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1.
Rev. Hosp. Ital. B. Aires (2004) ; 40(3): 90-94, sept. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1128958

RESUMO

Las afecciones bucodentales constituyen un problema de salud pública por su alta prevalencia y su fuerte impacto individual y colectivo en términos de dolor, malestar y discapacidad social y funcional. El Centro de Medicina Familiar y Comunitaria San Pantaleón, ubicado en la provincia de Buenos Aires, brinda asistencia sanitaria gratuita a la comunidad. Un relevamiento documentó que el 97% de los concurrentes presentaba caries y no se lavaban los dientes por falta de cepillo y pasta dental. Se decidió llevar adelante un programa de promoción de la salud bucodental. El objetivo fue evaluar su implementación; que incluyó: a) rastreo de caries y problemas odontológicos; b) coordinación interinstitucional; c) entrega de cepillos y pasta dental; d) intervención educativa; e) extensión comunitaria. Participaron en forma irregular 120 niñas, niños y adolescentes entre 5 y 18 años del Centro de Apoyo Escolar Fundación Bajo Boulogne. Se realizaron dos encuentros educativos y entrega de cepillos y pasta dental. En la revisión odontológica inicial sobre 60 participantes se detectaron caries en 43 (71,6%), que fueron derivados para tratamiento odontológico, pero concurrieron solo 26 (60,4%). El conocimiento sobre salud bucodental mostró cambios entre los más pequeños luego de las intervenciones educativas. Se logró implementar el programa, cumplimentando las actividades propuestas. Pero surgieron barreras que dificultaron la cobertura. En cuanto a la eficacia de la intervención educativa, no se logró mostrar cambios en el conocimiento. Se consiguió la detección oportuna, la incorporación de hábitos como el cepillado dentro de la institución educativa, la articulación para mejorar el acceso a la atención y la vinculación entre los diferentes actores comunitarios. (AU)


Oral disorders are a public health problem due to their high prevalence and their strong individual and collective impact in terms of pain, discomfort, and social and functional disability. The San Pantaleón Family and Community Medicine Center, located in the province of Buenos Aires, provides free healthcare to the community. A survey documented that 97% of those present had cavities and did not brush their teeth due to a lack of brush and toothpaste. It was decided to carry out an oral health promotion program. The objective was to evaluate its implementation; which included: a) tracking of caries and dental problems; b) inter-institutional coordination; c) delivery of brushes and toothpaste; d) educational intervention; e) community extension. 120 girls and boys and adolescents between 5 and 18 years of age from the Bajo Boulogne Foundation School Support Center irregularly participated. Two educational meetings were held, handing out brushes and toothpaste. In the initial dental review of 60 participants, caries was detected in 43 (71.6%), who were referred for dental treatment, with only 26 (60.4%) concurring. Oral health knowledge showed changes among the youngest after educational interventions. It was possible to implement the program, completing the proposed activities. Barriers arose that made coverage difficult. Regarding the effectiveness of the educational intervention, it was not possible to show changes in knowledge. Timely detection was achieved, the incorporation of habits such as brushing within the educational institution, articulation to improve access to care and the link between the different community actors. (AU)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Saúde Bucal/educação , Educação em Saúde Bucal/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Argentina , Serviços de Saúde Escolar/estatística & dados numéricos , Escovação Dentária/estatística & dados numéricos , Saúde Bucal/tendências , Saúde Bucal/estatística & dados numéricos , Saúde Pública/estatística & dados numéricos , Educação em Saúde Bucal/métodos , Educação em Saúde Bucal/tendências , Odontologia Comunitária/educação , Odontologia Comunitária/estatística & dados numéricos , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Cooperação e Adesão ao Tratamento , Doenças da Boca/prevenção & controle
2.
BMC Oral Health ; 20(1): 144, 2020 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-32423446

