Does dental health of 6-year-olds reflect the reform of the Israeli dental care system?

Autor: Shlomo P Zusman, Lena Natapov, Avi Sasson
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
National Health Programs
Dentistry
Oral Health
Survey methodology
0302 clinical medicine
Health care
Deciduous teeth
Prevalence
Medicine
030212 general & internal medicine
Original Research Article
Water fluoridation
Israel
Dental Health Surveys
Child
Children
Dental Care for Children
Health Policy
Health services research
medicine.anatomical_structure
Female
medicine.medical_specialty
Insurance
Dental

Prevention of dental diseases
Dental Caries
Tooth Loss
03 medical and health sciences
stomatognathic system
Fluoridation
Humans
Sex Distribution
Insurance
Health

business.industry
Reform
Public health
Public Health
Environmental and Occupational Health

030206 dentistry
stomatognathic diseases
Cross-Sectional Studies
Health Care Reform
Dental survey
Public health policy
Commentary
Quality of Life
Tooth decay
National health insurance law
Morbidity
business
Zdroj: Israel Journal of Health Policy Research
ISSN: 2045-4015
Popis: Background The National health insurance law enacted in 1995 did not include dental care in its basket of services. Dental care for children was first included in 2010, initially up till 8 years of age. The eligibility age rose to 12 years in 2013. The dental survey of 6 year-olds in 2007 found that the average of decayed, missing and filled teeth index (dmft) was 3.31 and 35 % of children were caries free. The current cross sectional survey of dental health for 6 year-olds was conducted as a comparison to the pre-reform status. Methods Twenty-three local authorities were randomly selected nationwide. Two Grade 1 classes were randomly chosen in each. The city of Jerusalem was also included in the survey because of its size. The children were examined according to the WHO Oral Health Survey Methods 4th ed protocol. The dental caries index for deciduous teeth (dmft: decayed, missing, filled teeth) was calculated. Results One thousand two hundred ten children were examined. 61.7 % of the children suffered from dental decay and only 38.3 % were caries free. The mean dmft was 2.56; d = 1.41 (teeth with untreated caries), f = 1.15 (teeth damaged by decay and restored), virtually none were missing due to caries. Dental caries prevalence was rather consistent, an average of over 2 teeth affected per child. Although there is no major change in comparison to former surveys, there is more treated than untreated disease. In the present survey the f component is higher than in the past, especially in the Jewish sector where it is the main component. It is still lower in the Arab sector. Conclusions Although the level of dental disease remained rather constant, an increase in the treatment component was observed. In order to reduce caries prevalence, preventive measures such as school dental services and drinking water fluoridation should be extended and continued. Primary preventive dental services should be established for children from birth, with an emphasis on primary health care and educational settings, such as family health centers and kindergartens.
Databáze: OpenAIRE
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