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

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Presentation transcript:

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

Some statisctics: Population mln. Children and adolescents until age % (0.63 mln.) of total population. Number of the dentists 3400 Number of the paediatric dentists % of the children are attending dentists in PHCC.

Oral health status among 3-year-olds in Lithuania (Slabsinskiene E, 2004) Prevalence of dental caries was 50.6%. dmft was 2.1. (d (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 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 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.

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

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

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

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

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

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

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.

Caries prevention programs in Lithuania

 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)  Dental caries prevention program for preschool children in Kaunas (operated by the Kaunas University of Medicine)