Может ли стоматологический скрининг дошкольников с обучением родителей или без него улучшить здоровье полости рта детей? Результаты Лонгитюдного исследования

Abstract

The aim of the research was to study the results of 2 preventive programs including dental screening of preschool children with or
without education of their parents in oral health. Material and methods. The study was organized in the Bukhara region of the Uzbekistan Republic;
6 kindergartenswere randomly selected, and 478 children aged 3-6 years participated, after the informed consents of their parents were obtained. Only
dental screening of the children was performed in 3 kindergartens (238 children, group SC), and dental screening with additional education of the
parents in oral health was performed in 3 kindergartens (240 children, group SE). In group SC the parents received written recommendations about
the needs of their children in dental care. In group SE the parents were additionally invited to special educational lecture on the issue of children’s
oral health improvement.After 8 months the dental examination was organized for all the children again. The proportions (%), dmft mean-value with
standard error (M±m), caries incidences and dental care index were calculated. Chi-square criterion was used to assess the differences between the
groups at p<0.05. The results: The first examination revealed high caries prevalence and the need for treatment in both groups, mean dmft was
3.86±0.11 in SC group and 4.02±0.12 in SE group, p>0.05. The proportions ofdt werean average 85.1% of dmft in SC group and 84.7% in SE group,
p>0.05; filing rate (ft) was 10.6% and 11.3% respectively, p>0.05. At the second examination new caries lesions were revealed in both groups, caries
increments were an average 1.58±0.07 and 1.08±0.05 in SC and SE groups (p<0.05), ft was 21.9% and 35.6% respectively (p<0.05). Conclusion: Dental
screening insignificantly improved oral health in children. Additional education of the parents on the oral health matter improved oral health in
children more than dental screening alone. However, in both groups the children had new caries lesions and the proportions of untreated teeth were
higher than the ratio of filled teeth.