{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:24:44Z","timestamp":1791401084477,"version":"4.3.3"},"reference-count":59,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100016018","name":"Universidad El Bosque","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100016018","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Br Dent J"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>\n            <jats:bold>Introduction<\/jats:bold> CariesCare International (CCI) is a practice-friendly, health outcomes-focused, patient-centred, risk-based approach to caries management designed for the practice. The unfeasibility of a randomised clinical trial and of aerosol generating procedures (AGPs) during the COVID-19 pandemic to test the caries control effectiveness of CCI shifted it to a non-AGP, reduced on-site consultation, single-interventional study.<\/jats:p>\n          <jats:p>\n            <jats:bold>Aim<\/jats:bold> This 12-month, multicentre, single-group, interventional study aimed at primarily assessing the control of caries progression of a pandemic CCI-adapted protocol in children.<\/jats:p>\n          <jats:p>\n            <jats:bold>Methods<\/jats:bold> In total, 17 centres (<jats:italic>n<\/jats:italic>\u2265 20, 3-8-year-old children\/centre) were included. Trained examiners assessed (baseline: T0; one-year follow-up: T1y): CCI caries risk; oral health-related behaviours; decayed, missing and filled teeth (primary, permanent) with the epidemiological merged International Caries Detection and Assessment System (severity, activity); dental sepsis; and toothache. Trained practitioners performed one-year CCI-adapted personalised care. Dental care process acceptance was assessed in parents and dentists.<\/jats:p>\n          <jats:p>\n            <jats:bold>Results<\/jats:bold> A total of 16 centres finished the study (<jats:italic>n<\/jats:italic> = 337, 78.6%; mean age: 5.5 \u00b1 1.6 years). There was a T0-T1y decrease in the mean number of combined primary and permanent tooth surfaces with caries lesions (8.4 \u00b1 9.7 to 6.2 \u00b1 7.6), with most children showing control of caries progression (75.1%), high caries risk (86.6%) and non-adequate oral-health behaviour (72.7%) (<jats:italic>p<\/jats:italic> &lt;0.05). CCI acceptance was very high in parents and high\/very high in dentists.<\/jats:p>\n          <jats:p>\n            <jats:bold>Discussion<\/jats:bold> The limitations given by the pandemic challenges, the single-interventional study design, and the non-AGP and reduced in-office-consultation adaptations, might as well highlight the shown caries progression control, feasibility and acceptance of CCI.<\/jats:p>\n          <jats:p>\n            <jats:bold>Conclusion<\/jats:bold> The one-year implementation of CCI showed control of caries progression and of risk and high acceptance among parents and dentists.<\/jats:p>","DOI":"10.1038\/s41415-025-8640-4","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T14:04:41Z","timestamp":1754316281000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["How did CariesCare International perform under pandemic conditions in children? 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The authors declare a conflict of interest where the main author is one of the creators of the tool being investigated. Ethics Committee approval: Research Ethics Institutional Committee of Universidad El Bosque (PCI2019 10718). Consent was given by parents\/caregivers and the children.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics declaration"}}]}}