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From school to dentist’s surgery: prevention measures on the six-year-old children

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Author(s): Villaumé C | Litovsky B | Witczak I | Roché E | Vernet J | Regimbaud H | Peyrat P | Le Bourdonnec H | Badouin O | Fatoux C | Chanut C

Journal: Pratiques et Organisation des Soins
ISSN 1952-9201

Volume: 41;
Issue: 4;
Start page: 303;
Date: 2010;
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Keywords: Oral health | children | health promotion | assessment | access to care | motivation

ABSTRACT
Aim: The aim of this study is to assess health impact and determine the limitations of a support policy in oral prevention on the six- year-old children sent to school in education help areas. Methods: This analysis concerns an action of the french Gard department which has set up a short and incentive circuit going from the raising awareness to the oral examination (EBD), and until care if necessary. That action lies within the framework of the national program “M’T dents”. The measures focussed on 624 children irrespective of social security system. Results: The children’s participation rate in the EBD is significantly superior to the departmental rate observed (28% vs 51,2%, N = 624). The medical assessment performed shows that 55,9% of the 188 children from the general social security system concerned with EBD are free of caries and a not homogeneous distribution of theC mixed index at the time of the screening. The percentage of untreated children (IT indicator) falls after the measures (33,5% vs 10,1%, N = 188, p < 0,001), while the completely cured children increases (7,5% vs 36,7%, N = 188, p < 0,001) at the same time. Conclusion: The evolution “before/after” of the index and indicators values reveals a significant increase in access to screening and care. Nevertheless, there are still children remaining outside the healthcare system. For them, the question of additional measures arises. Prat Organ Soins. 2010;41(4):303-311
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