Sigulda 2011 Decrease in dental caries The effect of fluoride The effect of sealants The Cochrane Review estimated that the cariespreventive effect ranges from 87 at 12 months to 60 at 4854 months but heavily depends on sufficient retention of the sealant ID: 284399
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Slide1
Pit and fissure sealant program in Lithuania
Sigulda
2011Slide2
Decrease in dental caries
The effect of fluoride?
The effect of sealants?
The
Cochrane Review
estimated that the caries-preventive effect ranges from 87% at 12 months to 60% at 48–54 months, but heavily depends on sufficient retention of the sealant.
Ahovuo-Saloranta
et al., 2008Slide3
Sealants for erupting teeth
Tooth brushing with fluoridated toothpaste is the first choice to control caries development. Tooth brushing twice a day with a 1,450–1,500
ppm
fluoridated toothpaste by trained parents and/or children, supplemented with 2–4 topical fluoride applications annually are advisable in order to control
occlusal
caries development during the eruption period
Marinho VC, Higgins JP, Logan S, Sheiham A:
Fluoride gels for preventing dental caries in children and adolescents. Cochrane Database
Syst
Rev 2002; 2:CD002280.Marinho VC, Higgins JP, Sheiham A, Logan S: Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003; 1:CD002278.Slide4
Pit and fissure sealant program in Lithuania Slide5
Children’s pit and fissures sealants program financing in Lithuania Slide6
Number of services provided during pit and fissure sealant program in
2006
– 2010 Slide7
Number of services provided during pit and fissure sealant program (by number of teeth sealed) in
2007 – 2010 Slide8
Enrolment in
pit
and fissure
sealant program in
Lithuania in 2004-2009
Year
2004
2005
2006
2007
2008
2009
Participants in pit and fissure sealant program as share of total
6-13
population
(%)
11.8
11.28
15.6
13.38
15.45
13.83Slide9
Sealed teeth in different age groups
K
.
Saldūnaitė
, A
. Pūrienė, S
.
Milčiuvienė, V
.
Brukienė, J. Kutkauskienė. Analysis of dental caries prevention program in 7–12-year-old Lithuanian schoolchildren Medicina (Kaunas) 2009; 45(11)Slide10
The effectiveness of the sealant program
7-8 years old
12 years old
1999 -2001
33.7
74.6
2007
20.4
66.9
164.000
participated in pit and fissure program
Presuming that sealants are the main means to prevent caries, the effectiveness of the program among
7-8 year-
old is
1:8,62
Presuming that sealants are the main means to prevent caries, the effectiveness of the program among
12 year-old
is
1:12,8
teeth of more than
8
children should be sealed
for one kid to avoid caries
among 7-8 year-old
teeth of more than
12
children should be sealed
for one kid to avoid caries
among 12 year-old
The prevalence of dental cariesSlide11
Conclusions by independent agency for health care evaluation
Pit and fissure program implemented in Lithuania in August 2004 – September 2007 prevented from caries
19-31,8 thousand
children aged 7-13.
Taking into account the results of the program in 2004-2007 it was expected that continuation of the program in 2008-2009
will decrease caries for 28-47 thousand
children (10-17 % of all 7-13 population).
Program did not ensure equal participation opportunities, it had no clear goals set at the beginning, costs and utility ration is unacceptable.
Program had a economic and social effect.
It is advised to continue the program, including monitoring of the results every 2-3 years via epidemiological surveys. Program’s funds should also be used to promote healthy lifestyle, teaching of oral hygiene and use of topical fluoride.