Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren: Systematic review and meta‐analysis

Stein, Caroline; Santos, Nathália Maria Lopes dos; Hilgert, Juliana Balbinot; Hugo, Fernando Neves

doi:10.1111/cdoe.12325

Cited by 121 publications

(130 citation statements)

References 19 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…Over a period of 2 years, the caries prevalence increased from d1/d2 to d3 in as many as 20 children, followed by increment of new carious lesions in about all three groups with the least increment in study group followed by active and negative controls. This finding corroborates with the results of the systematic review and meta‐analysis stating the lack of evidence regarding the effectiveness of oral health education in reducing caries . They reported a lack of long‐term studies.…”

Section: Discussionsupporting

confidence: 89%

“…This finding corroborates with the results of the systematic review and meta-analysis stating the lack of evidence regarding the effectiveness of oral health education in reducing caries. 27 They reported a lack of long-term studies. Our study over the 2-year period found oral health education alone to be the least effective intervention to prevent ECC.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

School Interventions–based Prevention of Early‐Childhood Caries among 3–5‐year‐old children from very low socioeconomic status: Two‐year randomized trial

Srinivasan

Acharya

Rao

2019

J Public Health Dent

308

115

View full text Add to dashboard Cite

Objectives To assess the effectiveness of school‐based interventions to prevent early childhood caries (ECC) among preschool children from very low socioeconomic background over a period of 2 years. Materials and methods Four hundred and twenty preschool children between the ages of 3–5 years participated in this double blind, three parallel arm clinical trial. School only interventions such as prohibition of sugary snack consumption in school, teacher supervised daily brushing using fluoridated toothpaste, and oral health education were implemented with regular follow‐up at 6 months, 1, and 2 years. The study group had all three interventions, in active control‐tooth brushing and oral health education, and in negative control, only oral health education. Decay at d1/d2 using World Health Organization criteria, visible plaque and gingival inflammation were assessed at all follow‐ups. The value of P < 0.05 was considered significant. Results Absolute caries risk reduction in the study group was 20 percent and 12 percent when compared to active, negative controls after 2 years. Mean caries increment in the study group was 0.4 for d1/d2, for the active control group was 0.9 and negative control 0.8. The effect of interventions to prevent ECC in each group was calculated using the Çohen's d, and the study group had a score of 0.6 when compared with active controls and 0.9 in comparison to the negative control group. Conclusions Prohibition of sugary snacking in school and daily supervised tooth brushing, with or without oral health education is effective in preventing ECC among preschool children with health neglect in very low‐resource settings.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

School Interventions–based Prevention of Early‐Childhood Caries among 3–5‐year‐old children from very low socioeconomic status: Two‐year randomized trial

Srinivasan

Acharya

Rao

2019

J Public Health Dent

308

115

View full text Add to dashboard Cite

show abstract

“…The search was conducted with the following search strategy: (“oral hygiene”[MeSH Terms] OR (“oral”[All Fields] AND “hygiene”[All Fields]) OR “oral hygiene”[All Fields]) AND (“dental caries”[MeSH Terms] OR (“dental”[All Fields] AND “caries”[All Fields]) OR “dental caries”[All Fields]) AND Clinical Trial[ptyp].” Titles, abstracts, full‐text papers and grant reports were screened for additional references. A two‐phase strategy was employed for the search that in a first phase included screening of titles and abstracts of the articles identified as potentially relevant during the electronic search, followed in a second phase by an assessment of the full‐text of articles deemed eligible for inclusion (eg, a systematic review). Reports in languages other than English were excluded.…”

Section: Methodsmentioning

confidence: 99%

Personal oral hygiene and dental caries: A systematic review of randomised controlled trials

Hujoel

Kotsakis

2018

Gerodontology

View full text Add to dashboard Cite

show abstract

“…The full list of the specific 8 173 reasons for exclusion of full texts is available in S3 Appendix. Figure 1 used meta-analysis to combine results [18][19][20][21][22][23][24][25][26][27][28], whereas the remaining nine SRs narratively 182 synthesized results [29][30][31][32][33][34][35][36][37]. Eleven SRs included studies located in countries with high-183 income or upper-middle income economies only [19,20,[23][24][25][29][30][31][32][33]37,38,39].…”

Section: Risk Of Biasmentioning

confidence: 99%

Investigating the effectiveness of school health services delivered by a health provider: a systematic review of systematic reviews

Levinson

Kohl

Baltag

et al. 2019

Preprint

View full text Add to dashboard Cite

24Schools are the only institution regularly reaching the majority of school-age children 25 and adolescents across the globe. Although at least 102 countries have school health services, 26 there is no rigorous, evidence-based guidance on which school health services are effective 27 42 3 48 healthy setting for living, learning and working" [1]. In 2000, WHO, the United Nations 49 Educational, Scientific and Cultural Organization (UNESCO), the United Nations Children's 50 Fund (UNICEF) and the World Bank developed a partnership for Focusing Resources on 51 Effective School Health -a FRESH Start approach [2]. The FRESH framework promotes 52 four pillars: health-related school policies, provision of safe water and sanitation, skills-based 53 health education and school-based health and nutrition services [2]. While various guidance 54 documents have been published by United Nations (UN) organizations addressing a range of 55 services from oral health to malaria [3-7], there is no internationally accepted guideline 56 regarding school health services. This systematic review of systematic reviews, henceforth 57 referred to as an overview, will inform the upcoming development of a WHO guideline that 58 addresses one pillar of the FRESH framework: school health services delivered by a health 59 provider. 60 Schools offer a unique platform for health care delivery. In 2015, the global means for 61 the primary and secondary net school enrollment rates were 90% and 65%, respectively, thus 62 the potential reach of school health services is wide [8]. Additionally, a recent review found 63 that school-based or school-linked health services already exist in at least 102 countries [9]. 64 The 2017 Global Accelerated Action for the Health of Adolescents (AA-HA!) 65 implementation guidance calls for the prioritization of school health programs as an 66 important step towards universal health coverage and urges that "Every school should be a 67 health promoting school" [10]. 68 The primary objective of this overview was to explore the effectiveness of school-69 based or school-linked health services delivered by a health provider for improving the health 70 of school-age children and adolescents. Through a comprehensive literature search, the 71 overview aimed to identify health areas and specific school health service interventions that 72 have at least some evidence of effectiveness. It was also designed to suggest further research 4 73 in areas where recent systematic reviews (SRs) exist, but with insufficient evidence. Finally, 74 the overview aimed to identify the health areas and specific school health services 75 interventions for which no SRs were found, whether because the primary literature does not 76 exist or where there are primary studies but no SR has been conducted. 77 METHODS 78This overview was conducted using the preferred reporting items for systematic 79 reviews and meta-analyses (PRISMA) [11]. A protocol was developed a priori that outlined 80 the overview objectives, aims, operational definitions, search ...

show abstract

Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren: Systematic review and meta‐analysis

Abstract: Traditional oral health educational actions were effective in reducing plaque, but not gingivitis. There is no long-term evidence in respect of the effectiveness of these interventions in preventing plaque accumulation, gingivitis and dental caries in the school environment.

Cited by 121 publications

References 19 publications

School Interventions–based Prevention of Early‐Childhood Caries among 3–5‐year‐old children from very low socioeconomic status: Two‐year randomized trial

School Interventions–based Prevention of Early‐Childhood Caries among 3–5‐year‐old children from very low socioeconomic status: Two‐year randomized trial

Personal oral hygiene and dental caries: A systematic review of randomised controlled trials

Investigating the effectiveness of school health services delivered by a health provider: a systematic review of systematic reviews

Contact Info

Product

Resources

About