Problemi correnti
Il pediatra e la carie dentaria
THE PAEDIATRICIAN AND DENTAL CARIES: A 15-YEAR EXPERIENCE
TIZIANO BASSO
Divisione di Pediatria, Ospedale Civile di Tolmezzo (Udine)
Maggio 1997 - pagg. 315 -318
Abstract
The Authors describe their 15-year experience
on caries prevention in a district of
Northeastern Italy. The programme included
fluoroprophylaxis and scheduled education
of parents, administered by paediatricians
within the routine well child visits.
The prevalence of caries, as well as parents
knowledge on dental hygiene was determined
according to WHO criteria (dmft scoring
system) in subsequent cohorts of children,
born before and after the beginning
of the programme and as a consequence
with increasing degrees of exposure to the
prevention programme. The percentage of
6-year old children free from caries increased
over time from 8% to 66%, with dmft
decreasing from 5,1 to 1,2 from 1983 to
1996. The number of parents whose knowledge
on caries prevention was totally inadequate
decreased from 19% to 8% over
the same period. The Authors underline the
effectiveness of the programme, its limited
costs and the role played by health education
given to parents by paediatricians.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Tamburlini G: Pediatria di Base. Il Pensiero
Scientifico Editore, pag 83-151, 1984.
2. Frosini R, Campa L, Frosini S: L’ambliopia: la diagnosi. Medico e Bambino 14, 480, 1995.
3. Dolci G, Strohmenger L: La carie: aggiornamenti in tema di epidemiologia, etiopatogenesi e prevenzione. Prosp in Ped 74, 89, 1989.
4. Kohler B, Andreen I: Influence of cariespreventive measures in mothers on cariogenic bacteria and caries experience in their babies. Arch Oral Biol 39 (10), 907-11, 1994.
5. Strohmenger L: Il libro dei denti. Ed Zyma 1987.
6. World Health Organization: Indagini sulla Salute Orale: metodi di base. WHO Ed, ediz. it. 1987.
7. Kaste LM, Gift HC: Inappropriate infant bottle feeding. Status of the Healthy People 2000 objective. Arch Pediatr Adolesc Med 149 (7), 786-91, 1995.
8. American Academy of Pediatrics: Fluoride supplementation for children: interim policy recommendations. Pediatrics 95 (5), 777, 1995.
9. Downer MC: Caries prevalence in United Kindom. Int Dent J 44 (suppl), 365-70, 1994.
10. Marthaler TM, Steiner M, Menghini G, Bandi A: Caries prevalence in Switzerland. Int Dent J 44 (suppl), 393-401, 1994.
11. Estioko LM, Wright FA: The oral health of children and adolescent in Heidelberg, Victoria, 1991. Aust Dent J 40 (3), 193-6, 1995.
12. Pitts NB, Palmer JD: The dental caries experience of 5-year-old children in Great Britain. Community Dent Health 12 (1), 52-8, 1995.
13. von-der-Fehr F: Caries prevalence in the Nordic countries. Int Dent J 44 (suppl), 371-8, 1994.
14. Dallari G et al: Odontoiatria pubblica nella Città di Bologna: tutela della salute odontoiatrica nell’età evolutiva. Epidemiologia per la Salute 7, 7-21, 1991.
15. World Health Organization: Health for all in the years 2000. Geneve 1980.
16. Zusman SP, Crawford AN: Changes in caries prevalence in Askelon, Israel, children 1980-1994. Community Dent Health 12 (1), 35- 8, 1995.
17. Vrbic VL: The prevalence of dental caries in Slovenia in 1987 and 1993. Community Dent Health 12 (1), 39-41, 1995.
18. Hulse G, Kenrick A, Thomas CH, Thomas A, Davies DJ, Lennon MA: Welsh water should reinstate fluoridation on Anglesey. Br Dent J 178 (2), 46-7, 1995.
