Jaime R A, Carvalho T S, Bonini G C, Imparato Jcp, Mendes F M
J Clin Pediatr Dent. 2015 Spring;39(3):277-83. doi: 10.17796/1053-4628-39.3.277.
This 3-year retrospective controlled clinical trial assessed the effect of a school-based oral health education program on caries incidence in children.
A total of 240 students, aged 5 to 7 years, from two public schools in Monte Sião, Brazil, were included in this study. A school-based oral health education program was developed in one of the schools (experimental group), including 120 students, while the 120 students from the other school did not participate in the program (control group). All children were initially examined for dental caries (dmf-t), and after 3 years, 98 children from the experimental group and 96 from the control group were again examined and answered a questionnaire on oral health issues. The between-groups difference in caries incidence on permanent teeth was calculated using Poisson regression analyses. Logistic regression was used to observe the association between caries incidence and other variables.
More students from the experimental group stated knowing what was dental caries and declared that they use dental floss daily, but no significant differences in caries incidence was observed between the experimental and control groups.
The school-based oral health education program is not adequately efficient to decrease caries incidence after three years, but some issues about oral health knowledge could be slightly improved.
这项为期3年的回顾性对照临床试验评估了一项基于学校的口腔健康教育项目对儿童龋齿发病率的影响。
本研究纳入了来自巴西蒙蒂西昂两所公立学校的240名5至7岁的学生。其中一所学校(实验组)开展了一项基于学校的口腔健康教育项目,包括120名学生,而另一所学校的120名学生未参与该项目(对照组)。所有儿童最初均接受了龋齿检查(dmf-t),3年后,对实验组的98名儿童和对照组的96名儿童再次进行检查,并回答了一份关于口腔健康问题的问卷。使用泊松回归分析计算恒牙龋齿发病率的组间差异。采用逻辑回归观察龋齿发病率与其他变量之间的关联。
实验组中更多的学生表示知道什么是龋齿,并宣称他们每天使用牙线,但实验组和对照组之间在龋齿发病率上未观察到显著差异。
基于学校的口腔健康教育项目在三年后降低龋齿发病率的效果并不充分,但在口腔健康知识的某些方面可以略有改善。