Dental Health Services Research Unit, School of Dentistry, University of Dundee, Dundee, UK.
Evidence Synthesis Training and Research (eSTAR) Group, School of Nursing and Health Sciences, University of Dundee, Dundee, UK.
Int Dent J. 2019 Dec;69(6):409-418. doi: 10.1111/idj.12506. Epub 2019 Jul 23.
To conduct a rapid review to identify any maternal and/or child oral health interventions implemented and/or tested in Middle East and North Africa (MENA) countries generally, and Lebanon, Palestine and Syria specifically, and to compile information on the relative effectiveness of these interventions.
A systematic search was conducted for primary and secondary literature indexed in five online databases, and the websites of the World Health Organisation (WHO), the International Union for Health Promotion and Education (IUHPE), the United Nations Children's Fund (UNICEF), United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), and the United Nations Refugee Agency (UNHCR).
Two independent researchers reviewed 1,180 records from the online databases, and 3,120 reports from the WHO, UNRWA, UNICEF and UNHCR. Four unique studies were included and conducted in Syria, Saudi Arabia and Iran. No systematic reviews were found for targeted interventions in MENA regions. However, interventions using fluoridated toothpaste (Syria), preventive treatment and fluoridated chewing gum (Saudi Arabia), and oral health education with oral health reminders (Iran) were significantly effective in reducing early child caries (ECC) experience. In Syria and Iran, mother and child oral health promotions integrated into ongoing vaccination programmes were effective in reducing ECC. These interventions formed part of WHO and Ministry of Health programmes.
Further investigation is essential to verify the effectiveness of incorporating multi-disciplinary, theory-driven oral health interventions into ongoing WHO maternal and child health programmes in MENA countries to assist in promoting oral health and wellbeing.
进行快速综述，以确定在中东和北非（MENA）国家普遍实施和/或测试的任何母婴口腔健康干预措施，并汇编这些干预措施相对有效性的信息。
对五个在线数据库以及世界卫生组织（WHO）、国际健康促进与教育联盟（IUHPE）、联合国儿童基金会（UNICEF）、联合国近东巴勒斯坦难民救济和工程处（UNRWA）和联合国难民署（UNHCR）的网站上的主要和次要文献进行了系统检索。
两名独立研究人员审查了来自在线数据库的 1180 条记录和来自 WHO、UNRWA、UNICEF 和 UNHCR 的 3120 份报告。纳入了四项独特的研究，这些研究分别在叙利亚、沙特阿拉伯和伊朗进行。在 MENA 地区针对特定干预措施的系统评价尚未发现。然而，使用含氟牙膏（叙利亚）、预防性治疗和含氟咀嚼口香糖（沙特阿拉伯）以及口腔健康教育和口腔健康提醒（伊朗）的干预措施在减少幼儿龋（ECC）经验方面非常有效。在叙利亚和伊朗，将母婴口腔健康促进纳入正在进行的疫苗接种计划是有效的，可以减少 ECC。这些干预措施是世卫组织和卫生部计划的一部分。
有必要进一步调查，以验证将多学科、基于理论的口腔健康干预措施纳入 MENA 国家正在进行的世卫组织母婴健康计划中的有效性，以帮助促进口腔健康和福祉。
