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