) in terms of individual caries-risk, caries lesions, and secondarily, oral-health-related knowledge/attitudes/practices, and number of appointments.
With ethical approval, 240 6-7-year olds from six Colombian clinics were recruited. Trained examiners conducted the following baseline/follow-up assessments: Caries risk (Cariogram-ICCMS); caries severity/activity staging (ICDAS-merged combined radiographic/visual); sealants/fillings/missing teeth, and oral-health-related knowledge, attitudes and practices. Children received their randomly allocated (ICCMS/CCMS) care from dental practitioners. Outcomes: caries-risk control (children); caries-progression control (tooth surfaces); oral-health-related knowledge/attitudes/practices improvement (parents/children), and appointments' number (children). Descriptive and non-parametric/parametric bivariate analyses were performed.
Three-year-follow-up: n = 187 (77.9%; ICCMS: n = 92; CCMS: n = 95) disclosed a baseline-to-3-year overall high-caries-risk children decrease (ICCMS: 60.9-0%, p < .001; CCMS: 54.7-5.3%, p < .001) (p > .05). ICCMS versus CCMS showed: fewer tooth-surface caries progression (6.2% vs 7.1%, p = .010) and fewer active-caries lesions (49.8% vs. 59.1%, p < .05); higher proportion of children with ≥2/day fluoride-toothpaste tooth-brushing practice (p < .05); similar mean number of appointments (10.9 ± 5.9 vs. 10.0 ± 3.8, p = .15).
Both caries-management systems showed similar effectiveness in caries-risk control, with ICCMS more effectively controlling tooth-surface caries progression and improving toothbrushing practices.</description><subject>children</subject><subject>comprehensive dental care</subject><subject>conservative care</subject><subject>Dental caries</subject><subject>guideline</subject><subject>randomised controlled trial</subject><issn>0001-6357</issn><issn>1502-3850</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><recordid>eNp9kE1vEzEQhq0K1IbSn0DlI5ct46_96KkoKlCpiAO9WxPvbGvkXbe2A8q_x1FSjlw89uiZea2HsQ8CrgT08AkARKtMdyVBynqoXrbqhK2EAdmo3sAbttozzR46Y-9y_lWfeuiHU3amjGhbMcCKpdtpIlf8b1ooZx4nXp6I363X339yh8lT5jMu-EgzLYXnXS408ykm7p58GBMt1xy5anaEic_bULyrXCKecBnj7DON3MXaiSHUa0kew3v2dsKQ6eJYz9nDl9uH9bfm_sfXu_Xn-8ZpoUrTCWylML1qpxFG0AZR6Y02oPXQ9VJJg4NRHRns3QY1aoF96-SIDiQCqnP28bD2OcWXLeVi63cchYALxW22spUDmMF0Q0XNAXUp5pxoss_Jz5h2VoDd27avtu3etj3arnOXx4jtZqbx39Sr3grcHAC_VGcz_okpjLbgLsQ0VUXOZ6v-n_EXegaOgg</recordid><startdate>20221003</startdate><enddate>20221003</enddate><creator>Martignon, Stefania</creator><creator>Cortes, Andrea</creator><creator>Gamboa, Luis Fernando</creator><creator>Jácome-Liévano, Sofia</creator><creator>Arango-De-la-Cruz, Maria Cristina</creator><creator>Cifuentes-Aguirre, Olga Lucia</creator><creator>Fortich-Mesa, Natalia</creator><creator>Ramos-Martínez, Ketty</creator><creator>Sanjuán-Acero, Johanna</creator><creator>Alfaro, Lizelia</creator><creator>Mejía, Lofthy</creator><creator>Usuga-Vacca, Margarita</creator><general>Taylor & Francis</general><scope>0YH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20221003</creationdate><title>Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial</title><author>Martignon, Stefania ; Cortes, Andrea ; Gamboa, Luis Fernando ; Jácome-Liévano, Sofia ; Arango-De-la-Cruz, Maria Cristina ; Cifuentes-Aguirre, Olga Lucia ; Fortich-Mesa, Natalia ; Ramos-Martínez, Ketty ; Sanjuán-Acero, Johanna ; Alfaro, Lizelia ; Mejía, Lofthy ; Usuga-Vacca, Margarita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-71a6215836fd0d045aa34b450449782325a9537e5a8cba4a41a86c2dac02a0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>children</topic><topic>comprehensive dental care</topic><topic>conservative care</topic><topic>Dental caries</topic><topic>guideline</topic><topic>randomised controlled