J Korean Acad Nurs.  2008 Dec;38(6):914-922. 10.4040/jkan.2008.38.6.914.

Effect of a Tooth-brushing Education Program on Oral Health of Preschool Children

• Kang BH
• Park SN
• Sohng KY
• Moon JS

• KMID: 820146
• DOI: http://doi.org/10.4040/jkan.2008.38.6.914

Abstract

PURPOSE
To examine the effect of tooth-brushing education on the oral health of preschoolers. METHODS: A quasi-experimental design with a non-equivalent control group was used. Two kindergartens were selected and 39 preschoolers from one kindergarten were assigned to the experimental group with tooth-brushing education and 39 from the other kindergarten to the control group. The tooth-brushing education program included 1 session on oral health education, individual tooth-brushing instruction for 1 week and supervised tooth-brushing after lunch for 4 weeks. Oral health behavior including use of tooth paste, tooth-brushing time and method of tooth-brushing, plague, streptococcus mutans, lactobacillus and dental caries were measured before and after the education. Fisher's exact test, t-test and paired t-test with the Window SAS 9.1 program were used to analyze the data. RESULTS: A significant increase in the use of tooth paste, tooth-brushing time and the practice of correct tooth-brushing and a decrease in plague and development of dental caries were observed in the experimental group. CONCLUSION: This tooth-brushing education was partially effective in improving oral health of preschoolers.

Keyword

Tooth-brushing; Preschool children; Oral health

MeSH Terms

Child, Preschool
DMF Index
Dental Caries/prevention & control
Dental Plaque/prevention & control
Female
*Health Education, Dental
Health Knowledge, Attitudes, Practice
Humans
Male
*Oral Health
Oral Hygiene
Toothbrushing/*utilization

Reference

1. Ammari JB, Baqain ZH, Ashley PF. Effects of programs for prevention of early childhood caries. A systematic review. Medical Principles and Practice. 2007. 16:437–442.

2. Habibian M, Beighton D, Stevenson R, Lawson M, Roberts G. Relationships between dietary behaviors, oral hygiene and mutans streptococci in dental plaque of a group of infants in southern England. Archives of Oral Biology. 2002. 47:491–498.

3. Hartono SW, Lambri SE, van Palenstein Helderman WH. Effectiveness of primary school-based oral health education in West Java, Indonesia. International Dental Journal. 2002. 52:137–143.

4. Jackson RJ, Newman HN, Smart GJ, Stokes E, Hogan JI, Brown C, et al. The effects of a supervised toothbrushing programme on the caries increment of primary school children, initially aged 5-6 years. Caries Research. 2005. 39:108–115.

5. Jin BH, Lee BJ, Paik DI. Prevalence of incipient lesions in surveyed preschool children, Kuro-gu, Seoul: A pilot study. Journal of Korean Academy of Dental Health. 2004. 28:548–558.

6. Jokela J, Pienihakkinen K. Economic evaluation of a risk-based caries prevention program in preschool children. Acta Odontologica Scandinavica. 2003. 61:110–114.

7. Kim GS, Jeong GC, Lee HS, Kim SN. Prevalence and influencing factor of nursing caries in preschool children. Journal of Korean Academy of Dental Health. 2002. 26:233–249.

8. Kim JB, Choi YJ, Paik DI, Shin SC. Preventive dentistry. 2004. 8th ed. Seoul: Komoonsa.

9. Kim JH, Kim YS. A study on the oral health care and factors in preschool children. Journal of Korean Society Hygienic Science. 2002. 8:117–128.

10. Korean Academy of Pediatric Dentistry. Department of Pediatric Dentistry. 1999. Seoul: Shinhung.

11. Lee CH, Choi CH, Kwon HK. Caries prevalence of the 5, 12-year-old Korean children, 1989-2000 from coordinated national surveys. Journal of Korean Academy of Dental Health. 2003. 27:47–58.

12. Lee HJ, Shin SC, Cho JW, Riew H. The case study on the effects of oral health education on primary school children. Journal of Korean Academy of Dental Health. 2004. 28:449–463.

13. Lee SS, Paik DI, Kim JB. A study on the effects of the toothbrushing instruction methods in dental health education. Journal of Korean Academy of Dental Health. 1990. 14:233–242.

14. Machin D, Campbell M, Fayers PM, Pinol P. Sample size tables for clinical studies. 1997. 2nd ed. Oxford: Blackwell Science.

15. Ministry of Health and Welfare. 2003 Oral Health in Korea. 2004. Seoul: Ministry of Health and Welfare.

16. Moon JS, Song BS, Park SN. Oral health behavior and dental health status of preschool children. The Journal of Korean Community Nursing. 2004. 15:618–627.

17. Ottley C. Improving children's dental health. The Journal of Family Health Care. 2002. 12:122–125.

18. Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. Journal of the American Dental Association. 1962. 65:26–29.

19. Rong WS, Bian JY, Wang WJ, Wang JD. Effectiveness of an oral health education and caries prevention program in kindergartens in China. Community Dentistry and Oral Epidemiology. 2003. 31:412–416.

20. Savage MF, Lee JY, Kotch JB, Vann WF Jr. Early preventive dental visits: Effects on subsequent utilization and costs. Pediatrics. 2004. 114:418–423.

21. Seong JH, Park SH, Kim DK. A survey on the dental caries experience in preschool children of metropolitan city: Gwangju city. Journal of Korean Academy of Dental Health. 2001. 25:443–458.

22. Song BS. The effect of oral health education on oral health in kindergarten children. Journal of Korean Academy of Nursing. 2004. 34:132–140.

23. Song BS, Moon JS. Dental caries and oral health behavior of kindergarten children in a country area of Kangwondo. Journal of Korean Society of Public Health Nursing. 2002. 16:123–134.

24. Vachirarojpisan T, Shinada K, Kawaguchi Y. The process and outcome of a program for preventing early childhood caries in Thailand. Community Dental Health. 2005. 22:253–259.

25. Yoon EK. A Study on the relationship between the real condition of food intake & oral care in accordance with body types of children and dental caries. 2000. Jinju: Gyeongsang National University;Unpublished master's thesis.