CariesCare International-CCI (based in ICCMS™) promotes a dental-practice friendly patient-centred, risk-based approach to caries management. It comprises a health outcomes-focused system that aims to maintain oral health and preserve tooth structure in the long-term.
The COVID-19 pandemic current restrictions to dental care due to the risk of transmission of the SARS-CoV-2 virus via aerosols generating procedures (AGP), together with the higher likelihood to children’s untreated caries progression, the higher complexity and costs, led us to conduct a multicentre series of cases to implement CCI without AGP and replacing -when possible- on-site care activities with remote ones during the COVID-19 era.
This multicenter project involves the four-step structured process (4-D cycle) of the CCI system adapted for the pandemic, minimizing AGP and number of on-site appointments: 1D - DETERMINE caries-risk, 2D - DETECT & ASSESS lesions, 3D: DECIDE a personalised care plan, and 4D: DO Preventive and tooth-preserving care. It includes a major component of short oral-health change behaviour tool (based on the COM-B behavior model) to improve toothbrushing and diet behaviors and a 'How to' non-AGP CCI designed e-learning.
Outcomes include caries progression, caries risk, oral-health behavior, caregivers’ and dentists’ acceptability through treatment efficacy inventory, and cost aspects.
The symposium introduces the viability of a clinical non AGP multicentre project in children with CCI as a four-step structured process (4-D cycle), following with the design and implementation of a toothbrushing and diet short change behaviour tool. It shows up-to-date results and challenges in Latin American, European and USA centers and concludes with non-AGP CCI implementation during the pandemic.
The COVID-19 pandemic current restrictions to dental care due to the risk of transmission of the SARS-CoV-2 virus via aerosols generating procedures (AGP), together with the higher likelihood to children’s untreated caries progression, the higher complexity and costs, led us to conduct a multicentre series of cases to implement CCI without AGP and replacing -when possible- on-site care activities with remote ones during the COVID-19 era.
This multicenter project involves the four-step structured process (4-D cycle) of the CCI system adapted for the pandemic, minimizing AGP and number of on-site appointments: 1D - DETERMINE caries-risk, 2D - DETECT & ASSESS lesions, 3D: DECIDE a personalised care plan, and 4D: DO Preventive and tooth-preserving care. It includes a major component of short oral-health change behaviour tool (based on the COM-B behavior model) to improve toothbrushing and diet behaviors and a 'How to' non-AGP CCI designed e-learning.
Outcomes include caries progression, caries risk, oral-health behavior, caregivers’ and dentists’ acceptability through treatment efficacy inventory, and cost aspects.
The symposium introduces the viability of a clinical non AGP multicentre project in children with CCI as a four-step structured process (4-D cycle), following with the design and implementation of a toothbrushing and diet short change behaviour tool. It shows up-to-date results and challenges in Latin American, European and USA centers and concludes with non-AGP CCI implementation during the pandemic.