Effects of nutrition and hygiene education on oral health and growth among toddlers in rural Uganda: follow-up of a cluster-randomised controlled trial.
OBJECTIVE
To examine the effect of a nutrition and hygiene education intervention on oral health behaviour and whether early onset of caries was related to child growth in rural Uganda.


METHODS
Follow-up study of a cluster-randomised controlled trial conducted between October 2013 and January 2015. Data were available from 399 mother/child pairs (203 in the intervention and 198 in the control group) of the original trial (78%) when the children were 36 months old. Oral health behaviour was evaluated using questionnaires. Photographs of the maxillary anterior teeth were examined for unmistakably carious lesions, and 115 water samples from the study area were analysed for fluoride concentration.


RESULTS
The frequency of cleaning of the child's teeth at 36 months was about twice as high in the intervention as in the control group (84.3% vs. 46.6%; P = 0.0001). Cavitated carious lesions occurred more frequently in the control than the intervention group (27.8% vs. 18.2%; P = 0.04). Extraction of 'false teeth' (ebiino), a painful and crude traditional operation, was profoundly reduced in the intervention group (8.9% vs. 24.7%; P = 0.001). There was no evidence of association between the occurrence of caries and child growth.


CONCLUSIONS
The education intervention improved oral hygiene practices and reduced the development and progression of caries and extraction of ebiino. Early childhood caries was not clearly associated with child growth.
['Muhoozi|Grace K M|GKM|', 'Atukunda|Prudence|P|', 'Skaare|Anne B|AB|', 'Willumsen|Tiril|T|', 'Diep|Lien My|LM|', 'Westerberg|Ane C|AC|', 'Iversen|Per Ole|PO|']
D000328:Adult D002648:Child D002675:Child, Preschool D003731:Dental Caries D004032:Diet D005260:Female D006130:Growth Disorders D015438:Health Behavior D006266:Health Education D006293:Health Promotion D006801:Humans D007223:Infant D008297:Male D009752:Nutritional Status D009909:Oral Health D009910:Oral Hygiene D011795:Surveys and Questionnaires D013851:Thinness D014070:Tooth D019282:Wasting Syndrome D055815:Young Adult
Uganda caries children teeth oral hygiene Ouganda dents enfants hygiène buccale nutrition education éducation nutritionnelle