The Impact of School-Based Caries Prevention Programs on DMFT Scores and Oral Health Behaviors in School Children

School-Based Caries Prevention Programs on DMFT Scores

Authors

  • Shahzaman Memon Department of Oral Pathology, Muhammad Dental College Ibne Sina University, Mirpurkhas, Pakistan
  • Parveen Memon Department of Oral Biology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Ali Maqbool Department of Oral Biology, Bhitai Dental and Medical College, Mirpurkhas, Pakistan
  • Mowaffaq Abdullmomen Al Absi Department of Operative Dentistry, Isra Dental College, Isra University, Hyderabad, Pakistan
  • Naveed Irfan Department of Community Dentistry, Bhaktawar Amin Medical and Dental College, Multan, Pakistan
  • Zobia Nissa Memon Department of Oral Pathology, Isra Dental College, Isra University, Hyderabad, Pakistan
  • Shaharyar Ahsan Department of Research and Development, Scientia Nova, Islamabad, Pakistan
  • Maheen Ejaz Department of Biosciences, Functional Genomics Laboratory, Comsats University, Islamabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i09.2069

Keywords:

School Children, Dental Caries, Oral Health Behaviors, School-Based Program

Abstract

Oral health promotion is recognized as one of the fundamental components of health-promoting schools. However, few studies have demonstrated the efficacy of supportive school environments for school children’s Oral health. This systematic review evaluates the impact of school-based caries prevention programs on DMFT scores and Oral health behaviours in school children. Objective: To evaluate the impact of school-based caries prevention programs on DMFT Scores and Oral Health Behaviors in school children. Methods: Databases like PubMed, Google Scholar, Cochrane Library, Springer, and Science Direct were searched from January 2009 to February 2024. Prisma guidelines were followed; 1, 950 studies were identified on the first search, titles, and abstracts of 500 papers were screened, 500 full-text papers were screened for eligibility, and 25 studies meeting the inclusion criteria were evaluated, relevant information was extracted, and a systematic review was conducted. Twenty-five studies were included in the systematic review. Results: These results indicate the significant role of SCPP among school-going children. Children with school-based caries prevention programs compared to those with no school-based caries prevention programs showed improved DMFT scores, reduced caries increment, healthy oral health behaviours, consistent Oral health hygienic habits, frequent use of flossing, fluoride toothpaste and mouth rinsing, and increased caries prevention knowledge. Conclusions: It was concluded that based on the pooled results, school-based caries prevention programs provide better, easily accessible, and sustainable caries prevention activities to school children to improve DMFT scores and Oral health behaviours.

References

Yusof ZY and Jaafar N. Health Promoting Schools and Children’s Oral Health-Related Quality of Life. Health and Quality of Life Outcomes. 2013 Dec; 11: 1-9. doi: 10.1186/1477-7525-11-205.

Abuhaloob L and Petersen PE. Health-Promoting Schools Project for Palestine Children's Oral Health. International Dental Journal. 2023 Oct; 73(5): 746-53. doi: 10.1016/j.identj.2023.03.011.

Saccomanno S, De Luca M, Saran S, Petricca MT, Caramaschi E, Mastrapasqua RZ et al. The Importance of Promoting Oral Health in Schools: A Pilot Study. European Journal of Translational Myology. 2023 Mar; 33(1). doi: 10.4081/ejtm.2023.11158.

Elsadek YE and Baker SR. Oral Health Promotion Through Health‐Promoting Schools in Developing Countries: A Scoping Review. Community Dentistry and Oral Epidemiology. 2023 Dec; 51(6): 1197-208. doi: 10.1111/cdoe.12864.

de Jong‐Lenters M, Duijster D, Schuller A, van Loveren C, Verrips E. Dental Caries and Externalizing Behaviour Problems in A High‐Risk Child Population. European Journal of Oral Sciences. 2018 Oct; 126(5): 417-25. doi: 10.1111/eos.12542.

