Oral health care for children attending a malnutrition clinic in South Africa.

Oral health care for children attending a malnutrition clinic in South Africa.
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DOI:
10.1111/j.1601-5037.2007.00261.x
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发表时间:
2007-08-01
影响因子:
2.4
通讯作者:
Gordon, N
Gordon, N
中科院分区:
医学4区
文献类型:
--
作者:
Gordon, N

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未贴标:目的:1)了解参加机构营养计划的儿童的口腔健康状况及其父母/照顾者的口腔健康知识、态度和行为;和2)制定一个框架,口腔健康组成部分,以补充本program.METHOD:儿童和他们的父母/照顾者参加一个设施为基础的营养计划(n = 60名儿童)的描述性研究。一个结构化的,管理问卷的父母/照顾者和口腔检查的儿童被用于datacollection.FINDINGS:响应率为82%(n = 49)。大多数父母在孩子12至24个月(64%)时开始清洁孩子的口腔,在食物和奶瓶中添加糖,只有在孩子出现症状时才去看牙医。这些因素显然使这一群体面临患龋齿和牙龈炎的风险。他们的营养不良状况/病史增加了他们患口腔疾病的风险。口腔检查发现牙菌斑沉积,牙龈炎,龋齿和“白色斑点”。结论:这项研究清楚地表明,需要为儿童参加的设施为基础的营养计划的口腔健康组成部分。通过广泛的利益相关者的参与和跨学科的方法,可以最大限度地促进、预防和治疗口腔护理。这表明在这样的环境中,牙科团队的作用有所扩大,特别是口腔科医生。
UNLABELLED: Most health problems dealt with at a primary care level have an oral health impact, making it vital for oral health services to find means to integrate with other facility-based programmes at primary health care (PHC) centres.AIM: 1) To determine the oral status of the children attending a facility-based nutrition programme and the oral health knowledge, attitude and practices of their parents/caregivers; and 2) To develop a framework for an oral health component to complement this programme.METHOD: A descriptive study of children and their parents/caregivers attending a facility-based nutrition programme (n = 60 children). A structured, administered questionnaire for parents/caregivers and an oral examination for the children was used for data collection.FINDINGS: The response rate was 82% (n = 49). Most parents start cleaning their children's mouths between 12 and 24 months (64%), add sugar to food and feeding bottles, and visit a dentist only when the child is symptomatic. These factors clearly place this group at risk for developing dental caries and gingivitis. Their malnutrition status/history increases their risk of oral diseases. The oral examination found plaque deposits, gingivitis, caries and 'white spots'.CONCLUSION: This study clearly shows the need for an oral health component for children attending the facility-based nutrition programme. Promotion, prevention and therapeutical oral care can be maximized by the involvement of a wide range of stakeholders and an interdisciplinary approach. This shows an expanded role for the dental team with specific reference the oral hygienist in such an environment.