trial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martignon, Stefania</creatorcontrib><creatorcontrib>Cortes, Andrea</creatorcontrib><creatorcontrib>Gamboa, Luis Fernando</creatorcontrib><creatorcontrib>Jácome-Liévano, Sofia</creatorcontrib><creatorcontrib>Arango-De-la-Cruz, Maria Cristina</creatorcontrib><creatorcontrib>Cifuentes-Aguirre, Olga Lucia</creatorcontrib><creatorcontrib>Fortich-Mesa, Natalia</creatorcontrib><creatorcontrib>Ramos-Martínez, Ketty</creatorcontrib><creatorcontrib>Sanjuán-Acero, Johanna</creatorcontrib><creatorcontrib>Alfaro, Lizelia</creatorcontrib><creatorcontrib>Mejía, Lofthy</creatorcontrib><creatorcontrib>Usuga-Vacca, Margarita</creatorcontrib><collection>Access via Taylor & Francis (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta odontologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martignon, Stefania</au><au>Cortes, Andrea</au><au>Gamboa, Luis Fernando</au><au>Jácome-Liévano, Sofia</au><au>Arango-De-la-Cruz, Maria Cristina</au><au>Cifuentes-Aguirre, Olga Lucia</au><au>Fortich-Mesa, Natalia</au><au>Ramos-Martínez, Ketty</au><au>Sanjuán-Acero, Johanna</au><au>Alfaro, Lizelia</au><au>Mejía, Lofthy</au><au>Usuga-Vacca, Margarita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial</atitle><jtitle>Acta odontologica Scandinavica</jtitle><addtitle>Acta Odontol Scand</addtitle><date>2022-10-03</date><risdate>2022</risdate><volume>80</volume><issue>7</issue><spage>501</spage><epage>512</epage><pages>501-512</pages><issn>0001-6357</issn><eissn>1502-3850</eissn><abstract>This 3-year multicentre randomised controlled trial compared, in 6-7-year-old Colombian children, the effectiveness of the ICCMS (International Caries Classification and Management System) with a conventional caries-management system (CCMS) in terms of individual caries-risk, caries lesions, and secondarily, oral-health-related knowledge/attitudes/practices, and number of appointments.
With ethical approval, 240 6-7-year olds from six Colombian clinics were recruited. Trained examiners conducted the following baseline/follow-up assessments: Caries risk (Cariogram-ICCMS); caries severity/activity staging (ICDAS-merged combined radiographic/visual); sealants/fillings/missing teeth, and oral-health-related knowledge, attitudes and practices. Children received their randomly allocated (ICCMS/CCMS) care from dental practitioners. Outcomes: caries-risk control (children); caries-progression control (tooth surfaces); oral-health-related knowledge/attitudes/practices improvement (parents/children), and appointments' number (children). Descriptive and non-parametric/parametric bivariate analyses were performed.
Three-year-follow-up: n = 187 (77.9%; ICCMS: n = 92; CCMS: n = 95) disclosed a baseline-to-3-year overall high-caries-risk children decrease (ICCMS: 60.9-0%, p < .001; CCMS: 54.7-5.3%, p < .001) (p > .05). ICCMS versus CCMS showed: fewer tooth-surface caries progression (6.2% vs 7.1%, p = .010) and fewer active-caries lesions (49.8% vs. 59.1%, p < .05); higher proportion of children with ≥2/day fluoride-toothpaste tooth-brushing practice (p < .05); similar mean number of appointments (10.9 ± 5.9 vs. 10.0 ± 3.8, p = .15).
Both caries-management systems showed similar effectiveness in caries-risk control, with ICCMS more effectively controlling tooth-surface caries progression and improving toothbrushing practices.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>35166190</pmid><doi>10.1080/00016357.2022.2038263</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | children comprehensive dental care conservative care Dental caries guideline randomised controlled trial |
| title | Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial |
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