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Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Oral hygiene and nutritional status of children aged 1-7 years in a rural community
Sn Okolo1, Ga Chukwu, I Egbuonu
1Department of Paediatrics Jos University Teaching Hospital, Jos-Nigeria.
Insights
Poor oral hygiene, malnutrition, and low measles immunization rates are prevalent in rural children, increasing their risk for serious oral diseases. Urgent public health interventions focusing on oral health, nutrition, and vaccination are crucial.
Area of Science:
- Pediatric Oral Health
- Public Health
- Nutritional Science
Background:
- Acute Necrotizing Ulcerative Gingivitis (ANUG) and cancrum oris are common in rural children aged 3-6 years.
- Poor oral hygiene, measles, and malnutrition are identified as contributing factors to these prevalent oral diseases.
Purpose of the Study:
- To assess the oral hygiene, nutritional status, and measles immunization coverage in children aged 13-84 months in a rural community.
- To identify risk factors associated with common oral diseases in young children.
Main Methods:
- A cross-sectional study involving 636 children aged 1-7 years from three rural communities.
- Data collected via questionnaires on maternal biodata and child immunization status, oral hygiene assessment using plaque/debris index, and anthropometric measurements for nutritional status.
Main Results:
- A high prevalence of poor oral hygiene was observed, with 55.2% having a plaque/debris index of 2 and 12.6% a score of 3.
- 84.3% of the children were malnourished, and only 11.3% had received measles immunization.
- Significant differences in oral hygiene status were noted across different age groups (p=0.001).
Conclusions:
- The study highlights the widespread occurrence of poor oral hygiene, malnutrition, and inadequate measles immunization in the studied rural communities.
- These factors collectively increase the risk of noma and other severe oral conditions.
- There is an urgent need for integrated public health programs focusing on oral health, nutrition, and immunization promotion.
Summary Introduction:
Poor oral hygiene, measles and malnutrition have been implicated as predisposing factors to Acute Necrotizing Ulcerative Gingivitis (ANUG) and cancrum oris, common oral diseases prevalent among children ages 3-6 years in rural communities.
Objective:
The study was aimed at reviewing the oral hygiene, nutritional and immunization status of children 13-84 months of age in a rural community.
Design:
A cross sectional study.
Methods:
Two hundred and thirty seven (237), 168 and 321 children and their parents from Illela, Gada and Gwadabawa respectively were interviewed using a pre-tested questionnaire to record the biodata and social status of the mother and measles immunization status of the children. The oral hygiene status of the children was determined using the plaque/debris index score. Their anthropometric measurements were also recorded.
Results:
A total of 636 children aged 1-7years were examined. Of these, 8.3% had plaque/debris index of zero. About twenty four percent (23.9%) had plaque/debris index of 1, while 55.2% had plaque/debris index of 2 and 12.6% had plaque/debris index of 3. There was no statistical difference between the females and the males (p=0.333), but a significant difference existed between the age groups (p=0.001). Of the study group, 84.3% were malnourished and only 11.3% were immunized against measles.
Conclusion:
Poor oral hygiene, malnutrition and low measles immunization were common in the community. These conditions predispose to noma. Prompt and adequate intervention programmes such as systematic oral health, immunization and nutrition promotion programmes are urgently needed in these communities.
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