Smiling for the Future: How School-Based Dental Initiatives Boost Oral Health in Pakistan

Authors

  • Preh Ayub Abro
  • Durr-e-Sadaf
  • Muhammad Bilal
  • Naseer Ahmed
  • Haris Rehman
  • Farrukh Imran

DOI:

https://doi.org/10.63682/jns.v14i32S.10195

Keywords:

Oral health, school-based intervention, dental caries, DMFT, OHI-S, Pakistan, children

Abstract

Introduction: Oral health problems, particularly dental caries and poor hygiene, are highly prevalent among school-going children in Pakistan. School-based interventions offer a practical approach to promote preventive oral health behaviors and reduce disease burden at an early age.

Methodology: A quasi-experimental study was conducted among 300 children aged 6–12 years in selected schools of Karachi, Pakistan. A multistage sampling technique was used. Baseline data on oral hygiene practices and clinical parameters (DMFT/dmft and OHI-S indices) were collected, followed by a 3-month school-based dental intervention including oral health education, supervised toothbrushing, and screening. Post-intervention assessment was conducted using the same measures. Data were analyzed using SPSS version 26. Descriptive Statistics, Paired t-test, and Chi-square test were applied, with p<0.05 considered significant.

Results: Significant improvements were observed in oral hygiene practices, with the proportion of children brushing twice daily increasing from 38% to 76% (p<0.001). Use of fluoride toothpaste increased, while sugary snack consumption decreased significantly (p<0.001). Mean DMFT/dmft scores reduced from 2.84 ± 1.12 to 2.10 ± 1.05, and OHI-S scores improved from 2.35 ± 0.76 to 1.42 ± 0.68 (p<0.001younger There was an increased improvement of behavior in children (p=0.041).

Conclusion: School based dental programs have shown to be effective in enhancing oral-hygiene behavior and clinical outcomes among children and needs to be incorporated into the public health initiatives in Pakistan.

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References

[1] Ahmed J, Ayoub R, Abbasi AJ. Smiles beyond Clinics: Linking Oral Health with Social Development Goals in Pakistan. Journal of Medical & Health Sciences Review. 2026 Jan 21;3(1):103-14.https://doi.org/10.65035/ys3sey35

[2] Mirza AJ. Addressing the Crisis of Pediatric Dental Care in Pakistan: Call for Action-Pediatric Oral Health Burden. Journal of Women and Child Health. 2025 Mar 27;2(1):3-5.https://doi.org/10.62807/jowach.v2i1.2025.3-5

[3] Mirza AJ. Addressing the Crisis of Pediatric Dental Care in Pakistan ttps://doi.org/10.62807/jowach.v2i1.2025.3-5.

[4] Memon S, Memon P, Maqbool A, Al Absi MA, Irfan N, Memon ZN, Ahsan S, Ejaz M. The Impact of School-Based Caries Prevention Programs on DMFT Scores and Oral Health Behaviors in School Children: School-Based Caries Prevention Programs on DMFT Scores. Pakistan Journal of Health Sciences. 2024 Sep 30:261-9.https://doi.org/10.54393/pjhs.v5i09.2069

[5] Afsana DI. Public Health Interventions for Oral Disease Prevention in Bangladesh: Effectiveness, Challenges, and Future Strategies. Challenges, and Future Strategies (December 08, 2024). 2024 Dec 8.http://dx.doi.org/10.2139/ssrn.5140785

[6] Chandio KA, Ikram Ullah A, Farrukh M, Anas M, Zubair Y, Hamad Jaber Amin J. Oral health awareness and hygiene practices among Pakistani children: a cross-sectional survey. Frontiers in Oral Health. 2025;6:1709750. doi10.3389/froh.2025.1709750

[7] Surani N, Figueiredo R, Gokiert R, Perez-Garcia A, Amin M. Integrating oral health in school health programs in Alberta, Canada: perspectives of health promotion professionals. Health Promotion International. 2026 Feb;41(1):daag023.https://doi.org/10.1093/heapro/daag023

