School based oral health promotional intervention: Effect on knowledge, practices and clinical oral health related parameters
School based oral health promotional intervention: Effect on knowledge, practices and clinical oral health related parameters
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DOI：
10.4103/0976-237x.123056
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发表时间：
2013-10-01
影响因子：
1.2
通讯作者：
Mittal, Hitesh Chander
中科院分区：
文献类型：
--
作者：
Gauba, Arjun;Bal, Ikreet Singh;Mittal, Hitesh Chander
背景：印度没有有组织的学校口腔健康计划。目的：本研究的目的是检验经济的学校口腔健康促进干预教育和预防成分的可行性和有效性。情境与设计：随机选取一所学校进行学校口腔健康促进干预，采用短期前瞻性模型进行评价。材料与方法：入选100名年龄在10-12岁之间、无牙科干预史的儿童。干预措施包括口腔健康教育（由一名本科牙科学生通过讲座和示范进行）和局部抗菌治疗（氟清漆和聚维酮碘）。结果包括关于口腔健康的知识和实践（KAP），临床口腔健康相关参数，如菌斑指数（PI），牙龈指数（GI）和根据改良Snyders试验的龋齿活动。这些在基线、3周和6个月的随访检查时由校准的审查员报告。统计分析：采用McNemar Bowkers检验、student t检验、Pearson Chi-square检验。结果：在3周和6个月的随访检查中，KAP评分、PI评分、GI评分和龋活动性均有显著改善（P < 0.001）。结论：小型经济学校口腔卫生项目对口腔卫生相关习惯和口腔卫生指标如口腔清洁度、牙龈健康、龋齿活动度等均有积极影响。
Background: No organized school oral health program is existent in India. Aim: The aim of this study is to test the feasibility and efficacy of an economical school oral health promotional intervention with educational and preventive components. Settings and Design: School oral health promotional intervention carried out in one of the randomly selected school and evaluated through short duration prospective model. Materials and Methods: A total of 100 children with an age range of 10-12 years with no previous history of dental intervention were enrolled. Interventions comprised of oral health education (delivered through lecture and demonstrations by an undergraduate dental student) and topical antibacterial therapy (fluoride varnish and povidone iodine). Outcomes consisted of Knowledge and practices (KAP) regarding oral health, clinical oral health related parameters such as plaque index (PI), gingival index (GI) and caries activity as per Modified Snyders test. These were reported at baseline, 3 weeks and 6 months follow-up examination by a calibrated examiner. Statistical Analysis: McNemar Bowkers test, Students t-test, Pearson Chi-square tests were used. Results: Highly significant (P < 0.001) improvements in KAP scores, PI scores, GI scores and caries activity were reported at 3 weeks and 6 months follow-up examination. Conclusion: This small economical school oral health program positively influenced oral health related practices and parameters of oral health such as oral cleanliness, gingival health and caries activity.