“Comparison of oral health condition in students from Health-Promoting Schools and schools without specific programs: an evaluation study”
child, dental caries, health promotion, public health, epidemiology
“Dental caries is a multifactorial disease resulting from dysbiosis in the oral environment. Dysbiosis refers to an imbalance in the normal microbial composition of the oral cavity, favoring the growth of cariogenic bacteria such as Streptococcus mutans and Lactobacillus spp., at the expense of protective bacteria. This imbalance is often caused by a diet high in fermentable sugars, inadequate oral hygiene, and low exposure to fluoride. Dental caries remains a public health problem, especially due to its high prevalence across the population, including children. Major methods for detecting and visually inspecting dental caries include the Decayed, Missing, and Filled Teeth (DMFT) Index, the International Caries Detection and Assessment System (ICDAS), and the Caries Assessment Spectrum and Treatment (CAST), which are important tools for assessing and planning disease treatment. Promoting oral health, including school-based programs, is crucial in addressing this challenge, especially in disadvantaged communities. According to the Pan American Health Organization (PAHO), every school should be a health-promoting school. No educational system is effective unless it promotes the health and well-being of its students, staff, and community. The health-promoting school model was implemented in a school serving the Estrutural City, Federal District, Brazil, in 2019. Thus, this study aims to evaluate the oral health condition of students belonging to a health-promoting school (intervention school), comparing them with students from a school not involved in the program (control school), as well as assessing dental treatments performed at the intervention school and checking adherence to dental treatment at a primary health care unit, as indicated for participants from the control school. Participants in this study are all students aged 6 to 11 enrolled in two schools implementing The Affordable Health Initiative - Health Promoting Schools (AHI HPS) model in Estrutural, Federal District (intervention group), and in one school implementing the dental component of the AHI HPS model (active control group) in Sol Nascente, Federal District. Those whose parents signed the informed consent form were included but excluded if the child did not allow the oral examination. The final sample consisted of 276 children. Preliminary results suggest that the intervention seems to have a positive impact on oral health, with a lower proportion of participants reporting dental problems and mouth pain compared to the control group."