Promoting Oral Health through Programs in Middle Childhood and Adolescence

Benzian, Habib; Garg, Renu; Monse, Bella; Stauf, Nicole; Varenne, Benoît

doi:10.1596/978-1-4648-0423-6_ch16

Cited by 11 publications

(7 citation statements)

References 61 publications

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“…Oral diseases in the pediatric population are a major concern. Specifically, dental caries is the most common chronic disease in childhood [ 6 ], with global rates ranging from 12 to 98% among 4-year-old children [ 4 ]. Although the prevalence and severity of dental caries among 5–12-year-olds have declined over the last four decades, the decay-component remains very high [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

Anouti

Abboud

Papandreou

et al. 2021

Front. Oral. Health

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Oral diseases are a universal public health problem with serious health and economic burdens. These diseases are a major concern in the pediatric population specifically. In the United Arab Emirates (UAE), among all the diseases that affect children, oral diseases, particularly early childhood caries, are the most common despite improvement in the provision of oral health services. Enhancing oral health status is one of the key public health goals in the country. This current systematic review aims to summarize the available data on oral health among children and adolescents in the UAE over the past decade (2011–2021). The review was conducted following a predefined protocol and in concordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCO, EMBASE via Ovid, the Cochrane Library, and the Index Medicus for the Eastern Mediterranean Region (IMEMR) databases, and the gray literature were searched for original studies reporting on oral health in the pediatric population in the UAE, without applying any language restriction. Twenty-nine studies were included reporting on a total of 43,916 participants; they were mostly cross-sectional, and emirate-based; they were mostly limited by their setting and convenient sampling. Among the general pediatric population, results showed a high prevalence of dental caries across different emirates. Nevertheless, it was difficult to provide a predictable profile of caries, as risk factors were not well-explored and inconsistent across studies. Suboptimal oral hygiene practices were also prevalent, in addition to a low utilization of dental services. Furthermore, included studies showed a high level of oral problems in children with different disease (down syndrome, cerebral palsy, thalassemia, autism…) and special conditions (children in prison nurseries); yet, in general, treatment indices were lower than their healthy counterparts. This review suggests that dental caries is a major pediatric health problem in the UAE. Risk factors included higher consumption of snacks, being in public schools, lower maternal education level, and socioeconomic status. Nevertheless, risk factors were not well-explored and inconsistent across studies. Suboptimal oral hygiene practices and a low utilization of dental services were also identified, in addition to a high level of oral problems in children with different disease coupled with lower treatment indices in comparison with their healthy counterparts. This systematic review provides crucial information for planning and evaluating effective oral health programs, identifies gaps in the recent research in this field, and paves the way for preventive and interventional studies targeting oral health in pediatrics in the UAE. Immediate oral health promotion strategies are needed to address this public health problem early in its course by creating conditions that promote oral health, and increasing uptake of dental services. Intensifying research to draw temporal trends, understand the profile of childhood caries in the UAE, and explore cost-effective national community prevention programs are also needed.

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Section: Introductionmentioning

confidence: 99%

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

Anouti

Abboud

Papandreou

et al. 2021

Front. Oral. Health

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“…These mixed results are often attributed to poor intervention fidelity and/or compliance (Garn et al 2013(Garn et al , 2017. With regard to oral health, systematic reviews found little evidence for the effectiveness of oral health education alone, yet school-based interventions combining health education with supervised toothbrushing or professional clinical prevention hold promise for reducing dental caries in LMICs (Cooper et al 2013;Da Silva et al 2016;Benzian et al 2017;Duijster et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Impact of a school-based water, sanitation and hygiene programme on children’s independent handwashing and toothbrushing habits: a cluster-randomised trial

Duijster

Buxton²,

Benzian

et al. 2020

Int J Public Health

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Objectives To explore whether a school-based water, sanitation and hygiene programme, which includes group hygiene activities, contributes to the formation of independent handwashing and toothbrushing habits among Filipino children. Methods In this cluster-randomised trial, twenty primary schools were randomly allocated to the intervention or control arm. Intervention schools received group handwashing facilities and implemented daily group handwashing and toothbrushing activities. A soap use to toilet event ratio was calculated to measure children’s independent handwashing behaviour after toilet use, and dental plaque accumulation on Monday morning was measured as a proxy indicator for children’s independent toothbrushing behaviour at home. Results Four months after implementation, handwashing and toothbrushing behaviours did not significantly differ between intervention and control schools. The mean soap use in intervention schools and control schools was 0.41 g and 0.30 g per toilet event, respectively (p = 0.637). Compared to baseline, mean plaque scores reduced by 4.2% and 3.5% in intervention and control schools, respectively (p = 0.857). Conclusions Although health benefits have been established, school-based group handwashing and toothbrushing may not be sufficient to increase children’s uptake of independent hygiene behaviours.

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“…Poslednjih godina, zahvaljujući praktičnoj implementaciji programa prevencije stomatoloških oboljenja 24 , postoji tendencija njihovog smanjenja među decom, što otvara perspektivu poboljšanja zdravlja zuba u ovoj starosnoj grupi. Međutim, program prevencije, zapravo, ne odnosi se na odraslu generaciju i u bliskoj budućnosti nema razloga očekivati smanjenje incidencije među pacijentima starosti od 25 od 35 godina, kao i među još starijim pacijentima.…”

Section: Results Anddiscussionunclassified

Modern view on mechanisms of epithelium differentiation of the oral mucosa in normal and pathological processes

Hasiuk¹,

Bozhyk²,

Radchuk³

2021

Acta stomatologica Naissi

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Background:In everyday clinical practice, patients who seek dental care in case of oral mucosa diseases are one of the most difficult categories of patients due to difficulties in diagnosis and treatment. Materials and methods: The review and analysis of scientific and medical literature based on the Scopus, Web of Science, MedLine, PubMed, NCBI databases, the study of which does not exceed 5 years, including literature reviews and the results of clinical trials. Results: Changes in the oral mucosa can be clearly specific. Clinicians can make the correct diagnosis and determine the tactics of treatment by appearance. However, in most cases the diagnosis of diseases with this anatomical location is complicated, because the clinical picture is nonspecific and often burdened with additional local and general adverse factors. A detailed clinical examination and additional research methods are required to establish the correct diagnosis. Diagnosis of oral mucosa diseases is based on a careful assessment of clinical and laboratory data. Conclusions: Taking into account the prevalence of diseases of the oral mucosa, of particular interest is the question of the course of the process of differentiation of the epithelium of various anatomical zones in the norm and the mechanisms of restructuring of the cellular composition in pathological processes, with the cops of objectifying the diagnosis, predicting the course of the disease and pathogenetically substantiated treatment.

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Promoting Oral Health through Programs in Middle Childhood and Adolescence

Cited by 11 publications

References 61 publications

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

Oral Health of Children and Adolescents in the United Arab Emirates: A Systematic Review of the Past Decade

Impact of a school-based water, sanitation and hygiene programme on children’s independent handwashing and toothbrushing habits: a cluster-randomised trial

Modern view on mechanisms of epithelium differentiation of the oral mucosa in normal and pathological processes

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