Impact of Health Promotion Interventions on Early Childhood Caries Prevention in Children Aged 2–5 Years Receiving Dental Treatment Under General Anesthesia

Abstract

Aim: This study was conducted to evaluate the impact of health promotion interventions on early childhood caries prevention in 2-5 year-olds receiving dental treatment under general anesthesia.Materials and Methods: Thirty-seven mother-child couples presenting to the clinic of the Dental School of Tehran University of Medical Sciences for treatment under general anesthesia were randomly divided to two groups: 19 couples in the pamphlet and fluoride varnish four times a year, and 18 couples in the pamphlet plus six phone call reminders and fluoride varnish four times a year. A standard questionnaire on demographics and children oral health-related practice of parents was completed by respondents. On children's oral examination, the Simplified Oral Hygiene Index (OHI-S), dmft, and the presence of new white spot lesions (WS) were recorded in both phases. At the final stage, Early Childhood Oral Health Impact Scale (ECOHIS) was completed by parents. The length of follow-up was 24 months.Results: In both groups, there was an increase in the number of mothers who knew how to brush their children's teeth as well as the number of mothers who brushed their children's teeth (P < 0.05). In the reminder group, an improvement occurred in the mothers' perception of their perceived ability to make their children brush their teeth twice a day (P = 0.03). Clinical examination revealed a significant decrease in the OHI-S (from 1.9 ± 0.8 to 1.15 ± 0.5) and the number of WS (from 8.5 ± 5.5 to 0.08 ± 0.5) in both groups on the follow-up visit. The mean dmft was 11.0 ± 4.0 with a mean d component of 10.56 ± 4 at the baseline, which decreased significantly to 1.44 ± 1.96 after dental treatment. No significant increase was seen in new caries in the intervention groups. There was no significant difference in the ECOHIS score between the two groups.Razeghi et al. Health Promotion Interventions on ECCConclusion: The similar impact of both interventions suggests the possibility of applying the simpler one, i.e., the educational pamphlet, fluoride varnish and frequent follow-ups. However, in the reminder group, the mothers' perception of their perceived ability to make children brush their teeth twice a day was improved.

Effect of a Game-Based Physical Education Program on Physical Fitness and Mental Health in Elementary School Children

“…Promotion of health is a necessary action that should be carried out at all ages, as it may trigger benefits both in terms of disease risk reduction and prevention, regardless of the phase of life [1,2]. Such benefits become even more evident if health is fostered from youth [3].…”

Comparison of Survival Rates of Stainless-Steel Crowns Placed with and without Pulpotomy: A Two-Year Retrospective Study

“…The rates of failure of restorations following general anesthesia, however, seem to suggest that there is a risk of failure even after pulpectomies were performed [ 8 , 12 , 15 ]. Studies from across the globe have shown that while general anesthesia improves the oral health-related quality of life of children, the most significant predictor of success is the implementation of good postoperative oral hygiene and parental oral health promotion [ 8 , 22 – 25 ].…”

Pengembangan Media Healthy Dental Box (Hdb) Untuk Memfasilitasi Keterampilan Menggosok Gigi Anak Usia 4-5 Tahun

“…Bukan hanya di Indonesia laporan terbaru mengenai kesehatan mulut di Iran menunjukan prevalensi tinggi karies pada anak-anak prasekolah lebih dari 87% anak usia 5-6 tahun dengan dmft rata-rata 5,16 dan komponen terdiri lebih dari 70% dari total mean. Razeghi, (2020). Dilihat dari angka ini membuktikan bahwa masih rendahnya kesadaran masyarakat mengenai kesehatan gigi dan mulutnya.…”

“…Karies gigi pada anak prasekolah menimbulkan resiko yang jelas terhadap kesehatan umum sebagai penyakit umum pada anak-anak, selain itu penyakit ini dikaitkan dengan dampak fungsional, estetika dan psikologiis yang nyata pada kualitas hidup anak keluarga dan membebani biaya yang tinggi. Razeghi (2020). Chomaria (2015) mengungkapkan "Lubang gigi disebut juga karies gigi disebabkan karena infeksi bakteri.…”