Overview

This trial is active, not recruiting.

Condition dental caries
Treatment toothpaste & telephone support
Sponsor Advantage Dental Services, LLC
Start date June 2014
End date July 2016
Trial size 21731 participants
Trial identifier NCT02327507, Advantage001

Summary

Dental caries (tooth decay) is a disease with significant public health implications afflicting low-income children, with marked rural disparities in disease prevalence and treatment. More than 70% of 11th grade children in Crook, Deschutes and Jefferson counties have experienced tooth decay. Effective approaches to prevent decay include brushing with fluoridated toothpaste and professional dental care. Medicaid enrolled children are legally entitled to dental care under Early Periodic Screening, Diagnosis and Treatment (EPSDT), yet <50% had any care in 2010. Free distribution of toothpaste and toothbrushes combined with parental education can increase toothbrushing frequency and reducing tooth decay. However, many parents are confused about when to start, how much and often toothpaste should be used, and how to overcome behavioral difficulties in brushing toddlers' teeth or getting older children to brush their own. The investigators' objective is to implement and evaluate a community-wide toothpaste distribution campaign enhanced by telephone support for OHP children and adolescents and their families in Central Oregon

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model cohort
Time perspective prospective
Arm
A tool kit with toothpaste and toothbrushes for the whole family along with oral hygiene instructions in both English and Spanish will be mailed to the homes of all OHP children and adolescents every three months. Half the populations will be assigned to also receive telephone support.
toothpaste & telephone support
Mailed toothpaste, messages and telephone support.
A tool kit with toothpaste and toothbrushes for the whole family along with oral hygiene instructions will be mailed every three months

Primary Outcomes

Measure
increased twice-a-day toothbrushing Toothbrushing
time frame: 1 year

Secondary Outcomes

Measure
Satisfaction
time frame: 1 year
Cost
time frame: 1 year

Eligibility Criteria

Male or female participants from 6 months up to 20 years old.

Inclusion Criteria: - Family speaks English or Spanish Exclusion Criteria: - None

Additional Information

Official title Bending the Oregon Health Plan (OHP) Dentistry Cost Curve in Central Oregon by Reducing the Burden of Oral Disease
Principal investigator Peter M Milgrom, DDS
Description A community-wide toothpaste distribution campaign enhanced by telephone support. A tooth kit with toothpaste and toothbrushes for the whole family together with oral hygiene instructions in English and Spanish will be mailed every 3 months. Half of the population will be randomly assigned to also receive telephone support (Short message service and one-to-one calls). Families will receive biweekly messages with oral hygiene tips. Bilingual culturally competent staff will be available by telephone to support families in overcoming barriers.
Trial information was received from ClinicalTrials.gov and was last updated in December 2014.
Information provided to ClinicalTrials.gov by Advantage Dental Services, LLC.