Community-oriented Oral Health Promotion for Infants in Jerusalem: Evaluation of a Program Trial


  • The authors wish to thank Dr. Mario Baras for aid in statistical analysis and Dr. Eyal Drori for interviewing and monitoring assistance.

Send correspondence and reprint requests to Dr. Sgan-Cohen, Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, PO Box 12272, Jerusalem 91120, Israel. E-mail: Dr. Kleinfeld Mansbach and Ms. Haver are with the Department of Public Health Services, Jerusalem Municipality, Jerusalem. Dr. Gofin is with the Department of Social Medicine, Hebrew University-Hadassah School of Public Health and Community Medicine, Jerusalem. This study was supported by GABA International Ltd., Basel, Switzerland.


Objectives: This study sought to measure the effect of a community health education program on reported infants' bottle-feeding practices and infants' toothbrushing behavior, with or without distribution of toothpaste and tooth-brushes. Methods: In this quasi-experimental comparison group design study conducted in mother and child health centers in Jerusalem, parents of 727 children were surveyed by telephone at baseline and six months later. The cohort of infants was aged 6–12 months at baseline. The program group received structured health education. The control group received no organized educational intervention. Within the program and control groups, half of the centers were randomly given toothpaste and toothbrushes. Results: Parents' reports revealed a secular 32.5 percent increase in toothbrushing for infants with no intervention, 45.1 percent for infants only receiving toothpaste and toothbrushes, 43.7 percent for infants only receiving the health education program, and a 60.4 percent increase for infants receiving health education together with toothpaste and toothbrushes (chi-square, P=.0002). Modification of bottle-drinking practices, in this program, was unsuccessful. Conclusion: The free distribution of toothpaste and toothbrushes, together with an oral health education program, is recommended as a potentially practical and effective method of promoting early oral hygiene practices.