The Investigation And Analysis On The Oral Health Status Of Children And Teachers In The Kindergartens Of Xuhui District

Oral health care is a social care measures,childhood is a critical time to take oral health care.Knowing more about the oral health situation of childhood,identifying potential pathogenic factors,blocking the occurrence and development of some certain oral diseases are important measures of the work of children's oral health care.1/3 of China's total population is children,their physical and mental health has a direct influence and relationship with the quality of the nation and the future of the country,carrying out the work of child's oral heatlh care is an important task of maternal and child health care. Our study is going to explore some suitable and feasible intervention strategy and measures based on the analysis of status and provide scientific evidences for local government and relevant departments in formulating aimed classified intervention strategy and improving service.This study used self-designed questionnaires of teachers and parents and Shanghai community oral health record card to collect the information of oral health status about the teachers and children in seven kindergartens,Xuhui District,Shanghai,to know the basic situation of the children's oral health care,oral health knowledge,attitudes and behaviors of the teachers.Analyse the advantages and existing problems of the oral health education in child care areas in kindergartens of Xuhui District,with a view to make recommendations for improvement,and ultimately improve the children's oral health status who are in the kindergartens of Xuhui District.Main findings1,Most teachers have a higher awareness about the basic common sense of oral health care and oral health knowledge,but not systematic.The more directly related to the oral and dental knowledge,the higher awareness of the it.Undirectly related knowledge is lower than directly related knowledge,for example,the language functional of teeth,other diseases caused by dental caries,the role of massage gums by brushing and so on.2,There are misunderstandings on the oral health attitudes,for example,the attitude to the treatment of deciduous teeth caries,the awarenesses of"everyone can not have dental problems,brushing their teeth can remove dental plaque,regular periodontal polishing,free denture repair,emergency extraction,children half-price dental treatment",etc,are low.3,The oral hygiene behavior of teachers and children is good,have a higher proportion in the right way,duration and frequency of brushing teeth,the time of toothbrush replacement,mouthwash right after meals.4,There is a lack between knowledge and behavior,the rate is generally low to initiatively receive oral health screening and preventive treatment.Form the results of the dental caries,the so-called initiatively inspection and preventive treatment is more likely happened after the event of having problems.5,Some children have a poor oral hygiene situation.The proportions of preferences in Sock and sweet food are both more than 2/3,the use of child care toothbrush is less than 1/2,do not brush their teeth after eating before sleep at night is more than 30%and so on,there is a lot of space to improve and the possibility to intervention.6,The total morbidity rate of caries of children is 48.6%,the average number of decayed teeth in patients is 4.61,the decayed teeth is 2.24 per capita,the higher morbidity rate of caries with the higher age,second-class kindergarten is higher than the first-class.Compared the data with the National and Shanghai in 1995,there is a significant improvement in the situation,but compared with developed countries,it is disproportional with the economic and social development of Shanghai.7,The morbidity rate of caries is basicly symmetric between left and right; the morbidity rate of maxillary incisors was higher than that of Mandibular incisors,the nearer the midline,the more serious caries condition about maxillary incisors,the morbidity rate of caries of Mandibular molar teeth are higher than that of maxillary molar teeth,second molar is slightly higher than that of the first one.8,The Debris index is symmetrical between right and left side,the central incisor teeth is lower than the both sides of second molar,maxillary molar is higher than the Mandibular one.9,The caries of child is relevant to the level of mother's education.Sweet preference,having debris,don't brush teeth before sleep at night are the risk factors of dental caries.The use of care toothbrush is a protective factor.10,The first class of teachers are better than the second ones in a number of oral health knowledge,attitude and behavior,longer working experience teachers are better than the shoter ones,lower level of education are better than the higher ones,it is worthy of further analysis.Suggestions of intervention1,The training on oral health of the teachers in the kindergartens should be systematic and directly related,especially the ones not directly related to the oral and teeth,but have a very important significance on the basic common sense of oral health,the knowledge of oral health,the standards of oral health care,should also pay attention to training of correct attitudes on the initiative inspection and preventive treatment for oral health.2,Teachers and parents should accept the intervention trainings on children's eating habits and oral health behavior,to guide them to correct child's sock food habits,sweet preference,increase the eating frequency of fruits and vegetables,mouthwash after meals,told child not to eat before sleep or brush their teeth after eating,promote the use of fluoride toothpaste and care toothbrush for children and replace toothbrush timely.3,Raise the parents'awareness of oral health,regularly and initiatively take the young children to get the oral health examination and implement preventive curative measures(such as pit and fissure sealant).4,Oral health care institutions,such as dental preventive or Maternal and child health institutions should provide children's oral health screening and preventive care services,improve health services and resources accessibility, in order to enhance the primary and secondary oral health preventive services.5,Relevant government departments should establish more public oral health strategy,develope supportive environment,mobilize the enthusiasm of oral health prevention of the whole society such as communities,streets and so on, make the oral health propagandize become a whole civilian promotion.