ประสิทธิผลของการเคลือบหลุมร่องฟันเชิงรุกสามรูปแบบโดยเครือข่ายบริการทันตสุขภาพหาดใหญ่

Wasin Mahasaranont; Sukanya Tianviwat; Songchai Thitasomakul

Authors

Wasin Mahasaranont Residency Training Program in Dental Public Health, Faculty of Dentistry, Prince of Songkla University
Sukanya Tianviwat Evidence-Based Dentistry for Oral Health Care and Promotion Research Unit, Preventive Department, Faculty of Dentistry, Prince of Songkla University
Songchai Thitasomakul Preventive Department, Faculty of Dentistry, Prince of Songkla University

Keywords:

dental sealant, service delivery, sub-district health promoting hospital, mobile dental clinic

Abstract

Dental caries prevalence was approximately 50% among school-aged children. The permanent molars had a greater risk of caries than other permanent teeth. The effective measure to prevent caries on pit and fissure was dental sealant. The objective of this study was to investigate the effectiveness of three proactive sealant service deliveries implemented in Hat Yai Dental Health Service Network. This study was a cross-sectional study. The samples consisted of 342 grade 1 students who received the sealant on 2017 academic year recruited by multistage sampling. The methods were dental examination for sealant retention and caries on the sealed surfaces and questionnaire survey asking tooth brushing and eating behaviors. Data were analyzed by using descriptive statistics and logistic regression. The result showed a 10.1% complete sealant retention rate and a 7.3% caries on seal surfaces after one year. There was no association between type of service delivery and the sealant retention but the association with caries on sealed surfaces was found. The probability of getting caries among children who received dental sealant at sub-district health promoting hospital were 3.7 times (95% CI 1.9-7.3) compared with hospital clinic and 2.6 times (95% CI 1.4-4.8) compared with mobile dental clinic. Overall, the effectiveness of the sealant in this study was very low. All three proactive service deliveries had to be improved to provide the good quality of dental sealant services.

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