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[The Intensified Dental Preventive Programme in Rhineland-Palatinate: Investigations on first-grade school-children
J Weusmann1, B Mahmoodi1, K Kordsmeyer1
1Poliklinik für Zahnerhaltungskunde und Parodontologie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Mainz.
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|June 15, 2016
Summary
The Selective Intensive Prophylaxis (SIP) program targets high-risk children for caries prevention. Results show SIP participants had higher caries experience but also increased dental treatment seeking behavior compared to the Standard Programme.
Area of Science:
- Pediatric Dentistry
- Public Health Dentistry
- Dental Caries Research
Background:
- The Selective Intensive Prophylaxis (SIP) program was implemented in German states, including Rhineland-Palatinate, to address increased caries risk in children and adolescents.
- This study evaluates the effectiveness of the SIP program compared to the Standard Programme (SP) in first-grade schoolchildren.
Purpose of the Study:
- To compare the caries experience and treatment outcomes of first graders participating in the SIP program versus the SP.
- To assess the impact of school dentist evaluations and reminders on seeking dental treatment within the SIP program.
Main Methods:
- The d3mft/D3MFT index was recorded by school dentists using WHO criteria, diagnosing caries when dentin was affected.
- Examinations were conducted once under SP and twice under SIP. Children needing treatment were informed and reminded.
- The Significant Caries Index (SiC) was calculated from d3mft/D3MFT values. Statistical analysis was performed using SPSS.
Main Results:
- A total of 25,020 first graders were evaluated for d3mft/D3MFT. Of these, 1,164 participated in SIP, with data available for 1,002.
- SIP participants exhibited higher caries experience (41.8% healthy vs. 61.7% in SP, p<0.0001).
- Significant differences were observed between the first and second SIP examinations regarding individual (16.0% vs. 23.0%, p<0.0001) and tooth-related (43.2% vs. 54.2%, p<0.0001) restoration levels.
Conclusions:
- The SIP program in Rhineland-Palatinate serves a population with high caries prevalence.
- The significant increase in dental restorations within the SIP program indicates that children actively sought treatment when a need was identified by school dentists.
- The findings suggest that targeted interventions like SIP, coupled with consistent follow-up, can improve dental care access for at-risk children.
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