COMPREHENSIVE CARIES PREVENTIVE PROGRAM IN CHILD
DEVELOPMENT CENTER
Sasipimon Chanrat1,*, Araya Phonghanyudh1,Tippanart Vichayanrat 3,#
1
Master Science of Programme in Pediatric Dentistry, 2Department of Pediatric Dentistry,
3
Department of Community Dentistry, Faculty of Dentistry, Mahidol University, Bangkok,
Thailand
*e-mail: sasipim55@hotmail.com #e-mail: araya.pho@mahidol.ac.th
Abstract
Objectives: The aim of this study was to evaluate oral hygiene status and caries preventive
effect of a comprehensive caries preventive program in child development centers.
Methods: Child development centers in Lablae district, Uttaradit province were randomized
in two groups.Comprising of 4 centers. Two child development centers, in study group, were
offered comprehensive caries preventive program and other two centers were in control
group. All groups were offered oral health education and practical tooth brushing training for
teachers and parents, tooth brushing with fluoride toothpaste after lunch meal and
applications of fluoride varnish every 6 months. Two additional preventive measures (sealant
applications with FUJI VII and partial caries removal with FUJI IX GP EXTRA) were
provided according to individual needs in only study group. Two hundred and twenty three
25-38-month-old participants who had dental caries were examined according to ICDAS II
criteria and debris index (DI-S) at based line and after 6 months. The mean of dmfs/dmft
increment and DI-S were used to compare caries preventive effect and oral health status by ttest statistical analysis.
Result: There were 197 participant in this study after six month. The means of dmfs
increment in study group (n=103)was 1.14±2.87 and control group (n=94) was 3.34±5.19.
The dmfs increment in study group was significant lower than control group( p=0.009).The
means of dmft increment was 0 . 3 7 ± 1 . 0 8 and control group was 1.64± 1.92. The dmft
increment in study group was significantly lower than control group (p<0.001). The means of
debris index (DI-S) of study group was 1.51±0.55 and control group was 1.62±0.61. There
was no significant difference between two groups (p>0.05)
conclusion: Comprehensive caries preventive program that consist of oral health education ,
tooth brushing after lunch meal with fluoride tooth paste , applications of fluoride varnish ,
sealant and partial caries removal with GIC in child development center were highly effective
in caries prevention than control group. There was no significant different in oral hygiene
status between two groups.
Keywords: Early childhood caries, Caries preventive program, Child development center