Assessing the oral health of school-age children and the current school-based dental screening programme in Freiburg (Germany)

Germany has a three-tiered system of education at secondary school level, divided into the school types 'Hauptschule', Realschule' and 'Gymnasium'. All students receive, when aged 6-12 years, a uniform annual dental examination and oral health education programme. Objectives: The aim of this cross-s...

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Publicado en:International Journal of Dental Hygiene Vol. 5; no. 4; pp. 236 - 242
Autores principales: Sagheri D, Hahn P, Hellwig E
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2007
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        atl: Assessing the oral health of school-age children and the current school-based dental screening programme in Freiburg (Germany)
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          Sagheri D
          Hahn P
          Hellwig E
        affil: Department of Orthodontics, Cologne University Hospital, Cologne, Germany
      sug:
        subj:
          Dental Caries Epidemiology
          Students, High School
          Adolescence
          Calibration
          Chi Square Test
          Child
          Clinical Assessment Tools
          Comparative Studies
          Consent
          Cross Sectional Studies
          Data Analysis Software
          Female
          Fieldwork
          Germany
          Interrater Reliability
          kappa Statistic
          Kruskal-Wallis Test
          Male
          Questionnaires
          Random Sample
          Reliability and Validity
          Research Subject Recruitment
          Sample Size
          School Health Services
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Female
          Male
      ab: Germany has a three-tiered system of education at secondary school level, divided into the school types 'Hauptschule', Realschule' and 'Gymnasium'. All students receive, when aged 6-12 years, a uniform annual dental examination and oral health education programme. Objectives: The aim of this cross-sectional study was to report on the dental caries levels of school-age children stratified into these three different school types at secondary school level to enable oral healthcare personnel to administer a focused, school-based dental screening and education programme according to patients' needs rather than a uniform dental examination. Methods: A representative, random sample of 12-year-old school children in Freiburg (Germany) was examined and dental caries was recorded using WHO criteria. Results: A total of 322 12-year-old children participated. The mean DMFT was 0.69. An examination of the distribution of the DMFT score revealed that its distribution is positively skewed. For this reason, this study provides summary analyses based on medians and a non-parametric rank sum test. The non-parametric Kruskal-Wallis H-test showed a highly significant difference between median scores across the different school types ( P-value = 0.004). The significance was a result of the 'Gymnasium' distribution of DMFT scores which differed markedly from the other two school types. Conclusions: The finding of the present study suggests that it may be useful to stratify the school dental screening and education programme according to school type and to prioritize children who attend 'Realschule' and 'Hauptschule'. This shift should systematically target children with the greatest need for dental care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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