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Methods to Prevent Dental Caries
The purpose of this work is to perform a statistical study regarding the frequency of caries in a group
of children and make a presentation of the methods used for prevention.
Material and Method. The statistical study which lies at the basis of this work was performed on a
randomised group of 120 children from Bucharest with ages between 6 and 13 years of age.
The method included a dental examination with the help of visual-feeler exam by one examiner and
data notes in individualized prophylaxis files and by completing a questionnaire in which I wished
to find out data on dental exams, patients¬í attitude
towards the health of the dental-maxillary complex, hygiene knowledge, prophylactic
fluoridations, and diet habits.
Starting from this data, values of caries indexes were calculated (the frequency index and the index
of medium intensity of caries) also taking into account the estimations and recommendations made
by the International Health Organization, as well as the achievements of other states affiliated to
Results and discussions. The analysis of the frequency index showed a medium value of 77%. The
DMTF index, in the case of the children included in the study, showed a medium value of 3,33 with
variations from 4,83 (6-7 years old), to 4 (8-9 years old), 3,33 (9-10 years old) and 3,36 (13-14 years
old). Analysing on groups of ages, the indexes with the highest rates are those in the group of children
with ages between 6-7 years, and if we take into account the sex, these indexes are lower for
females, sometimes quite considerably.
The method of brushing is scanty and the unhealthy feeding habits are an important factor of risk.
It is well known that the best way to fight against a disease is to prevent it, and this is the reason why
we propose several efficient methods of prevention (like teeth brushing, control over caries and sealing
through healthy diet, etc).
In order to motivate the patients to adopt a diet that helps preventing caries, an individual food
journal was suggested, in which the patient recorded the hours and the kind of food consumed during
one week. By analyzing this journal together with the patient, a mutual agreement can be
reached as to which food represents a danger for the oral health and how its consumption can be
restricted in order to reduce caries.
For improving the techniques of brushing, for each patient the index of bacterial plaque was calculated
using the O¬íLeary method and the methyl blue solution 2% as a developer of plaque.
Verification of the sealing method was achieved by observing the group of patients for 18 months.
Conclusions. The main concept of the customized prophylaxis consists in the recognition of patients
with increased propensity to caries and in reducing the individual factors of risk through recommending
a preventive and efficient treatment.