RESUMO

BACKGROUND: Visually impaired children encounter some challenges for their oral health. We aimed to compare the effectiveness of oral health education using Audio Tactile Performance (ATP) technique alone, ATP combined with oral health education for mothers, and ATP along with art package on the oral health status of visually impaired children. MATERIALS AND METHODS: This cluster, randomized trial, included visually impaired children from preschool to 10th grade (32 classes, n = 200), in Tehran, Iran, in 2018-2019. A questionnaire was filled out through face to face interviews at baseline regarding age, gender, status of visual impairment, and place of residence. The Simplified Oral Hygiene Index (OHI-S) and Bleeding on Probing (BOP) were examined afterward. Classes were randomly assigned to three groups through simple randomization: 1. Art group (ATP, game-based, and music-based education (11 classes, n = 66); 2. Mothers group (children received ATP and their mothers received education by telephone (10 classes, n = 73); and 3. Control group (children received ATP (11 classes, n = 61). Children received reinforcement after 1 and 2 weeks. Follow-up oral examinations were performed after 1 and 2 months by a blind calibrated examiner. Descriptive statistics were performed using Chi-Square, and ANOVA tests by SPSS (version 22). In analytic statistics, two-level mixed-effects models for BOP and OHI-S were fitted using the Statistical Analysis Software (SAS) version 9.4. Both models fitted with the grouping variable and time (baseline, 1, and 2 months after interventions) as the fixed effects. RESULTS: The mean age (SD) of the children was 12.29 (3.45) years (range: 6-17). Male children (67%) more than female children (33%) participated in the study. Also, 35.5% were blind, and 12% resided at the dormitory. The art and mothers groups had no statistically significant difference compared with the control group, in terms of OHI-S (P = 0.92, and 0.39, respectively) and BOP (OR = 0.64, and 0.66, respectively). The time effect was statistically significant in both BOP and OHI-S models (P < 0.0001). CONCLUSIONS: ATP technique is an effective method to improve the oral health status of visually impaired school children. Oral health promotion programs can be done using this method to tackle oral hygiene problems in visually impaired children. TRIAL REGISTRATION: (https://www.irct.ir/trial/34676: Nov 29th, 2018).


Assuntos
Educação de Pessoas com Deficiência Visual/métodos , Educação em Saúde Bucal/métodos , Música , Saúde Bucal , Higiene Bucal/educação , Educação de Pacientes como Assunto/métodos , Jogos de Vídeo , Pessoas com Deficiência Visual/psicologia , Adolescente , Criança , Feminino , Humanos , Irã (Geográfico) , Masculino , Análise Multinível , Avaliação de Resultados em Cuidados de Saúde
3.
BMC Public Health ; 19(1): 1626, 2019 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-31796028

RESUMO

BACKGROUND: Early childhood caries (ECC) has reached epidemic proportions affecting millions of children worldwide. Its prevention becomes imperative owing to the significant morbidity and financial implications involved with its treatment. The Integrated Child Development Scheme (ICDS), launched in India to provide mid-day meals, pre-school education and primary healthcare to children, can be utilised to counsel and deliver oral health education to mothers. The purpose of the study is to compare the effect of an oral health care package (OHCP) with usual care on the change in dental disease status among 1 to 3-year-old children at Anganwadi centres (AWC) in periurban areas of Chandigarh and rural areas of Cuttack, Orissa over a follow-up period of three years. METHODS: Two geographically distant ICDS blocks would be selected at each of the two study sites and would be randomly allocated to intervention and control group. Closely located AWCs under each of the selected blocks shall constitute the study setting. OHCP would be delivered to the mothers of the 1-6-year-old children enrolled in the AWCs of the experimental group whereas mothers under control group would receive usual care advice available at the AWCs. DISCUSSION: ECC prevention had conventionally focused upon testing effectiveness of programs targeting behaviour change among the caregivers and children, but surprisingly minimal efforts have been made to seek translation of these efforts into reduction of ECC at the community level. The present study has two components; testing effect of altering maternal and child behavioral aspects on ECC incidence through cohort follow up of 1-3-year-old children for three consecutive years and cross-sectional follow up of all available 1-6-year old children at the selected AWCs at regular intervals to look for change in prevalence of ECC at community level. In other regions of the world surveys of ECC prevalence before and after the intensive educational programs have shown a significant reduction in ECC prevalence. A similar decline can be anticipated through this program. TRIAL REGISTRATION: This trial has been prospectively registered at Clinical Trials Registry, India (CTRI/2019/02/017556, 08 February 2019).


Assuntos
Cárie Dentária/prevenção & controle , Educação em Saúde Bucal/métodos , Mães/educação , Saúde Bucal/educação , Criança , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Incidência , Índia/epidemiologia , Lactente , Masculino , Prevalência , Ensaios Clínicos Controlados Aleatórios como Assunto
4.
Trials ; 20(1): 452, 2019 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337437

