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Pit and fissure sealant program in Lithuania Pit and fissure sealant program in Lithuania

Pit and fissure sealant program in Lithuania - PowerPoint Presentation

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Pit and fissure sealant program in Lithuania - PPT Presentation

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

caries program fissure pit program caries pit fissure sealant children year dental lithuania fluoride sealants teeth 2009 2004 effect

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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.