Category: Conservative Dentistry
Publication year: 2009
Video source: 60 Jahre Quintessenz
This is a trailer. To view the full video, please purchase it with the button below.
Needs related programs always must be based on riskprediction. Therefore prevention has to be focused on "Key Risk" groups, - individuals, - teeth and - surfaces from cost/effectiveness point of view. A needs - related preventive program for children and young adults was introduced in the County of Värmland, Sweden and evaluated yearly in a computerated epidemiology system. During the first 20 years, the caries prevalence as well as incidence was reduced with more than 90%. Already in the year 2000 85% of the 12-year-olds were caries free and exhibited as an average only 0.3 DFS. In a 30 years needs-related study in adults, who were treated by a dental hygienist, the average number of lost teeth per subject per 30 years was only 0.4 and 0.7 in the 50-65 and 66-80 year olds. The periodontal attachment level was maintained during the 30 years irrespective of age and as an average the 50-80 year olds developed less than one new DS per 30 years. Based on the experiences from this ongoing study a needs related preventive program was introduced for all the adult populatiion and evaluted every 5 years in randomized samples o f 35-, 50- , 65- and 75 year olds. During the first 10 years the percentage of edentulous 50 and 65 year olds was reduced from 7%and17% to 4% and 7% respectively and the mean number of remaining teeth (3rd molars excl.) was encreased from 22.8 to 25.6 in the 65 year olds.
To purchase this content, you have to be logged in.