19. Karialainen S, Eriksson AL, Ruokola M, Toivonen A: Caries development after substitution of supervised fluoride rinse and toothbrushings by unsupervised use of fluoride toothpaste. Community Dent Oral Epidemiol 22 (6), 421-4, 1994.
20. Herman NG: An idea that works. NYU Harris Infant Dental Education Area. N Y State Dent J 61 (2), 26-9, 1995.
21. Loskin MF: Preventive oral health care: a review. Am Fam Physician 50 (8), 1677-84, 1994.
22. Ferro R: Prevenzione orale pediatrica: l’esperienza di Cittadella. Comunicazione al Convegno “Il fluoro nella profilassi della carie: attualità e prospettive”. Bolzano, 15 maggio 1993.
2. Frosini R, Campa L, Frosini S: L’ambliopia: la diagnosi. Medico e Bambino 14, 480, 1995.
3. Dolci G, Strohmenger L: La carie: aggiornamenti in tema di epidemiologia, etiopatogenesi e prevenzione. Prosp in Ped 74, 89, 1989.
4. Kohler B, Andreen I: Influence of cariespreventive measures in mothers on cariogenic bacteria and caries experience in their babies. Arch Oral Biol 39 (10), 907-11, 1994.
5. Strohmenger L: Il libro dei denti. Ed Zyma 1987.
6. World Health Organization: Indagini sulla Salute Orale: metodi di base. WHO Ed, ediz. it. 1987.
7. Kaste LM, Gift HC: Inappropriate infant bottle feeding. Status of the Healthy People 2000 objective. Arch Pediatr Adolesc Med 149 (7), 786-91, 1995.
8. American Academy of Pediatrics: Fluoride supplementation for children: interim policy recommendations. Pediatrics 95 (5), 777, 1995.
9. Downer MC: Caries prevalence in United Kindom. Int Dent J 44 (suppl), 365-70, 1994.
10. Marthaler TM, Steiner M, Menghini G, Bandi A: Caries prevalence in Switzerland. Int Dent J 44 (suppl), 393-401, 1994.
11. Estioko LM, Wright FA: The oral health of children and adolescent in Heidelberg, Victoria, 1991. Aust Dent J 40 (3), 193-6, 1995.
12. Pitts NB, Palmer JD: The dental caries experience of 5-year-old children in Great Britain. Community Dent Health 12 (1), 52-8, 1995.
13. von-der-Fehr F: Caries prevalence in the Nordic countries. Int Dent J 44 (suppl), 371-8, 1994.
14. Dallari G et al: Odontoiatria pubblica nella Città di Bologna: tutela della salute odontoiatrica nell’età evolutiva. Epidemiologia per la Salute 7, 7-21, 1991.
15. World Health Organization: Health for all in the years 2000. Geneve 1980.
16. Zusman SP, Crawford AN: Changes in caries prevalence in Askelon, Israel, children 1980-1994. Community Dent Health 12 (1), 35- 8, 1995.
17. Vrbic VL: The prevalence of dental caries in Slovenia in 1987 and 1993. Community Dent Health 12 (1), 39-41, 1995.
18. Hulse G, Kenrick A, Thomas CH, Thomas A, Davies DJ, Lennon MA: Welsh water should reinstate fluoridation on Anglesey. Br Dent J 178 (2), 46-7, 1995.
19. Karialainen S, Eriksson AL, Ruokola M, Toivonen A: Caries development after substitution of supervised fluoride rinse and toothbrushings by unsupervised use of fluoride toothpaste. Community Dent Oral Epidemiol 22 (6), 421-4, 1994.
20. Herman NG: An idea that works. NYU Harris Infant Dental Education Area. N Y State Dent J 61 (2), 26-9, 1995.
21. Loskin MF: Preventive oral health care: a review. Am Fam Physician 50 (8), 1677-84, 1994.
22. Ferro R: Prevenzione orale pediatrica: l’esperienza di Cittadella. Comunicazione al Convegno “Il fluoro nella profilassi della carie: attualità e prospettive”. Bolzano, 15 maggio 1993.