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Oral Health Status Among Government
School Children In Bangalore City
- A Cross Sectional Survey by Dr. Chandra Kala B
Contents
 Introduction
 Aim
 Materials & Methods
 Results
 Discussion
 Conclusions
 Recommendations
 References
INTRODUCTION
 Oral health is important for appearance, sense of well-
being and also for overall health.
 Oral health can affect quality of life directly and has
been linked to sleeping problems, as well as behavioral
and developmental problems in children.
 Oral diseases qualify as a major public health
problems owing to their high prevalence and
incidence.
 At the global level, approximately 80% of children
attend primary schools and 60% complete at least
four years of education, with wide variations between
countries and gender.
 In India, children form about 38% to 40% of the total
population, and 80% of them have high levels of
dental diseases.
INTRODUCTION
• School dental screening is seen as a vehicle for
bringing children with dental needs in contact with
dental services.
• Dental screening of school children can help
disadvantaged children by identifying their dental
problems and educating them about their oral health
status and motivating them to obtain appropriate
treatment.
INTRODUCTION
AIM
 To assess oral health status among government
school children in Bangalore city.
 To assess the prevalence of Dental
caries, Gingivitis, Dental Fluorosis
and Malocclusion among government
school children.
Materials and Methods
SOURCE OF DATA:
(a) Study Area:
 The schools in Bangalore city, which are
divided into three Zones (north, south, rural)
according to the purview of DDPI.
(b) Study Population:
 All the school children in government schools.
Materials and Methods
METHOD OF COLLECTION OF DATA:
(a) Study Design:
A Cross- Sectional Survey
(b) Sampling Unit:
05-15 yrs. old school children
Materials and Methods
c) Sampling Technique:
Stratified random sampling
List of the schools under Bangalore obtained
from DDPI will serve as a sampling frame.
d) Sample Size: 4750
Methodology
 Bangalore has 21,383 schools
 15,708 schools of these are run by the government.
 A total of 22 government schools belonging to the south
zone of Bangalore city were selected randomly as a part of
the school dental health program in coordination with
Trinity care foundation.
 4750 school children were screened as a part of this
program from July to September 2014 and were provided
with oral health education.
Methodology
 Permission was obtained from respective schools, ethical
committee & other concerned authority/departments (DDPI).
 Students present at the time of examination and who gave
consent were included in the study
 During this study, patient’s with an oral problems were referred
to M R . Ambedkar Dental College.
 The school children were clinically examined for presence of
caries lesions, periodontal status, malocclusion and dental
Fluorosis using WHO Oral Health Assessment Form (1997).
STATISTICALANALYSIS
 Descriptive statistics (frequencies) were produced to
summarize the data and address the specific aims of
the study.
RESULTS
46
54
0
10
20
30
40
50
60
70
80
GIRLS BOYS
PERCENTAGE
GIRLS BOYS
Figure 1: Distribution of the study subjects according to
sex
RESULTS
55 48
45 52
0
10
20
30
40
50
60
70
80
90
100
GIRLS BOYS
PERCENTAGE
6-11YRS
12-15YRS
Figure 2: Distribution of the study subjects according to age
53.5
17.2
7.4
3.2
GIRLS (6-11YRS)
DENTAL CARIES GINGIVITIS
MALOCCLUSION D. FLUOROSIS
55.3
19.3
7.8
3.1
BOYS (6-11YRS)
DENTAL CARIES GINGIVITIS
MALOCCLUSION D. FLUOROSIS
Figure 3: Distribution of the study subjects according to oral
diseases
48.5
24.7
13.9
11.9
GIRLS (12-15YRS)
DENTAL CARIES GINGIVITIS
MALOCCLUSION D. FLUOROSIS
40.2
33.5
17
11.2
BOYS (12-15YRS)
DENTAL CARIES GINGIVITIS
MALOCCLUSION D. FLUOROSIS
Figure 4: Distribution of the study subjects according to oral
diseases
DISCUSSION
DISCUSSION
• In the present study Prevalence of dental caries, gingivitis was
higher in girls. Malocclusion and dental fluorosis was higher in
boys.
In 6-11yrs age group
• Prevalence of Dental caries, gingivitis, malocclusion & dental
fluorosis was higher in boys.
In 12-15yrs age group
• Prevalence of Dental caries was higher in girls
• Prevalence of gingivitis, malocclusion was higher in boys.
