Report on caries reduction in French schoolchildren 3 years after the introduction of a preventive program

Kerebel, Lise‐Marie; Cabellec, Marie-Thérèse Le; Daculsi, Guy; Kerébel, B

doi:10.1111/j.1600-0528.1985.tb01902.x

Cited by 15 publications

(7 citation statements)

References 11 publications

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“…The main study also demonstrated the effi cacy of a daily teacher-supervised toothbrushing programme in which there was no attempt to change the diet, to provide toothpaste and toothbrush for home use [Curnow et al, 2002] or additional professional prophylaxis [Kérébel et al, 1985].…”

Section: Discussionmentioning

confidence: 99%

“…Kérébel et al [1985] reported that daily, supervised toothbrushing at school in combination with topical application of fl uoride gel every 2 months signifi cantly reduced dental caries in both the primary and permanent teeth of primary school children. Davies et al [2001] reported that the regular provision of a free toothbrush and toothpaste, containing 1,450 ppm fl uoride, to children initially aged 12 months and living in deprived areas of North West England resulted in a signifi cant reduction (16%) in caries levels when the children were 5-6 years old, compared with a control group that received no such intervention.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of a Supervised Toothbrushing Programme on the Caries Increment of Primary School Children, Initially Aged 5–6 Years

Jackson¹,

Newman²,

Smart³

et al. 2005

Caries Res

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Children in the London Boroughs of Kensington, Chelsea and Westminster have one of the highest levels of caries in England and Wales. In 1997/98, the mean dmft for 5-year-old children was 2.83 with only 45.9% of the children being caries free. The aim of this study was to determine whether teacher-supervised toothbrushing, once a day, at school, during term time, with commercial toothpaste containing 1,450 ppm fluoride, could reduce dental caries in primary school children when compared with children from the same community who did not receive this intervention. A total of 517 children (mean age 5.63 years) were recruited for the study. Class teachers were trained individually by the same dental hygienist in an appropriate toothbrushing technique for young children. Children in the intervention group brushed once a day at school. All examinations were by visual assessment only. All teeth present were assessed using the BASCD criteria. For children in the intervention group, the overall caries increment (2.60) was significantly less (10.9%; p < 0.001) than for children in the non-intervention group (2.92). Among different tooth surfaces, the difference in caries increment between the intervention group (0.78) and the non-intervention group (1.03) was greatest for the proximal surfaces (21.4%; p < 0.01). In conclusion, this study suggests that a programme of daily teacher-supervised toothbrushing with fluoride toothpaste can be effectively targeted into socially deprived communities and a significant reduction in dental caries can thereby be achieved especially among caries-susceptible children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effects of a Supervised Toothbrushing Programme on the Caries Increment of Primary School Children, Initially Aged 5–6 Years

Jackson¹,

Newman²,

Smart³

et al. 2005

Caries Res

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show abstract

“…Ao contrário do evidenciado em outros estudos, [23][24][25][26][27][28][29][30][31] não foi possível demonstrar um menor risco de desenvolvimento de cárie dentária no grupo de crianças que realizou escovagem de dentes na escola (RR de 0,75; IC 95%: 0,42-1,33), o que pode estar relacionado com o reduzido tamanho do grupo de estudo e com a consequente limitada potência do estudo (b = 0,62).…”

Section: Discussionunclassified

“…5,19,20 Existe, no entanto, evidência da melhoria de comportamentos e redução da cárie dentária com intervenções com pais e crianças que visam a divulgação de conhecimentos de saúde oral [21][22][23] e a supervisão da escovagem em ambiente escolar. [24][25][26][27][28][29][30][31][32] Embora não estejam publicados estudos que demonstrem a efectividade desta estratégia na população portuguesa, ela tem sido recomendada pela Direcção-Geral da Saúde (DGS). No entanto, a prática tem mostrado alguma resistência por parte dos educadores na implementação da escovagem de dentes em meio escolar, 33 pelo que nos parece pertinente avaliar o seu efeito protector, tendo em conta os demais factores que influenciam a saúde oral em Portugal.…”

