Öz
Objectives: 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 4th 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
Anahtar Kelimeler
Dental caries DMFT Fluoride-gel Brush-on fluoride application
Kaynakça
- Dye BA, Arevalo O, Vargas CM. Trends in paediatric dental caries by poverty status in the United States, 1988-1994 and 1999-2004. Int J Paediatr Dent 2010;20:132-143.
- Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11 2007:1-92.
- Marthaler TM. Changes in dental caries 1953-2003. Caries Res 2004;38:173-181.
- Marthaler TM, O'Mullane DM, Vrbic V. The prevalence of dental caries in Europe 1990-1995. ORCA Saturday afternoon symposium 1995. Caries Res 1996;30:237-255.
- Petersen PE. Changing oral health profiles of children in Central and Eastern Europe–Challenges for the 21st century. IC Digest 2003;2:12-13.
- Reich E. Trends in caries and periodontal health epidemiology in Europe. Int Dent J 2001;51:392-398.
- Gökalp S, Doğan BG, Tekçiçek M, Berberoğlu A, Ünlüer Ş. Erişkin ve Yaşlılarda Ağız-Diş Sağlığı Profili Türkiye-2004. Hacettepe Dişhek Fak Derg 2007;31:11-18.
- Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health 2006;6 Suppl 1:S2.
- Pack AR. Dental services and needs in developing countries. Int Dent J 1998;48:239-247.
- Petersen PE. Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol 2009;37:1-8.
- U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institute of Health, 2000.
- Savage MF, Lee JY, Kotch JB, Vann WF, Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics 2004;114:e418-423.
- Borreani E, Jones K, Wright D, Scambler S, Gallagher JE. Improving access to dental care for older people. Dent Update 2010;37:297-298, 301-292.
- Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people--call for public health action. Community Dent Health 2010;27:257-267.
- Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005;33:81-92.
- Horowitz HS, Heifetz SB, McClendon BJ, Viegas AR, Guimaraes LO, Lopes ES. Evaluation of self-administered prophylaxis and supervised toothbrushing with acidulated phosphate fluoride. Caries Res 1974;8:39-51.
- Colak H, Dülgergil ÇT, Serdaroğlu İ. "Temel Ağız-Diş Sağlığı Hizmetinde" Restorasyon Uygulamalarının Yeri Önemi Sonuçları. Sağlıkta Perf Kalite Derg 2010;1:60-71.
- Petersson GH, Bratthall D. The caries decline: a review of reviews. Eur J Oral Sci 1996;104:436-443.
- Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003:CD002278
- .
- Borysewicz-Lewicka M, Opydo-Szymaczek J, Opydo J. Fluoride ingestion after brushing with a gel containing a high concentration of fluoride. Biol Trace Elem Res 2007;120:114-120.
- Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bulletin of the World Health Organization 2005;83:711-718.
- Marthaler TM. Interim report on DMF-reduction 16 years after the introduction of a preventive program. Community Dent Oral Epidemiol 1981;9:210-214.
- Kerebel LM, Le Cabellec MT, Daculsi G, Kerebel B. Report on caries reduction in French schoolchildren 3 years after the introduction of a preventive program. Community Dent Oral Epidemiol 1985;13:201-204.
- Marthaler TM, Konig KG, Muhlemann HR. The effect of a fluoride gel used for supervised toothbrushing 15 or 30 times per year. Helv Odontol Acta 1970;14:67-77.
- World Health O. Oral health surveys basic methods. [S.l.]: WHO, 1971.
- Çolak H, Yıldırım I, Dülgergil ÇT, Ercan E. Diş Hekimliğinde Koruyucu Bir Uygulama Metodu Olarak “Fırça-Üzeri Florlu Jel” Değerlendirilmesi. Türk Diş Hek Derg 2009.
- Bernabe E, Bernal JB, Beltran-Neira RJ. A model of dental public health teaching at the undergraduate level in Peru. J Dent Educ 2006;70:875-883.
