Department for School Health, Ministry of Health, Palestinian Authority, Gaza, Gaza Strip, Palestinian Authority.
WHO Collaborating Centre for Community Oral Health Programmes and Research, Department for Odontology, University of Copenhagen, Copenhagen K, Denmark.
Int Dent J. 2018 Apr;68(2):105-112. doi: 10.1111/idj.12345. Epub 2017 Nov 23.
Political conflicts in the Palestinian Territories (PT) have resulted in systematic deterioration of socio-economic conditions and health. The World Health Organization (WHO) has emphasised the negative impacts of social crisis on children' oral health and quality of life.
To assess the prevalence and trends in dental caries and poor gingival health of schoolchildren in the PT through the scholastic years 1998/1999 to 2012/2013.
This is a retrospective study. Prevalence data on dental caries of primary and permanent dentitions among children 6, 12 and 16 years of age were gathered from annual oral health reports of the School Dental Health Programme (SDHP)-Ministry of Health. Caries was recorded according to WHO methods and criteria. Decayed, missing and filled teeth indices for primary (dmft) and permanent (DMFT) teeth were calculated. Gingival health status was examined according to the Community Periodontal Index (scores 1 and 2). Statistical analysis used SPSS.
In 2012/2013, dental caries prevalence rates and the index scores among schoolchildren were as follows, respectively: 56.4% and 2.7 dmft at age 6; 42.0% and 1.4 DMFT at age 12; and 38.7% and 1.7 DMFT at age 16. For all age groups, the d/D-component of the caries indices was high. Trends of dental-caries prevalence, caries experience and gingival bleeding were fairly constant over time from 1998/1999.
The SDHP was established in order to prevent and control oral diseases among schoolchildren in the PT. The Programme is fairly passive and the survey indicates an urgent need for reorientation of activities towards population-based prevention and health promotion. The application of the WHO Health Promoting Schools concept is highly recommended.
巴勒斯坦领土（PT）的政治冲突导致社会经济条件和健康状况的系统性恶化。世界卫生组织（WHO）强调了社会危机对儿童口腔健康和生活质量的负面影响。
通过 1998/1999 年至 2012/2013 年学年，评估巴勒斯坦领土学童的龋齿和牙龈健康不良的流行率和趋势。
这是一项回顾性研究。从卫生部学校口腔健康计划（SDHP）的年度口腔健康报告中收集了 6、12 和 16 岁儿童乳牙和恒牙龋齿的患病率数据。龋齿根据世界卫生组织的方法和标准进行记录。计算了乳牙（dmft）和恒牙（DMFT）的龋齿、缺失和补牙指数。牙龈健康状况根据社区牙周指数（得分 1 和 2）进行检查。统计分析使用 SPSS。
2012/2013 年，学童的龋齿患病率和指数评分如下：6 岁时分别为 56.4%和 2.7 dmft；12 岁时分别为 42.0%和 1.4 DMFT；16 岁时分别为 38.7%和 1.7 DMFT。对于所有年龄组，龋齿指数的 d/D 成分都很高。自 1998/1999 年以来，龋齿流行率、龋齿经验和牙龈出血的趋势在时间上相当稳定。
SDHP 的建立是为了预防和控制巴勒斯坦领土学童的口腔疾病。该计划相当被动，调查表明迫切需要将活动重新定位为基于人群的预防和健康促进。强烈建议应用世界卫生组织健康促进学校概念。
