Department of Epidemiology, Institute of Social Medicine, University of the State of Rio de Janeiro, RJ, Brazil.
Int J Paediatr Dent. 2011 May;21(3):223-31. doi: 10.1111/j.1365-263X.2011.01115.x. Epub 2011 Feb 20.
Some of the basic dental health practices that are recommended to the public by professionals are not evidence based. Incorrect oral health messages may adversely affect children's oral health behaviours.
To identify and list the recommendations concerning children's oral hygiene practices provided by dental and paediatric organisations, and to assess how these recommendations relate to the scientific evidence currently available.
Cross-sectional. The authors contacted professional organisations in ten countries requesting items (brochures, leaflets or folders) containing messages on children's oral hygiene practices. They then listed these recommendations and assessed how they related to scientific evidence obtained from systematic reviews available at PubMed and the Cochrane Library.
Fifty-two of 59 (88%) organisations responded to our request and 24 dental health education materials were submitted to the authors. They mentioned recommendations on oral hygiene practices for children, such as toothbrushing frequency, supervision and technique; when to start and how long toothbrushing should last; toothbrush design and replacement; flossing; gums/teeth wiping; tongue cleaning; type and amount of toothpaste and advice on toothpaste ingestion. The search at PubMed and the Cochrane Library resulted in 11 systematic reviews addressing these topics.
Several oral hygiene messages delivered by professional organisations showed inconsistencies and lacked scientific support.
一些专业人士向公众推荐的基本口腔保健措施缺乏证据支持。不正确的口腔健康信息可能会对儿童的口腔健康行为产生不利影响。
确定并列出牙科和儿科组织针对儿童口腔卫生实践提出的建议，并评估这些建议与当前可获得的科学证据的相关性。
横断面研究。作者联系了 10 个国家的专业组织，要求提供包含儿童口腔卫生实践信息的项目（小册子、传单或文件夹）。然后，他们列出了这些建议，并评估了它们与从 PubMed 和 Cochrane 图书馆获得的系统评价中获得的科学证据的相关性。
59 个组织中有 52 个（88%）回应了我们的请求，作者收到了 24 份牙科健康教育材料。它们提到了针对儿童口腔卫生实践的建议，如刷牙频率、监督和技术；何时开始以及刷牙应该持续多长时间；牙刷设计和更换；使用牙线；牙龈/牙齿擦拭；清洁舌头；牙膏类型和用量以及关于牙膏摄入的建议。在 PubMed 和 Cochrane 图书馆进行的搜索结果有 11 项系统评价涉及这些主题。
专业组织提供的一些口腔卫生信息存在不一致性，缺乏科学依据。
