The effectiveness of SMART technique of milk tooth decay in early childhood, in a pilot child development center, Chaiyaphum province

Abstract

The project is made up of smart technology in three five-year-old children's target  groups. At the child development center in the district. There is an assessment of the effectiveness of the dental package. The retention rate of the filling material and satisfaction of personal involved is decided. The activity started in 2019 and followed-up within three months.

There were 38 child development center participating in the activity (target is 16). A total  of 413 children in the target group received tooth restoration. According to follow-up, 15.0% of the material was partially drop and 9.2% were loosened all. In addition, lesions were found after treatment. It was 8.4% of continuous caries and 2.2% of the pustules occurred. The most common of the restored teeth are the lower right and left molar teeth (17.5% and 17.3%, respectively). The result from ordered logistic analysis showed that tooth decay in bulge cheeks side together with occlusion side there were 6.5 times higher chance of fillings coming off than occlusal caries alone (Odds ratio = 6.52, 95% CI: 1.46, 29.10) However, each district has differences in effectiveness. (Not statistically significant). The disease after treatment it caused carries of milk teeth and pustules in the treatment (Odds ratio = 12.12, 21.68, respectively). At the same time, the increase in the number of bullrings may lead to the reduction of the disease after treatment to 1.54 (Odds ratio(reciprocal) = 1.54, 95% CI: 1.08, 2.17). Teacher had the highest satisfaction, followed by dentists and non-dentists in personnel satisfaction. In this study, the factors that reflects the negative satisfaction of the dental personnel group is the support of materials and equipment, participation in decision making and receiving training as an non-dentists group. In teacher group there was positive satisfaction in service personnel, operational processes and facilitation.

The recommendations from the study are to establish the main principals in the region  and encourage them to participate in their own activity design, include necessary training and support materials.