Oral health promoting program in the primary school [Elektronische Ressource] / vorgelegt von: Ghalib Qadri

Dr-Qadri

Sujets

• Gesundheit

Informations

• Publié par: ernst-moritz-arndt-universitat_greifswald
• Publié le: 01 janvier 2010
• Nombre de lectures: 23
• Langue: Deutsch
• Poids de l'ouvrage: 6 Mo

Extrait

Aus der Abteilung für Präventive Zahnmedizin und Kinderzahnheilkunde
(Leiter: Prof. Dr. Christian H. Splieth)
im Zentrum für Zahn-, Mund- und Kieferheilkunde
(Geschäftsführender Direktor: Prof. Dr. Dr. h. c. G. Meyer)
der Medizinischen Fakultät
der Ernst-Moritz-Arndt-Universität Greifswald



Oral health promoting program in primary Schools



INAUGURAL - DISSERTATION
zur
Erlangung des akademischen
Grades

Doktor der Zahnmedizin
(Dr. med. dent.)

der Medizinischen Fakultät
der Ernst-Moritz-Arndt-Universität Greifswald
2010

vorgelegt von:
Ghalib Qadri
geb. am: 18.4.1980
in: United Arab Emirates



































Dekan: Prof. Dr. H. Kroemer
1. Gutachter: Prof. Dr. Ch. Splieth
2. Gutachter: Prof. Dr. St. Zimmer
(3. Gutachter:)
Ort, Raum: HNO Hörsaal.
Tag der Disputation: 25 October, 2010.

2
Dedication
This thesis is dedicated with love and gratitude to my family for their extraordinary
commitment to my education. Without your constant encouragement and support, I
would not have had the courage to pursue my education, high, up to this level.




3
List of contents

Title page.............................................................................................................................1
Dedication...........................................................................................................................3
List of contents....................................................................................................................4
List of abbreviations............................................................................................................7
Chapter 1: Introduction ....................................................................................................... 8
Chapter 2: Aims and Objectives ....................... 11
Chapter 3: Background ..... 12
3.1 Dental caries in children and young adults .............................................................. 12
3.2 Common risk factors for dental caries ..................................... 13
3.2.1 Previous disease ................................ 13
3.2.2 Diet pattern........................................ 13
3.2.3 Socio-economic factor ...................................................... 14
3.2.4 Overweight and obesity .................................................... 15
3.2.5 Medically compromised patients ...................................... 15
3.3 Caries preventive measures ...................................................... 16
3.3.1 Fluoride in caries prevention ............................................ 16
3.3.2 Fissure sealant ................................................................... 16
3.3.3 Saliva................. 16
3.4 Oral health preventive programs .............................................................................. 17
3.5 Health promotion ..................................... 17
3.5.1 Schools health promotion programs ................................................................. 18
3.5.2 Oral health promotion ....................................................... 21
3.6 Schools system in Germany ..................................................... 22
3.7 Health issues in children .......................... 23

Chapter 4: Materials and Methods .................................................................................... 25
4.1 Study Design ............................................ 25
4.2 Population and sample ............................................................................................. 25
4.3 Data collection ......................................... 26
4
4.4 Sampling frame ........................................................................................................ 27
4.4.1 Inclusion criteria ............................... 27
4.4.2 Exclusion criteria .............................................................................................. 27
4.5 Randomization ......................................... 29
4.6 Response and attrition rates ..................................................... 29
4.6.1. Baseline examination ....................................................... 29
4.6.2 The final examination (follow-up) .................................... 30
4.6.3 The total drop-outs rates (attrition) ................................... 31
4.7 The general health promoting program .... 31
4.8 The dental component of the health promotion program ......................................... 33
4.9 Oral examination ...................................................................... 34
4.10 General health examination ................................................... 35
4.11 Questionnaire construction and development ........................ 36
4.12 Direct feedback ...................................................................................................... 37
4.13 Variables and research tools .................. 37
4.14 Calibration .............. 38
4.15 Data protection ....................................................................................................... 38
4.16 Data management... 39
4.17 Statistical analysis .. 39

Chapter 5: Results ............................................................................................................. 41
5.1 Caries experience and distribution in the follow-up examination ........................... 43
5.2 Caries prevalence and increment in young permanent dentition ............................. 47
5.3 Socio-economic status and caries increment ........................................................... 48
5.4 Overweight according to iso-BMI and caries experience ........................................ 50
5.5 Oral health competence and caries experience ........................ 54

Chapter 6: Discussion ....................................................................................................... 58
6.1 Caries experience and distribution in the follow-up examination ........................... 59
6.2 Caries increment in intervention and control group ................................................ 61
6.3 Socio-economic characteristics and caries increment .............. 63
5
6.4 Overweight according to iso-BMI and caries experience ........................................ 65
6.5 Oral health competence and caries experience ........................................................ 67
6.6 Methodological considerations: ............................................... 68

Chapter 7: Conclusions and recommendations ................................................................. 72
7.1 Conclusions .............................................. 72
7.2 Recommendations .... 73

Chapter 8: Summary..........................................................................................................75

References ...................................................................................................................... 75
Declaration......................................................................................84
CV...................................................................................................................................85
Acknowledgements.........................................................................................................87
Appendices ………………………………………………………………….................88












6
List of abbreviations

The following terminology has been used in this thesis:
DMFT: Numbers of decayed, missing and filled teeth
DMFS: Numbers of decayed, missing and filled surfaces
BMI: Body mass index (kg/m2)
iso-BMI: Calculated using international classification system for childhood obesity
iso-BMI < 25: Low-normal weight
iso-BMI = 25-29.9: Overweight:
iso-BMI ≥ 30: Obesity
SES: Socio-economic status
SD: Standard deviation, and in this thesis it is given as ± SD
IRR: Incidence rate ratio


7
Chapter 1: Introduction

The modern, contemporary concepts of health suggest that oral health should be defined
in general physical, psychological and social well-being terms in relation to oral status.
Oral health affects people physically and psychologically