title: [Preventive-curative dental care in a large East German urban population. The 4-year experiences of a Dresden prevention study with 16- to 35-year-old subjects].
abstract: The present 4-year Dresden preventive study was carried out to realize a dental care concept with preventive emphasis in 6 Dresden state health services. 2502 patients aged 16-35 years were randomly selected in 1988. The effectiveness of this study was evaluated by means of the parameters oral health behaviour, oral health state and preventive care needs. The spectrum of methods included extended anamnesis, plaque index according to Silness & Löe, DMF/T, DMF/S, GPM/T index, CPITN and saliva tests in case of high caries risk. The dental care based on a basic and a risk strategy. The basic strategy included a complex symptomatic dental treatment and a dental prophylaxis, repeated once every 3 month. The patients were given instruction, demonstration, remotivation, professional oral hygiene measures and topical application of fluorides. The 4-year preventive intervention resulted in an improved consultation and oral hygiene behaviour. The nutritional behaviour did not change essentially. Within the cohort plaque index decreased from 1.01 to 0.68, the GPM/T index from 11.7 to 10.4 as well as the preventive care needs. It was found a low caries increment. The care concept with preventive emphasis is recommendable by its effectiveness.
authors.affiliation: Poliklinik für Zahnerhaltung, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.
authors.forename: W
authors.initials: W
authors.lastname: Klimm
authors.forename: I
authors.initials: I
authors.lastname: Natusch
authors.forename: R
authors.initials: R
authors.lastname: Koch
authors.forename: E
authors.initials: E
authors.lastname: Schreger
mesh_terms: D000293:Adolescent; D000328:Adult; D003729:Dental Care / Q000706:statistics & numerical data; D003731:Dental Caries / Q000453:epidemiology / Q000517:prevention & control; D003753:Dental Health Surveys; D005069:Evaluation Studies as Topic; D005858:Germany / Q000453:epidemiology; D005859:Germany, East / Q000453:epidemiology; D006801:Humans; D009909:Oral Health; D011314:Preventive Health Services / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data
vernacular_title: Präventiv-kurative zahnmedizinische Betreuung in einer ostdeutschen Grossstadtpopulation. 4-Jahres-Ergebnisse der Dresdener Präventionsstudie an 16- bis 35jährigen.