- Gökalp S, Doğan BG, Tekçiçek M, Berberoğlu A, Ünlüer Ş. Beş, On İki ve On Beş Yaş Çocukların Ağız Diş Sağlığı Profili, Türkiye-2004. Hacettepe Dişhek Fak Derg 2007;31:3-10.
- Liu M, Zhu L, Zhang B, Petersen PE. Changing use and knowledge of fluoride toothpaste by schoolchildren, parents and schoolteachers in Beijing, China. Int Dent J 2007;57:187-194.
- Truong VT. Vietnam Country Report: School oral health promotion program. In The 2nd Asian Conference of Oral Health Promotion for School Children Prospectus for Our Future Generation. Bangkok: Thammasat University, 2003.
- Denman S. The health promoting school : policy, research and practice. London: Routledge Falmer, 2002.
- Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31 Suppl 1:3-23.
- van Rijkom HM, Truin GJ, van 't Hof MA. A meta-analysis of clinical studies on the caries-inhibiting effect of fluoride gel treatment. Caries Res 1998;32:83-92.
- Trubman A, Crellin JA. Effect on dental caries of self-application of acidulated phosphate fluoride paste and gel. J Am Dent Assoc 1973;86:153-157.
- Ercan E, Dülgergil ÇT, Yıldırım I, Dallı M, Arcak R. İç Anadolu bölgesi şehir merkezinde yaşayan çocuklarda, farklı koruyucu uygulamaların yeni çürük oluşumu üzerindeki etkinliklerinin değerlendirilmesi: 12 aylık çalışma sonuçları. ADO Klin Bil Derg 2008;2:218-223.
- Marinho VC, Higgins JP, Logan S, Sheiham A. Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003;4:CD002782.
- American Dental Association Council on Scientific A. Professionally applied topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc 2006;137:1151-1159.
- Ripa LW. Review of the anticaries effectiveness of professionally applied and self-applied topical fluoride gels. J Public Health Dent 1989;49:297-309.
- Ran F, Gedalia I, Fried M, Hadani P, Tved A. Effectiveness of fortnightly tooth brushing with amine fluorides in caries-prone subjects. J Oral Rehabil 1991;18:311-316.
- Szoke J, Kozma M. [Results of 3-year study of toothbrushing with a fluoride amine gel]. Oralprophylaxe 1989;11:137-143.
- Ferrazzini G. [Prevention in the schools of Massagno, Ticino: results after 8 years]. SSO Schweiz Monatsschr Zahnheilkd 1979;89:147-150.
İLKÖĞRETİM OKULLARINDA STANDART BİR KORUYUCU YÖNTEM OLARAK FIRÇA İLE FLOR JEL UYGULAMASININ DEĞERLENDİRİLMESİ: DÖRT YILLIK ALAN ÇALIŞMASI SONUÇLARI
Öz
Amaç: Bu çalışma; bir il merkezindeki tüm ilköğretim okullarını kapsayan, basitleştirilmiş bir koruyucu diş hekimliği yöntemi olan “Fırça ile florlu jel” uygulamasının orta ve uzun süreçteki etkilerinin değerlendirilmesi amacıyla planlanmıştır.
Gereç ve Yöntemler: 2007 yılında Kırıkkale ili merkezine bağlı ilköğretim birinci sınıfta öğrenim gören çocuklardan, çalışma ve kontrol grubuna eşit dağılmak üzere toplam 480 çocuk çalışmaya dâhil edildi. Çalışma grubuna %2’lik nötral florlu jelin diş fırçası ile çocuklara birebir fırçalatılması (brush-on gel application) yöntemi ile yılda 4 defa ve 3 yıl boyunca olmak üzere toplam 12 uygulama yapılırken, kontrol grubuna ise yılda en az bir kere sınıf ortamında fırçalama eğitimi verildi. Grupların başlangıç, birinci, ikinci ve dördüncü yıl muayeneleri Dünya Sağlık Örgütü’nün (DSÖ) muayene kriterlerine göre gerçekleştirildi.
