Arpalahti Irma, Tolvanen Mimmi, Pienihakkinen Kaisu
Health and Social Welfare Affairs, Pakkalankuja 5, 01510 Vantaa, Finland ; Department of Community Dentistry, Institute of Dentistry, University of Turku, Lemminkaisenkatu 2, 20014 Turku, Finland.
Department of Community Dentistry, Institute of Dentistry, University of Turku, Lemminkaisenkatu 2, 20014 Turku, Finland.
Int J Dent. 2013;2013:757938. doi: 10.1155/2013/757938. Epub 2013 Nov 18.
Objective. The study assessed whether the new family-based programs in health promotion or the training of dental professionals had an impact on the colonization of mutans streptococci (MS) in young children. Material and Methods. The participants were children born in 2008 and inhabitants of Vantaa aged 24-36 months. The families with first-born children were invited to a questionnaire study. Vantaa was categorized into three matching areas, which were randomly assigned to different programs. New counseling methods were trained. The routine program used earlier served as the control group. The children born in 2006 served as a historic control. The outcome measure was the presence of MS. Statistical method was logistic regression. Results. Colonization of MS was found only in few children born in 2006 or 2008; 15% and 11%, respectively. Within the 2008 birth cohort, the addition of parental counseling did not improve the routine program. Instead, the father's advanced level of education (P = 0.044) and the child's reported the use of xylitol at least three times a day (P = 0.014) associated with negative MS scores. Conclusions. The routine program and training of the professionals seem to reduce the proportion of children with MS more than adding parental self-care to oral health programs.
目的。本研究评估了新的家庭健康促进项目或牙科专业人员培训是否对幼儿变形链球菌（MS）定植有影响。材料与方法。参与者为2008年出生、居住在万塔的24至36个月大的儿童。邀请头胎孩子的家庭参与问卷调查。万塔被分为三个匹配区域，随机分配到不同项目。培训了新的咨询方法。将早期使用的常规项目作为对照组。将2006年出生的儿童作为历史对照组。结果指标为MS的存在情况。统计方法为逻辑回归。结果。在2006年或2008年出生的儿童中，仅少数儿童发现有MS定植；分别为15%和11%。在2008年出生队列中，增加家长咨询并未改善常规项目。相反，父亲的高学历水平（P = 0.044）以及孩子报告每天至少使用三次木糖醇（P = 0.014）与MS阴性评分相关。结论。与在口腔健康项目中增加家长自我护理相比，常规项目和专业人员培训似乎能更多地降低患有MS的儿童比例。
