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Oral health among children participating in an extended home visiting programme-a case‒control study

I Brännemo1,2, J Norman3,4, T Kvist1,2,5

  • 1Division of Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.

European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry
|February 19, 2025
PubMed

Insights

An extended home visiting program did not prevent childhood caries or improve oral health habits in low socioeconomic families. The intervention group showed higher rates of caries, plaque, and sugary intake, with differing socioeconomic factors between groups.

Area of Science:

  • Child health
  • Public health interventions
  • Oral health epidemiology

Background:

  • Childhood caries remains a significant public health issue, particularly in low socioeconomic populations.
  • Early intervention programs aim to improve oral health outcomes and habits in young children.
  • Home visiting programs offer a platform for delivering health education and support directly to families.

Purpose of the Study:

  • To assess the effectiveness of an extended home visiting program in preventing dental caries.
  • To evaluate the program's impact on oral health habits in children from low socioeconomic backgrounds.
  • To determine if enhanced support improves oral hygiene and reduces caries incidence.

Main Methods:

  • A cohort study comparing an extended home visiting program with standard child healthcare.
  • Home visits included themes on child safety, feeding, attachment, parenthood, social networks, and self-care.
  • Clinical caries assessments (International Caries Detection and Assessment System) and oral health questionnaires were conducted at 12, 24, and 36 months.

Main Results:

  • The intervention group had significantly higher rates of caries (32.8% vs. 10.1%) and plaque at 36 months.
  • Children in the intervention group consumed more sweet snacks and drinks.
  • Intervention group parents were younger and more likely to be foreign-born, with differing country of origin demographics compared to the control group.

Conclusions:

  • The extended home visiting program did not reduce caries prevalence or improve oral health habits in this cohort.
  • Socioeconomic and demographic differences between the intervention and control groups necessitate cautious interpretation of the findings.
  • Further research is needed to understand the complex interplay of socioeconomic factors and intervention effectiveness in oral health.
Abstract

Keywords:
Child health servicesEarly childhood cariesParental educationPreventive dentistrySocial servicesSocioeconomic disadvantage

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