Alshammary FL, Mobarki AA, Alrashidi NF, Madfa AA. Association Between Different Behavioral Factors and Dental Caries Among Children Attending the Dental Clinics in A Sample from Saudi Arabia. BioMed Central Oral Health. 2023 Apr; 23(1): 198. doi:10.1186/s12903-023-02849-8.

Nakamura A, Sakuma S, Yoshihara A, Deguchi T, Yagi M, Miyazaki H. Long-Term Follow-Up of the Effects of A School-Based Caries Preventive Programme Involving Fluoride Mouth Rinse and Targeted Fissure Sealant: Evaluation at 20 Years Old. International Dental Journal. 2009 Aug; 59(4): 215-21. doi: 10.1922/IDJ_2233Sakuma07.

Gargano L, Mason MK, Northridge ME. Advancing Oral Health Equity Through School-Based Oral Health Programs: An Ecological Model and Review. Frontiers in Public Health. 2019 Nov; 7: 359. doi: 10.3389/fpubh.2019.00359.

Esan A, Folayan MO, Egbetade GO, Oyedele TA. Effect of a School‐Based Oral Health Education Program on Use of Recommended Oral Self‐Care for Reducing the Risk of Caries by Children in Nigeria. International Journal of Paediatric Dentistry. 2015 Jul; 25(4): 282-90. doi: 10.1111/ipd.12143.

Bramantoro T, Santoso CM, Hariyani N, Setyowati D, Zulfiana AA, Nor NA et al. Effectiveness of the School-Based Oral Health Promotion Programmes from Preschool to High School: A Systematic Review. PloS One. 2021 Aug; 16(8): e0256007. doi: 10.1371/journal.pone.0256007.

Tahani B and Asgari I. A Model for Implementing Oral Health-Promoting School: Integration with Dental Students’ Educational Curriculum: A Protocol Study. Journal of Education and Health Promotion. 2022 Jan; 11(1): 277. doi: 10.4103/jehp.jehp_436_21.

Russell BA, Horowitz AM, Frazier PJ. School‐based Preventive Regimens and Oral Health Knowledge and Practices of Sixth Graders. Journal of Public Health Dentistry. 1989 Sep; 49(4): 192-200. doi: 10.1111/j.1752-7325.1989.tb02068.x.

Boachie MK, Molete M, Hofman K, Thsehla E. Cost-Effectiveness of Dental Caries Prevention Strategies in South African Schools. BioMed Central Oral Health. 2023 Oct; 23(1): 814. doi: 10.1186/s12903-023-03474-1.

Tashiro Y, Nakamura K, Seino K, Ochi S, Ishii H, Hasegawa M et al. The Impact of a School-Based Tooth-Brushing Program on Dental Caries: A Cross-Sectional Study. Environmental Health and Preventive Medicine. 2019 Dec; 24: 1-9. doi: 10.1186/s12199-019-0832-6.

Akera P, Kennedy SE, Lingam R, Obwolo MJ, Schutte AE, Richmond R. Effectiveness of Primary School-Based Interventions in Improving Oral Health of Children in Low Middle-Income Countries: A Systematic Review and Meta-Analysis. BioMed Central Oral Health. 2022 Jun; 22(1): 264. doi: 10.1186/s12903-022-02291-2.

Gurav KM, Shetty V, Vinay V, Bhor K, Jain C, Divekar P. Effectiveness of Oral Health Educational Methods Among School Children Aged 5–16 Years in Improving Their Oral Health Status: A Meta-Analysis. International Journal of Clinical Pediatric Dentistry. 2022 May; 15(3): 338. doi: 10.5005/jp-journals-10005-2395.

Karuveettil V, Kumar SV, Janakiram C, Joseph J. Effectiveness of a Curriculum-Based Educational Intervention on Oral Health Behavior and Dental Caries Experience among Indian Schoolchildren. Journal of Education and Health Promotion. 2020 Jan; 9(1): 90. doi: 10.4103/jehp.jehp_619_19.

