Vigild M, Skougaard M, Hadi R, Halling C
School of Dentistry, University of Copenhagen, Denmark.
Community Dent Health. 1999 Jun;16(2):102-6.
To assess whether it was possible to implement an oral health programme in Kuwait which followed guidelines underlying the public Danish Child Oral Health Service, and thereby improve the oral health of Kuwaiti children.
Successive cross-sectional surveys were carried out in one governorate in Kuwait (Al-Ahmadi) during the period 1986-97 interrupted by the Gulf War. Data were collected by clinical examinations.
The programme was initiated by the Ministry of Health in Kuwait in order to improve the community services through a school-based oral health care programme.
The study population comprised incrementally all children in the four primary school classes in the governorate.
The children received bi-weekly tooth brushing instructions with fluoridated toothpaste and fluoride rinsing, fissure sealing, oral health education, and restorative treatment of dental caries.
The children were clinically examined each year before the start of the treatment. Dental caries was scored at surface level in accordance with the Danish registration system, using the WHO criteria for dental caries.
The average participation rate was 94%. The percentage of caries-free children, exemplified by second class, increased from 64% in 1987 to 78% in 1990, dropped to 71% in 1992 and increased again to 79% in 1997.
It is concluded that it has been possible to adapt the principles from the Danish Child Oral Health Service programme to Kuwait, that parents and teachers accepted the principle of treating the children during school hours, and that the oral health of the children improved. Whether the improvement in the oral health is due to the programme or to changes in the society is discussed.
评估在科威特实施一项遵循丹麦儿童口腔健康服务基本准则的口腔健康计划并借此改善科威特儿童口腔健康状况是否可行。
1986年至1997年期间，在科威特的一个省（艾哈迈迪省）开展了连续的横断面调查，调查因海湾战争而中断。通过临床检查收集数据。
该计划由科威特卫生部发起，旨在通过一项基于学校的口腔保健计划改善社区服务。
研究人群逐步纳入了该省四所小学班级中的所有儿童。
孩子们接受了使用含氟牙膏刷牙和含氟漱口水的两周一次指导、窝沟封闭、口腔健康教育以及龋齿修复治疗。
在治疗开始前，每年对孩子们进行临床检查。根据丹麦登记系统，按照世界卫生组织的龋齿标准对龋齿进行表面评分。
平均参与率为94%。以二年级为例，无龋儿童的比例从1987年的64%增至1990年的78%，1992年降至71%，1997年又增至79%。
得出的结论是，有可能将丹麦儿童口腔健康服务计划的原则应用于科威特，家长和教师接受了在上学时间为孩子们治疗的原则，并且孩子们的口腔健康得到了改善。文中讨论了口腔健康的改善是由于该计划还是社会变化所致。
