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Published on: February 2, 2020
Oral health status and treatment need among preschool children attending Anganwadi centres - a comparative study
Harsh Priya1, Shashdhar Acharya, Manoj Kumar
1Manipal College of Dental Sciences, Manipal University, Mangalore, India. drharshpriya@gmail.com
Insights
Preschool children in a special learning program (SLP) showed improved oral health and reduced dental treatment needs compared to a control group. General health education positively impacts children's oral hygiene.
Area of Science:
- Public Health
- Pediatric Dentistry
- Health Education
Background:
- Anganwadi Centres are crucial for delivering services to mothers and children in India.
- Preschool oral health is a significant public health concern, often linked to socioeconomic factors.
- The impact of targeted health education programs on early childhood oral health requires further investigation.
Purpose of the Study:
- To compare the oral health status of preschool children in Anganwadi Centres with and without a special learning program (SLP).
- To assess and compare the dental treatment needs between the SLP and control Anganwadi groups.
- To evaluate the effectiveness of general health education integrated into early childhood programs on oral health outcomes.
Main Methods:
- A comparative study involving 3- to 5-year-old children from SLP and control Anganwadis.
- Data collection included demographic, socioeconomic, oral hygiene practices, dietary habits, and dental visit information.
- Oral examinations were conducted to assess plaque index, gingival index, and decayed, missing, or filled teeth (dmft) scores.
Main Results:
- The SLP group exhibited significantly lower mean plaque (0.18) and gingival index (0.15) scores compared to the control group (1.06 and 0.50, respectively).
- Mean dmft scores were lower in the SLP group (3.40) than in the control group (4.32), indicating less dental caries experience.
- A higher percentage of children (50.2%) in the SLP group required no dental treatment compared to the control group (33.5%).
Conclusions:
- Preschool children attending Anganwadis with a special learning program demonstrated superior oral health status.
- The SLP, incorporating general health education, was associated with reduced dental treatment needs in preschool children.
- General health education initiatives show a beneficial effect on improving and maintaining oral health in early childhood.
Purpose:
To assess and compare the oral health status and treatment need among the preschool children attending Anganwadi Centres associated with a special learning programme (SLP) and the control group.
Materials And Methods:
The study was designed to include 3- to 5-year-old preschool children attending Anganwadis. An Anganwadi (meaning courtyard) Centre is the focal point for the delivery of services to children and mothers. The Anganwadis associated with the special learning programme and the control group Anganwadis consisted of 255 and 275 children, respectively. The special learning programme comprised general health education and growth monitoring services that were continuously reinforced to expectant and nursing mothers of children below 6 years of age by a team of members of a nearby medical college. Information on demographic and socioeconomic parameters (maternal literacy and occupation, paternal literacy and occupation, family income), oral hygiene practices, dietary habits and dental visits was obtained, and oral examination was done in the two groups.
Results:
The mean plaque index and mean gingival index score among the SLP Anganwadi group were 0.18 ± 0.22 and 0.15 ± 0.28, respectively, and among the control group these indices were 1.06 ± 0.50 and 0.50 ± 0.00, respectively. The mean dmft score among the SLP group was 3.40 ± 4.84 vs 4.32 ± 4.69 in the control group (p < 0.05). The distribution of children without any treatment need was 50.2% in the SLP group and 33.5% in the control group.
Conclusion:
The SLP Anganwadi group had a better oral health status and less treatment need than the control Anganwadi group. This demonstrates that there is a beneficial effect of general health education on oral health.
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