Evaluation of the preventive and therapeutic programme implementation “Let’s take care of a healthy smile” among 17- and 18-year-old adolescents in the city of Skierniewice in 2018

Abstract

AIM: The aim of the study was to evaluate the results of the preventive and therapeutic programme addressed to adolescents aged 17 and 18, based on a comparison of the state of dentition prior to and after the completion of the programme. MATERIAL AND METHODS: All 44 adolescents from the City of Skierniewice and the surrounding area who applied for enrolment were included in the programme. Based on clinical examination, the prevalence of active caries, caries intensity expressed by mean values of the DMFT (decayed, missing, filled teeth) Index including D, M, and F components and the Dental Treatment (DT) Index F/(D + F) were assessed. All parameters were presented according to sex. RESULTS: Active caries was observed in 34 (77.3%) patients. Caries was more frequently detected in boys (82.6%) than in girls (71.4%). The value of the Caries Intensity Index, DMF, equalled 12.05 and was significantly higher (p<0.01) in boys than in girls: 13.73 ± 3.63 and 10.06 ± 3.42. In the examined group of 17- and 18-year-olds, the mean number of decayed teeth D (6.31) had the highest mean value, followed by the mean number of filled teeth F (4.26), the mean number of extracted (missing) teeth M (1.48) being the lowest. The values of the F Index were statistically significantly higher (t=2.570; p=0.0195) in boys as compared to girls (5.26 ± 2.69 vs. 3.13 ± 2.83). Mean value the Dental Treatment (DT) Index (F/D+F) appeared to be higher in the group of boys than in girls: 0.431 ± 0.182 and 0.358 ± 0.126, respectively. After the completion of the programme, all adolescents studied achieved the value of the Dental Treatment Index equalling 1 CONCLUSIONS: Dental examination qualifying 17- and 18-year old adolescents in Skierniewice to the preventive and therapeutic programme detected numerous foci of active caries. Implementation of the programme allowed to effectively treat the teeth of the adolescents participating in the project and to develop proper hygiene and dietary habits.