dr. mariam alfarhan, mcs. director oral health services program 2007-2012 البرنامج...
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DR. MARIAM ALFARHAN, MCS. DIRECTOR ORAL HEALTH SERVICES PROGRAM
2007-2012و الفم لصحة المدرسي الوقائي البرنامج
اآلسنان
SCHOOL DENTAL PREVENTIVE PROGRAM
INTRODUCTION
In the primary schools the children have mixed
dentition. Where dental and oral diseases
occurs this lead to pain and other issues
In Saudi Arabia many dental surveys showed high
caries experience among school children .1,2
Al-banyan in 2000 reported that only 7%
were caries free children age 5-12 years old in
National Guard Riyadh.
In 2006 a survey was done it showed 86% of
1st and 2nd grade primary school children with
dental caries .
The solution
The solution was intervention is needed to prevent further increases in dmft & DMFT thus a school dental preventive program was implemented in 2008 in the NGHA .
VISION
To provide dental health care for students in
the primary schools at the National Guard
Housing in Riyadh City As part of community
oral health promotion programs in the Dental
Services in the Central Region.
MISION
The dental services at National Guard Health Affairs
will have fully staffed and equipped mobile and
fixed dental clinics to provide screening, minor
dental treatment, and referral for comprehensive
dental care if needed for students in primary schools
at the National Guard Housing in Riyadh City .
OBJECTIVES OF THIS PROGRAM
1. Increase oral health awareness among school
children as our prime target group.
2. Provide regular examination in order to make
repairs in earliest stages of disease or decay.
3. Seal the fully erupting sound molars of the school
children in the primary schools, apply A traumatic
Restorative Treatment (ART ). Apply Fluoride Gel and
inform about the importance of diet.
4. Participate in all health activities, campaigns and
exhibitions. And distribute posters, brochures and
pamphlets about oral health.
ORAL HEALTH WEEK
ORAL HEALTH WEEK
STUDENT PARTICIPATING
THE EFFECT OF THE ACID ON TEETH
DEMONSTRATING PROPER TEETH BRUSHING
TEACHERS IN THE ORAL HEALTH WEEK
HYGIENESTS AND STUDENTS
FIRST PHASE (1ST QUARTER 2008)
Implementing 2 mobile dental clinics in king
Abdul-Aziz residential city to provide :
Preventive dental care .
Minor intervention
THE MOBILE DENTAL VANS
DENTAL CHAIR INSIDE THE MOBILE
WHAT THE DENTAL TEAM DO IN THE MOBILE ?
The dental team in each mobile include two
dentist, two assistants visit the primary school
after arrangements and consent approved by
the student parents.
The mobiles visit schools, every day of the
working week from 8 AM to 12 AM.
The van has two dental chairs and x-ray
facility.
Minor interventions like prophylaxes, fluoride
application, fissure sealants, preventive
restorations, A traumatic restorations (ART ).
One mobile visit girls schools the second visit
boys schools.
On the average about 16 children are screened
and treated every day. A total of 80 children
seen every week.
The average number of student in primary schools
Girls Schools Boys Schools Total
Number of Schools 15 15 30
Number of Students
3993 4553 8546
SECOND PHASE (4TH QUARTER 2009)
A fixed dental clinics with 5 dental chairs start
operating in November 2009 all children with
comprehensive dental care were treated in
these clinics.
OBJECTIVES
Provide appropriate primary dental care.
Refer children in needs to secondary and
tertiary dental care to King Abdul-Aziz Dental
Center
PRELIMINARY EVALUATIN
Years Finished cases Refereed cases Total
2008-2012 2513 3295 5808
NUMBER OF STUDENT & TEETH RECCIEVED SEALANT
NUMBER OF STUDENT RECEIVED SEALANT 1611NUMBER OF TEETH SEALED 323
5
Sealant retention rates and oral health data are monitored through the screening program.
CONCLUSION
This program were
① Effective way to reduce new caries incidence.
② Improve oral hygiene.
③ Establish positive oral health practices in targeted schoolchildren.
Our findings was supported by previous studies.3,4,5
Recommendation
1. The importance of law and policy of public health in the GCC region
2. School based dental preventive programs should be directed to Preschool children , grade 1, and grade 2 in the primary schools because early intervention prevent + delay onset of caries
3. Sealant program is an important oral health intervention should be considered in any oral health policy for children
REFERENCES
1. AL-banayan, Echeverri EA, Narendran S, Keene HJ, 2000. Oral health survey of 5 -12 year old children of National Guard Employees in Riyadh, Saudi Arabia. International journal of Pediatric Dentistry. Mar, 10 (1) : 39-45
2. Wyne AH. Caries prevalence, severity, and pattern in preschool children. J Contemt Dent Pract. 2008; 9: 24-31
3. Bao-jun Tai, Han Jiang, Min-Quan Du and Bing Ping. Assessing the effectiveness of a school –based oral health promotion programme in Yichang, China. Community Dental Oral Epidemiol 2009; 37: 391-398
4. Special Report : Kuwait School Oral Health Program. Dental News, Volume XV.
Number II, 20085. Barbara F Gooch, MD, MPh, etl. Preventing Dental Caries Through
School-Based Sealant Programs Updated recommendations and Reviews of Evidence. The Journal of the American Dental Association November 2009 vol. 140 no. 11 , 1356-1365
THANK YOU FOR YOUR TIME