[The Intensified Dental Preventive Programme in Rhineland-Palatinate: Investigations on first-grade school-children in 2013/2014].
Aim:For children and adolescents at increased risk of caries, the "Selective Intensive Prophylaxis" (SIP) programme was established in Rhineland-Palatinate in 2004, as well as in the most other German states. This study compares the results of the school dentists' evaluations of first grade school children in 2013/2014 participating in the "Selective Intensive Prophylaxis" (SIP) programme or the "Standard Programme" (SP).Methods:The d3mft/D3MFT index was recorded by school dentists according to the WHO criteria; caries was diagnosed if dentin was affected; no radiography or fiber-optic transillumination was used. The examinations were performed once under the SP and twice under the SIP. Children and parents were informed in case of a need for treatment and reminded if the did not see the family dentist. Out of the evaluated d3mft/D3MFT values, the Significant Caries Index (SiC) was calculated. Statistical computing was performed using SPSS 22.00.Results:Of all first graders, n=25 020 were evaluable for d3mft/D3MFT. Altogether n=1 164 first graders were included into the SIP in the 2013/2014 term; for n=1 002 of those, the results for both examinations were available. The caries experience of those pupils participating in the SIP was clearly higher than in the SP (41.8% naturally healthy vs. 61.7%, p<0.0001). There was significant difference between the first and second examination in the SIP, especially with respect to individual (16.0 vs. 23.0%, p<0.0001) and tooth-related (43.2 vs. 54.2%, p<0.0001) level of restoration.Conclusion:The results show that the SIP in Rhineland-Palatinate is conducted in a population with high caries experience. The significant difference concerning the dental restoration level, both individual- and teeth-related - leads to the conclusion that children frequently sought dental treatment if a need for treatment was diagnosed by the school dentist.
Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
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J
Weusmann
Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
B
B
Mahmoodi
Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
K
K
Kordsmeyer
Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
A
A
Azaripour
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie - Plastische Operationen-, Universitätsmedizin Mainz, Mainz.
C
C
Walter
Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
B
B
Willershausen
D002648:Child; D003729:Dental Care / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006078:Government Programs / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015995:Prevalence; D011315:Preventive Medicine / Q000706:statistics & numerical data*; D012307:Risk Factors; D012571:School Dentistry / Q000706:statistics & numerical data*; D012572:School Health Services / Q000706:statistics & numerical data; D012574:Schools / Q000706:statistics & numerical data; D013334:Students / Q000706:statistics & numerical data; D016896:Treatment Outcome