Keywords
Oral Health; Prevention; Education.
How to Cite
Evaluation of the effect of an oral health plan for pregnant women in their children in Lo Barnochea, Chile. (2019). Odontoestomatología, 17(26), 24-34. https://odon.edu.uy/ojs/index.php/ode/article/view/18
Abstract
Objective. The aim of this study was to assess the educational effect of the Comprehenisve Oral Health Plan for Pregnant Women implemented at CESFAM (Family Health Center) in the Municipality of Lo Barnechea, Chile, since 2010, on the oral health of their children at 2 years of age. Materials and methods. Descriptive, observational and cross-sectional study. Information from 129 children attending their first dental care appointment was analyzed. The presence of poor dental habits, tooth decay and cariogenic risk level was determined. The sample was analyzed according to independent variables: mothers who had been discharged from the Comprehensive Oral Health Plan, mothers who had not participated in the plan and a subgroup of the first one where mothers had a mother-child dental check-up when the infant turned 6 months. Results. There were no significant differences regarding the presence of decay or poor habits in the groups studied. There was a significant association between the mothers who had been discharged from the Comprehensive Oral Health Plan and lower daily consumption (p <0.005) of sugary foods. The group that had been discharged from the Comprehensive Oral Health Plan and had had a mother child check-up when the infant was 6 months old had a high significant association with low cariogenic risk (p <0.005). Conclusion. No significant differences between the groups were found in most of the variables studied. This proves that the Comprehensive Oral Health Plan for Pregnant Woman implemented in
CESFAM, Municipality of Lo Barnechea, Chile, does not have the expected effect regarding the improvement of the children’s oral health at 2 years of age.
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http://www.cda-adc.ca/JADC/vol-71/issue-4/241.pdf
2.Bahri N, Reza H, Bahri N, Sajjadi M, Boloochi T. Effects of Oral and Dental Health Education Program on Knowledge, Attitude al Short-time Practice of Pregnant Woman (Mashhad- Iran). J Mash Dent Sch. 2012; 36(1):1-12.
3.Cárdenas L, Ross D. Effects of Oral Health Education Program for Pregnant Woman. J Tenn Dent Assoc. 2010; 90(2): 23-26.
4.Petrovic M. Evaluación del Programa de Educación para la Salud en el Tratamiento Estomatológico de Mujeres Embarazadas en la Ciudad de Nis- Serbia. Rev. ADM. 2007; 64(5): 197-200.
5.Agarwal V, Nagarajappa R, Keshavappa SB, Lingesha RT. Association of maternal risk factors with early childhood caries in schoolchildren of Moradabad, India. Int. J Paediatr Dent. 2011;21(5):382-8.
6.American Academy of Pediatric Dentistry. Guideline on Perinatal Oral Health Care. American Academy of Pediatric Dentistry [En línea]. 2011 [citado 07 May 2014]. Disponible en:
http://www.aapd.org/media/Policies_Guidelines/G_PerinatalOralHealthCare.pdf
7.Boggess KA, Edelstein BL. Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health. Matern. Child Health J. 2006; 10(5 Suppl):S169-174.
8.Cogulu D, Ersin NK, Uzel A, Eronat N, Aksit S. A long-term effect of caries-related factors in initially caries-free children. Int. J. Paediatr. Dent. 2008; 18(5):361-7.
9.Douglass JM, Li Y, Tinanoff N. Association of mutans streptococci between caregivers and their children. Pediatr Dent. 2008; 30(5):375-87.
10.Kishi M, Abe A, Kishi K, Ohara-Nemoto Y, Kimura S, Yonemitsu M. Relationship of quantitative salivary levels of Streptococcus mutans and S. sobrinus in mothers to caries status and colonization of mutans streptococci in plaque in their 2.5-year-old children. Community Dent. Oral Epidemiol. 2009; 37(3):241-9.
11.Okada M, Kawamura M, Kaihara Y, Matsuzaki Y, Kuwahara S, Ishidori H, et al. Influence of parents’ oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int. J Paediatr Dent. 2002; 12(2):101-8.
12.Zanata RL, Navarro MF, Pereira JC, Franco EB, Lauris JRP, Barbosa SH. Effect of caries preventive measures directed to expectant mothers on caries experience in their children. Braz Dent J. 2003; 14(2):75-81.
13.Ministerio de Salud. Aprueba garantías explícitas en salud del Régimen general de garantías en salud [En línea]. Santiago, Chile: Ministerio de Salud; 2013 [citado 10 abril 2014]. Disponible en:
http://www.minsal.gob.cl/portal/url/item/d692c627c623b9cae040010164016563.pdf
14.Díaz V. Metodología de la Investigación Científica y Bioestadística para Profesionales y Estudiantes de Ciencias de la Salud. 2ª ed. Santiago: RIL Editores; 2009.
