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Updated: Feb 8, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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School based oral health education.
Francesca Soldani1, Jianhua Wu1
1Community Dental Service, Bradford District Care NHS Foundation Trust, Bradford, UK.
Evidence-Based Dentistry
|June 23, 2018
Summary
School-based oral health education effectively reduced plaque in children short-term, but evidence on long-term effects for plaque, gingivitis, and caries prevention remains limited. Further research is needed for conclusive findings.
Area of Science:
- Public Health
- Pediatric Dentistry
- Evidence-Based Dentistry
Background:
- School-based oral health education is a common intervention for children.
- The effectiveness of these programs on oral health outcomes requires systematic evaluation.
Purpose of the Study:
- To systematically review randomized controlled trials on oral health education for children aged 5-18 in schools.
- To assess the impact of interventions on caries, plaque, gingivitis, toothache, and tooth loss.
Main Methods:
- Systematic review following Cochrane Handbook guidelines.
- Searched MEDLINE/PubMed, CENTRAL, Embase, LILACS (1995-2015).
- Included randomized controlled trials with specific oral health outcomes; excluded studies with dichotomous data or charts for meta-analysis.
Main Results:
- Twelve studies were included.
- Five studies demonstrated a reduction in plaque levels post-intervention.
- Two studies found no significant effect on gingivitis; insufficient evidence for caries reduction.
Conclusions:
- Traditional oral health education in schools showed short-term effectiveness in reducing plaque.
- No long-term evidence supports the effectiveness of these interventions for preventing plaque, gingivitis, or caries.
- More research is needed to establish long-term benefits in the school setting.
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