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Comprehensive dental health care program at an orphanage in Nellore district of Andhra Pradesh
Dhanya Muralidharan1, Nusrath Fareed, M Shanthi
1Department of Public Health Dentistry, Narayana Dental College and Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India.
Insights
A comprehensive dental health care program (CDHP) significantly improved children's oral and general health in rural India. This prevention-focused approach, utilizing dental college resources, is effective in resource-limited settings.
Area of Science:
- Public Health
- Pediatric Dentistry
- Preventive Dentistry
Background:
- Oral healthcare access in India is limited for underprivileged populations due to financial and manpower constraints.
- Dental colleges can bridge this gap by offering prevention-oriented oral healthcare services.
Purpose of the Study:
- To enhance the oral health status of primary school children in Andhra Pradesh, India.
- Implementation of a prevention-based Comprehensive Dental Health Care Program (CDHP).
Main Methods:
- A longitudinal, institution-based interventional study involving 162 primary grade children.
- Interventions included dental health education, professional cleaning, fluoride mouth rinses and applications, sealant placement, and restorative care.
Main Results:
- Significant reduction in mean treatment requirements per child after 18 months.
- Minimal new caries development (4 children) and notable improvement in Body Mass Index (BMI) among children with prior decay.
- Overall improvement in general and oral health indicators observed.
Conclusions:
- The Comprehensive Dental Health Care Program (CDHP) demonstrates effectiveness in improving both general and oral health outcomes.
- Dental school-led programs are a viable strategy for enhancing oral health in resource-limited countries like India.
Background:
Provision of oral health care in India, especially for the underprivileged is limited due to inadequate finances and manpower. Resources of dental colleges in such a scenario can be utilized to provide prevention oriented oral health care.
Aim:
To improve the oral health status of children at an institute in Nellore district of Andhra Pradesh, India, through prevention based comprehensive dental health care program (CDHP).
Design And Setting:
A longitudinal institution based interventional study conducted among the primary grade children (n=162).
Materials And Methods:
Baseline data collection included (i) basic demographic data (ii) body mass index (BMI) (iii) assessment of the dentition status and treatment needs according to WHO 1997 criteria. The CDHP included group based dental health education, professional oral prophylaxis, weekly (0.2%) sodium fluoride mouth rinse program, biannual application of topical fluoride (1.23% APF), pit and fissure sealants for all first permanent molars and provision of all necessary curative services.
Results:
Mean treatment requirements per child decreased at 18 months. New caries lesions developed among four children. BMI of children with decay was seen to improve significantly after instituting the CDHP.
Conclusion:
CDHP is effective in overall improvement of general and oral health. In resource limited countries like India, such programs organized by dental schools can improve oral health.
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