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Sponsors and Collaborators: |
University of Colorado at Denver and Health Sciences Center Delta Dental Foundation of Colorado |
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Information provided by: | University of Colorado at Denver and Health Sciences Center |
ClinicalTrials.gov Identifier: | NCT00793507 |
This pilot project consists of co-locating dental hygienist services in medical primary care offices. Dental hygienists will work in close collaboration with the primary care offices, providing preventive dental care to young children either before or after scheduled well-child visits.
Condition | Intervention |
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Caries Incidence |
Other: Oral Health Care Early Intervention Project |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Open Label, Parallel Assignment, Efficacy Study |
Official Title: | Oral Health Care Early Intervention Project |
Estimated Enrollment: | 1200 |
Study Start Date: | November 2008 |
Estimated Study Completion Date: | April 2011 |
Estimated Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Intervention Group: Experimental
All participants in the intervention group will be receiving standard preventive dental care received by children in their dental providers' office. These intervention children will receive dental scaling, cleaning and fluoride varnish at visits every three to six months. All participants in the intervention group will receive active reminder/recall from the hygienist, encouraging the participants to return every three to six months for the oral exam, cleaning, scaling and fluoride application.
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Other: Oral Health Care Early Intervention Project
The intervention group will receive routine preventive dental care, 2 to 4 times per year depending on risk of caries. The intervention group will also receive pre-scheduling, reminders, and care coordination by the dental hygienist. The control group will receive usual care, but will not receive pre-scheduling, reminders, or care coordination by the dental hygienist. In order to determine the incidence of early childhood caries at study enrollment, both intervention and control groups will receive a standardized oral examination with an assessment of caries presence and extent on the day of enrollment, at 12 months and at 24 months after enrollment. Both children in the control group and intervention group will be referred to a dentist if found to need restorative care.
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2: Control Group: Active Comparator
The control group will receive usual care, but will not receive pre-scheduling, reminders, or care coordination by the dental hygienist.
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Other: Oral Health Care Early Intervention Project
The intervention group will receive routine preventive dental care, 2 to 4 times per year depending on risk of caries. The intervention group will also receive pre-scheduling, reminders, and care coordination by the dental hygienist. The control group will receive usual care, but will not receive pre-scheduling, reminders, or care coordination by the dental hygienist. In order to determine the incidence of early childhood caries at study enrollment, both intervention and control groups will receive a standardized oral examination with an assessment of caries presence and extent on the day of enrollment, at 12 months and at 24 months after enrollment. Both children in the control group and intervention group will be referred to a dentist if found to need restorative care.
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This investigation is designed to determine the effect of having co-located dental hygienists in primary care offices on the incidence of early childhood caries among young children seen at these primary care offices. The dental hygienists will provide routine preventive dental care and oral health education within the usual scope of their practice. The study is also designed to assess parent knowledge, attitudes, and beliefs about oral health and perceived barriers to preventive dental care, as well as how their oral health-related attitudes change over time.
The specific aims for this project are:
SA1: Among parents of young children seen in pediatric and family medicine primary care practices, determine the knowledge, attitudes, and beliefs of parents regarding the importance of oral health, means of preventing caries, and perceived barriers to accessing regular preventive dental care.
SA2: After co-locating dental hygienists within pediatric and family medicine primary care practices, determine by randomized controlled trial the effect of routine preventive dental care provided by dental hygienists on the incidence of early childhood caries.
SA#: Among parents of young children seen in pediatric and family medicine primary care practices, determine how parental oral health-related knowledge, attitudes, beliefs, and perceived barriers change over time, among parents of children seen by a co-located dental hygienist.
The major hypotheses for this project are:
Ages Eligible for Study: | up to 36 Months |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Children with the following characteristics will be included in the study:
Exclusion Criteria:
Children with the following characteristics will be excluded from the study:
Contact: Matthew F. Daley, MD | 303-724-1079 | daley.matthew@tchden.org |
Contact: Patricia Shobe, MPH | 303-724-0408 | patricia.shobe@ucdenver.edu |
United States, Colorado | |
Salud Family Health Centers | Recruiting |
Ft. Collins, Colorado, United States, 80524 | |
Contact: Maria de Jesus 720-322-9417 | |
Rocky Mountain Youth | Recruiting |
Aurora, Colorado, United States, 80011 | |
Contact: Joe Craig, MD 303-869-2173 Joe.Craig@UCHSC.edu | |
Rocky Mountain Youth | Not yet recruiting |
Thornton, Colorado, United States, 80229 | |
Contact: Joe Craig, MD 303-869-2173 Joe.Craig@UCHSC.edu | |
Grand Mesa Dental Hygiene, LLC | Not yet recruiting |
Delta, Colorado, United States, 81416 | |
Contact: Mary Vigil, RDH 970-874-3801 | |
The Pediatric Associates | Not yet recruiting |
Montrose, Colorado, United States, 81401 | |
Contact: Amber Hickert 970-249-2421 |
Principal Investigator: | Matthew F. Daley, MD | University of Colorado Denver |
Study Director: | Patricia Braun, MD | University of Colorado Denver |
Responsible Party: | University of Colorado Denver ( Matthew F. Daley, MD, Associate Professor ) |
Study ID Numbers: | PN200703-001, 07-0198 |
Study First Received: | November 17, 2008 |
Last Updated: | January 5, 2009 |
ClinicalTrials.gov Identifier: | NCT00793507 |
Health Authority: | United States: Institutional Review Board |
childhood caries |
Dental Caries |