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公众宣传方案对儿童口腔健康的效果。

Efficacy of a public promotion program on children's oral health.

机构信息

Centro Universitário UnirG, Faculdade de Odontologia, Gurupi, TO, Brazil.

Centro Universitário UnirG, Faculdade de Odontologia, Departamento de Odontologia Pediátrica, Gurupi, TO, Brazil.

出版信息

J Pediatr (Rio J). 2018 Sep-Oct;94(5):518-524. doi: 10.1016/j.jped.2017.07.012. Epub 2017 Sep 25.

Abstract

OBJECTIVE

To assess the efficacy of the Baby's Mouth early dental care prevention and promotion program in preventing oral diseases (caries, gingivitis, or malocclusions) in children attended since 2010.

METHODS

This was a cross-sectional and cohort study that assessed 252 children between 36 and 60 months of age in both sexes. The children were divided into three groups: G1: effective participants of the program from birth; G2: children who have stopped participating for more than 24 months, and G3: children who have never attended a prevention program. The evaluation was carried out in two stages: first, an interview with the mothers and, afterwards, a clinical children examination to assess the presence of caries, gingivitis, and malocclusion. The chi-squared test was used for statistical analysis between groups (p<0.05).

RESULTS

The diseases assessed were: caries (G1: 5.9%, G2: 54.7%, G3: 70%), gingivitis (G1: 8.3%, G2: 17.9%, G3: 40.5%), and malocclusion (G1: 22.6%; G2: 28.6%; G3: 50%). For gingivitis, there was no significant difference when comparing G1 and G2 (p=0.107), but it was significant between G1 and G3 (p<0.001). Regarding malocclusion, a statistically significant relationship was observed (p=0.004) among all groups.

CONCLUSION

The prevention and promotion program in public oral health was effective in preventing caries disease, gingivitis, and malocclusion in children under 5 years of age.

摘要

目的

评估“婴儿口腔”早期口腔保健预防和促进计划在预防 2010 年以来就诊儿童口腔疾病(龋齿、牙龈炎或错颌畸形)方面的疗效。

方法

这是一项横断面和队列研究,评估了 252 名 36 至 60 个月龄的男女儿童。儿童分为三组:G1:自出生起即为该计划的有效参与者;G2:停止参与该计划超过 24 个月的儿童;G3:从未参加过预防计划的儿童。评估分两个阶段进行:首先,对母亲进行访谈,然后对儿童进行临床检查,以评估龋齿、牙龈炎和错颌畸形的发生情况。采用卡方检验进行组间统计学分析(p<0.05)。

结果

评估的疾病包括:龋齿(G1:5.9%,G2:54.7%,G3:70%)、牙龈炎(G1:8.3%,G2:17.9%,G3:40.5%)和错颌畸形(G1:22.6%;G2:28.6%;G3:50%)。对于牙龈炎,G1 和 G2 之间无显著差异(p=0.107),但 G1 和 G3 之间差异显著(p<0.001)。关于错颌畸形,所有组之间均观察到具有统计学意义的关系(p=0.004)。

结论

公共口腔卫生的预防和促进计划在预防 5 岁以下儿童龋齿、牙龈炎和错颌畸形方面是有效的。

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