Korolenkova M V, Khachatryan A G, Poberezhnaya A A, Krechetova M S
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Moscow Regional Research Institute named after M.F. Vladimirskiy, Moscow, Russia.
Stomatologiia (Mosk). 2022;101(4):61-67. doi: 10.17116/stomat202210104161.
Was to assess the effectiveness of a new dental caries prevention program in children of various ages living in residential institutions.
The program of oral health promotion and caries prevention was introduced in the autonomous non-profit organization «Social rehabilitation center Solba». The study comprised 98 children aged 12-17 years divided into two groups: the main group of 52 children aged 12-16 years enrolled in the program in 2013 in pre-school (32 children) and primary school age (20 children) and the control group of 46 adolescents aged 12-17 years not included in the program. DMFT and OHI-S index were compared in both groups as well as in children enrolled in the program at various ages.
The overall caries prevalence was 84.7%. Statistically significant differences were documented between children enrolled in the program in pre-school and primary school ages regarding both caries prevalence (78% and 89%, respectively) and intensity (3.5 and 5.4 tooth, respectively (=0.01)). Non-satisfactory, poor and very poor OHI-S was observed in 15.4% of children in the main group and 54.3% of controls. Good oral hygiene was seen in 67.3 and 37%, satisfactory - in 17.3 and 8.7% of children, respectively (<0.05).
Programs of dental caries prevention with oral health promotion component are effective for oral hygiene improvement in children living in residential institutions. The key for long-term effectiveness and dental caries prevalence and intensity reduction is the start of the program in pre-school age and education of caregivers and teachers to provide control of dental care in pre-school and primary school children.
评估一项针对生活在寄宿机构中的不同年龄段儿童的新型龋齿预防项目的有效性。
在自主非营利组织“索尔巴社会康复中心”引入了口腔健康促进和龋齿预防项目。该研究包括98名12 - 17岁的儿童，分为两组：主要组有52名12 - 16岁的儿童，于2013年在学前（32名儿童）和小学年龄段（20名儿童）参与该项目；对照组有46名12 - 17岁的青少年未参与该项目。比较了两组以及不同年龄段参与项目儿童的DMFT和OHI - S指数。
总体龋齿患病率为84.7%。在学前和小学年龄段参与项目的儿童之间，龋齿患病率（分别为78%和89%）和严重程度（分别为3.5颗牙和5.4颗牙，P = 0.01）方面存在统计学显著差异。主要组中15.4%的儿童以及对照组中54.3%的儿童OHI - S为不满意、差和非常差。主要组和对照组中口腔卫生良好的儿童分别为67.3%和37%，满意的分别为17.3%和8.7%（P < 0.05）。
包含口腔健康促进部分的龋齿预防项目对于改善生活在寄宿机构中的儿童口腔卫生是有效的。该项目长期有效性以及降低龋齿患病率和严重程度的关键在于在学前阶段启动项目，并对护理人员和教师进行教育，以便对学前和小学儿童的口腔护理进行监督。
