{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T02:12:06Z","timestamp":1768270326756,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the efficacy of a photography\u2010aided behavioural intervention in reducing risk factors for dental caries and malocclusion in high\u2010risk infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>In this randomized trial conducted in a maternity hospital, 55 mothers of recently born infants at high risk of developing oral diseases were allocated to either the intervention (<jats:italic>n<\/jats:italic>\u00a0=\u00a028) or usual care (<jats:italic>n<\/jats:italic>\u00a0=\u00a027). The intervention arm received the same usual care plus an enhanced, behaviour\u2010oriented, photography\u2010aided, two\u2010stage (0 and +6\u00a0months) educational programme addressing nutritional, behavioural, lifestyle and familial factors that affect child's oral health. The primary outcome was the proportion of children classified as being at a \u2018low risk\u2019 of developing dental caries at the age of 12\u00a0months using a modified score based on the Caries\u2010risk Assessment Form of the American Academy of Pediatric Dentistry. Secondary outcomes included risk factors for malocclusion, such as duration of exclusive breastfeeding, pacifier use and bottle\u2010feeding and\/or sippy cup usage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 12\u00a0months, the proportion of children considered at low risk for dental caries was significantly higher in the intervention group compared to usual care (71% vs 15%, respectively, relative risk\u00a0=\u00a04.82, 95% confidence interval\u00a0=\u00a01.89\u201312.3, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). The median duration of exclusive breastfeeding in the intervention group was 1.7 times higher than in the control arm (5\u00a0months vs 3\u00a0months, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Altogether, our findings provide evidence that a low\u2010cost, two\u2010stage preventive strategy using photographs to deliver a stronger visual impact might significantly reduce the incidence of risk factors for dental caries and malocclusion in 12\u2010month\u2010old children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12507","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T08:46:30Z","timestamp":1619599590000},"page":"471-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Randomized trial of a photography\u2010aided behavioural intervention to reduce risk factors for caries and malocclusion in high\u2010risk infants"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2846-120X","authenticated-orcid":false,"given":"Marina B. 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