The role of school-based dental programme on dental caries experience in Yogyakarta Province, Indonesia

摘要

Objectives. To assess the effectiveness of a school-based dental programme (SBDP) in controlling caries by measuring the relationship between the SBDP performance and caries experience in children aged 12 in Yogyakarta Province, Indonesia, by taking into account influencing factors. Methods. A cross-sectional survey was undertaken of 1906 children participating in SBDPs. Four SBDPs were chosen by good and poor performances in urban and rural areas. Caries was assessed using WHO criteria whereas behaviour and socio-demographic factors were collected using a questionnaire administered to the children. Results. The decayed, missed, and filled teeth (DMFT) of children in good SBDPs (2.8±2.4) was lower than that of the counterparts (3.8±3.4). From path analysis using a structural equation model (SEM), place of residence (OR=4.0) was shown to have a strongest direct relationship to caries experience, whereas SBDP performance showed no direct relationship. At the same time, SBDP performance was significantly related to frequencies of dental visits (OR=0.3), sugar consumption (OR=0.8), and tooth brushing (OR=3.2), which in turn are interrelated with place of residence, gender, and mother's education. Conclusions. The study suggests that the differences in DMFT of children in good and poor performance SBDPs were caused by relation to social factors rather than by relation to oral health service activities.