Implement mass prevention of dental diseases was assumed
through specific programs developed by the organizers of dental care
each region, taking into account the actual logistics and staffing.
Perform preventive maintenance was necessary at all levels from district to union.
In PPC dental diseases play a major role of children's
dentists. But it is obligatory participation of the Division of Education,
sanitary-epidemiological service, homes health education,
antenatal clinics, children's clinics, kindergartens and schools.
objective is to achieve the proposed level of the WHO global dental
health in 2000: the average index of the intensity of dental caries in children KPU
12 years should not exceed 3.0. An interesting fact is that the additional funds
on sanitary and educational materials, medical supplies, additional personnel
allocate not anticipated.
All funds at the checkpoint had to be scheduled in advance, taking into account the estimated
requirements on the number of births per year, multiplied by the number of years program
In the late 80's, according to the results of dental examinations, NM Tsarinskoy
was determined by the average index of the intensity of the caries process in children Krasnodar
Territory - 4.6. The resulting figure was higher than the intensity index set
in the 60-ies KI Zolotukhin - 3,0 7. Given the similar dynamics of caries,
staff Regional Children's dental clinic, headed by YA.R. Kretova
prepared a program of prevention of dental diseases (PPSZ) for
Children of the Krasnodar Territory, which became officially implemented in 1991,
although before that time, in addition to secondary prevention - rehabilitation, used extensively
flyuorizatsiya teeth as the final stage of rehabilitation.
application of preventive measures during rehabilitation has allowed qualitative
improve dental care for children. Since the early 90's, due to political
instability has worsened the economic situation in our country and region (sharp
reduction in budget funding, inflation, etc.) that need to make
adjustments to the previously developed PPSZ. In 1995, by decision of the WHO staff
Department of Pediatric Dentistry KMMA epidemiological study was undertaken
to clarify the dental health of the population edge and sampled drinking
water to determine the fluorine content. Based on these data revealed
trends specific to certain localities region (Table 1).
Table 1. Dependence of caries in children in Krasnodar
edge of fluoride in drinking water
| Town | content of fluoride in water, mg / l | prevalence of dental caries in children | intensity of caries in children | ||
| 6 years | 12 years | 6 years | 12 years | ||
| Krasnodar | 0,42-0,54 | 74 | 86 | 4,5 | 3,0 |
| Primorsko-Akhtarsk | 0,6 | 84 | 65 | 4,2 | 2,6 |
| Gelendzhik | 0,15-0,17 | 100 | 76 | 6,7 | 3,0 |
| Starominskaya | 0,64 | 88 | 56 | 4,6 | 2,4 |
| Yablonovskii | 0,3 | 84 | 63 | 4,0 | 3,0 |
On an example of Gelendzhik observed an inverse relationship between the content
fluoride in drinking water and prevalence and intensity of dental caries. With regard to
Krasnodar city and village. Yablonovskii, the intensity and prevalence of dental caries,
for such values of fluoride in water, in our opinion, may be in the designated
limits. High rates of intensity and prevalence of dental caries in children
6 years in Starominsky and Primorsko-Akhtarsk not related to the amount of fluoride in drinking
water, but rather with the level of dental care and primary prevention.