Abstract

PurposeThe assessment of the role of school nurses in the oral health education and counselling of children and adolescents aged 7–19 years.MethodsA self-administered questionnaire was used to evaluate nurses’ practice in oral health education, previous training in caries prevention, collaboration with a dentist and self-assessment of knowledge. Data were analysed with the Chi square test.ResultsThe study group consisted of 140 Polish school nurses. Respondents declared the following activities: dietary counselling (99.2%), oral hygiene education (92.8%), NHS-funded supervised fluoride prophylaxis (82.8%), and caries screenings (4.3%). 47.1% participated in training on caries prevention, 25.7% had a collaboration with a dentist. Nurses from schools located in towns less frequently provided oral hygiene education (p < 0.005) and dietary counselling, but more often had a collaboration with a dentist (p < 0.05). The youngest nurses were more confident about their knowledge (p < 0.05). There was an association between participation in training on caries prevention and positive opinion on a school-based fluoride prophylaxis (p < 0.01). Nurses who did not include dental topics in their practice worked mainly with pupils older than 15 years, had shorter experience (p < 0.05), secondary education, worked in urban areas and had no training on dental problems (p < 0.01).ConclusionPolish school nurses have potentially crucial roles in improving the oral health status in pupils through oral hygiene education, dietary counselling and fluoride prophylaxis included in their duties.

Highlights

  • Untreated dental caries is the most widespread disease in the world, affecting in 2010 about 35% of the global population, and the fourth most expensive chronic disease to treat (Kassebaum et al 2007) Caries is considered to be a complex, multifactorial, lifestyle-dependent condition

  • Improper health-related behaviours as frequent consumption of fermentable carbohydrates, neglecting daily oral hygiene practices and avoiding dental appointments play a crucial role in the caries development

  • Nine nurses declared that they did not provide any kind of oral health education to pupils

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Summary

Introduction

Untreated dental caries is the most widespread disease in the world, affecting in 2010 about 35% of the global population, and the fourth most expensive chronic disease to treat (Kassebaum et al 2007) Caries is considered to be a complex, multifactorial, lifestyle-dependent condition. Improper health-related behaviours as frequent consumption of fermentable carbohydrates, neglecting daily oral hygiene practices and avoiding dental appointments play a crucial role in the caries development. The current United Nations (UN) policy classes oral problems among a group of non-communicable diseases (NCDs) based on the same risk factors as other chronic conditions (United Nations 2017). Oral hygiene habits and dietary preferences develop during childhood and adolescence, and after that period it is difficult to change improper behaviours. Raising the level of dental caries prevention awareness constitutes one of key elements in the healthy lifestyle promotion. It is possible through health education for children and adolescents

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