Evaluation of a feasible educational intervention in preventing early childhood caries
Evaluation of a feasible educational intervention in preventing early childhood caries
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DOI：
10.1590/1807-3107bor-2015.vol29.0089
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发表时间：
2015-01-01
影响因子：
2.5
通讯作者：
CENCI, Maximiliano Sérgio
中科院分区：
文献类型：
--
作者：
AZEVEDO, Marina Sousa;ROMANO, Ana Regina;CENCI, Maximiliano Sérgio
学龄前儿童乳牙中的早期儿童龋齿 (ECC) 仍然很高。幼儿获得口腔保健的机会有限，口腔健康教育 (OHE) 措施可以成为预防该人群龋齿的宝贵工具。本研究的目的是评估早期教育干预对 ECC 预防的影响。研究小组 (SG) 由 271 名 0-12 个月大的儿童及其母亲组成，他们就诊于 12 个选定的公共卫生中心 (PHC)。 SG 通过小册子和对某些主题的口头解释获得口腔健康指导。一年后，从另外 12 个初级卫生保健中心选择了类似的儿童样本作为对照（CG；n = 251）。对儿童进行检查以确定他们的龋齿状况：腐烂=空洞和/或白斑病变（上颌前表面）；丢失的;且填充表面指数> 0。进行了一年的随访。收集了社会经济和人口统计信息。使用逻辑回归来估计教育干预对 ECC 几率的影响。直到研究结束，仍有 445 名儿童样本（SG = 194 和 CG = 251）接受检查。 SG 的龋齿患病率为 12.9%，CG 的龋齿患病率为 17.9%。 CG 中的龋齿发生率比 SG 中高 80% (p = 0.037)。在孩子一岁的时候通过小册子向母亲提供 OHE 和简短的口头指导的策略可以成为预防 ECC 的宝贵工具。
Early childhood caries (ECC) in the primary dentition of preschoolers remains high. Young children have limited access to oral healthcare, and oral health education (OHE) measures can be a valuable tool to prevent caries in this population. The aim of this study was to evaluate the impact of an early educational intervention on ECC prevention. The study group (SG) comprised 271 children aged 0-12 months and their mothers, who attended 12 selected public health centers (PHC). The SG received oral health instructions from a pamphlet and by verbal explanation of some topics. One year later, a similar sample of children from another 12 PHCs were selected to serve as the control (CG; n = 251). The children were examined to determine their caries status: decayed = cavitated and/or white spot lesion (maxillary anterior surface); missing; and filled surface index > 0. There was a one-year follow-up. Socioeconomic and demographic information was collected. Logistic regression was used to estimate the effects of the educational intervention on the ECC odds. A sample of 445 (SG = 194 and CG = 251) children remained to the end of the study and were examined. The prevalence of caries was 12.9% in the SG and 17.9% in the CG. The odds of caries were 80% higher in the CG than in the SG (p = 0.037). The strategy of providing OHE from a pamphlet and with a brief verbal instruction to mothers during their child's first year of life can constitute a valuable tool for ECC prevention.