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Oral health care among children and adolescents in Lithuania

Oral health care among children and adolescents in Lithuania. Dr. Julija Narbutaite Lithuanian University of Health Sciences. Some statisctics:. Population 3.2868 mln. Children and adolescents until age 18 - 19.3 % (0.63 mln.) of total population. Number of the dentists 3400

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Oral health care among children and adolescents in Lithuania

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  1. Oral health care among children and adolescents in Lithuania Dr. JulijaNarbutaite Lithuanian University of Health Sciences

  2. Some statisctics: • Population 3.2868 mln. • Children and adolescents until age 18 - 19.3% (0.63 mln.) of total population. • Number of the dentists 3400 • Number of the paediatric dentists 52. • 27% of the children are attending dentists in PHCC.

  3. Prevalence of dental caries was 50.6%. dmft was 2.1. (d - 1.94 (91.9%); f – 0.17 (8.1%), and no extracted teeth). Oral hygiene according to index Silness – Loë was good. Prevalence of “baby bottle caries” was 6.45% with mean dmft 8. Oral health status among 3-year-olds in Lithuania (Slabsinskiene E, 2004)

  4. Oral health status among the first grade schoolchildren (Maciulskiene et al., 2000) Age was 6-7 years. Prevalence of dental caries in primary dentition was 86% and df-t - 3.4. Prevalence of dental caries in permanent dentition was 34% with DMFT 0.6 Mostly affected teeth were first molars and comprise 69.4% of all affected permanent teeth.

  5. Prevalence of dental caries among 12-year-olds in period 1983 and 2005 (Milčiuvienė et al, Medicina 2009;45(1):68-76)

  6. DMFT among 12-year-olds in period 1983 and 2005 (Milčiuvienė et al, Medicina 2009;45(1):68-76)

  7. Prevalence of dental caries among 12 and 15-year-olds in period 1983 and 2005

  8. DMFT among 12 and 15-year-olds in period 1983 and 2005

  9. Dental treatment is provided for all patients in public dental service and in private dental clinics which have contract with CHIF (13 €). First level Second level Consultation of the specialist. Visit is paid by CHIF if patient is referred by general dentist(12.4 €). Thirdlevel Consultation of the specialist. Expenses are covered by CHIF if patient is referred by the general dentist(28 €).

  10. Problems: • Parients do not get enought information about proper oral hygiene, healthy diet. • Childrens oral health care is mainly based on parients attitude

  11. Future perspectives: • Routine check up is followed by record of the dentist in the patient health status file which is a main document for the child before every school year. • Consultation with manipulation payment by national Health Insurance Fund. • Public Health Centers are recommended to provide oral health preventive measures by organizing educational measures.

  12. Caries prevention programs in Lithuania

  13. 1994-2007 National dental caries prevention program for children (operated by the Ministry of Health) • 1998 Caries prevention program for schoolchildren in Lithuania (operated by the Lithuanian Dental Association and Kaunas University of Medicine) • 1999-2001 Dental caries prevention program for preschool children in Kaunas (operated by the Kaunas University of Medicine)

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