15.Ministerio de Salud Gobierno de Chile. Pautas de Evaluación Bucodental. [En línea]. 2007 [citado 05 septiembre 2014]. 2° edición. Disponible en: http://200.54.170.197/estadisticas2006/monitoreo2009/PautasdeEvaluacionBucodentaria.pdf
16.Organización Mundial de la Salud. Encuestas de Salud Bucodental. Métodos Básicos. Ginebra. [en línea]. 1997 [citado 05 septiembre 2014]; Cuarta Edición. Disponible en:
http://web.minsal.cl/portal/url/item/7dc33df0bb36ec58e04001011e011c36.pdf
17.Ministerio de Salud gobierno de Chile. Normas en la Prevención e Intercepción de Anomalías Dentomaxilares. [En línea]. 1998 [citado 05 septiembre 2014]. Disponible en: http://web.minsal.cl/portal/url/item/7f2dd0d1a803c658e04001011e010fe2.pdf
18.American Academy of Pediatric Dentistry. Guideline on Caries Risk Assessment and Managment for Infants, Children, and Adolescents. Reference Manual. [En línea] 2013- 2014 [citado 6 abril 2014];35 (6). Disponible en:
http://www.aapd.org/media/Policies_Guidelines/G_CariesRiskAssessment.pdf
19.Chile. Ministerio de Salud [En línea]. Superintendencia de Salud Gobierno de Chile; 2013 [citado 7 julio 2014]. Disponible en:
http://www.supersalud.gob.cl/consultas/570/w3-propertyvalue-4008.html
20.American Academy of Pediatric Dentistry. Policy on the dental home. Pediatr Dent. 2012; 34:24-5.
21.American Academy of Pediatrics. Oral health risk as¬sessment timing and establishment of
the dental home. Pediatr [en línea] 2009 [citado 05 septiembre 2014];124(2):845. Disponible en:
http://pediatrics.aappublications.org/content/111/5/1113.full
22.Berg JH, Stapleton FB. Physician and dentist: New initi-atives to jointly mitigate early childhood oral disease. Clin Pediatr 2012:51(6):531-7.
23.American Academy of Pediatric Dentistry. Guideline on management of the developing dentition and occlu¬sion in pediatric dentistry. [en línea] 2014 [citado 05 septiembre 2014]; (official but unformatted). Disponible en:
http://www.aapd.org/media/Policies_Guidelines/G_DevelopDentition.pdf
24.Pienihakkinen K, Jokela J, Alanen P. Risk-based early prevention in comparison with routine prevention of dental caries: A 7-year follow-up of a controlled clinical trial; clinical and economic results. BMC Oral Health. 2005; 5(2):1-5.
25.Beil HA, Rozier RG. Primary health care providers’ advice for a dental checkup and dental use in children. Pediatr.2010;126(2):435-41.
26.Patel S, Bay C, Glick M. A systematic review of dental recall intervals and incidence of dental caries [abstract]. J Am Dent Assoc. 2010; 141(5):527-39.
27.Pahel BT, Rozier RG, Stearns SC, Quiñonez RB. Effectiveness of preventive dental treatments by physicians for young Medicaid enrollees. Pediatr. 2011; 127(3):682-9.
28.Ramos-Gomez FJ, Crystal YO, Ng MW, Crall JJ, Feath¬erstone JBD. Pediatric dental care: Prevention and man-agement protocols based on caries risk assessment. CDAJ. 2010; 38(10):746-61.
29.American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2011; 35(6):175-87.
30.Meyer K, Geurtsen W, Günay H. An early oral health care program starting during pregnancy: results of a prospective clinical long-term study. Clin. Oral Investig. 2010; 14(3):257-64.
31.Gomez SS, Emilson C-G, Weber AA, Uribe S. Prolonged effect of a mother-child caries preventive program on dental caries in the permanent 1st molars in 9 to 10-year-old children. Acta Odontol Scand. 2007; 65(5):271-4.
32.Ceballos M, Acevedo C. Diagnóstico en Salud Bucal de niños de 2 y 4 años que asisten a la educación preescolar [en línea]. Región Metropolitana: MINSAL; 2007 [citado 6 abril 2014]. Disponible en:
http://web.minsal.cl/portal/url/item/7dc33df0bb34ec58e04001011e011c36.pdf
33.Mohebbi S, Virtanen J, Vehkalahti M. Improvements in the Behaviour of Mother- Child Pairs Following Low-cost Oral Health Education. Oral Health & Preventive Dentistry. 2014; 12(1): 13-19.
34.Sundell A, Ullbro C, Koch G. Evaluation of preventive programs in high caries active preschool children [Abstract]. Swed Dent J. 2013; 37(1): 23-30.
35.Kissinger P, Rice J, Farley T, Trim S, Jewitt K, Martin DH. Application of computer-assisted interviews to sexual behaviour research. Am J Epidemiol. 1999;149:950–4.
36.Sjöström O. Holst D. Validity of a questionnaire survey: response patterns in different subgroups and the effect of social desirability. Acta Odontol Scand. 2002; 60:136- 14