Changes in Oral Health Knowledge, Beliefs, and Self-Reported Practices Among Preschool Teachers Between 3 and 12 Months After School-Based Education.
- 1Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon 61080, Turkey.
Abstract
Background/Objectives: Preschool teachers can reinforce oral health practices, but the persistence of educational messages requires evaluation. This study assessed changes in oral health knowledge, beliefs, and self-reported practices between 3 and 12 months after school-based education. Methods: Education reached 240 teachers in 63 schools in Trabzon, Turkey. Questionnaires were completed by 222 teachers at 3 months and 152 at 12 months. Paired analyses included the 152 teachers assessed at both follow-ups. Responses were compared using McNemar tests. No matched pre-education assessment or concurrent control group was available. Results: The paired cohort represented 63.3% of trained teachers. Endorsement of fluoride-containing products for caries prevention decreased from 63.8% to 40.1%, recognition of enamel strengthening from 82.9% to 66.4%, and identification of first-tooth eruption as the time to begin cleaning from 92.8% to 75.7% (all p < 0.001). Recognition that avulsed primary teeth should not be replanted decreased from 83.6% to 70.4% (p < 0.001), whereas endorsement of immediate permanent-tooth replantation changed little (91.4% versus 89.5%; p = 0.508). Twice-daily brushing decreased from 82.9% to 73.0% (p = 0.001). Tests were exploratory and unadjusted for multiple comparisons. Conclusions: Between 3 and 12 months, several preventive messages were less frequently endorsed, and some self-reported practices changed. These findings identify topics for updated content and refresher education concerning fluoride, early oral care, primary-tooth avulsion, and routine preventive dental visits. The observations do not establish initial educational effectiveness or clinical benefit in children.
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BibTeX
@article{koc2026changes,
title = {{Changes in Oral Health Knowledge, Beliefs, and Self-Reported Practices Among Preschool Teachers Between 3 and 12 Months After School-Based Education.}},
author = {Gunes Koc and Ozgul Baygin},
journal = {Dentistry journal},
year = {2026},
month = oct,
doi = {10.3390/dj14100662},
url = {https://europepmc.org/article/MED/42930428},
note = {CC BY},
}
RIS
TY - JOUR
TI - Changes in Oral Health Knowledge, Beliefs, and Self-Reported Practices Among Preschool Teachers Between 3 and 12 Months After School-Based Education.
AU - Gunes Koc
AU - Ozgul Baygin
PY - 2026
DA - 2026/10/12
JO - Dentistry journal
DO - 10.3390/dj14100662
UR - https://europepmc.org/article/MED/42930428
AB - Background/Objectives: Preschool teachers can reinforce oral health practices, but the persistence of educational messages requires evaluation. This study assessed changes in oral health knowledge, beliefs, and self-reported practices between 3 and 12 months after school-based education. Methods: Education reached 240 teachers in 63 schools in Trabzon, Turkey. Questionnaires were completed by 222 teachers at 3 months and 152 at 12 months. Paired analyses included the 152 teachers assessed at both follow-ups. Responses were compared using McNemar tests. No matched pre-education assessment or concurrent control group was available. Results: The paired cohort represented 63.3% of trained teachers. Endorsement of fluoride-containing products for caries prevention decreased from 63.8% to 40.1%, recognition of enamel strengthening from 82.9% to 66.4%, and identification of first-tooth eruption as the time to begin cleaning from 92.8% to 75.7% (all p < 0.001). Recognition that avulsed primary teeth should not be replanted decreased from 83.6% to 70.4% (p < 0.001), whereas endorsement of immediate permanent-tooth replantation changed little (91.4% versus 89.5%; p = 0.508). Twice-daily brushing decreased from 82.9% to 73.0% (p = 0.001). Tests were exploratory and unadjusted for multiple comparisons. Conclusions: Between 3 and 12 months, several preventive messages were less frequently endorsed, and some self-reported practices changed. These findings identify topics for updated content and refresher education concerning fluoride, early oral care, primary-tooth avulsion, and routine preventive dental visits. The observations do not establish initial educational effectiveness or clinical benefit in children.
SN - 2304-6767
ER -