RESUMO

BACKGROUND: Almost one-half of 12-15 year olds living in deprived areas of the UK have dental caries (tooth decay) with few oral health promotion programmes aimed at children of this age. Mobile phone-based interventions such as short messaging service (SMS) interventions have been found effective at changing certain behaviours and improving health outcomes. This protocol describes the BRIGHT Trial, investigating the clinical and cost-effectiveness of a behaviour change intervention-classroom-based session (CBS) embedded in the curriculum and a series of SMS delivered to participants twice daily to remind them to brush their teeth, compared to usual curriculum and no SMS-to reduce the prevalence of dental caries in young people from deprived areas. OBJECTIVES: To investigate the clinical and cost-effectiveness of a complex intervention to improve the oral health of young people living in deprived areas. METHODS/DESIGN: This is a school-based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Overall, the trial will involve approximately 5040 11-13 year olds in 42 schools with a 3-year follow-up. The trial will take place in secondary schools in England, Scotland and Wales. The primary outcome is the presence of carious lesions in permanent teeth at 3 years. Secondary outcomes are: number of carious teeth, frequency of twice-daily toothbrushing, plaque levels, gingivitis, child health-related quality of life and oral health-related quality of life. A cost-utility analysis will be conducted. DISCUSSION: The findings of the trial have implications for embedding oral health interventions into school curricula guidance produced by national bodies, including departments for education and dental public health and guideline-development organisations. TRIAL REGISTRATION: ISRCTN registry, ISRCTN12139369 . Registered on 10 May 2017.


Assuntos
Comportamento do Adolescente , Comportamento Infantil , Cárie Dentária/prevenção & controle , Comportamentos Relacionados com a Saúde , Educação em Saúde Bucal/métodos , Higiene Bucal , Áreas de Pobreza , Serviços de Odontologia Escolar , Envio de Mensagens de Texto , Adolescente , Fatores Etários , Telefone Celular , Criança , Análise Custo-Benefício , Cárie Dentária/economia , Cárie Dentária/epidemiologia , Feminino , Custos de Cuidados de Saúde , Educação em Saúde Bucal/economia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Estudos Multicêntricos como Assunto , Prevalência , Ensaios Clínicos Controlados Aleatórios como Assunto , Envio de Mensagens de Texto/economia , Fatores de Tempo , Reino Unido/epidemiologia
5.
PLoS One ; 14(7): e0219506, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31310627

RESUMO

OBJECTIVE: Video is an effective, accessible, and low cost method of delivering health education messages to a wide audience. Dental waiting rooms provide an opportunity to deliver video oral health education interventions to receptive viewers. In this study we aim to evaluate firstly video oral health education in regards to patient preference, and secondly its ability to change both immediate and sustained self-reported intended health behaviours by patients. METHOD: Data from 253 individuals from a public hospital dental waiting room were gathered using a previously validated survey following an oral health education video intervention, and analysed using descriptive analysis, Fischer's Exact Test, and Wilcoxon Signed Ranks Test across 3 time intervals. RESULTS: Participants across all ages evaluated the video oral health education approach as easy to follow and understand (p<0.001), the content practical and useful (p<0.001), and that it was a better experience (p<0.01). Those watching between 5 and 20 minutes reported that video was the best format to present oral care information (p<0.02). At follow up, significant improvement in the tools used by participants to clean teeth was seen (39.8%, p<0.001), as well as reported reduction in sweet consumption frequency (21.3%, p<0.001) and in smoking (44.8%, p<0.02). CONCLUSION: Video format oral health education used in dental waiting rooms was found to be effective in educating patients and instigating both immediate and sustained self-reported behaviour change. Significant improvement in tools used for oral hygiene and a reduction in sweets consumption were demonstrated, both of which are essential factors in reducing caries rates and improving oral health.


Assuntos
Educação em Saúde Bucal/métodos , Saúde Bucal/educação , Higiene Bucal/educação , Gravação em Vídeo , Adulto , Idoso , Cárie Dentária/prevenção & controle , Comportamento Alimentar , Feminino , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Inquéritos e Questionários , Escovação Dentária , Adulto Jovem
6.
Med. oral patol. oral cir. bucal (Internet) ; 24(2): e136-e144, mar. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-180636

RESUMO

Background: The aim of this present article was to evaluate the scientific evidence on the efficacy of daily hygiene and professional prophylaxis for treatment of desquamative gingivitis. Material and Methods: The present systematic review was conducted following the PRISMA protocol. Searches were carried out in Pubmed, Embase, Web of Science and Cochrane Library up to July 2018, randomized clinical trials and cohort studies on desquamative gingivitis (DG), and oral diseases joined to DG. Results: After screening, we found that nine publications met the eligibility criteria eight cohort studies and one randomized control trial. The diagnosis of the diseases corresponded to oral lichen planus (n=185), mucous membrane pemphigoid (n=13); plasma cell gingivitits (n=15) and pemphigus vulgar (n=11). The follow-up was between a week and a year after instructing patients. Dental daily hygiene and professional prophylaxis, at least with supragingival scaling and polishing have significantly improved the extension of the lesion and reduced the activity of DG, and gingival bleeding in all patients. Furthermore, these techniques have also reduced pain and gingival plaque. Conclusions: In conclusion the studies presented support the efficacy of maintaining personal and professional oral hygiene in patients with GD, reducing the clinical signs of the disease, regardless of its pathogenesis


