Effectiveness of a 4-Month vs. 8-Month Recall Interval for High-Caries-Risk Preschool Children: A 30-Month Clinical Trial.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-09-22 DOI:10.1111/ipd.70032

Thais Cordeschi, Mariana Besseler, Isabel Cristina Olegário, Kim Ekstrand, Azam Bakhshandeh, Gabriela Berti, Jenny Abanto, Marcelo Bönecker

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引用次数: 0

Abstract

Background: Regular follow-up after dental treatment is essential to prevent the development and progression of new caries lesions in children. However, there is no consensus on the optimal recall interval.

Aim: The aim of the present clinical trial was to evaluate the effectiveness of two different recall intervals for high caries risk children.

Design: A total of 224 preschool children (aged 3-5 years) with at least one active caries lesion were selected. After treatment, children were randomized into two different groups according to the recall interval: every 4 months or every 8 months. A single trained and calibrated examiner re-evaluated participants according to their group. The primary outcome was caries lesion progression into dentine (ICDAS 5-6). Logistic regression analysis was used to evaluate the association between the independent variables and primary outcome (α = 5%).

Results: Children in the 8-month recall group were 2.5 times more likely to develop new cavitated caries lesions when compared to those in the 4-month recall group, over 30 months.

Conclusion: High caries risk children on an 8-month recall schedule had a significantly higher risk of developing new cavitated caries lesions compared to those with a 4-month recall interval.

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4个月与8个月回忆间隔对高龋风险学龄前儿童的有效性：一项30个月的临床试验

背景：牙科治疗后的定期随访对于预防儿童新龋的发生和发展至关重要。然而，对于最优回忆间隔，目前还没有达成共识。目的：本临床试验的目的是评估两种不同的回忆间隔对高龋风险儿童的有效性。设计：选取至少有一例活动性龋病的学龄前儿童224例（3-5岁）。治疗后，根据回忆间隔将患儿随机分为每4个月或每8个月两组。一名经过培训和校准的审查员根据参与者的小组对他们进行重新评估。主要结果是龋齿进展到牙本质（ICDAS 5-6）。采用Logistic回归分析评价自变量与主要转归的相关性（α = 5%）。结果：在30个月的时间里，8个月回忆组的儿童发生新的空腔性龋齿病变的可能性是4个月回忆组的2.5倍。结论：与回忆间隔4个月的儿童相比，回忆间隔8个月的高龋风险儿童发生新的空腔性龋齿的风险显著增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.