DISCUSSION
• The results obtained in this survey were compared to
the results obtained by Oral Health Survey and
Fluoride Mapping Of Bengaluru District(2011)
• Dental caries were found to be higher and gingivitis,
malocclusion and fluorosis were less in the present
study.
CONCLUSION
The following conclusions can be drawn from the
results of the present study:-
- Prevalence of dental caries, gingivitis was higher in
girls.
- Where as Malocclusion, dental fluorosis was higher
in boys.
RECOMMENDATIONS
 Preventive services should be given high priority and
needs to be started at an early age to target the primary
dentition and future caries in permanent dentition.
 Regular interval screening programs to assess the oral
health and treatment needs of school children and
provision of treatment as per the need.
RECOMMENDATIONS
 Reinforcement of knowledge is necessary which can be
done by incorporating chapters on oral health and oral
hygiene in school textbooks. Also, the teachers training
programs can ensure continuity of reinforcement.
 Implementation of school dental health programs focusing
on preventive programs like fluoride mouth rinse and tooth
brushing programs.
http://trinitycarefoundation.org/
REFERENCES
 WHO INFORMATION SERIES ON SCHOOL HEALTH
DOCUMENT ELEVEN Oral Health Promotion: An Essential
Element of a Health-Promoting School World Health Organization
Geneva, 2003 Education Development Center,
WHO/NMH/NPH/ORH/School/03.3
 Praveen G, Anjum MS, Reddy PP, Monica M, Rao KY, Begum MZ.
Effectiveness of school dental screening on stimulating dental
attendance rates in Vikarabad town: A randomized controlled trial. J
Indian Assoc Public Health Dent 2014;12:70-3.
 Oral Health Survey and Fluoride Mapping Of Bengaluru
District(2011).Indian Association of Public Health Dentistry,
Bangalore Chapter.
REFERENCES
 McGrath C, Broder H, Wilson- Genderson M. Assessing
the impact of oral health on the life quality of children:
implications for research and practice. Community Dent
Oral Epidemiology 2004;32:81-85.
 Harikiran A G et al. oral health related KAP anmng 11 to
12 year ikd school children in a government aided
missionary school of Bangalore city. Indian J Dent res.
2008: 19(3):236-242.
ACKNOWLEDGEMENT
http://trinitycarefoundation.org/
THANKYOU

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Dental public health program bangalore, india

  • 1. Oral Health Status Among Government School Children In Bangalore City - A Cross Sectional Survey by Dr. Chandra Kala B
  • 2. Contents  Introduction  Aim  Materials & Methods  Results  Discussion  Conclusions  Recommendations  References
  • 3. INTRODUCTION  Oral health is important for appearance, sense of well- being and also for overall health.  Oral health can affect quality of life directly and has been linked to sleeping problems, as well as behavioral and developmental problems in children.  Oral diseases qualify as a major public health problems owing to their high prevalence and incidence.
  • 4.  At the global level, approximately 80% of children attend primary schools and 60% complete at least four years of education, with wide variations between countries and gender.  In India, children form about 38% to 40% of the total population, and 80% of them have high levels of dental diseases. INTRODUCTION
  • 5. • School dental screening is seen as a vehicle for bringing children with dental needs in contact with dental services. • Dental screening of school children can help disadvantaged children by identifying their dental problems and educating them about their oral health status and motivating them to obtain appropriate treatment. INTRODUCTION
  • 6. AIM  To assess oral health status among government school children in Bangalore city.
  • 7.  To assess the prevalence of Dental caries, Gingivitis, Dental Fluorosis and Malocclusion among government school children.
  • 8. Materials and Methods SOURCE OF DATA: (a) Study Area:  The schools in Bangalore city, which are divided into three Zones (north, south, rural) according to the purview of DDPI. (b) Study Population:  All the school children in government schools.
  • 9. Materials and Methods METHOD OF COLLECTION OF DATA: (a) Study Design: A Cross- Sectional Survey (b) Sampling Unit: 05-15 yrs. old school children
  • 10. Materials and Methods c) Sampling Technique: Stratified random sampling List of the schools under Bangalore obtained from DDPI will serve as a sampling frame. d) Sample Size: 4750
  • 11. Methodology  Bangalore has 21,383 schools  15,708 schools of these are run by the government.  A total of 22 government schools belonging to the south zone of Bangalore city were selected randomly as a part of the school dental health program in coordination with Trinity care foundation.  4750 school children were screened as a part of this program from July to September 2014 and were provided with oral health education.
