DR. MARIAM ALFARHAN, MCS. DIRECTOR ORAL HEALTH SERVICES PROGRAM البرنامج الوقائي المدرسي لصحة الفم و الآسنان 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 1 st and 2 nd 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

STUDENT PARTICIPATING

THE EFFECT OF THE ACID ON TEETH

DEMONSTRATING PROPER TEETH BRUSHING

TEACHERS IN THE ORAL HEALTH WEEK

HYGIENESTS AND STUDENTS

FIRST PHASE (1 ST 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 SchoolsBoys SchoolsTotal Number of Schools15 30 Number of Students

SECOND PHASE (4 TH 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 YearsFinished casesRefereed casesTotal

NUMBER OF STUDENT & TEETH RECCIEVED SEALANT NUMBER OF STUDENT RECEIVED SEALANT 1611 NUMBER OF TEETH SEALED 3235 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, Oral health survey of year old children of National Guard Employees in Riyadh, Saudi Arabia. International journal of Pediatric Dentistry. Mar, 10 (1) : Wyne AH. Caries prevalence, severity, and pattern in preschool children. J Contemt Dent Pract. 2008; 9: 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: Special Report : Kuwait School Oral Health Program. Dental News, Volume XV. Number II, 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,

THANK YOU FOR YOUR TIME