Predicting Caries Risk in Underserved Toddlers in Primary Healthcare Settings

NCT ID: NCT01707797

Last Updated: 2018-09-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1326 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-11-15

Study Completion Date

2017-03-30

Brief Summary

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The study aims to develop a questionnaire that can be used to help uncover a child's risk of developing dental caries (also known as tooth decay or a cavity). The aim is to develop a practical and easily-scored risk tool that a primary medical care provider can use to help find young children with the highest risk for developing cavities.

Detailed Description

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The duration of expected time to participate is 3 years (which includes 3 dental examinations).

Conditions

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Dental Caries

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy children aged 9-15 months

Healthy children aged 12 months (± 3 months) at baseline stratified by Medicaid status and/or race/ethnicity to ensure a diverse representation. Each child will be paired with the primary caregiver, whom the investigators expect to most likely be the adult parent or legal guardian.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Adults

* If Primary Caregiver is the Parent/Legal guardian: The parent/legal guardian must provide written informed consent for the child and her/himself (if s/he is the primary caregiver) prior to participation.
* If Primary Caregiver is not the Parent/Legal Guardian: If another individual is the primary caregiver, then this individual must provide written informed consent for her/himself prior to participation.
* The parent/legal guardian and the participating primary caregiver must each be at least 18 years old or an emancipated minor
* The parent/legal guardian must consent and allow examination of the oral cavity of her/his child. The primary caregiver must complete the caries risk assessment questionnaire.
* The primary caregiver must be willing to participate, anticipate being the child's primary caregiver during the study period, and anticipate being available for all examinations (baseline, 18 month follow up, and 36 month follow up), in addition to intermediate contacts in between examinations.

Children

* Child must be 9-15 months of age at the time of the baseline study visit.
* Child must be generally healthy (i.e., no current medical condition that makes it difficult for her/him to receive a dental examination).
* Child must allow examination of the oral cavity.

Exclusion Criteria

Adults

* A participant pair (adult-child) who demonstrates an inability to comply with study protocol requirements will be excluded - this determination will be at the Site Primary Investigator's discretion.
* Non-English, non-Spanish reading/speaking individuals will be excluded, as they will not be able to comprehend the consent document or complete the risk questionnaire.

Children

* Children who are in foster care at study initiation will be excluded, due to the likelihood that their primary caregiver will change multiple times during the length of the study.
* Need for antibiotic and/or sedative premedication prior to dental exam.
* Uncontrolled epilepsy.
* Active cancer treatment.
* Unrepaired congenital heart defects that would require premedication prior to dental exam.
Minimum Eligible Age

9 Months

Maximum Eligible Age

15 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Dental and Craniofacial Research (NIDCR)

NIH

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Margherita Fontana, DDS, PhD

Professor Cariology Discipline Co-coordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Margherita Fontana, DDS, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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Indiana University Oral Health Research Institute

Indianapolis, Indiana, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Duke Health Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Fontana M, Eckert GJ, Keels MA, Jackson R, Katz BP, Kemper AR, Levy BT, Levy SM, Yanca E, Kelly S, Daly JM, Patterson B, McKnight P. Predicting Caries in Medical Settings: Risk Factors in Diverse Infant Groups. J Dent Res. 2019 Jan;98(1):68-76. doi: 10.1177/0022034518799080. Epub 2018 Sep 11.

Reference Type DERIVED
PMID: 30205016 (View on PubMed)

Fontana M, Eckert GJ, Keels MA, Jackson R, Katz B, Levy BT, Levy SM. Fluoride Use in Health Care Settings: Association with Children's Caries Risk. Adv Dent Res. 2018 Feb;29(1):24-34. doi: 10.1177/0022034517735297.

Reference Type DERIVED
PMID: 29355412 (View on PubMed)

Other Identifiers

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U01DE021412-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NIDCR 11-101

Identifier Type: -

Identifier Source: org_study_id

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