Alsumait A, ElSalhy M, Behzadi S, Raine KD, Gokiert R, Cor K et al. Impact Evaluation of a School-Based Oral Health Program: Kuwait National Program. BioMed Central Oral Health. 2019 Dec; 19: 1-9. doi: 10.1186/s12903-019-0895-1.

Bhardwaj VK, Sharma KR, Luthra RP, Jhingta P, Sharma D, Justa A. Impact of School-Based Oral Health Education Program on Oral Health of 12 and 15 Years Old School Children. Journal of Education and Health Promotion. 2013 Jan; 2(1): 33. doi: 10.4103/2277-9531.115820.

Shan Z, Liao C, Lu J, Yeung CP, Li KY, Gu M et al. Improvement of Parents’ Oral Health Knowledge by a School-Based Oral Health Promotion for Parents of Preschool Children: A Prospective Observational Study. BioMed Central Oral Health. 2023 Nov; 23(1): 890. doi: 10.1186/s12903-023-03567-x.

Cui T, Xu Q, Wu Y, Yang X, Li T, Sun H. Longitudinal Follow-Up Survey of Effects of Oral Comprehensive Healthcare Measures on Early Childhood Caries. Oral Health Preventive Dentistry. 2020 Jan; 18: 197-203.

Dadipoor S, Akbarizadeh F, Ghaffari M, Alipour A, Safari-Moradabadi A. Educational Intervention of Improve Student's Oral Health: A Systematic Review and Meta-Analysis School-Based. Iranian Journal of Public Health. 2023 Mar; 52(3): 500. doi: 10.18502/ijph.v52i3.12133.

Sree RS, Louis CJ, Eagappan AS, Srinivasan D, Natarajan D, Dhanalakshmi V. Effectiveness of Parental Participation in a Dental Health Program on the Oral Health Status of 8–10-year-old School Children. International Journal of Clinical Pediatric Dentistry. 2022 Jul; 15(4): 417. doi: 10.5005/jp-journals-10005-2411.

Wei CT, Lo KY, Lin YC, Hu CY, Chen FL, Huang HL. Effects of Health-Promoting School Strategy On Dental Plaque Control and Preventive Behaviors in Schoolchildren in High-Caries, Rural Areas of Taiwan: A Quasi-Experimental Design. BioMed Central Oral Health. 2021 Dec; 21: 1-0. doi: 10.1186/s12903-021-01927-z.

Naseri-Salahshour V, Abredari H, Sajadi M, Sabzaligol M, Karimy M. The Effect of Oral Health Promotion Program on Early Dental Decay in Students: A Cluster Randomized Controlled Trial. Journal of Caring Sciences. 2019 Jun; 8(2): 105. doi: 10.15171/jcs.2019.015.

Hashemi ZS, Khorsandi M, Shamsi M, Moradzadeh R. Effect Combined Learning on Oral Health Self-Efficacy and Self-Care Behaviors of Students: A Randomized Controlled Trial. BioMed Central Oral Health. 2021 Dec; 21: 1-8. doi: 10.1186/s12903-021-01693-y.

Mohammad Khah F, Ramezankhani A, Atashpoosh A, Ahmady Moghadam F, Bakhtiar M, Khani Jeihooni A. Effect of Training Based on Health Belief Model and Behavioral Intention on Improving Dental and Oral Self-Care Behavior in 9–12-Year-Old Iranian Female Students. BioMed Central Oral Health. 2022 Nov; 22(1): 515. doi: 10.1186/s12903-022-02552-0.

Sinha S, Pisulkar SG, Nimonkar S, Dahihandekar C, Purohit H, Belkhode V. The Effect of Structured Education Training Program on Oral Health Awareness Among School-Going Children of Central India: A Cross-Sectional Study. Cureus. 2022 Jul; 14(7). doi: 10.7759/cureus.27161.

Srilatha Y, Shekar BR, Krupa NC. Effectiveness of School-Based Dental Health Education on Knowledge and Practices Related to Emergency Management of Dental Trauma and Tooth Avulsion: An Educational Intervention Study. International Journal of Academic Medicine. 2021 Jan; 7(1): 39-61. doi: 10.4103/IJAM.IJAM_56_19.

