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, [4], who did the study on school going children of rural areas of India have reported 84.3% overall prevalence which is high. Whereas 100% prevalence was seen in the reports of Mathur et al., [12], which is very high when compared to our findings. This study was conducted in early 90��s & this might be the reason behind the high prevalence of gingivitis while recent literature is suggestive of possible trend of lower prevalence rates [13]. This might be attributed to the better oral hygiene awareness among the children. When the gender RepSox wise prevalence of gingivitis was considered, boys were affected more than girls, this may be due to improper oral hygiene practices in boys .similar findings were seen in a study conducted by Das et al., [14]. Sutcliff survey shows high prevalence among females [15]. As the present study showed that about 96% used tooth brush, but the gingivitis present in most of the school children reflects irregular brushing methods which can be due to inadequate brushing time, ineffective brushing technique, or both factors, or it may also be possible that some of the children did not brush as they claim. The frequency of regular dental check up and dental service utilization followed was very poor. This could be due to knowledge, attitude and Socio-economic status of the parents indicating the need for school oral health education Selleckchem PF 562271 program and to build a comprehensive preventive care. In epidemiological survey it is difficult to differentiate puberty gingivitis. this could be the one of the limitation of this study. As to improve Fluvoxamine the oral health of children in Bhopal district, the following recommendations are given: Oral health promotion through well-structured oral health education program can create positive change in awareness for special groups like school children Reinforcement of knowledge is necessary which can be done by incorporating chapters on oral health and oral hygiene in school textbooks. Also, the teachers training programs can ensure continuity of reinforcement Implementation of school dental health programs focusing on preventive programs like fluoride mouth rinse and tooth brushing programs Preventive services should be given high priority and needs to be started at an early age to target the primary dentition and future caries in permanent dentition Regular interval screening programs to assess the oral health and treatment needs of school children and provision of treatment as per the need [7]. Conclusion Early gingivitis if unattended may slowly lead to periodontitis which can have more detrimental effects such as early tooth loss. More often than not the painless nature of gingivitis masks its true potential and become the reason of not visiting the dentist.