Bulgular: Grupların başlangıç, birinci ve ikinci yıldaki DMFT değerleri arasında istatistiksel olarak anlamlı farklılık mevcut değilken, dördüncü yıldaki DMFT değerleri (sırasıyla 0,33±0,72 ve 0,69±1,15) arasında anlamlı farklılık bulundu (p=0,001). Grupların başlangıç ve ikinci yıldaki çürük yaygınlık yüzdeleri arasında anlamlı farklılık gözlenmezken, ikinci ve dördüncü yılındaki çürük yaygınlık yüzdeleri arasında anlamlı farklılık mevcuttur (sırasıyla p=0,049 ve p=0,004).
Sonuç: İlköğretim okullarında gecikmiş tip hijyen eğitiminin de verilebildiği basitleştirilmiş koruyucu uygulamalar, çürük artışının kontrol altına alınabilmesi açısından bir fırsat oluşturabilir. Bununla beraber bu tip basit yöntemler, yüksek çürük riskli hastalarda yetersizdirler ve risk bazlı koruyucu yöntemlerin desteğine ihtiyaç duyarlar.Anahtar Kelimeler
Kaynakça
- Dye BA, Arevalo O, Vargas CM. Trends in paediatric dental caries by poverty status in the United States, 1988-1994 and 1999-2004. Int J Paediatr Dent 2010;20:132-143.
- Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11 2007:1-92.
- Marthaler TM. Changes in dental caries 1953-2003. Caries Res 2004;38:173-181.
- Marthaler TM, O'Mullane DM, Vrbic V. The prevalence of dental caries in Europe 1990-1995. ORCA Saturday afternoon symposium 1995. Caries Res 1996;30:237-255.
- Petersen PE. Changing oral health profiles of children in Central and Eastern Europe–Challenges for the 21st century. IC Digest 2003;2:12-13.
- Reich E. Trends in caries and periodontal health epidemiology in Europe. Int Dent J 2001;51:392-398.
- Gökalp S, Doğan BG, Tekçiçek M, Berberoğlu A, Ünlüer Ş. Erişkin ve Yaşlılarda Ağız-Diş Sağlığı Profili Türkiye-2004. Hacettepe Dişhek Fak Derg 2007;31:11-18.
- Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health 2006;6 Suppl 1:S2.
- Pack AR. Dental services and needs in developing countries. Int Dent J 1998;48:239-247.
- Petersen PE. Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol 2009;37:1-8.
- U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institute of Health, 2000.
- Savage MF, Lee JY, Kotch JB, Vann WF, Jr. Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics 2004;114:e418-423.
- Borreani E, Jones K, Wright D, Scambler S, Gallagher JE. Improving access to dental care for older people. Dent Update 2010;37:297-298, 301-292.
- Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people--call for public health action. Community Dent Health 2010;27:257-267.
- Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005;33:81-92.
- Horowitz HS, Heifetz SB, McClendon BJ, Viegas AR, Guimaraes LO, Lopes ES. Evaluation of self-administered prophylaxis and supervised toothbrushing with acidulated phosphate fluoride. Caries Res 1974;8:39-51.
- Colak H, Dülgergil ÇT, Serdaroğlu İ. "Temel Ağız-Diş Sağlığı Hizmetinde" Restorasyon Uygulamalarının Yeri Önemi Sonuçları. Sağlıkta Perf Kalite Derg 2010;1:60-71.
- Petersson GH, Bratthall D. The caries decline: a review of reviews. Eur J Oral Sci 1996;104:436-443.
- Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003:CD002278
- .
- Borysewicz-Lewicka M, Opydo-Szymaczek J, Opydo J. Fluoride ingestion after brushing with a gel containing a high concentration of fluoride. Biol Trace Elem Res 2007;120:114-120.
- Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bulletin of the World Health Organization 2005;83:711-718.
- Marthaler TM. Interim report on DMF-reduction 16 years after the introduction of a preventive program. Community Dent Oral Epidemiol 1981;9:210-214.
- Kerebel LM, Le Cabellec MT, Daculsi G, Kerebel B. Report on caries reduction in French schoolchildren 3 years after the introduction of a preventive program. Community Dent Oral Epidemiol 1985;13:201-204.
- Marthaler TM, Konig KG, Muhlemann HR. The effect of a fluoride gel used for supervised toothbrushing 15 or 30 times per year. Helv Odontol Acta 1970;14:67-77.
- World Health O. Oral health surveys basic methods. [S.l.]: WHO, 1971.
- Çolak H, Yıldırım I, Dülgergil ÇT, Ercan E. Diş Hekimliğinde Koruyucu Bir Uygulama Metodu Olarak “Fırça-Üzeri Florlu Jel” Değerlendirilmesi. Türk Diş Hek Derg 2009.
- Bernabe E, Bernal JB, Beltran-Neira RJ. A model of dental public health teaching at the undergraduate level in Peru. J Dent Educ 2006;70:875-883.
- Gökalp S, Doğan BG, Tekçiçek M, Berberoğlu A, Ünlüer Ş. Beş, On İki ve On Beş Yaş Çocukların Ağız Diş Sağlığı Profili, Türkiye-2004. Hacettepe Dişhek Fak Derg 2007;31:3-10.
- Liu M, Zhu L, Zhang B, Petersen PE. Changing use and knowledge of fluoride toothpaste by schoolchildren, parents and schoolteachers in Beijing, China. Int Dent J 2007;57:187-194.
- Truong VT. Vietnam Country Report: School oral health promotion program. In The 2nd Asian Conference of Oral Health Promotion for School Children Prospectus for Our Future Generation. Bangkok: Thammasat University, 2003.
- Denman S. The health promoting school : policy, research and practice. London: Routledge Falmer, 2002.
- Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31 Suppl 1:3-23.
- van Rijkom HM, Truin GJ, van 't Hof MA. A meta-analysis of clinical studies on the caries-inhibiting effect of fluoride gel treatment. Caries Res 1998;32:83-92.
- Trubman A, Crellin JA. Effect on dental caries of self-application of acidulated phosphate fluoride paste and gel. J Am Dent Assoc 1973;86:153-157.
- Ercan E, Dülgergil ÇT, Yıldırım I, Dallı M, Arcak R. İç Anadolu bölgesi şehir merkezinde yaşayan çocuklarda, farklı koruyucu uygulamaların yeni çürük oluşumu üzerindeki etkinliklerinin değerlendirilmesi: 12 aylık çalışma sonuçları. ADO Klin Bil Derg 2008;2:218-223.
- Marinho VC, Higgins JP, Logan S, Sheiham A. Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003;4:CD002782.
- American Dental Association Council on Scientific A. Professionally applied topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc 2006;137:1151-1159.
- Ripa LW. Review of the anticaries effectiveness of professionally applied and self-applied topical fluoride gels. J Public Health Dent 1989;49:297-309.
- Ran F, Gedalia I, Fried M, Hadani P, Tved A. Effectiveness of fortnightly tooth brushing with amine fluorides in caries-prone subjects. J Oral Rehabil 1991;18:311-316.
- Szoke J, Kozma M. [Results of 3-year study of toothbrushing with a fluoride amine gel]. Oralprophylaxe 1989;11:137-143.
- Ferrazzini G. [Prevention in the schools of Massagno, Ticino: results after 8 years]. SSO Schweiz Monatsschr Zahnheilkd 1979;89:147-150.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Şubat 2015 |
| Gönderilme Tarihi | 12 Temmuz 2014 |
| Yayımlandığı Sayı | Yıl 2015Cilt: 18 Sayı: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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