No disponible


Assuntos
Humanos , Higiene Bucal/educação , Gengivite/terapia , Líquen Plano Bucal/terapia , Penfigoide Mucomembranoso Benigno/terapia , Escovação Dentária/métodos , Educação em Saúde Bucal/métodos
7.
Spec Care Dentist ; 39(2): 140-146, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30648764

RESUMO

AIM: The present study was conducted with the aim to assess the effectiveness of Oral Health Education programme on Oral Health Status of visually impaired children in New Delhi. A specially designed oral health educational programme consisting of audio aid, Braille booklet and individualized training was implemented to educate and motivate visually impaired children for maintaining their oral health. METHODS AND RESULTS: A total sample size of 120 children in the age group of 5-15 years was selected and questionnaire based on WHO criteria 2013 was administrated. In oral examination caries status using DMFT/S and dmft/s and oral hygiene status using plaque index given by Sillness and Loe was evaluated at the baseline and re-evaluated after nine months. Oral Health Educational Programme was implemented and reinforced every month for nine months. Results showed that at the end of nine months 55.04% children started brushing twice daily as compared to 30% children at baseline. There was a statiscally significant decrease (0.1887±0.332) in plaque index scores at the end of nine months. CONCLUSION: It was concluded that Oral Health Educational Programme was effective in improving the oral hygiene status among visually impaired children.


Assuntos
Educação em Saúde Bucal/métodos , Escovação Dentária , Pessoas com Deficiência Visual , Adolescente , Criança , Pré-Escolar , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Índia , Masculino , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
8.
Spec Care Dentist ; 39(2): 97-107, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30657191

RESUMO

AIM: To assess the oral hygiene status, knowledge, attitude and practices (KAP) in visually impaired children before and after imparting 3 different modes of oral health education. METHODOLOGY AND RESULTS: The present study was a nonrandomized interventional study conducted among visually impaired school children. Ninety visually impaired children aged 12-15 years were selected by lottery method and divided into 3 groups (30 children each). Group 1: ATP (audio, tactile, performance technique), Group 2: Braille, and Group 3: ATP + Braille. Twenty-item verbal questionnaire was developed to record their knowledge, attitude, and practice (KAP) regarding oral hygiene before and after imparting oral health education. The oral hygiene status was recorded and compared using plaque and gingival index after 21-day, 1-, 6-, and 9-month interval. ANOVA, Tukey's post hoc, repeated measures ANOVA, and McNemar test were used. Group 3 showed highest percentage of reduction in plaque (55%) and gingival (52%) scores when compared with Group 1 and Group 2. CONCLUSION: The combination of ATP (audio, tactile, and performance technique) and Braille is an effective way to improve oral hygiene status in visually impaired children. The KAP among these children also improved significantly after imparting oral health education.


Assuntos
Educação em Saúde Bucal/métodos , Conhecimentos, Atitudes e Prática em Saúde , Pessoas com Deficiência Visual , Adolescente , Criança , Feminino , Humanos , Masculino , Inquéritos e Questionários
9.
Spec Care Dentist ; 39(2): 125-134, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30597580

RESUMO

AIM: This study aimed to assess the effectiveness of a novel health education method-Audio Tactile Performance (ATP) technique-in maintenance of gingival health and plaque removal efficacy among institutionalized visually impaired children of Bhubaneswar city. METHODS AND RESULTS: A parallel arm, single blinded randomized controlled trial was conducted among 10- to 15-year-old visually impaired children. Clinical examinations were done by the examiner blinded to group allocations. Oral health education materials (Braille and audio) were given to control group and ATP technique was given to test group. Clinical examinations for plaque and gingival scores were assessed at baseline, 30 days interval, and 90 days interval. The trial was registered with the Clinical Trial Registry of India (CTRI/2017/05/008551). In control group, a greater plaque reduction was observed at 30 days interval (3.58 ± 1.3) when compared to baseline (2.63 ± 2.02) and 90 days interval (3.14 ± 0.88), and this difference was statistically significant. For whole mouth, in test group, a greater reduction in gingival scores was observed at 90 days interval (2.65 ± 1.64) when compared to baseline (4.58 ± 1.63) and 30 days interval (1.23 ± 2.43), and this difference was statistically significant. CONCLUSION: ATP was found to be at par with the control group (Braille and audio aids).


