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Mother and youth access (MAYA) maternal chlorhexidine, counselling and paediatric fluoride varnish randomized clinical trial to prevent early childhood caries.
- Source :
- International Journal of Paediatric Dentistry; May2012, Vol. 22 Issue 3, p169-179, 11p
- Publication Year :
- 2012
-
Abstract
- International Journal of Paediatric Dentistry 2012; 22: 169-179 Background. Mexican-American children have a higher caries prevalence than the US average. The Mothers and Youth Access (MAYA) study was a randomized clinical trial initiated to address this problem. Aim. Comparison of the efficacy of two prevention interventions in reducing early childhood caries (ECC). Design. All 361 randomized mother-child dyads received oral health counselling. Beginning at 4 months postpartum, intervention mothers received chlorhexidine (CHX) mouthrinse for 3 months beginning 4 months postpartum and children received fluoride varnish (FV) every 6 months from age 12-36 months. Control group children received FV if precavitated lesions developed. Salivary mutans streptococci (MS) and lactobacilli were assessed. Results. No significant difference in children's 36-month caries incidence between groups; 34% in each group developed caries [( d<subscript>2+</subscript>fs) > 0]. About half of control group developed precavitated lesions and received therapeutic FV. Maternal MS levels declined during CHX use, but increased when discontinued. Conclusions. Maternal postpartum CHX regimen, oral health counselling and preventive child FV applications were not more efficacious than maternal counselling with child therapeutic FV for precavitated lesions for ECC prevention. FV for young children with brief maternal CHX use and oral health counselling may need to be combined with additional or longer-term therapies to significantly reduce ECC in high-risk populations. [ABSTRACT FROM AUTHOR]
- Subjects :
- CAVITY prevention
DENTAL fluoride treatment
SALIVA microbiology
CHLORHEXIDINE
MOUTHWASHES
CLINICAL trials
COUNSELING
LACTOBACILLUS
HEALTH outcome assessment
PROBABILITY theory
PUERPERIUM
QUESTIONNAIRES
RESEARCH evaluation
RESEARCH funding
STATISTICS
STREPTOCOCCUS
T-test (Statistics)
TOOTH care & hygiene
SAMPLE size (Statistics)
RANDOMIZED controlled trials
INTER-observer reliability
BLIND experiment
DESCRIPTIVE statistics
CHILDREN
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 09607439
- Volume :
- 22
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Paediatric Dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 73931027
- Full Text :
- https://doi.org/10.1111/j.1365-263X.2011.01188.x