{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:39:59Z","timestamp":1791509999059,"version":"4.3.4"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Pediatrics"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:p>Early Childhood Caries (ECC) is considered one of the most prevalent chronic diseases globally, particularly affecting children in socially vulnerable situations. Its significance goes beyond oral health, undermining overall development and quality of life and placing a considerable economic burden on health systems. Given the inadequacy of conventional curative approaches, this manuscript proposes a preventive model based on primary care, structured around an interdisciplinary approach and family-based communication strategies. It analyzes, based on scientific evidence, the fundamental pillars of controlling dental caries in children: promoting health from pregnancy, early education in oral hygiene, and motivational interviews, particularly relevant in contexts with structural and cultural barriers. The role of non-dental health personnel takes center stage in early detection, education, and timely referral. The proposal promotes equitable, sustainable care based on prevention from early childhood, seeking to transform oral health care into a more efficient, inclusive, and long-term oriented paradigm.<\/jats:p>","DOI":"10.1177\/30502225251401699","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:49:37Z","timestamp":1765352977000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevention of Early Childhood Caries from the First Level of Care: An Interdisciplinary Approach and Motivational Communication"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8217-1467","authenticated-orcid":false,"given":"Mario","family":"Cortez-Gaeta","sequence":"first","affiliation":[{"name":"Secretaria de Salud Jalisco, Zapopan, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1843-384X","authenticated-orcid":false,"given":"Melissa","family":"Mart\u00ednez-Nieto","sequence":"additional","affiliation":[{"name":"University of Guadalajara (CUCS-UdeG), Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6112-8779","authenticated-orcid":false,"given":"Gustavo Eder","family":"Gonz\u00e1lez-Alvarez","sequence":"additional","affiliation":[{"name":"University of Guadalajara (CUCIENEGA-UdeG), Ocotl\u00e1n, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6727-7969","authenticated-orcid":false,"given":"Mario Alberto","family":"Alarc\u00f3n-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"University of Guadalajara (CUCS-UdeG), Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1608-8732","authenticated-orcid":false,"given":"Lilibeth-Stephania","family":"Escoto-Vasquez","sequence":"additional","affiliation":[{"name":"National Autonomous University of Mexico, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8329-3205","authenticated-orcid":false,"given":"Artak","family":"Heboyan","sequence":"additional","affiliation":[{"name":"Saveetha University, Chennai, India"},{"name":"Yerevan State Medical University after Mkhitar Heratsi, Armenia"},{"name":"Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0569-1387","authenticated-orcid":false,"given":"Sarah Monserrat","family":"Lomel\u00ed-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"University of Guadalajara (CUCIENEGA-UdeG), Ocotl\u00e1n, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41368-022-00186-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000439"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12362"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515602879"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12582"},{"issue":"9","key":"e_1_3_2_7_2","first-page":"711","article-title":"Strategies and approaches in oral disease prevention and health promotion","volume":"83","author":"Watt RG","year":"2005","unstructured":"Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bull World Health Organ. 2005;83(9):711-718.","journal-title":"Bull World Health Organ"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12490"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119372684"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1515\/arsm-2017-0036"},{"key":"e_1_3_2_11_2","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. Ending Childhood Dental Caries: WHO Implementation Manual. WHO; 2019.","journal-title":"Ending Childhood Dental Caries: WHO Implementation Manual"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2022.vol36.0103"},{"issue":"6","key":"e_1_3_2_13_2","article-title":"Oral health during pregnancy and early childhood: evidence-based guidelines for health professionals","volume":"38","author":"California Dental Association Foundation, American College of Obstetricians and Gynecologists, District IX","year":"2010","unstructured":"California Dental Association Foundation, American College of Obstetricians and Gynecologists, District IX. Oral health during pregnancy and early childhood: evidence-based guidelines for health professionals. J Calif Dent Assoc. 2010;38(6):391-403, 405.","journal-title":"J Calif Dent Assoc"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdsr.2023.06.002"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303817"},{"key":"e_1_3_2_16_2","first-page":"1","volume-title":"Lactancia materna y caries","author":"Comit\u00e9 de Lactancia Materna","year":"2015","unstructured":"Comit\u00e9 de Lactancia Materna. Lactancia materna y caries. Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda; 2015;1\u20137."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.6133\/apjcn.082016.09"},{"key":"e_1_3_2_18_2","first-page":"312","article-title":"Perinatal and infant oral health care","author":"American Academy of Pediatric Dentistry","year":"2023","unstructured":"American Academy of Pediatric Dentistry, ed. Perinatal and infant oral health care. In: The Reference Manual of Pediatric Dentistry. American Academy of Pediatric Dentistry; 2023:312-316.","journal-title":"The Reference Manual of Pediatric Dentistry"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/9365845"},{"key":"e_1_3_2_20_2","unstructured":"Guideline: Sugars Intake for Adults and Children. Geneva: World Health Organization; 2015."},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1159\/isbn.978-3-8055-9659-6"},{"key":"e_1_3_2_22_2","first-page":"88","article-title":"Policy on early childhood caries (ECC): Consequences and Preventive Strategies","author":"American Academy of Pediatric Dentistry","year":"2023","unstructured":"American Academy of Pediatric Dentistry, ed. Policy on early childhood caries (ECC): Consequences and Preventive Strategies. In: The Reference Manual of Pediatric Dentistry. American Academy of Pediatric Dentistry; 2023:88-91.","journal-title":"The Reference Manual of Pediatric Dentistry"},{"key":"e_1_3_2_23_2","first-page":"352","article-title":"Fluoride therapy","author":"American Academy of Pediatric Dentistry","year":"2023","unstructured":"American Academy of Pediatric Dentistry, ed. Fluoride therapy. In: The Reference Manual of Pediatric Dentistry. American Academy of Pediatric Dentistry; 2023:352-358.","journal-title":"The Reference Manual of Pediatric Dentistry"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-018-0396-y"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.3290\/j.ohpd.a30602"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_286_19"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-070622"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016078"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013807"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-020-00546-6"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2022.2090308"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000079"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01582-4"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4783-9"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0589-0"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7874-y"},{"key":"e_1_3_2_37_2","first-page":"1","volume-title":"Motivational Interviewing. Helping People Change and Grow","author":"Miller W","year":"2023","unstructured":"Miller W, Rollnick S, eds. Motivational Interviewing. Helping People Change and Grow. 4th ed. The Guilford Press; 2023:1-355.","edition":"4"},{"key":"e_1_3_2_38_2","first-page":"1","volume-title":"Motivational Interviewing in Health Care. Helping Patients Change Behavior","author":"Rollnick S","year":"2008","unstructured":"Rollnick S, Miller W, Butler C. Motivational Interviewing in Health Care. Helping Patients Change Behavior. The Guilford Press; 2008:1-224."},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-118"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12368"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-2497"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/2380084418787785"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-023-04078-y"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.2147\/JHL.S363657"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/5539470"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.3390\/children9071039"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.64471\/30453003-24.1nrc-07"},{"key":"e_1_3_2_48_2","doi-asserted-by":"publisher","DOI":"10.1177\/11795565251348334"},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X231214090"}],"container-title":["Sage Open Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30502225251401699","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/30502225251401699","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30502225251401699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:07:34Z","timestamp":1777446454000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/30502225251401699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":48,"alternative-id":["10.1177\/30502225251401699"],"URL":"https:\/\/doi.org\/10.1177\/30502225251401699","relation":{},"ISSN":["3050-2225","3050-2225"],"issn-type":[{"value":"3050-2225","type":"print"},{"value":"3050-2225","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]},"article-number":"30502225251401699"}}