CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol
- Autores
- Martignon, Stefania; Cortes, Andrea; Douglas, Gail V. A.; Newton, J. Timothy; Pitts, Nigel B.; Ávila, Viviana; Usuga Vacca, Margarita; Deery, Christopher; Abreu - Placeres, Ninoska; Bonifacio, Clarisa; Braga, Mariana M.; Carletto Körber, Fabiana; Castro, Patricia; Cerezo, María P.; Chavarría, Nathaly; Echeverri, Beatriz; Jácome Lievano, Sofía; Kuzmina, Irina; Lara, J. Sebastián; Manton, David; Martínez Mier, E. Ángeles; Melo, Paulo; Muller Bolla, Michele; Ochoa, Emilia; Osorio, Jesús R.; Ramos, Ketty; Sanabria, Angie F.; Sanjuán, Johanna; San Martín, Magdalena; Velasco, A. Karina; Villena, Rita; Ferreira Zandona, Andrea; Beltrán, Edgar O.; Gamboa, Luis F.
- Año de publicación
- 2021
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom.
Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.
Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.
Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom.
Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana.
Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos.
Background: Comprehensive caries care has shown effectiveness in controlling caries progression and improving health outcomes by controlling caries risk, preventing initial-caries lesions progression, and patient satisfaction. To date, the caries-progression control effectiveness of the patient-centred risk-based cariesCare International (CCI) system, derived from ICCMS™ for the practice (2019), remains unproven. With the onset of the COVID-19 pandemic a previously planned multi-centre RCT shifted to this “Caries OUT” study, aiming to assess in a single-intervention group in children, the caries-control effectiveness of CCI adapted for the pandemic with non-aerosols generating procedures (non-AGP) and reducing in-office time. Methods: In this 1-year multi-centre single-group interventional trial the adapted-CCI effectiveness will be assessed in one single group in terms of tooth-surface level caries progression control, and secondarily, individual-level caries progression control, children’s oral-health behaviour change, parents’ and dentists’ process acceptability, and costs exploration. A sample size of 258 3–5 and 6–8 years old patients was calculated after removing half from the previous RCT, allowing for a 25% dropout, including generally health children (27 per centre). The single-group intervention will be the adapted-CCI 4D-cycle caries care, with non-AGP and reduced in-office appointments’ time. A trained examiner per centre will conduct examinations at baseline, at 5–5.5 months (3 months after basic management), 8.5 and 12 months, assessing the child’s CCI caries risk and oral-health behaviour, visually staging and assessing carieslesions severity and activity without air-drying (ICDAS-merged Epi); fillings/sealants; missing/dental-sepsis teeth, and tooth symptoms, synthetizing together with parent and external-trained dental practitioner (DP) the patient- and tooth-surface level diagnoses and personalised care plan. DP will deliver the adapted-CCI caries care. Parents’ and dentists’ process acceptability will be assessed via Treatment-Evaluation-Inventory questionnaires, and costs in terms of number of appointments and activities. Twenty-one centres in 13 countries will participate. Discussion: The results of Caries OUT adapted for the pandemic will provide clinical data that could help support shifting the caries care in children towards individualised oral-health behaviour improvement and tooth-preserving care, improving health outcomes, and explore if the caries progression can be controlled during the pandemic by conducting non-AGP and reducing in-office time.
publishedVersion
Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom.
Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.
Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.
Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.
Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom.
Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana.
Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos.
Otras Ciencias de la Salud - Materia
-
Dental caries
Children
COVID 19
Dental care
Conservative care
Aerosols
Remote consultation
Outcome assessment
Multicenter study - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- Repositorio
.jpg)
- Institución
- Universidad Nacional de Córdoba
- OAI Identificador
- oai:rdu.unc.edu.ar:11086/551042
Ver los metadatos del registro completo
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CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocolMartignon, StefaniaCortes, AndreaDouglas, Gail V. A.Newton, J. TimothyPitts, Nigel B.Ávila, VivianaUsuga Vacca, MargaritaDeery, ChristopherAbreu - Placeres, NinoskaBonifacio, ClarisaBraga, Mariana M.Carletto Körber, FabianaCastro, PatriciaCerezo, María P.Chavarría, NathalyEcheverri, BeatrizJácome Lievano, SofíaKuzmina, IrinaLara, J. SebastiánManton, DavidMartínez Mier, E. ÁngelesMelo, PauloMuller Bolla, MicheleOchoa, EmiliaOsorio, Jesús R.Ramos, KettySanabria, Angie F.Sanjuán, JohannaSan Martín, MagdalenaVelasco, A. KarinaVillena, RitaFerreira Zandona, AndreaBeltrán, Edgar O.Gamboa, Luis F.Dental cariesChildrenCOVID 19Dental careConservative careAerosolsRemote consultationOutcome assessmentMulticenter studyFil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom.Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom.Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana.Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos.Background: Comprehensive caries care has shown effectiveness in controlling caries progression and improving health outcomes by controlling caries risk, preventing initial-caries lesions progression, and patient satisfaction. To date, the caries-progression control effectiveness of the patient-centred risk-based cariesCare International (CCI) system, derived from ICCMS™ for the practice (2019), remains unproven. With the onset of the COVID-19 pandemic a previously planned multi-centre RCT shifted to this “Caries OUT” study, aiming to assess in a single-intervention group in children, the caries-control effectiveness of CCI adapted for the pandemic with non-aerosols generating procedures (non-AGP) and reducing in-office time. Methods: In this 1-year multi-centre single-group interventional trial the adapted-CCI effectiveness will be assessed in one single group in terms of tooth-surface level caries progression control, and secondarily, individual-level caries progression control, children’s oral-health behaviour change, parents’ and dentists’ process acceptability, and costs exploration. A sample size of 258 3–5 and 6–8 years old patients was calculated after removing half from the previous RCT, allowing for a 25% dropout, including generally health children (27 per centre). The single-group intervention will be the adapted-CCI 4D-cycle caries care, with non-AGP and reduced in-office appointments’ time. A trained examiner per centre will conduct examinations at baseline, at 5–5.5 months (3 months after basic management), 8.5 and 12 months, assessing the child’s CCI caries risk and oral-health behaviour, visually staging and assessing carieslesions severity and activity without air-drying (ICDAS-merged Epi); fillings/sealants; missing/dental-sepsis teeth, and tooth symptoms, synthetizing together with parent and external-trained dental practitioner (DP) the patient- and tooth-surface level diagnoses and personalised care plan. DP will deliver the adapted-CCI caries care. Parents’ and dentists’ process acceptability will be assessed via Treatment-Evaluation-Inventory questionnaires, and costs in terms of number of appointments and activities. Twenty-one centres in 13 countries will participate. Discussion: The results of Caries OUT adapted for the pandemic will provide clinical data that could help support shifting the caries care in children towards individualised oral-health behaviour improvement and tooth-preserving care, improving health outcomes, and explore if the caries progression can be controlled during the pandemic by conducting non-AGP and reducing in-office time.publishedVersionFil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom.Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom.Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia.Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom.Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana.Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos.Otras Ciencias de la Salud2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttp://hdl.handle.net/11086/5510421472-6831enginfo:eu-repo/semantics/openAccessreponame:Repositorio Digital Universitario (UNC)instname:Universidad Nacional de Córdobainstacron:UNC2025-09-04T12:32:52Zoai:rdu.unc.edu.ar:11086/551042Institucionalhttps://rdu.unc.edu.ar/Universidad públicaNo correspondehttp://rdu.unc.edu.ar/oai/snrdoca.unc@gmail.comArgentinaNo correspondeNo correspondeNo correspondeopendoar:25722025-09-04 12:32:52.729Repositorio Digital Universitario (UNC) - Universidad Nacional de Córdobafalse |
| dc.title.none.fl_str_mv |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| title |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| spellingShingle |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol Martignon, Stefania Dental caries Children COVID 19 Dental care Conservative care Aerosols Remote consultation Outcome assessment Multicenter study |
| title_short |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| title_full |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| title_fullStr |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| title_full_unstemmed |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| title_sort |
CariesCare International adapted for the pandemic in children: Caries OUT multicentre single-group interventional study protocol |
| dc.creator.none.fl_str_mv |
Martignon, Stefania Cortes, Andrea Douglas, Gail V. A. Newton, J. Timothy Pitts, Nigel B. Ávila, Viviana Usuga Vacca, Margarita Deery, Christopher Abreu - Placeres, Ninoska Bonifacio, Clarisa Braga, Mariana M. Carletto Körber, Fabiana Castro, Patricia Cerezo, María P. Chavarría, Nathaly Echeverri, Beatriz Jácome Lievano, Sofía Kuzmina, Irina Lara, J. Sebastián Manton, David Martínez Mier, E. Ángeles Melo, Paulo Muller Bolla, Michele Ochoa, Emilia Osorio, Jesús R. Ramos, Ketty Sanabria, Angie F. Sanjuán, Johanna San Martín, Magdalena Velasco, A. Karina Villena, Rita Ferreira Zandona, Andrea Beltrán, Edgar O. Gamboa, Luis F. |
| author |
Martignon, Stefania |
| author_facet |
