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Effectiveness of a preventive educational programme on the oral health of preschool children
Alicia S Hochstetter1, María Josefina Lombardo, Luciana D'eramo
1Department of Preventive and Community Dentistry, School of Dentistry, University of Buenos Aires. ashochstetter@yahoo.com.ar
Insights
A preventive-educational program significantly improved oral hygiene in preschool children, reducing plaque and gingival index. This dental intervention prevented decay progression in the experimental group over 12 months.
Area of Science:
- Pediatric Dentistry
- Preventive Dentistry
- Public Health
Background:
- Preschool children are susceptible to dental caries and gingivitis.
- Early intervention programs are crucial for establishing lifelong oral health habits.
Purpose of the Study:
- To assess the effectiveness of a combined preventive-educational dental program for preschoolers.
- To evaluate the impact on plaque index, gingival index, and dental decay.
Main Methods:
- A randomized controlled trial involving 58 four-year-old children.
- Experimental group received education for children, parents, and teachers.
- Both groups received topical 1.23% acidulated fluoride phosphate applications every 6 months.
- Oral health outcomes measured at baseline, 8 days, 6 months, and 12 months.
Main Results:
- The experimental group showed significant reductions in gingival and plaque indices.
- No significant increase in dental decay was observed in the experimental group.
- The control group experienced significant increases in gingival and plaque indices and decayed surfaces.
Conclusions:
- A comprehensive preventive-educational dental program is effective in improving oral hygiene in preschool children.
- Such programs can significantly reduce plaque and gingivitis, and prevent caries progression.
- Integrating education for children, parents, and teachers enhances program efficacy.
Abstract:
The aim of the study was to evaluate the impact of a preventive-educational programme in a group of preschool children. The study's population group comprised 58 four-year-old children, with a mean age of 4.17 +/- 0.27. Plaque index and gingival index were determined, and a dental examination was performed. The children were randomly assigned to one of two groups: experimental and control. The experimental group received the educational component of the programme which was for children, parents and teachers. The preventive programme was applied to both groups and included topical application of 1.23% acidulated fluoride phosphate, pH 3.5, every 6 months. Outcomes were measured on day 8 and after 6 and 12 months under similar conditions to those at baseline. Results showed a significant decrease in gingival index and plaque index values and no significant increase in decay in the experimental group. The control group showed a significant increase in gingival index, plaque index, and decayed surfaces.
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