September 2018

Volume 35, Issue 3

School-based oral health education increases caries inequalities

Authors: Ghalib Qadri Mohammad Alkilzy Marco Franze Wolfgang Hoffmann Christian Splieth
doi: 10.1922/CDH_4145Qadri07


Objective: To evaluate the effect of one and half years of an oral health promotion program in primary schools. Design: A cluster-randomized controlled trial. Participants: 740 students aged 9-12 years (48% female) recruited from the fifth grade of 18 different primary schools in West Pomerania, Germany. Methods: General and oral health education was provided to the teachers in the intervention schools, which they conveyed to their students. No additional measures were conducted in the control schools. Medical and dental school examinations, as well as questionnaires for the students and their parents were conducted at baseline and follow-up. Data were analysed using Poisson regression models. Results: A significant incident rate ratio between caries increment was found, with a 35% higher risk in the control group. However, parents’ socioeconomic characteristics modified the effect of the program on their children, as high socio-economic status in the intervention group was associated with 94% reduction in the incidence risk ratio (p < 0.001). Conclusions: The program was effective in improving dental health among students with higher socio-economic status. No preventive effect could be found in low socio-economic status groups. Key words: Schools, health promotion, preventive program, school children, epidemiology.


Other articles in this issue

Article Pages Access
A UK and Partisan view of Brexit and Dental Public Health 130-131 Download
Dental Public Health in Action: Putting oral health on the local public health agenda 132-135 Download
Dental Public Health In Action: Barriers to oral healthcare provision for older people in residential and nursing care homes: A mixed method evaluation and strategy development in County Durham, North East England 136-139 Download
Confirmatory factor analysis of the health literacy in dentistry scale (HeLD) in the Australian population 140-147 Download
The relationships among consumption of fruits, tooth loss and obesity 148-152 Download
School-based oral health education increases caries inequalities 153-159 Download
Social gradient in caries experience of Belgian adults 2010 160-166 Download
Patients’ willingness to pay for dental services in a population with limited restorative services 167-172 Download
Oral health behaviours and oral health-related dietary behaviours: The interrelationship and determinants by latent class analysis 173-178 Download
Depressive symptoms and untreated coronal dental caries among adults ages 21-64 years, NHANES 2013-2014 179-185 Download
Fluoride content of toothpastes available in South Africa 186-192 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.