Assuntos
Assistência Odontológica para Crianças/métodos , Placa Dentária/prevenção & controle , Gengivite/prevenção & controle , Educação em Saúde Bucal/métodos , Institucionalização , Pessoas com Deficiência Visual , Adolescente , Criança , Feminino , Humanos , Índia , Masculino , Avaliação de Programas e Projetos de Saúde , Método Simples-Cego
10.
Clin Exp Dent Res ; 5(6): 611-619, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31890297

RESUMO

Objective: There is limited evidence about the most appropriate way to improve physical and oral function in older people. The aim of this study was to clarify the effectiveness of a long-term care prevention program combining physical exercise, oral health instruction, and nutritional guidance among community-dwelling older people. Materials and methods: We included 43 older people aged at least 65 years (seven men and 23 women; mean age 75.3 years) in Bungotakada City, Japan. The 3-month program involved a weekly intervention. Physical and oral function was investigated on the first day of the program (i.e., baseline) and at the end of the program (i.e., after 3 months). Physical function was examined using measures such as handgrip strength, timed up-and-go test, and one-leg standing time with eyes open. An oral diadochokinesis test was used to assess oral function. Results: Mean maximum handgrip strength increased significantly in older people aged ≤74 years (younger participants) and those aged ≥75 years (older participants) after 3 months compared with the baseline. The timed up-and-go test duration was significantly lower in older participants after the program. Repetition of the monosyllables pa and ka and the repetitive saliva swallowing test was significantly improved in both groups. The dysphagia risk assessment for the community-dwelling elderly score was significantly lower in younger participants after 3 months. Conclusion: Participation in a 3-month program combining physical exercise, oral health instruction, and nutritional guidance may contribute to improvement or maintenance of oral and physical function in older people.


Assuntos
Educação em Saúde Bucal/métodos , Nível de Saúde , Assistência de Longa Duração/organização & administração , Saúde Bucal , Serviços Preventivos de Saúde/organização & administração , Idoso , Idoso de 80 Anos ou mais , Aconselhamento/métodos , Exercício Físico/fisiologia , Comportamento Alimentar/fisiologia , Feminino , Força da Mão/fisiologia , Humanos , Vida Independente , Assistência de Longa Duração/métodos , Masculino , Serviços Preventivos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde
11.
Sante Publique ; 30(3): 297-306, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30541258

RESUMO

OBJECTIVE: The primary objective of this exploratory study was to evaluate the short-term (four months) impact of a tooth brushing learning programme based on pictograms generated by the çATED app for iPad designed for patients with autistic spectrum disorder (ASD). METHODS: Fifty-two ASD patients, between the ages of 3 and 19 years, from seven educational centres, were included. A tooth brushing training programme was proposed in collaboration with the educational teams. Observation grids were used to evaluate autonomy during tooth brushing and interaction with the iPad. RESULTS: The results showed improvement of tooth brushing. The children progressively acquired the various brushing skills, although some steps remained difficult to perform. Interactions with the iPad also improved during the programme, encouraging the use of this tool in learning of tooth brushing. CONCLUSIONS: Daily assistance of the children improved the efficacy of tooth brushing, contributing to the preventive care of these patients. The use of an iPad in oral hygiene, especially for learning of tooth brushing, is simple and effective.


Assuntos
Transtorno do Espectro Autista , Computadores de Mão , Educação em Saúde Bucal/métodos , Aplicativos Móveis , Escovação Dentária , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Adulto Jovem
12.
Eur J Paediatr Dent ; 19(3): 181-186, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30063148

RESUMO

AIM: This study aimed to evaluate oral and dental health status of preschool children, to teach them two different brushing techniques, and to determine the effectiveness of such techniques. MATERIALS AND METHODS: One hundred sixty three healthy children from three preschools in Isparta (Turkey) that were willing to participate in the study were included. A questionnaire was distributed to the parents. All children were given an oral and dental health education. Examinations were done in the classrooms, and plaque index and dft-dfs values were recorded. In each preschool, the horizontal scrub technique was randomly taught to a group of children, and the Fones technique to other group, and children were asked to apply the technique taught. Plaque index scores were recorded again, measurements were repeated at 1 week, and 1, 3 and 6 months. Data were analysed statistically. RESULTS: The questionnaires showed children's and parents' inadequate oral hygiene behaviours. Plaque index values for both techniques decreased from baseline at 1 week, and 1, 3 and 6 months. Values at month 6 were closer to baseline. The horizontal scrub technique was applied more easily and it provided an effective decrease on plaque index scores. No statistically significant difference was found for dft and dfs values. CONCLUSION: The educational programme with regular repeated tooth brushing training presented significant improvements in the oral health behaviours. The horizontal scrub technique was deemed more suitable than the Fones technique for preschool children.


