This is the second resubmission of application which is an investigation of clinical outcomes for 80 patients treated for Early Childhood Caries (ECC). In the proposed descriptive study, clinical outcomes are defined in terms of longitudinal oral health, at an exam at six and twelve months after treatment for ECC. No further clinical caries and low levels of mutans streptococci at the post-treatment examination will constitute a positive clinical outcome. Negative outcomes will include high mutans streptococci level with no further decay, and further decay regardless of mutants streptococci level. These measures go beyond the usual definition of successful restorative treatment both temporally, by including follow-ups status and qualitatively, by incorporating measures of mutans streptococci, an etiologic component of ECC. The project will describe patterns related to positive and negative clinical outcomes to epidemiological perspective using data derived from a questionnaire that will be administered in an interview setting. Patients who have had ECC treatment will be described in terms of: a) extent of caries present and oral mutans streptococci level (this defines whether the outcome is positive or negative); b) behaviors: successful cessation of bottle use, fluoride use and frequency of snacking, child's sleep patterns, temperament; c) parental factors: dental knowledge, attitudes and self-described oral health, education level, ethnic identity, daycare arrangements, attitude toward trying to make changes or assume new responsibilities. This research is intended as a pilot study to generate further hypotheses.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Small Research Grants (R03)
Project #
5R03DE012959-02
Application #
6379880
Study Section
Special Emphasis Panel (ZDE1-WG (42))
Program Officer
Canto, Maria Teresa
Project Start
2000-09-15
Project End
2003-08-31
Budget Start
2001-09-01
Budget End
2003-08-31
Support Year
2
Fiscal Year
2001
Total Cost
$39,875
Indirect Cost
Name
University of Rochester
Department
Dentistry
Type
Schools of Dentistry
DUNS #
208469486
City
Rochester
State
NY
Country
United States
Zip Code
14627
Graves, C E; Berkowitz, R J; Proskin, H M et al. (2004) Clinical outcomes for early childhood caries: influence of aggressive dental surgery. J Dent Child (Chic) 71:114-7
Chase, I; Berkowitz, R J; Mundorff-Shrestha, S A et al. (2004) Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans streptococci levels. Eur J Paediatr Dent 5:143-6
Chase, I; Berkowitz, R J; Proskin, H M et al. (2004) Clinical outcomes for Early Childhood Caries (ECC): the influence of health locus of control. Eur J Paediatr Dent 5:76-80