PREVENTION MODEL OF EARLY CHILDHOOD CARIES

项目2：本项目的目标是评估牙病预防管理模式的有效性 基于一个婴儿口腔护理项目。该干预措施旨在降低幼儿龋齿的患病率 (ECC)在服务不足的社区，改善孕妇获得预防性牙科服务的机会， 婴幼儿高危儿童包括那些有早期ECC迹象，口腔卫生不良，接触有限， 氟化物，以及随后暴露于高糖饮食。这些儿童和他们的照顾者将成为目标， 专业的预防计划，包括预期的指导咨询，使用洗必泰冲洗， 产后妇女及其婴儿使用氟化物保护漆。这项建议涉及的主题是： 研究中心通过减少高风险人群中的牙齿差异来减少口腔健康差异 位于美墨边境的牙科诊所多学科团队将共同努力 在加州大学，旧金山弗朗西斯科，圣伊西德罗社区卫生中心，圣地亚哥州 大学和加州大学，洛杉矶。这项合作将为开发 在社区卫生中心环境中进行基于科学证据的研究， 在口腔健康差异普遍存在的服务不足人群中实施ECC的策略。的相关性 项目模式是其复制和转移到其他社区卫生中心和公共卫生实体的潜力 通过整合口腔健康促进和疾病预防作为多学科方法的一部分， 其他卫生服务。拟议临床研究的具体目的是：1）确定有效的疾病 从产前保健开始，与其他卫生部门合作， 护理提供者和服务; 2）比较两种前瞻性干预措施对孕妇及其 新生儿：单独咨询与咨询结合氯己定冲洗的母亲和氟化物的使用 3）根据单克隆抗体龋病诊断试验评估极年轻人群患ECC的风险 儿童和他们的母亲（照顾者）; 4）评估龋齿预防方案在降低 唾液变形链球菌水平在产后妇女，随后，在抑制这些细菌的生长 在他们年幼的孩子身上，延缓传染过程。早期筛查龋齿发展的迹象，从 从生命的第一年开始，将确定有发展ECC风险的婴儿和幼儿，并将协助 为来自服务不足社区的家长提供有关促进口腔健康和预防 牙病。

Project 2: '1 he goal oi this project is to assess the effectiveness of a dental disease prevention management model based on an infant oral care program. The intervention is aimed at reducing the prevalence of early childhood caries (ECC) in an underserved community and improving access to preventive dental services for pregnant women, their infants and toddlers. High-risk children include those with early signs of ECC, poor oral hygiene, limited exposure to fluorides, and fiequent exposure to high dietary sugars. These children and their caregivers will be targeted with a professional preventive program that includes anticipatory guidance counseling, the use of chlorhexidine rinses for postpartum women and the application of fluoride varnish for their infants. This proposal relates to the theme of the Centers for Research to Reduce Oral Health Disparities by reducing dental disparities among a population at high risk for dental disease located at the US-Mexican border. The multidisciplinary team brings together a collaborative effort between the University of California, San Francisco, San Ysidro Community Health Center, San Diego State University and the University of California, Los Angeles. This collaboration will provide expertise in the development of scientific evidence based research in the community health center environment by identifying the best prevention strategies for ECC in an underserved population where oral health disparities are epidemic. The relevance of the project model is its potential for replication and transfer to other community health centers and public health entities through the integration of oral health promotion and disease prevention as part of a multidisciplinary approach with other health services. The specific aims of the proposed clinical research study are: 1) To identify an effective disease prevention behavioral management model for ECC starting with prenatal care and with collaboration of other health care providers and services; 2) To compare the efficacy of two prospective interventions for pregnant women and their newborns: counseling alone versus counseling combined with chlorhexidine rinses for mothers and the use of fluoride varnish for infants; 3) To assess the risk for ECC based on a monoclonal antibody caries diagnosis test in very young children and their mothers (caregivers); 4) To assess the effectiveness of a caries-preventive regimen in lowering the salivary mutans streptococci level in post-partum women and, subsequently, in inhibiting the growth of these bacteria in their young children, delaying the infectious process. Early screening for signs of caries development, starting from the first year of life, will identify infants and toddlers who are at risk of developing ECC and will assist in providing information to parents from an underserved community about the promotion of oral health and prevention of dental disease.