Effectiveness of Oral Health Educational Methods among School Children Aged 5-16 Years in Improving their Oral Health Status: A Meta-analysis.
Effectiveness of Oral Health Educational Methods among School Children Aged 5-16 Years in Improving their Oral Health Status: A Meta-analysis.
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DOI：
10.5005/jp-journals-10005-2395
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发表时间：
2022-05
影响因子：
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通讯作者：
Divekar, Pallavi
中科院分区：
文献类型：
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作者：
Gurav, Kashmira M;Shetty, Vittaldas;Vinay, Vineet;Bhor, Ketaki;Jain, Chirayu;Divekar, Pallavi
口腔健康是整个生命健康的重要组成部分。两种主要的口腔疾病，龋齿和牙龈疾病在年轻人口中普遍存在。在发达国家和发展中国家，以学校为基础的口腔健康教育（OHE）计划与公认的技术和传统的讲座可以在促进口腔健康行为的战略。本研究的目的是总结现有的证据，以评估OHE计划在5-16岁学龄儿童中改善口腔健康状况的有效性。包括5至16岁学龄儿童的临床试验。符合条件的研究是那些有结果的龋齿，牙菌斑和牙龈指数，口腔卫生状况。检索了PubMed、开放存取期刊目录（DOAJ）和Google Scholar中2010年至2019年以英语发表的文章。共识别出41篇文章，通过检查标题和全文确定相关性。9篇文章被纳入定性综合，7篇符合荟萃分析的条件。根据科克伦手册评估偏倚风险。使用Review Manager 5.3软件进行荟萃分析。荟萃分析后发现累积平均差异结果为0.05（-0.17，0.27），-0.37（-0.74，0.00），-0.20（-0.33，-0.07）和-0.17（-0.73，0.38）对于菌斑状态、简化口腔卫生指数（OHI-S）、碎屑状态和龋齿，实验组优于传统组，差异有统计学意义。通过各种辅助工具（如讲座、相册、模型、活动挂图、传单、电子程序、游戏、绘画和演示）进行的干预被证明在改善口腔卫生状况和龋齿方面有效，但与牙医的口腔健康讲座/咨询相比，菌斑水平和牙龈炎症没有减少。Gurav KM，Shetty V，Vinay V，et al.口腔健康教育方法在5-16岁学龄儿童中改善口腔健康状况的有效性：荟萃分析。国际临床儿科牙科杂志2022;15（3）：338-349。
Oral health is an essential component of health throughout life. Two major oral diseases, dental caries and gingival conditions are prevalent in young population. School-based oral health education (OHE) programs with recognized technology and traditional lecturing could be strategic in promotion of oral health behavior in developed and developing countries. The aim of the study is to summarize existing evidence in order to evaluate the effectiveness of OHE programs in school children aged 5–16 years in improving their oral health status. Clinical trials with school children between 5 and 16 years were included. Eligible studies were those which had outcomes as caries, plaque and gingival indices, and oral hygiene status. Articles published from 2010 to 2019 in English language from PubMed, Directory of Open Access Journal (DOAJ), and Google Scholar were searched. Forty-one articles were identified and relevance was determined by examining title and full article. Nine articles were included for qualitative synthesis and seven were eligible for meta-analysis. The risk of bias was assessed by Cochrane Handbook. A meta-analysis was done using Review Manager 5.3 software. After the meta-analysis results for cumulative mean difference was found as 0.05 (–0.17, 0.27), –0.37 (–0.74, 0.00), –0.20 (–0.33, –0.07), and –0.17 (–0.73, 0.38) for plaque status, Oral Hygiene Index-Simplified (OHI-S), debris status, and dental caries, respectively showing a significant difference favoring the experimental group than traditional group. Interventions given by various aids like lectures, albums, models, flipcharts, leaflets, E-programs, games, drawings, and presentations proved effective in improving oral hygiene status and dental caries, but no reduction in plaque levels and gingival inflammation as compared to oral health talk/counseling by dentists. Gurav KM, Shetty V, Vinay V, et al. Effectiveness of Oral Health Educational Methods among School Children Aged 5–16 Years in Improving their Oral Health Status: A Meta-analysis. Int J Clin Pediatr Dent 2022;15(3):338-349.