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      The effectiveness of a tooth brushing programme for children in the Ehlanzeni district of Mpumalanga

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          Abstract

          PURPOSE: To evaluate the effectiveness of a tooth brushing programme in a community trial in the Ehlanzeni district, Mpumalanga METHODOLOGY: Two samples of 250 children, 8-10 years old and in grade 3, were randomly selected from schools in the district. The intervention group comprised children who had taken part in the brushing project since it was incepted in 2012. The control group comprised children who had not participated. Caries was scored according to WHO Criteria (1997) and odontogenic infections using the PUFA/ pufa index. These data and the treatment needs of the two groups were compared statistically RESULTS: The prevalence of dental caries (primary and permanent teeth) was 57.2%, intervention group and 74.8%, control group. The intervention group recorded DMFT of 0.15 and a dmft of 1.82, whilst the control group recorded 0.38 and 2.50 respectively Odontogenic infections occurred in 22% of the intervention group (mean 0.40), compared with 36% in the non-intervention group (mean 0.82). The intervention group presented with 30.8% less dental caries and 63.6% less odontogenic infections than the control group. CONCLUSION: The results of the study show that this targeted population approach resulted in significantly less caries in the intervention group than in the control group

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          Most cited references26

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          The Common Risk Factor Approach: a rational basis for promoting oral health

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            Deprivation and oral health: a review.

            D Locker (2000)
            The link between socioeconomic status and health, including oral health, is well established. The conventional measures of socioeconomic status used in these studies, such as social class and household income, have a number of weaknesses so that alternatives, in the form of area-based measures of deprivation, are increasingly being used. This paper reviews epidemiological research linking deprivation and oral health. Four types of study are identified and described: simple descriptive, comparative, analytic and explanatory. These studies confirm that deprivation indices are sensitive to variations in oral health and oral health behaviours and can be used to identify small areas with high levels of need for dental treatment and oral health promotion services. As such, they are likely to provide a useful administrative tool. In terms of research, the studies demonstrate that these measures provide a ready way of controlling for socioeconomic status in studies examining the association between oral health and other variables. However, this research, in largely replicating previous studies using social class, does not address fundamental issues concerning the mechanisms which link social inequality and health. Deprivation measures have a major role to play in research that examines features of people and places, and how they promote and/or damage both oral and general health.
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              Reasons for the caries decline: what do the experts believe?

              The aim of this paper was to describe what experts of today believe are the main reasons explaining the caries decline seen in many westernized countries over the past 3 decades. We have collected the views of a number of international experts, trying to answer the specific question "What are the main reasons why 20-25-year-old persons have less caries nowadays, compared to 30 years ago?". A questionnaire was mailed to 55 experts with a number of thinkable explanations to be scored according to a predetermined scale. The 25 items were divided into main groups under the heading of diet, fluorides, plaque, saliva, dentist/dental materials and other factors. The experts were asked to think of a specific country or area, and also to specify whether the chosen area had water fluoridation or not. The main finding of our study, based on a 95% response rate, was that there is a very large variation in how the experts graded the impact of various possible factors. For the use of fluoride toothpaste, there was a clear agreement of a definite positive effect.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                sadj
                South African Dental Journal
                S. Afr. dent. j.
                The South African Dental Association (SADA) (Johannesburg, Gauteng, South Africa )
                0011-8516
                0375-1562
                November 2018
                : 73
                : 10
                : 604-611
                Affiliations
                [01] orgnameMpumalanga Provincial Government orgdiv1Department of Health
                [02] orgnameUniversity of Pretoria orgdiv1Department of Community Dentistry
                [03] orgnameUniversity of Pretoria orgdiv1Faculty of Health Sciences
                Article
                S0011-85162018001000004
                10.17159/2519-0105/2018/v73no10a2
                dc7f6f66-119c-4750-b6d2-52d997d51d37

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 38, Pages: 8
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                SciELO South Africa

                Categories
                Research

                effectiveness,tooth brushing programmes,prevention,Dental caries

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