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基于学校的口腔健康促进干预:对知识、行为及临床口腔健康相关参数的影响

School based oral health promotional intervention: Effect on knowledge, practices and clinical oral health related parameters.

作者信息

Gauba Arjun, Bal Ikreet Singh, Jain Ashish, Mittal Hitesh Chander

机构信息

Department of Public Health Dentistry, Dr. HSJ Institute of Dental Sciences, Chandigarh, India.

Department Periodontology and Principal, B.P.S Government Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.

出版信息

Contemp Clin Dent. 2013 Oct;4(4):493-9. doi: 10.4103/0976-237X.123056.

Abstract

BACKGROUND

No organized school oral health program is existent in India.

AIM

The aim of this study is to test the feasibility and efficacy of an economical school oral health promotional intervention with educational and preventive components.

SETTINGS AND DESIGN

School oral health promotional intervention carried out in one of the randomly selected school and evaluated through short duration prospective model.

MATERIALS AND METHODS

A total of 100 children with an age range of 10-12 years with no previous history of dental intervention were enrolled. Interventions comprised of oral health education (delivered through lecture and demonstrations by an undergraduate dental student) and topical antibacterial therapy (fluoride varnish and povidone iodine). Outcomes consisted of Knowledge and practices (KAP) regarding oral health, clinical oral health related parameters such as plaque index (PI), gingival index (GI) and caries activity as per Modified Snyder's test. These were reported at baseline, 3 weeks and 6 months follow-up examination by a calibrated examiner.

STATISTICAL ANALYSIS

McNemar Bowker's test, Student's t-test, Pearson Chi-square tests were used.

RESULTS

Highly significant (P < 0.001) improvements in KAP scores, PI scores, GI scores and caries activity were reported at 3 weeks and 6 months follow-up examination.

CONCLUSION

This small economical school oral health program positively influenced oral health related practices and parameters of oral health such as oral cleanliness, gingival health and caries activity.

摘要

背景

印度不存在有组织的学校口腔健康项目。

目的

本研究的目的是测试一种包含教育和预防成分的经济实惠的学校口腔健康促进干预措施的可行性和有效性。

设置与设计

在随机选择的一所学校开展学校口腔健康促进干预,并通过短期前瞻性模型进行评估。

材料与方法

共招募了100名年龄在10至12岁之间且无既往牙科干预史的儿童。干预措施包括口腔健康教育(由一名牙科本科学生通过讲座和示范进行)和局部抗菌治疗(氟化物 varnish 和聚维酮碘)。结果包括关于口腔健康的知识与实践(KAP)、临床口腔健康相关参数,如菌斑指数(PI)、牙龈指数(GI)以及根据改良 Snyder 试验得出的龋活性。这些由一名经过校准的检查人员在基线、3周和6个月随访检查时报告。

统计分析

使用了 McNemar Bowker 检验、学生 t 检验、Pearson 卡方检验。

结果

在3周和6个月随访检查时,KAP 分数、PI 分数、GI 分数和龋活性均有高度显著(P < 0.001)的改善。

结论

这个小型经济实惠的学校口腔健康项目对与口腔健康相关的实践以及口腔健康参数,如口腔清洁度、牙龈健康和龋活性产生了积极影响。

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