Department of Oral Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
Faculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Hue 530000, Vietnam.
Int J Environ Res Public Health. 2021 Mar 8;18(5):2715. doi: 10.3390/ijerph18052715.
We have evaluated the impact of a school-based intervention on oral health knowledge, behaviours, and oral health status of adolescents in Vietnam. This 6-month study included 462 adolescents aged 12 years from four selected schools in Hue City, Vietnam. The intervention group received a 15-min lecture by a dentist and hands-on session on mouth observation and toothbrushing skills. The control group did not engage in any educational activities during the follow-up period. Data were collected at baseline and 6 months through a survey questionnaire and clinical examination. The Debris Index was used for dental plaque; the Papillary, Marginal, Attached gingiva index for gingivitis; and the Decayed, Missing, and Filled Teeth index (World Health Organization modification) for dental caries. Difference-in-difference analysis was used to compare changes between the groups. After 6 months, the control tended to show decreased toothbrushing frequency and increased dental plaque accumulation. The participants in the intervention group showed improved oral health knowledge ( < 0.01), behavior ( < 0.05), and hygiene ( < 0.001) compared to the control group. However, the intervention did not improve dental caries and gingivitis. A single school-based oral health education program can help adolescents improve oral health knowledge and prevent the deterioration of short-term oral health behavior and hygiene.
我们评估了一项基于学校的干预措施对越南青少年口腔健康知识、行为和口腔健康状况的影响。这项为期 6 个月的研究纳入了来自越南顺化市四所选定学校的 462 名 12 岁青少年。干预组接受了由牙医进行的 15 分钟讲座和口腔观察及刷牙技巧的实践课程。对照组在随访期间没有参与任何教育活动。通过问卷调查和临床检查在基线和 6 个月时收集数据。使用牙菌斑的牙垢指数(Debris Index)、牙龈炎的乳头、边缘、附着龈指数(Papillary, Marginal, Attached gingiva index)和龋齿、缺失、补牙指数(世界卫生组织修正版)(Decayed, Missing, and Filled Teeth index (World Health Organization modification))评估龋齿。采用差值分析比较组间变化。6 个月后,对照组的刷牙频率呈下降趋势,牙菌斑堆积呈增加趋势。与对照组相比,干预组的参与者口腔健康知识(<0.01)、行为(<0.05)和卫生(<0.001)得到改善。然而,干预措施并未改善龋齿和牙龈炎。单一的学校口腔健康教育计划可以帮助青少年提高口腔健康知识,并预防短期口腔健康行为和卫生状况的恶化。