Martignon, Stefania Cortes, Andrea Douglas, Gail V. A. Newton, J. Timothy Pitts, Nigel B. Ávila, Viviana Usuga Vacca, Margarita Deery, Christopher Abreu - Placeres, Ninoska Bonifacio, Clarisa Braga, Mariana M. Carletto Körber, Fabiana Castro, Patricia Cerezo, María P. Chavarría, Nathaly Echeverri, Beatriz Jácome Lievano, Sofía Kuzmina, Irina Lara, J. Sebastián Manton, David Martínez Mier, E. Ángeles Melo, Paulo Muller Bolla, Michele Ochoa, Emilia Osorio, Jesús R. Ramos, Ketty Sanabria, Angie F. Sanjuán, Johanna San Martín, Magdalena Velasco, A. Karina Villena, Rita Ferreira Zandona, Andrea Beltrán, Edgar O. Gamboa, Luis F. |
| author_role |
author |
| author2 |
Cortes, Andrea Douglas, Gail V. A. Newton, J. Timothy Pitts, Nigel B. Ávila, Viviana Usuga Vacca, Margarita Deery, Christopher Abreu - Placeres, Ninoska Bonifacio, Clarisa Braga, Mariana M. Carletto Körber, Fabiana Castro, Patricia Cerezo, María P. Chavarría, Nathaly Echeverri, Beatriz Jácome Lievano, Sofía Kuzmina, Irina Lara, J. Sebastián Manton, David Martínez Mier, E. Ángeles Melo, Paulo Muller Bolla, Michele Ochoa, Emilia Osorio, Jesús R. Ramos, Ketty Sanabria, Angie F. Sanjuán, Johanna San Martín, Magdalena Velasco, A. Karina Villena, Rita Ferreira Zandona, Andrea Beltrán, Edgar O. Gamboa, Luis F. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Dental caries Children COVID 19 Dental care Conservative care Aerosols Remote consultation Outcome assessment Multicenter study |
| topic |
Dental caries Children COVID 19 Dental care Conservative care Aerosols Remote consultation Outcome assessment Multicenter study |
| dc.description.none.fl_txt_mv |
Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom. Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom. Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana. Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos. Background: Comprehensive caries care has shown effectiveness in controlling caries progression and improving health outcomes by controlling caries risk, preventing initial-caries lesions progression, and patient satisfaction. To date, the caries-progression control effectiveness of the patient-centred risk-based cariesCare International (CCI) system, derived from ICCMS™ for the practice (2019), remains unproven. With the onset of the COVID-19 pandemic a previously planned multi-centre RCT shifted to this “Caries OUT” study, aiming to assess in a single-intervention group in children, the caries-control effectiveness of CCI adapted for the pandemic with non-aerosols generating procedures (non-AGP) and reducing in-office time. Methods: In this 1-year multi-centre single-group interventional trial the adapted-CCI effectiveness will be assessed in one single group in terms of tooth-surface level caries progression control, and secondarily, individual-level caries progression control, children’s oral-health behaviour change, parents’ and dentists’ process acceptability, and costs exploration. A sample size of 258 3–5 and 6–8 years old patients was calculated after removing half from the previous RCT, allowing for a 25% dropout, including generally health children (27 per centre). The single-group intervention will be the adapted-CCI 4D-cycle caries care, with non-AGP and reduced in-office appointments’ time. A trained examiner per centre will conduct examinations at baseline, at 5–5.5 months (3 months after basic management), 8.5 and 12 months, assessing the child’s CCI caries risk and oral-health behaviour, visually staging and assessing carieslesions severity and activity without air-drying (ICDAS-merged Epi); fillings/sealants; missing/dental-sepsis teeth, and tooth symptoms, synthetizing together with parent and external-trained dental practitioner (DP) the patient- and tooth-surface level diagnoses and personalised care plan. DP will deliver the adapted-CCI caries care. Parents’ and dentists’ process acceptability will be assessed via Treatment-Evaluation-Inventory questionnaires, and costs in terms of number of appointments and activities. Twenty-one centres in 13 countries will participate. Discussion: The results of Caries OUT adapted for the pandemic will provide clinical data that could help support shifting the caries care in children towards individualised oral-health behaviour improvement and tooth-preserving care, improving health outcomes, and explore if the caries progression can be controlled during the pandemic by conducting non-AGP and reducing in-office time. publishedVersion Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Douglas, Gail V. A. University of Leeds. Dental Public Health. Dental Institute; United Kingdom. Fil: Cortes, Andrea. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Newton, J. Timothy. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. Fil: Pitts, Nigel B. King’s College. Faculty of Dentistry. Oral and Craniofacial Sciences; United Kingdom. Fil: Ávila, Viviana. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Usuga Vacca, Margarita. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Gamboa, Luis F. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. Fil: Deery, Christopher. University of Sheffield. School of Clinical Dentistry; United Kingdom. Fil: Abreu - Placeres, Ninoska. Universidad Iberoamericana. Biomaterials and Dentistry Research Center. Academic Research Department; República Dominicana. Fil: Bonifacio, Clarisa. Academic Center for Dentistry Amsterdam. Department of Pediatric Dentistry; Países Bajos. Otras Ciencias de la Salud |
| description |
Fil: Martignon, Stefania. Universidad El Bosque. Caries Research Unit. Research Department; Colombia. |
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