Shenoy Ramya, D'Souza Violet, Kundabala M, Jain Animesh, Suprabha Baranya Shrikrishna
Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Canada.
Contemp Clin Dent. 2022 Apr-Jun;13(2):162-168. doi: 10.4103/ccd.ccd_873_20. Epub 2022 Jun 21.
Untreated caries in mothers is one of the common risk factors for early childhood caries (ECC).
The aim of the study was to investigate the impact of an oral health promotion program on ECC.
We conducted a pragmatic trial at 12 primary health centers in a rural community of India with 311 pregnant women using fluoride toothpaste, oral health information through pamphlets, and referral to urgent dental care or atraumatic dental treatment as the test intervention. Data were collected through structured interviews at baseline and oral examination of the children at 2 years of age.
Of the 311 women who participated, 274 children were followed up with at 2 years of age. ECC was low and comparable in both groups. When compared with the control group, significantly, more children from the intervention group were breastfed for over 6 months of age ( = 0.012) and consumed less sugar ( < 0.001). The number of mothers' decayed teeth ( = 0.01), children's sweet scores ( < 0.001), and the age at which brushing commenced for children ( = 0.04) increased the likelihood of tooth decay in children.
The oral health promotion program had some beneficial effects in preventing caries in children when provided to pregnant women.
母亲未经治疗的龋齿是幼儿龋齿（ECC）的常见风险因素之一。
本研究的目的是调查口腔健康促进项目对幼儿龋齿的影响。
我们在印度一个农村社区的12个初级卫生中心进行了一项实用试验，对311名孕妇使用含氟牙膏、通过宣传册提供口腔健康信息，并转诊至紧急牙科护理或无创牙科治疗作为试验干预措施。数据通过基线时的结构化访谈以及对2岁儿童的口腔检查收集。
在参与的311名女性中，274名儿童在2岁时接受了随访。两组的幼儿龋齿发生率都很低且相当。与对照组相比，干预组中显著更多的儿童母乳喂养超过6个月（P = 0.012）且糖摄入量更少（P < 0.001）。母亲的龋齿数量（P = 0.01）、儿童的甜食评分（P < 0.001）以及儿童开始刷牙的年龄（P = 0.04）增加了儿童患龋齿的可能性。
当向孕妇提供口腔健康促进项目时，该项目在预防儿童龋齿方面有一些有益效果。
