{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:07:39Z","timestamp":1791986859233,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early childhood caries (ECC) has been found to be up to five times more common among children living in areas of low socio\u2010economic status (SES) than among children in areas of higher SES.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate an ECC prevention programme from pregnancy to 3 and 6\u2009years of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective, controlled, intervention cohort study was initiated in 2013 in a low\u2010SES area in Sweden. The intervention group received an individual interdisciplinary ECC prevention programme starting pre\u2010birth, consisting of supportive oral health\u2010promoting talks using motivational interviewing techniques and individual ECC preventive actions. A control group, consisting of pregnant women living in a comparable area, received ordinary routines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 336 pregnant women, 64 mothers (with 64 children) completed the programme, and 394 children were born in the control group. At the sixth year examination, the proportion of children with no caries was similar between the groups (53% resp. 52%, <jats:italic>p<\/jats:italic>\u2009=\u2009.976), whereas the proportion with decayed, missed, filled primary teeth (dmft\u2009=\u20091\u20135) was slightly lower (23% resp. 36%, <jats:italic>p<\/jats:italic>\u2009=\u2009.063), and the proportion with severe caries disease (dmft\u2009&gt;\u20095) was higher (<jats:italic>p<\/jats:italic>\u2009=\u2009.013) in the intervention group (25%) than in the control group (12%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No preventive effect regarding caries can be demonstrated at sixth year of age. Maternal behavioural change in dental care was not sufficient to even out inequalities in oral health in children, eventually due to difficulties in reaching the target group and the lack of effects among the families reached.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13174","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T05:44:42Z","timestamp":1710135882000},"page":"744-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of an early childhood caries preventive programme starting during pregnancy\u2014Results after 3 and 6\u2009years"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2627-0482","authenticated-orcid":false,"given":"Caroline","family":"Blomma","sequence":"first","affiliation":[{"name":"\u00d6sterg\u00f6tland Public Dental Service, Region \u00d6sterg\u00f6tland  Link\u00f6ping Sweden"},{"name":"Department of Health, 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