Effectiveness of school dental screening programme and different referral mechanisms on caries experience among 6-11-year-old children.

Journal of the Indian Society of Pedodontics and Preventive Dentistry Pub Date : 2024-10-01 Epub Date: 2025-01-11 DOI:10.4103/jisppd.jisppd_292_24

Bankuru Himabindu, K S Uloopi, C Vinay, Penmatsa Chaitanya, Peddi Ravigna, N Chandana

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Abstract

Background: School-based dental screening and referral mechanism is a potential intervention that impacts utilization of dental services.

Aim: The present study aims to evaluate the effectiveness of school dental screening programme with referral to specific dental hospital on caries experience among 6-11-year-old children.

Settings and design: A cluster randomized control trial was conducted with 694 children assigned to test group (n = 351) and control group (n = 343).

Materials and methods: Children in test group were referred to specific dental hospital, while those of control group to nonspecific dental hospital for treatments.

Statistical analysis used: Wilcoxon test and Mann-Whitney U tests were used for intragroup and intergroup comparison of decayed, missing, filled teeth/decayed, extraction needed, filled teeth scores.

Results: A statistically significant difference (P < 0.001) in decayed (dt + DT) and filled (ft + FT) teeth scores was observed on intergroup comparison at 12 months. There was a significant increase in filled teeth (FT) scores in children of both the groups. However, the decayed teeth (dt + DT) scores were significantly decreased in children of test group (P < 0.001), while increased in control group (P = 0.004).

Conclusion: School dental screening programs with referral to specific dental hospital had a highly significant impact in reducing decayed teeth and increasing the number of FT 27 in children.

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学校牙齿普查计划及不同转介机制对6至11岁儿童蛀牙经历的成效

背景目的：本研究旨在评估学校牙科筛查计划和转诊至特定牙科医院对6-11岁儿童龋齿情况的影响：研究采用分组随机对照试验的方法，将 694 名儿童分为试验组（n = 351）和对照组（n = 343）：材料：试验组的儿童被转诊到特定的牙科医院，而对照组的儿童被转诊到非特定的牙科医院接受治疗：采用 Wilcoxon 检验和 Mann-Whitney U 检验对蛀牙、缺失牙、补牙/蛀牙、需拔牙、补牙评分进行组内和组间比较：在 12 个月的组间比较中，蛀牙（dt + DT）和补牙（ft + FT）的得分差异有统计学意义（P < 0.001）。两组儿童的补牙（FT）得分都有明显提高。然而，测试组儿童的蛀牙（dt + DT）得分明显下降（P < 0.001），而对照组儿童的蛀牙得分则有所上升（P = 0.004）：结论：学校牙科筛查计划和转诊到特定牙科医院对减少儿童蛀牙和增加 FT 27 数量有非常明显的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of the Indian Society of Pedodontics and Preventive Dentistry

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