Assuntos
Educação em Saúde Bucal/métodos , Educação de Pacientes como Assunto , Escovação Dentária/normas , Pré-Escolar , Índice de Placa Dentária , Feminino , Humanos , Masculino , Instituições Acadêmicas , Inquéritos e Questionários , Turquia
13.
Spec Care Dentist ; 38(5): 271-280, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30015986

RESUMO

AIM: To assess changes in oral hygiene status, oral health knowledge and behavior among visually impaired individuals using dental health education material transcribed in Braille and Compressed speech. METHODOLOGY: A nonrandomized before and after comparison study was conducted among 4 purposively selected institutes for visually impaired in Indore region, Central India. A stratified random sampling was employed to select 144 visually impaired individuals aged 15-35 years. Oral health education (OHE) material was developed in Braille and compressed speech. Participants were intervened using OHE material. A self-administered Braille transcribed proforma was used to record participants responses on oral health knowledge and behavior at baseline, 1-week, 1-month, and 3-months followed by clinical examination. Descriptive statistics was used for frequencies, mean, and standard deviation of variables. Bivariate regression analysis was performed to assess the effect of independent variables on self-reported oral health, knowledge score and oral hygiene status. RESULTS: The mean knowledge score of participants in Braille group at 3-month was significantly higher (11.86 ± 2.41) than in compressed speech group (8.59 ± 2.74). Compressed speech showed significant reduction in mean gingival score (1.02 ± 0.73) at 3-month (P ≤ 0.001). Bivariate regression indicated Braille education was significantly effective in improving knowledge (OR: 6.02) and oral hygiene status (OR: 8.24) (P ≤ 0.001). CONCLUSION: Braille method of intervention was more effective in improving knowledge scores and oral hygiene status among visually impaired participants.


Assuntos
Educação em Saúde Bucal/métodos , Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Higiene Bucal/educação , Pessoas com Deficiência Visual , Adolescente , Adulto , Feminino , Humanos , Índia , Masculino , Materiais de Ensino
14.
Acta Odontol Scand ; 76(8): 612-620, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30045652

RESUMO

AIM: To evaluate behavioural and educational interventions used to improve self-care in adult periodontitis patients in comparison with conventional instruction. METHODS: A systematic electronic search of empirical studies that were published up to June 2017 using the MEDLINE database was performed. The reference lists of all of the included studies and articles from six separate journals were manually searched. RESULTS: A total of 1806 articles were identified. Six articles fulfilled the inclusion and exclusion criteria. The interventions used in periodontal treatment had theoretical backgrounds of cognitive behavioural approach, self-regulation theory of Leventhal, motivational interviewing and a client self-care commitment model. The control group in each study was described receiving conventional information. The outcomes of the interventions were classified into three categories: 1) clinical findings 2) self-reported self-care and 3) patient evaluations of the intervention. The behavioural intervention groups seemed to perform slightly better than the control groups when clinical outcome measures such as the presence of plaque or number of periodontal pockets were used. Furthermore, behavioural interventions increased patient reported compliance (e.g. effectiveness of self-care and frequency of interdental cleaning). The different behavioural techniques all seemed to work more effectively than conventional instruction. No behavioural technique could be identified superior to the other. CONCLUSIONS: The behavioural interventions seem to be beneficial for patient adherence and may therefore improve periodontal treatment success. However, there is a need to further explore the use of different methods in studies with larger sample sizes, longer follow-up times and both behavioural and clinical outcome measures.


Assuntos
Terapia Comportamental/métodos , Educação em Saúde Bucal/métodos , Higiene Bucal/psicologia , Cooperação do Paciente/psicologia , Doenças Periodontais/terapia , Adulto , Terapia Cognitivo-Comportamental/métodos , Humanos , Autocuidado , Resultado do Tratamento
15.
BMC Oral Health ; 18(1): 126, 2018 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-30053849