[8] Zehra H, Kabir R. Systematic Review on Oral Health Knowledge, Practice and Attitude in Pakistan. Asian Journal of Public Health and Nursing. 2024 Jan 1.https://doi.org/10.62377/qhd8wn77

[9] Molete MM, Malele‐Kolisa Y, Thekiso M, Lang AY, Kong A, George A. The role of community health workers in promoting oral health at school settings: A scoping review. Journal of Public Health Dentistry. 2024 Jun;84(2):175-86. https://doi.org/10.1111/jphd.12612)

[10] Chandio, N., Micheal, S., Tadakmadla, S.K. et al. Barriers and enablers in the implementation and sustainability of toothbrushing programs in early childhood settings and primary schools: a systematic review. BMC Oral Health 22, 242 (2022). https://doi.org/10.1186/s12903-022-02270-7

[11] Elsadek, Y.E., Edwebi, S., Turner, A. et al. A systematic review of school-based student peer-led oral health interventions to promote the oral health of school children. BMC Oral Health 23, 742 (2023). https://doi.org/10.1186/s12903-023-03482-1

[12] Grasveld, A.E., Bonifácio, C.C. & van der Veen, M.H. Exploring schoolchildren’s perspectives on oral health in a disadvantaged neighbourhood in The Hague - a participatory action research project. BMC Oral Health 25, 946 (2025). https://doi.org/10.1186/s12903-025-06347-x

[13] Opoku, P., Salu, S., Azornu, C.K. et al. Oral health knowledge, practice and associated factors among Junior High School students of Koforidua, Ghana: a cross-sectional study. BMC Oral Health 24, 449 (2024). https://doi.org/10.1186/s12903-024-04148-2

[14] Geda, Z.T., Asefa, K.Z., Gonfa, A.N. et al. Oral health-related knowledge, attitudes, and practices among high school students in Robe Town, Ethiopia: a cross-sectional study. BMC Public Health 25, 3848 (2025). https://doi.org/10.1186/s12889-025-25169-8

[15] Ballouk, MH., Dashash, M. Caries prevalence and dental health of 8–12 year-old children in Damascus city in Syria during the Syrian Crisis; a cross-sectional epidemiological oral health survey. BMC Oral Health 19, 16 (2019). https://doi.org/10.1186/s12903-019-0713-9

[16] Al-Worafi, Y.M. (2024). Dental Care in Developing Countries: Achievements and Challenges. In: Al-Worafi, Y.M. (eds) Handbook of Medical and Health Sciences in Developing Countries . Springer, Cham. https://doi.org/10.1007/978-3-030-74786-2_289-1

[17] Al-Worafi, Y.M. (2024). Oral Health in Developing Countries. In: Al-Worafi, Y.M. (eds) Handbook of Medical and Health Sciences in Developing Countries . Springer, Cham. https://doi.org/10.1007/978-3-030-74786-2_288-1

[18] Abbas T. Oral Health self-care practices among people with Type 2 Diabetes Mellitus (T2DM) seeking care in hospitals of Islamabad, Pakistan (Doctoral dissertation, University of Wollongong).https://doi.org/10.53350/pjmhs22167525

[19] PARVEEN S, ASLAM S, MEMON J, ZAIDI SA, SIDDIQUI TA, QURESHI NR. Knowledge and Practices Regarding Oral Hygiene Among School Children: A Survey Based Study. dentist.;36:33-.https://doi.org/10.53350/pjmhs22167525.

[20] Gaffar B, Schroth RJ, Foláyan MO, Ramos-Gomez F, Virtanen JI. A global survey of national oral health policies and its coverage for young children. Frontiers in Oral Health. 2024 Apr 5;5:1362647.https://doi.org/10.3389/froh.2024.1362647.

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Published

2025-11-07

How to Cite

1.
Abro PA, Durr-e-Sadaf D- e-S, Bilal M, Ahmed N, Rehman H, Imran F. Smiling for the Future: How School-Based Dental Initiatives Boost Oral Health in Pakistan. J Neonatal Surg [Internet]. 2025 Nov. 7 [cited 2026 May 22];14(32S):10827-33. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10195