Can school-based oral health education and a sugar-free chewing gum program improve oral health? Results from a two-year study in PR China

Bin Peng, Poul Erik Petersen, Zhuan Bian, Baojun Tai, Han Jiang

28 Citations (Scopus)

Abstract

The purpose of the study was to assess the outcome of school-based oral health education (OHE) and a sugar-free chewing gum program on the oral health status of children in terms of reduced caries increment and gingival bleeding over a period of 2 years. Nine primary schools randomly chosen from one district were divided into three groups: OHE group (Group E), sugar-free chewing gum in addition to OHE group (Group G), and the control group (Group C). All children of grade 1 (aged 6-7 years) were recruited (n = 1342). After 2 years, 1143 children remained in the study group at follow-up. The overall drop-out rate was about 15%. Data on dental caries and gingival bleeding were collected by clinical examination. The results showed that the mean increment of DMFS in Group G was 42% lower than in groups E and C (P < 0.05). The mean increments in F-S were higher in Groups G and E than in Group C (P < 0.01). The gingival bleeding scores were statistically significant among the three groups. Compared to Group C, the mean increment in bleeding scores of Group G was 71% lower (P < 0.01) and in Group E 42% lower (P < 0.05). The school-based OHE programs had some positive effect improving children's oral hygiene; in certain circumstances children may benefit from using polyol-containing chewing gum in terms of reduced dental caries.

Original languageEnglish
JournalActa Odontologica Scandinavica
Volume62
Issue number6
Pages (from-to)328-32
Number of pages5
ISSN0001-6357
DOIs
Publication statusPublished - Dec 2004

Keywords

  • Analysis of Variance
  • Cariostatic Agents
  • Chewing Gum
  • Child
  • China
  • DMF Index
  • Dental Caries
  • Health Education, Dental
  • Humans
  • Periodontal Index
  • School Dentistry
  • Sorbitol
  • Sweetening Agents
  • Xylitol

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