RESUMO

BACKGROUND: This study evaluated the impact of anticipatory guidance on the caries incidence of 2-3-year-old preschool children and their 4-6-year-old siblings, as well as on their mothers' oral health literacy, as compared to the conventional Ministry of Health (MOH) programme. METHODS: This quasi-experimental study was conducted at two government dental clinics in Batu Pahat District, Malaysia. The samples comprised of 478 mother-child-sibling trios (233 families in the intervention group, and 245 families in the control group). An oral health package named the Family Dental Wellness Programme (FDWP) was designed to provide dental examinations and oral health education through anticipatory guidance technique to the intervention group at six-month intervals over 3 years. The control group received the standard MOH oral health education activities. The impact of FDWP on net caries increment, caries prevented fraction, and mother's oral health literacy was assessed after 3 years of intervention. RESULTS: Children and siblings in the intervention group had a significantly lower net caries increment (0.24 ± SD0.8; 0.20 ± SD0.7) compared to the control group (0.75 ± SD1.2; 0.55 ± SD0.9). The caries prevented fraction for FDWP was 68% for the younger siblings and 63.6% for the older children. The 2-3-year-old children in the intervention group had a significantly lower incidence of white spot lesions than their counterpart (12% vs 25%, p < 0.05). At three-year follow-up, there were significant increments in the oral health literacy scores of mothers in the intervention group compared to the control group. CONCLUSION: The FDWP is more effective than the standard MOH programme in terms of children's and siblings' caries incidence and mother's oral health literacy. TRIAL REGISTRATION: ClinicalTrials.gov NCT03478748 . Registered on March 26th 2018. Retrospectively registered.


Assuntos
Cárie Dentária/prevenção & controle , Educação em Saúde Bucal/métodos , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Feminino , Letramento em Saúde , Humanos , Incidência , Malásia/epidemiologia , Masculino , Mães/educação
16.
Rev. ABENO ; 18(3): 62-74, jul.-set. 2018. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-964742

RESUMO

O objetivo do trabalho foi identificar a percepção de cirurgiões-dentistas de serviços públicos da Atenção Básica de uma regional de saúde do Paraná, quanto às práticas de educação em saúde para a prevenção da cárie dentária, por meio de uma pesquisa qualitativa. Foram realizadas entrevistas, baseadas em um roteiro semiestruturado. A transcrição das gravações foi realizada de forma manual e o conteúdo categorizado segundo o método da análise de conteúdo proposta por Bardin. Os resultados apontaram que, nesse contexto, os cirurgiões-dentistas realizam práticas de educação em saúde por meio de ações de transmissão de informação, demonstração, motivação, monitoramento e comunicação. Conclui-se que os profissionais pesquisados demonstraram entendimento da importância da motivação e da persistência para um resultado eficaz do processo educativo, porém foi possível perceber diferentes graus de entendimento do processo educativo (AU).


The objective of this study was to identify the perception of dental surgeons on public services of Primary Care at Regional Health Service, in Paraná, regarding health education practices for dental caries prevention, through a qualitative research. Interviews were conducted, based on semi-structured script. Recordings transcription was manually performed. The content was categorized according to the Method of Content Analysis proposed by Bardin. The results pointed out that, in this context, dentists perform health education practices through information transmission, demonstration, motivation, monitoring and communication. It is concluded that the studied professionals demonstrated to understand the importance of motivation and persistence for an educational process effective result, however it was possible to perceive different education to process of understanding (AU).


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Educação em Saúde Bucal/métodos , Cárie Dentária/prevenção & controle , Pesquisa Qualitativa , Odontólogos , Brasil , Entrevista , Capacitação Profissional
17.
J Indian Soc Pedod Prev Dent ; 36(1): 82-85, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29607845

RESUMO

Context: Children with special needs face unique challenges in day-to-day practice. They are dependent on their close ones for everything. To improve oral hygiene in such visually impaired children, undue training and education are required. Braille is an important language for reading and writing for the visually impaired. It helps them understand and visualize the world via touch. Audio aids are being used to impart health education to the visually impaired. Tactile models help them perceive things which they cannot visualize and hence are an important learning tool. Aim: This study aimed to assess the improvement in oral hygiene by audio aids and Braille and tactile models in visually impaired children aged 6-16 years of Bhopal city. Settings and Design: This was a prospective study. Materials and Methods: Sixty visually impaired children aged 6-16 years were selected and randomly divided into three groups (20 children each). Group A: audio aids + Braille, Group B: audio aids + tactile models, and Group C: audio aids + Braille + tactile models. Instructions were given for maintaining good oral hygiene and brushing techniques were explained to all children. After 3 months' time, the oral hygiene status was recorded and compared using plaque and gingival index. Statistical Analysis Used: ANNOVA test was used. Results: The present study showed a decrease in the mean plaque and gingival scores at all time intervals in individual group as compared to that of the baseline that was statistically significant. Conclusions: The study depicts that the combination of audio aids, Braille and tactile models is an effective way to provide oral health education and improve oral health status of visually impaired children.


