Journal
PEDIATRIC DENTISTRY
Volume 39, Issue 7, Pages 450-454Publisher
AMER ACAD PEDIATRIC DENTISTRY
Keywords
RECALL; DENTAL REHABILITATION; RISK ASSESSMENT
Categories
Funding
- VCU School of Dentistry
- Health Resources Services Administration (HRSA)
- Postdoctoral Training in General, Pediatric and Public Health Dentistry and Dental Hygiene [D88HP2851]
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Purpose: To test a more frequent preventive recall strategy following full-mouth dental rehabilitation (FMDR) in children with early child-hood caries (ECC). Methods: Patients were randomized into two groups: controls, who were scheduled to return at six-month intervals (6-MR); and the intervention group, who were scheduled to return at three-month intervals (3-MR and 6-MR). At baseline and at each recall, a caries risk assessment (CRA) and dental exam were completed. Analyses followed CONSORT recommendations, resulting in three analyses: intent-totreat; per-protocol; and an actual recall analysis. Results: Intent-to-treat analysis showed no significant difference in CRA at six months (P>0.7); per-protocol analysis showed borderline significance (P>.08); and actual recall analysis showed a statistically significant difference in CRA at six months (P=.021). For patients with both 3-MR and 6-MR, 44 percent were assessed at a high caries risk level; for patients with only a 6-MR, 72 percent were assessed as a high caries risk level (P=.021). No significant differences were found in caries incidence at six months. Conclusions: Following full-mouth dental rehabilitation, patients who returned for follow-ups at both three-and six-month intervals had a greater decrease in caries risk level compared to patients seen at six-month follow-up intervals.
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