  • 12. Methodology  Permission was obtained from respective schools, ethical committee & other concerned authority/departments (DDPI).  Students present at the time of examination and who gave consent were included in the study  During this study, patient’s with an oral problems were referred to M R . Ambedkar Dental College.  The school children were clinically examined for presence of caries lesions, periodontal status, malocclusion and dental Fluorosis using WHO Oral Health Assessment Form (1997).
  • 13. STATISTICALANALYSIS  Descriptive statistics (frequencies) were produced to summarize the data and address the specific aims of the study.
  • 14. RESULTS 46 54 0 10 20 30 40 50 60 70 80 GIRLS BOYS PERCENTAGE GIRLS BOYS Figure 1: Distribution of the study subjects according to sex
  • 15. RESULTS 55 48 45 52 0 10 20 30 40 50 60 70 80 90 100 GIRLS BOYS PERCENTAGE 6-11YRS 12-15YRS Figure 2: Distribution of the study subjects according to age
  • 16. 53.5 17.2 7.4 3.2 GIRLS (6-11YRS) DENTAL CARIES GINGIVITIS MALOCCLUSION D. FLUOROSIS 55.3 19.3 7.8 3.1 BOYS (6-11YRS) DENTAL CARIES GINGIVITIS MALOCCLUSION D. FLUOROSIS Figure 3: Distribution of the study subjects according to oral diseases
  • 17. 48.5 24.7 13.9 11.9 GIRLS (12-15YRS) DENTAL CARIES GINGIVITIS MALOCCLUSION D. FLUOROSIS 40.2 33.5 17 11.2 BOYS (12-15YRS) DENTAL CARIES GINGIVITIS MALOCCLUSION D. FLUOROSIS Figure 4: Distribution of the study subjects according to oral diseases
  • 19. DISCUSSION • In the present study Prevalence of dental caries, gingivitis was higher in girls. Malocclusion and dental fluorosis was higher in boys. In 6-11yrs age group • Prevalence of Dental caries, gingivitis, malocclusion & dental fluorosis was higher in boys. In 12-15yrs age group • Prevalence of Dental caries was higher in girls • Prevalence of gingivitis, malocclusion was higher in boys.
  • 20. DISCUSSION • The results obtained in this survey were compared to the results obtained by Oral Health Survey and Fluoride Mapping Of Bengaluru District(2011) • Dental caries were found to be higher and gingivitis, malocclusion and fluorosis were less in the present study.
  • 21. CONCLUSION The following conclusions can be drawn from the results of the present study:- - Prevalence of dental caries, gingivitis was higher in girls. - Where as Malocclusion, dental fluorosis was higher in boys.
  • 22. RECOMMENDATIONS  Preventive services should be given high priority and needs to be started at an early age to target the primary dentition and future caries in permanent dentition.  Regular interval screening programs to assess the oral health and treatment needs of school children and provision of treatment as per the need.
  • 23. RECOMMENDATIONS  Reinforcement of knowledge is necessary which can be done by incorporating chapters on oral health and oral hygiene in school textbooks. Also, the teachers training programs can ensure continuity of reinforcement.  Implementation of school dental health programs focusing on preventive programs like fluoride mouth rinse and tooth brushing programs. http://trinitycarefoundation.org/
  • 24. REFERENCES  WHO INFORMATION SERIES ON SCHOOL HEALTH DOCUMENT ELEVEN Oral Health Promotion: An Essential Element of a Health-Promoting School World Health Organization Geneva, 2003 Education Development Center, WHO/NMH/NPH/ORH/School/03.3  Praveen G, Anjum MS, Reddy PP, Monica M, Rao KY, Begum MZ. Effectiveness of school dental screening on stimulating dental attendance rates in Vikarabad town: A randomized controlled trial. J Indian Assoc Public Health Dent 2014;12:70-3.  Oral Health Survey and Fluoride Mapping Of Bengaluru District(2011).Indian Association of Public Health Dentistry, Bangalore Chapter.
  • 25. REFERENCES  McGrath C, Broder H, Wilson- Genderson M. Assessing the impact of oral health on the life quality of children: implications for research and practice. Community Dent Oral Epidemiology 2004;32:81-85.  Harikiran A G et al. oral health related KAP anmng 11 to 12 year ikd school children in a government aided missionary school of Bangalore city. Indian J Dent res. 2008: 19(3):236-242.