Intervenções educativas em serviços de saúde e saúde bucal: revisão sistemática

Abstract

OBJECTIVETo analyze the effectiveness of educational interventions performed in health services in the improvement of clinical behaviors and outcomes in oral health.METHODSWe have carried out a systematic review of the literature searching the PubMed, Lilacs, and SciELO databases. We have included studies that have investigated interventions performed by health professionals working in health services and who have used educational actions as main approach to improve behavioral and clinical outcomes in oral health.RESULTSThe search amounted to 832 articles and 14 of them met all the inclusion criteria. Five studies have only exclusively evaluated the effectiveness of interventions on caries reduction, three have exceptionally evaluated oral health behaviors, and the other articles have evaluated the effectiveness of interventions for both clinical outcomes (dental caries and periodontal conditions) and behaviors in oral health. Most of the studies (n = 9) were based on randomized controlled trials; the other ones have evaluated before and after the intervention. Five studies have reported a significant reduction of dental caries, and five of the six studies evaluating behavioral outcomes have found some positive change.CONCLUSIONSMost studies evaluating behavioral and periodontal outcomes have shown significant improvements in favor of interventions. All studies evaluating caries have shown a reduction in new lesions or cases of the disease in the groups receiving the interventions, although only five of the eleven articles have found a statistically significant difference. Educational interventions carried out by health professionals in the context of their practice have the potential to promote oral health in the population.

Oral Health Attitudes among Preclinical and Clinical Dental Students in Germany

“…Oral diseases are among the most prevalent diseases worldwide and produce abundant health and economic burdens, reducing quality of life for individuals and societies affected [1]. Health education is considered one of the fundamental elements in the success of disease prevention in several areas of health care, including oral and dental health [2]. Among the most reliable methods of oral health education, the attitudes and behaviour of oral health providers towards their own dental and oral hygiene can have a major impact on improving public oral health [3].…”

Effectiveness of an oral health promotion program for the elderly in Khiri Mat district, Sukhothai province: A randomized control trial

“…Future studies should focus on the long-term effects of this oral health promotion program on the elderly's oral health status and behaviors, as most of the studies have a duration of study <2 years. [222324] Furthermore, evidence from this study suggests that health workers should be trained, both informal and formal,[2526] to apply appropriate oral health promotion including continuing re-enforcement. To confirm the success of the program as recommended by the WHO,[27] extensive community engagement to enhance ownership of the program is needed, whereas the Ministry of Health should have policy and funding to support the promotion program among local health service organizations.…”

Does Instruction of Oral Health Behavior for Workers Improve Work Performance?—Quasi-Randomized Trial

“…The results of this study may be included in the short-term effects. Menegaz et al suggested that a follow-up time of less than one year led to a lack of efficacy for educational intervention [23]. In addition, Oshikohji et al reported that workers who had more participation time for oral examination and oral health instruction had better periodontal condition than those with less time [24].…”