Table 2 The preventive oral health intervention program
From: Effectiveness of an oral health intervention program for children with congenital heart defects
The content of the intervention program performed in intervention group at baseline, first – and second follow-up | ||
|---|---|---|
Preventive oral health intervention program | ||
General intervention | ||
A knowledge base | Importance of optimal oral hygiene | -Explaining the link to IE |
Other counselling | -Medicine intake: before brushing teeth -If drinking during night, only water | |
“Lift the lip” program | -To detect early caries lesions and how to intervene - contact PDS | |
Motivation | Promotion of parental discussions | -Explaining the benefits of optimal oral health |
Behavioural change intervention. | Oral hygiene instruction | -Supervised tooth-brushing twice daily (fluoride paste ≥1000 ppm) -Instruction of tooth-brushing technique |
Dietary counselling | -Reduced intake of sugary snacks and sugary or acidic drinks | |
Local intervention | ||
Fluoride supplements | Fluoride tablets not a local intervention | -Dose according to age |
Professional varnish application (Duraphat ®) | -In moderate amounts, only on caries risk surfaces | |
Programs according to oral health risk assessment. Recommendation for PDS | ||
Program I (Pro. I) | Appointment regime | -Twice annually Go through extradited knowledge pack. |
Program | -Practical training of the parents in how to brush their child’s teeth -Fluoride tablets -Duraphat® | |
Program II (Pro. II) | Appointment regime | -Four times annually |
Program | -Pro I and additional: -Information about location of enamel caries, erosion or DDE -For immigrants, clarify that the message on oral health were understood. If not, interpreter service offered | |
Program III (Pro. III) | Appointment regime | -Initially every month for 3 months -Depending on the response, maintain same appointment regime or change to four times or twice annually |
Program | -Pro I + II and additional: -Rapid onset of acute treatment -Additionally Duraphat® every month for three months, then once during the remaining year | |