Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial.

Q3 Dentistry
Anu Sara Varghese, Roopali M Sankeshwari, Mahantesh B Nagamoti, Anil V Ankola, Shushant Iragonda Jigan, Prajakta J Chavan, Varkey Nadakkavukaran Santhosh, Atrey J Pai Khot
{"title":"Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial.","authors":"Anu Sara Varghese, Roopali M Sankeshwari, Mahantesh B Nagamoti, Anil V Ankola, Shushant Iragonda Jigan, Prajakta J Chavan, Varkey Nadakkavukaran Santhosh, Atrey J Pai Khot","doi":"10.5005/jp-journals-10005-3022","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) holds immense promise in revolutionizing personalized approaches to disease prevention. Parental involvement plays an important role in shaping children's oral health behaviors.</p><p><strong>Aim: </strong>To assess and compare the effectiveness of parent-oriented educational mobile messages and conventional oral health education (OHE) in the caries risk profile among preschoolers using Cariogram.</p><p><strong>Materials and methods: </strong>A double-arm, parallel-group randomized controlled trial was conducted with 100 mother-child pairs from four preschools. The study recruited mothers with smartphones, while children who were ill and without dental caries were excluded. A computer-generated table of random numbers was employed to randomize participants to the mHealth group (<i>n</i> = 50) and conventional OHE group (<i>n</i> = 50). The intervention group received educational messages <i>via</i> WhatsApp every 2 weeks for 4 months, alongside conventional OHE, and the control group (<i>n</i> = 50) received only OHE. The outcome assessor remained blinded throughout the study period. Cariogram was assessed at baseline and after 4 months.</p><p><strong>Results: </strong>Among the 100 mother-child pairs who enrolled in the study, 84 completed it. The mHealth group showed a significant increase in the chance to avoid new cavities and a decrease in high-risk participants (<i>p</i> < 0.001). Additionally, the intervention group exhibited reduced <i>Lactobacillus</i> count, snack frequency, plaque amount, and increased fluoride exposure compared to baseline (<i>p</i> < 0.001). Intergroup comparisons revealed significant differences in most caries risk factors, except salivary flow rate, <i>Streptococcus mutans</i> count, decayed, missing and filled teeth (DMFT) scores, and buffering capacity.</p><p><strong>Conclusion: </strong>This study demonstrated the effectiveness of parent-oriented mHealth education in reducing caries risk among preschoolers when compared to conventional OHE.</p><p><strong>Clinical significance: </strong>This study provides evidence that supports the creation of digital strategies for early childhood caries prevention programs. These strategies empower individuals to take charge of their dental care, particularly laypersons, enhancing self-management.</p><p><strong>Ctri number: </strong>CTRI/2023/03/050519.</p><p><strong>How to cite this article: </strong>Varghese AS, Sankeshwari RM, Nagamoti MB, <i>et al</i>. Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(1):45-52.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 1","pages":"45-52"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915419/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical Pediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10005-3022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Mobile health (mHealth) holds immense promise in revolutionizing personalized approaches to disease prevention. Parental involvement plays an important role in shaping children's oral health behaviors.

Aim: To assess and compare the effectiveness of parent-oriented educational mobile messages and conventional oral health education (OHE) in the caries risk profile among preschoolers using Cariogram.

Materials and methods: A double-arm, parallel-group randomized controlled trial was conducted with 100 mother-child pairs from four preschools. The study recruited mothers with smartphones, while children who were ill and without dental caries were excluded. A computer-generated table of random numbers was employed to randomize participants to the mHealth group (n = 50) and conventional OHE group (n = 50). The intervention group received educational messages via WhatsApp every 2 weeks for 4 months, alongside conventional OHE, and the control group (n = 50) received only OHE. The outcome assessor remained blinded throughout the study period. Cariogram was assessed at baseline and after 4 months.

Results: Among the 100 mother-child pairs who enrolled in the study, 84 completed it. The mHealth group showed a significant increase in the chance to avoid new cavities and a decrease in high-risk participants (p < 0.001). Additionally, the intervention group exhibited reduced Lactobacillus count, snack frequency, plaque amount, and increased fluoride exposure compared to baseline (p < 0.001). Intergroup comparisons revealed significant differences in most caries risk factors, except salivary flow rate, Streptococcus mutans count, decayed, missing and filled teeth (DMFT) scores, and buffering capacity.

Conclusion: This study demonstrated the effectiveness of parent-oriented mHealth education in reducing caries risk among preschoolers when compared to conventional OHE.

Clinical significance: This study provides evidence that supports the creation of digital strategies for early childhood caries prevention programs. These strategies empower individuals to take charge of their dental care, particularly laypersons, enhancing self-management.

Ctri number: CTRI/2023/03/050519.

How to cite this article: Varghese AS, Sankeshwari RM, Nagamoti MB, et al. Cariogram-based Comparison of Caries Risk Profile in Preschoolers Before and After Giving Parent-oriented Educational Mobile Messages: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(1):45-52.

基于龋图的学龄前儿童给家长教育短信前后患龋风险的比较:一项随机对照试验
背景:移动医疗(mHealth)在革命性的个性化疾病预防方法方面有着巨大的前景。父母的参与对儿童口腔健康行为的形成起着重要的作用。目的:评价和比较家长为导向的手机教育短信与传统口腔健康教育(OHE)对学龄前儿童龋风险状况的影响。材料与方法:选取4所幼儿园的100对母子进行双臂、平行组随机对照试验。这项研究招募了有智能手机的母亲,而生病但没有龋齿的孩子被排除在外。采用计算机生成的随机数表将参与者随机分配到移动健康组(n = 50)和传统OHE组(n = 50)。干预组每2周通过WhatsApp接收教育信息,持续4个月,同时接受常规OHE,对照组(n = 50)仅接受OHE。结果评估者在整个研究期间保持盲法。在基线和4个月后评估心电图。结果:在参与研究的100对母子中,有84对完成了研究。移动健康组显示,避免新蛀牙的机会显著增加,高风险参与者的机会减少(p < 0.001)。此外,与基线相比,干预组表现出乳酸菌计数、零食频率、菌斑数量和氟化物暴露增加(p < 0.001)。组间比较显示,除唾液流率、变形链球菌计数、蛀牙、缺牙和补牙(DMFT)评分和缓冲能力外,大多数龋病危险因素存在显著差异。结论:本研究表明,与传统的OHE相比,以家长为导向的移动健康教育在降低学龄前儿童龋齿风险方面是有效的。临床意义:本研究为早期儿童龋齿预防项目的数字化策略的创建提供了证据。这些策略使个人,特别是外行,能够负责自己的牙齿护理,加强自我管理。Ctri编号:Ctri /2023/03/050519。如何引用本文:Varghese AS, Sankeshwari RM, Nagamoti MB等。基于龋图的学龄前儿童给家长教育短信前后患龋风险的比较:一项随机对照试验中华临床儿科杂志,2015;18(1):45-52。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.20
自引率
0.00%
发文量
135
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信