{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:31:47Z","timestamp":1783074707189,"version":"3.54.6"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T00:00:00Z","timestamp":1378252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to evaluate the effect of an early oral health promotion program (<jats:styled-content style=\"fixed-case\">OHPP<\/jats:styled-content>) on oral health of 5\u2010year\u2010old children in Austria by providing new mothers with dental health counseling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualified dental health educators visited all mothers at time after birth in regional hospitals in Vorarlberg and counseled them regarding the oral health of their children as a one\u2010off intervention. Mothers were given comprehensive oral hygiene instructions for their children and themselves (daily use of fluoride toothpaste, restoration of own caries lesions), which included practical tooth brush training and dietary counseling by the use of brief motivational interviewing and anticipatory guidance approaches. After 5\u00a0years, a case\u2013cohort study was conducted to evaluate the program with annual dental check\u2010ups of 471 children and a parent survey. Dental caries was scored using <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content> diagnostic criteria at dentine level without radiography. To compare oral health parameters (dmfs\/dmft, care index), children were allocated to intervention and control group and matched on basis of age, sex, ethnicity, and socio\u2010economic status (<jats:styled-content style=\"fixed-case\">SES<\/jats:styled-content>) and analyzed statistically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Children whose mothers participated in the <jats:styled-content style=\"fixed-case\">OHPP<\/jats:styled-content> showed significantly lower caries prevalence and experience (33.2%; 3.2\u00a0\u00b1\u00a07.4 d<jats:sub>3\u20134<\/jats:sub>mfs\/1.5\u00a0\u00b1\u00a02.5 d<jats:sub>3\u20134<\/jats:sub>mft) than children whose mothers did not participate (42.6%; 5.2\u00a0\u00b1\u00a06.4 d<jats:sub>3\u20134<\/jats:sub>mfs\/2.4\u00a0\u00b1\u00a04.1 d<jats:sub>3\u20134<\/jats:sub>mft). Bivariate analysis showed that ethnicity, <jats:styled-content style=\"fixed-case\">SES<\/jats:styled-content>, age at which toothbrushing started, supervision of toothbrushing, use of fluoride salt, and use of fluoride toothpaste were significantly related to d<jats:sub>3\u20134<\/jats:sub>mft.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">OHPP<\/jats:styled-content> was an effective community\u2010based preventive approach for improving oral health in preschool children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12072","type":"journal-article","created":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T06:06:50Z","timestamp":1378274810000},"page":"160-169","source":"Crossref","is-referenced-by-count":43,"title":["Evaluation of an oral health promotion program at the time of birth on dental caries in 5\u2010year\u2010old children in Vorarlberg, Austria"],"prefix":"10.1111","volume":"42","author":[{"given":"Y.","family":"Wagner","sequence":"first","affiliation":[{"name":"Department of Preventive Dentistry and Paediatric Dentistry Jena University Hospital Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Greiner","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry and Paediatric Dentistry Jena University Hospital Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Heinrich\u2010Weltzien","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry and Paediatric Dentistry Jena University Hospital Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Academy of Pediatric Dentistry.Policy on Early Childhood Caries (ECC): Classifications Consequences and Preventive Strategies. 1978 revised 2011; available at:http:\/\/www.aapd.org\/media\/Policies_Guidelines\/P_ECCClassifications.pdf[last accessed 21 May 2011]."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262622"},{"key":"e_1_2_8_4_1","unstructured":"aks Zahnprophylaxe GmbH.Data for the school year 2005\/2006; available at:www.maxprophylax.com[last accessed 21 May 2011]."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03321590"},{"key":"e_1_2_8_6_1","first-page":"114","article-title":"Preschool caries as an indicator of future caries: a longitudinal study","volume":"25","author":"Peretz B","year":"2003","journal-title":"Pediatr Dent"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2003.tb00005.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2006.00777.x"},{"key":"e_1_2_8_9_1","unstructured":"PieperK.Representative epidemiological study about Group Prophylactic Program in 2009. 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