Assuntos
Recursos Audiovisuais , Crianças com Deficiência , Educação em Saúde Bucal/métodos , Leitura , Auxiliares Sensoriais , Tato , Pessoas com Deficiência Visual , Adolescente , Criança , Nível de Saúde , Humanos , Índia , Higiene Bucal , Estudos Prospectivos
18.
Photodiagnosis Photodyn Ther ; 21: 379-384, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29378255

RESUMO

OBJECTIVES: The aim of this study was to determine whether an oral health education program using a Qscan device based on quantitative light-induced fluorescence (QLF) technology could improve the oral hygiene status and oral health literacy of adolescents. MATERIALS AND METHODS: One hundred adolescents aged 14-16 years attending a school in Tashkent city were included in this study. The participants were assigned to the following two groups using permuted block randomization technique: (i) control group (traditional learning) and (ii) experimental group (Qscan device-based learning). The participants included in the experimental group received additional education and training on dental plaque removal using the Qscan device. The accumulated levels of plaque were assessed in all participants, who also completed questionnaires about their oral health status, oral health knowledge, attitude, and behavior during an 8-week period. RESULTS: There were statistically significant improvements in the experimental group compared to the control group in the plaque index (0.46 vs 0.07, p < .05), oral health knowledge (19.4 vs 28.8, p < .05), attitude (16.7 vs 20.2, p < .05), and behavior (19.9 vs 30.5, p < .05). CONCLUSIONS: This study has demonstrated that an oral health education program based on the use of QLF technology could be useful for improving the oral hygiene status and oral health literacy of adolescents in Uzbekistan.


Assuntos
Fluorescência , Educação em Saúde Bucal/métodos , Conhecimentos, Atitudes e Prática em Saúde , Adolescente , Cárie Dentária/epidemiologia , Placa Dentária/prevenção & controle , Índice de Placa Dentária , Feminino , Letramento em Saúde , Humanos , Masculino , Uzbequistão
19.
Acta Odontol Scand ; 76(6): 422-426, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29320886

RESUMO

OBJECTIVE: This study assessed the association between caries preventive measures including regular dental checkups, twice a day tooth brushing using fluoridated toothpaste and pit and fissure sealants on one side and the presence of caries among primary schoolchildren in the Eastern Province of Saudi Arabia. MATERIALS AND METHODS: A cross-sectional study was conducted in 2016 including 1198, 6-12-year-old children from 13 randomly selected schools. The outcome variable was caries presence. The explanatory variables were brushing twice a day using fluoridated toothpaste, the presence of sealant and regular dental checkups. Multivariable logistic regression model was conducted to assess the associations controlling for confounders (age, gender, ability to get treatment, being health insured and school) using SPSS version 20.0. RESULTS: Data of 921 participants (83.8%) were available. The prevalence of caries was 63.5%, whereas 67.6% brushed their teeth twice a day, 28.3% visited the dentist for regular checkups and 7.6% had sealant. In multivariable regression, out of the three main explanatory variables, only having regular checkups was significantly associated with caries presence (OR = 0.65, 95% CI = 0.48, 0.88). CONCLUSIONS: Lower odds of caries presence were associated with regular dental checkups but not with regular brushing or having sealant.


Assuntos
Cárie Dentária/prevenção & controle , Educação em Saúde Bucal/métodos , Higiene Bucal/estatística & dados numéricos , Selantes de Fossas e Fissuras/uso terapêutico , Escovação Dentária/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Fluoretos Tópicos/uso terapêutico , Humanos , Masculino , Prevalência , Projetos de Pesquisa , Arábia Saudita
20.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3860, 15/01/2018. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-965741

RESUMO

Objective: To investigate the knowledge and self-perception of Indonesian dental students in giving oral health education and preventive treatment. Material and Methods: This was a cross sectional study, with 208 clinical students (54 males and 154 females). Knowledge and self-perception of preventive dentistry was assessed using multiple choice questionneire based on a four-point likert scale written in Indonesia, at Dental Hospital of Hasanuddin University. Assessment of preventive dentistry knowledge on clinical students by answering 14 questions, while self-perception in providing oral health education and preventive treatment was assessed using general questions. Statistical evaluation was done using Chi-squared test and t test. The significance level was set at 5%. The analyses were performed with SPSS 12 statistical package. Results: Both male and female students are reported to have high competence in giving oral health education and preventive treatment (94-99%), but there was no significant difference between genders (p>0.05). Almost all questions were answered by agree or strongly agree. 75% of study participants disagreed with the statement that the use of fluoride toothpaste is more important than the brushing technique for dental caries prevention (PK2, p<0.05). Conclusion: The perceptions of clinical students participating in the study have high competence (94-99%) in providing education and preventive care to their patients, but there is still a lack of prevention knowledge.


Assuntos
Humanos , Masculino , Feminino , Estudantes de Odontologia , Conhecimentos, Atitudes e Prática em Saúde , Educação em Saúde Bucal/métodos , Indonésia , Distribuição de Qui-Quadrado , Odontologia Preventiva , Estudos Transversais/métodos
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