ประสิทธิผลของการเคลือบหลุมร่องฟันที่ระยะเวลา 1 ปี 5ปี และการใช้บริการเคลือบหลุมร่องฟันในเด็กนักเรียนชั้นประถมศึกษาปีที่ 1 ในอำเภอหาดใหญ่ จังหวัดสงขลา

Abstract

The objectives of this study were to evaluate 1 and 5 years sealant effectiveness, to identify the effect of service delivery patterns toward sealant effectiveness and to study dental sealant utilization after parents receiving the result of their child dental health status. There were 3 service delivery patterns of 1-year dental sealant; school-based setting, hospital-based setting and health promoting hospital-based setting. Whereas at 5-year, there were 2 pattems of service delivery; school-based setting and hospital-based setting. This study was a cross-sectional study. The target samples were 343 and 342 first grade primary school children of the educational year 2013 and 2017 and 260 first grade primary school children at the educational year 2018 whom their parents receiving the result of their child dental health status. Multistage random sampling was performed. The data collection methods were dental sealant and caries on sealed surfaces examinations, and self- administered questionnaires among parents for their general information, dental health behavior and dental utilization. The results were 10.10% full sealant retention and 7.30% of caries on sealed surfaces among 1 year of sealed teeth and 0.80 full sealant retention and 18.30% of caries on sealed surfaces among 5 years of sealed teeth. There was no association between service delivery pattems and sealant effectiveness at 1 year. However, the association between service delivery patterns and caries on sealed surfaces was presented. Health promoting hospital-based setting had 3.72 times (95%CI 1.89-7.34) and 2.61 times (95% CI 1.43-4.76) of having dental caries on sealed surfaces compared to hospital-based setting and school-based setting, respectively. But the difference of having dental caries was not found between hospital-based setting and school-based setting. At 5-year, there was no association between service delivery patterns and caries on sealed surfaces. At 6 months, the dental sealant utilization after parents receiving the result of their child dental health status was 21.60% and dental service utilization was 53.60%.