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This study assessed the impact of a comprehensive oral health education program on adolescent girls in rural Kenya.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010seven girls aged 13\u201318\u2009years attending school in rural Nanyuki, Kenya, were enrolled in the study. The comprehensive program included personalized oral hygiene training, education and health advocacy coaching. Dental caries, gingival inflammation and dental plaque biofilm were assessed at baseline, 1\u2010 and 2.5\u2010year post\u2010implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The intervention was highly effective in arresting pre\u2010existing carious lesions and preventing the formation of new ones in this population. The data revealed that there was a significant remineralization of incipient caries lesion, as shown by decreases in modified ICCMS\u2122 scores from baseline to 1\u2010year post\u2010implementation. From baseline to the 2.5\u2010year post\u2010implementation assessment, only six new carious lesions developed. Dental plaque biofilm was reduced by 83.6%, and gingival inflammation was reduced by 81.6%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A comprehensive oral health program, which included behavioural awareness and educational approaches, resulted in significant positive oral health outcomes in caries, dental plaque biofilm and gingival inflammation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12685","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T09:43:12Z","timestamp":1681724592000},"page":"575-581","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Improving oral health of adolescent girls in Kenya through education \u2013 An observational study"],"prefix":"10.1111","volume":"21","author":[{"given":"Yvonne","family":"de Paiva\u00a0Buischi","sequence":"first","affiliation":[{"name":"School of Dentistry The University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2767-0998","authenticated-orcid":false,"given":"Nat\u00e1lia","family":"de Campos\u00a0Kajimoto","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio Luis","family":"Funari","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases Em\u00edlio Ribas  S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mwongera","family":"Kimathi","sequence":"additional","affiliation":[{"name":"Department of Dental Health, Division of Dental Health Kenya Methodist University School of Medicine  Meru Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4676-0895","authenticated-orcid":false,"given":"Peter Michael","family":"Loomer","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"International Monetary Fund. 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