Section: Re Su Mounclassified

Escovagem de dentes em ambiente escolar e cárie dentária: Um estudo de coorte

Rodrigues

Reis

2012

RPMGF

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TOOTHBRUSHING IN SCHOOL AND DENTAL CARIES: A COHORT STUDY Objectives: This study evaluated the role of tooth-brushing in school in reducing dental caries in childhood. Study design: Historical cohort study Setting: Public schools in Ovar, Portugal Participants: Four year old children enrolled in public schools in Ovar Methods: 62 children were divided into two groups. The first group consisted of children who brushed their teeth in school during the 21-month study period. The comparison group consisted of children who did not brush teeth at school during the same period. Data were obtained from oral health assessments conducted as part of the National Oral Health Promotion Program. We compared the number of new cavities, decayed, missing and filled deciduous teeth (dmft) and decayed, missing and filled permanent teeth (DMFT) between the two groups, after 29 months of follow-up. Results: The risk of dental caries after 29 months was 50,0% for children who brushed their teeth at school and 62,5% for children who did not brush their teeth at school. The relative risk was 0,75 (95% CI: 0,42 to 1,33). The dmft score for children who brushed their teeth was 1,27 (95% CI: 0,69 to 1,94) and 2,28 (95% CI: 1,39 to 3,19) for those who did not brush (p = 0,078). The DMFT score was 0,37 (95% CI: 0,08 to 0,71) for children who their brushed teeth and 0,63 (95% CI: 0,29-1,03) for those who did not brush (p = 0,315). Discussion: No statistically significant association was found between tooth-brushing in school and reduction in the risk of dental caries, possibly because of the small sample size size.

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“…Yeni bir yöntem olmamakla beraber, 1960 ve 70'lerde bazı Avrupa ülkelerinde rutin olarak uygulanan 22,23 ve hala Polonya gibi bazı ülkelerde devam ettirilen 20 ; özel bir yöntem, yalnızca florun ağza taşınması açısından değil gecikmiş fırçalama işlemini hatırlatması açısından da önemli bir başlangıç yaratabilmektedir. Ülkemiz gibi diş fırçalama alışkanlığının yaygınlaşmadığı toplumlardaki temel ağız-diş sağlığı koruyucu uygulama felsefesi; temelde mümkün olan en basit ve anlaşılır yöntemle toplumsal bilinci oluşturmaya odaklanmalıdır.…”

Section: Introductionunclassified

İlköğreti̇m Okullarinda Standart Bi̇r Koruyucu Yöntem Olarak Firça İle Flor Jel Uygulamasinin Değerlendi̇ri̇lmesi̇: Dört Yillik Alan Çalişmasi Sonuçlari

Dülgergil¹,

Hamidi²,

Dallı³

et al. 2015

Cumhuriyet Dent J

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The aim of this study was to evaluate the medium-and long-term effect of "brush on fluoride gel" application which is a simplified preventive method in a city center including whole primary schools. Materials and Methods: In 2007, of the 2348 first grade primary school children (born in 1999) being teached at 37 primary school at Kirikkale city center, 480 were selected, and equally divided as control and study groups. While in study group, all children had routinely get brush on fluoride gel application four-times a year during 3 years (total 12 times), using 2 percent neutral fluoride gel; others were subjected to oral hygiene education at least one time a year. All the examination procedures were yearly performed using World Health Organization (WHO) criteria at the first-second and fourth year. Results: While there was no statistically significant difference between the groups at baseline, it was not true at 4 th years DMFT results (DMFT values for control and study groups were 0,33±0,72 and 0,69±1,15, respectively. p=0,001). Similar trend was observed at baseline and 4th year results for caries prevalence (p values for baseline and 4th year comparisons were p=0,049 and p=0,004, respectively). Conclusions: Considering as a simplified oral health preventive programs which may be important to established tooth-brushing habit could lead to an observational difference in caries prevalence. However, various primitive preventive methods could need to be supported by the risk-based additional preventive applications in high risk population.

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Report on caries reduction in French schoolchildren 3 years after the introduction of a preventive program

Cited by 15 publications

References 11 publications

The Effects of a Supervised Toothbrushing Programme on the Caries Increment of Primary School Children, Initially Aged 5–6 Years

The Effects of a Supervised Toothbrushing Programme on the Caries Increment of Primary School Children, Initially Aged 5–6 Years

Escovagem de dentes em ambiente escolar e cárie dentária: Um estudo de coorte

İlköğreti̇m Okullarinda Standart Bi̇r Koruyucu Yöntem Olarak Firça İle Flor Jel Uygulamasinin Değerlendi̇ri̇lmesi̇: Dört Yillik Alan Çalişmasi Sonuçlari

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