As a standart preventive method brushon fluoride application in primary schools: Four years field study results
Özet
Objectives: The aim of this study was to evaluate the medium-and long-term effect of "brush on fluoride gel" application which is a simplified preventive method in a city center including whole primary schools. Materials and Methods: In 2007, of the 2348 first grade primary school children (born in 1999) being teached at 37 primary school at Kirikkale city center, 480 were selected, and equally divided as control and study groups. While in study group, all children had routinely get brush on fluoride gel application four-times a year during 3 years (total 12 times), using 2 percent neutral fluoride gel; others were subjected to oral hygiene education at least one time a year. All the examination procedures were yearly performed using World Health Organization (WHO) criteria at the first-second and fourth year. Results: While there was no statistically significant difference between the groups at baseline, it was not true at 4th years DMFT results (DMFT values for control and study groups were 0,33±0,72 and 0,69±1,15, respectively. p=0,001). Similar trend was observed at baseline and 4th year results for caries prevalence (p values for baseline and 4th year comparisons were p=0,049 and p=0,004, respectively). Conclusions: Considering as a simplified oral health preventive programs which may be important to established tooth-brushing habit could lead to an observational difference in caries prevalence. However, various primitive preventive methods could need to be supported by the risk-based additional preventive applications in high risk population.
