PMID- 35587133
OWN - NLM
STAT- MEDLINE
DCOM- 20220520
LR  - 20220606
IS  - 1872-9711 (Electronic)
IS  - 0161-813X (Linking)
VI  - 81
DP  - 2020 Dec
TI  - The oral health status of children aged 12 years in Seychelles in the years 1994 
      and 2000.
PG  - 254-258
LID - S0161-813X(20)30147-9 [pii]
LID - 10.1016/j.neuro.2020.09.013 [doi]
AB  - The results of two national oral health surveys in 1993/4 led the Seychelles 
      School Dental Service (SDS) to implement an oral health improvement strategy 
      through the adoption of a targeted population approach. The aim was to attain the 
      World Health Organization's (WHO) goal for 12-year-olds, of a DMFT (decayed, 
      missing, filled permanent teeth) of less than 3.0, by the year 2000. Primary 5 
      (P5) children from all state schools were selected as the target population. 
      Although all the children (1538) were exposed to the targeted service 
      interventions, 500 were sampled out for study, through random sampling of school 
      class lists. Data was collected at the beginning of 1998 and end of 2000, through 
      clinical examination and self-administered questionnaires. All examinations and 
      interventions were carried out by dental therapists (DTs), in their respective 
      clinics. For the purpose of this paper comparisons made between 12-year-olds of 
      1994 and those of 2000 are based only on the dental examination data. 
      Interventions were spread over three years from 1998 to 2000. These included an 
      initial dental examination followed by any dental treatment required, an annual 
      recall visit, dental health education at class and individual level, and weekly 
      school-based fluoride mouth rinses. Parameters investigated were 1) community 
      periodontal index of treatment needs (CPITN), 2) dental health status (DMFT), 3) 
      enamel defect, and 4) clinic attendance. All parameters improved significantly 
      between the cohort of 1994 and that of 2000. The proportion of children and of 
      sextants with healthy gingivae increased from 3.4% to 51.8% and from 25.9% to 
      70.9% respectively. Children with no enamel defects increased from 51.1% to. 
      92.6%, while children with newly decayed teeth decreased from 61% to 33%. The 
      mean number of newly decayed teeth fell from 2.0 to 0.8. The proportion of 
      children attending their clinic at least once a year for check up increased from 
      51% in 1994 through 73% in 1998 to almost 100% in 2000. The WHO goal for children 
      aged 12 years to have a DMFT of less than 3 was met, with a change from 3.2 in 
      1994 to 1.9 in 2000.
CI  - Copyright (c) 2021. Published by Elsevier B.V.
FAU - Ernesta, Kathline
AU  - Ernesta K
AD  - School Dental Service, Ministry of Health, Republic of Seychelles. Electronic 
      address: Kath_ernesta@yahoo.com.
LA  - eng
PT  - Journal Article
DEP - 20201012
PL  - Netherlands
TA  - Neurotoxicology
JT  - Neurotoxicology
JID - 7905589
RN  - Q80VPU408O (Fluorides)
SB  - IM
MH  - Child
MH  - Fluorides
MH  - *Health Status
MH  - Humans
MH  - *Oral Health
MH  - Seychelles/epidemiology
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Seychelles
OT  - dental health
OT  - oral health
OT  - school dental services
EDAT- 2020/12/01 00:00
MHDA- 2022/05/21 06:00
CRDT- 2022/05/19 07:42
PHST- 2022/05/19 07:42 [entrez]
PHST- 2020/12/01 00:00 [pubmed]
PHST- 2022/05/21 06:00 [medline]
AID - S0161-813X(20)30147-9 [pii]
AID - 10.1016/j.neuro.2020.09.013 [doi]
PST - ppublish
SO  - Neurotoxicology. 2020 Dec;81:254-258. doi: 10.1016/j.neuro.2020.09.013. Epub 2020 
      Oct 12.