Albani GF, Abdelgadir WI, Mohamed AA, Yousif M, Mustafa AM, Almkiy EA et al. The Effect of an Education Program on School Children Oral Health in Khartoum, Sudan. Journal of Multidisciplinary Healthcare. 2024 Dec: 1065-77. doi: 10.2147/JMDH.S446487.

Ruff RR, Saxena D, Niederman R. School-Based Caries Prevention and Longitudinal Trends in Untreated Decay: An Updated Analysis with Markov Chains. BioMed Central Research Notes. 2020 Dec; 13: 1-5. doi: 10.1186/s13104-020-4886-8.

Nguyen VT, Zaitsu T, Oshiro A, Tran TT, Nguyen YH, Kawaguchi Y et al. Impact of School-Based Oral Health Education on Vietnamese Adolescents: A 6-Month Study. International Journal of Environmental Research and Public Health. 2021 Mar; 18(5): 2715. doi: 10.3390/ijerph18052715.

Haleem A, Siddiqui MI, Khan AA. School-Based Strategies for Oral Health Education of Adolescents-A Cluster Randomized Controlled Trial. BioMed Central Oral Health. 2012 Dec; 12: 1-2. doi: 10.1186/1472-6831-12-54.

Haque SE, Rahman M, Itsuko K, Mutahara M, Kayako S, Tsutsumi A et al. Effect of School-Based Oral Health Education in Preventing Untreated Dental Caries and Increasing Knowledge, Attitude, and Practices among Adolescents in Bangladesh. BioMed Central Oral Health. 2016 Dec; 16: 1-0. doi: 10.1186/s12903-016-0202-3.

Starr JR, Ruff RR, Palmisano J, Goodson JM, Bukhari OM, Niederman R. Longitudinal Caries Prevalence in a Comprehensive, Multicomponent, School-Based Prevention Program. The Journal of the American Dental Association. 2021 Mar; 152(3): 224-33. doi: 10.1016/j.adaj.2020.12.005.

Lattanzi AP, Silveira FM, Guimarães L, Antunes LA, dos Santos Antunes L, Assaf AV. Effects of Oral Health Promotion Programmes on Adolescents’ Oral Health‐Related Quality of Life: A Systematic Review. International Journal of Dental Hygiene. 2020 Aug; 18(3): 228-37. doi: 10.1111/idh.12440.

Hollister MC and Anema MG. Health Behavior Models and Oral Health: A Review. American Dental Hygienists' Association. 2004 Jun; 78(3): 6-.

Rong WS, Bian JY, Wang WJ, De Wang J. Effectiveness of an Oral Health Education and Caries Prevention Program in Kindergartens in China. Community Dentistry and Oral Epidemiology. 2003 Dec; 31(6): 412-6. doi: 10.1046/j.1600-0528.2003.00040.x.

You BJ, Jian WW, Sheng RW, Jun Q, Wa WC, Bartizek RD et al. Caries Prevention in Chinese Children with Sodium Fluoride Dentifrice Delivered Through a Kindergarten-Based Oral Health Program in China. The Journal of Clinical Dentistry. 2002 Jan; 13(4): 179-84.

Downloads

Published

2024-09-30
CITATION
DOI: 10.54393/pjhs.v5i09.2069
Published: 2024-09-30

How to Cite

Memon, S., Memon, P., Maqbool, A., Al Absi, M. A., Irfan, N., Memon, Z. N., Ahsan, S., & Ejaz, M. (2024). The Impact of School-Based Caries Prevention Programs on DMFT Scores and Oral Health Behaviors in School Children: School-Based Caries Prevention Programs on DMFT Scores . Pakistan Journal of Health Sciences (Lahore), 5(09). https://doi.org/10.54393/pjhs.v5i09.2069

Issue

Section

Systematic Review

Plaudit

Most read articles by the same author(s)