Geetha Priya P R, Asokan Sharath, Janani R G, Kandaswamy D
Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India.
Department of Conservative Dentistry, Sri Ramachandra Dental College and Hospital, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2019 May-Jun;30(3):437-449. doi: 10.4103/ijdr.IJDR_805_18.
To evaluate the effectiveness of school dental health education on the oral health status, oral health-related knowledge, and practice behavior of 6-12-year-old children.
Hand search and electronic search based on the keywords on school dental health education in seven search engines till 2017 identified 7434 articles. Trials involving school-based dental health education with a minimum follow-up period of 6 months were screened. Risk of bias assessment was done independently by two authors.
Among the 18 articles which fulfilled the eligibility criteria, six were randomized controlled trials (RCTs) and 12 were non-RCTs. Quality assessment showed that 12 trials had a low risk of bias. Oral health-related knowledge improved in children. Oral health-related practice behaviors such as frequency and duration of brushing improved. Use of fluoridated toothpaste was increased. Plaque scores and gingival bleeding scores reduced.
School dental health education had a positive impact on the oral health status, knowledge, and practice behavior of children. There is a definite need for high-quality RCTs analyzing the effectiveness of school dental health education on specific oral health outcomes.
评估学校口腔健康教育对6至12岁儿童口腔健康状况、口腔健康相关知识及实践行为的效果。
截至2017年，通过在七个搜索引擎中基于学校口腔健康教育的关键词进行手工检索和电子检索，共识别出7434篇文章。筛选出涉及以学校为基础的口腔健康教育且随访期至少为6个月的试验。由两位作者独立进行偏倚风险评估。
在符合纳入标准的18篇文章中，6篇为随机对照试验（RCT），12篇为非RCT。质量评估显示，12项试验的偏倚风险较低。儿童的口腔健康相关知识得到改善。刷牙频率和时长等口腔健康相关实践行为有所改善。含氟牙膏的使用增加。菌斑评分和牙龈出血评分降低。
学校口腔健康教育对儿童的口腔健康状况、知识及实践行为有积极影响。确实需要高质量的RCT来分析学校口腔健康教育对特定口腔健康结果的有效性。
