Prevention at industrial enterprises

A great achievement of the Soviet medicine is the organization and carrying out of planned rehabilitation of the oral cavity among workers and employees of industrial enterprises. A. I. Rybakov (1973) finds that dental prophylaxis in factories, construction sites, factories must be carried out so as to first examine all employees and workers, and then to make the necessary treatment to all in need on the testimony. Materials of examinations help to determine the prevalence and structure of dental diseases and allow to organize medical examinations of the basic contingent of patients Experience shows that the most effective form of rehabilitation of the oral cavity at the industrial enterprises is decentralized method since the establishment of mobile clinics in the shops allows to reach the sanitation of the oral cavity most workers and employees. Usually this work is conducted according to a single plan, Brigadier method. The optimum composition of teams - two doctors and one nurse. Further sanitized contingent providing the necessary medical aid attached Guild dentist.
On the recommendation A. I. Rybakov working day of the doctor expedient to distribute in the following way : 3 hours to devote to the sanitation of the oral cavity, sanprosvet-work and work in the shops, 2 h at the current reception on the uptake. Such organization allows more evenly to take sick with regard to their employment in work and greater use of more modern methods of treatment, possible in the outpatient setting.
For proper organization requires specific operational work plan with timelines of sanitation of the oral cavity. The plan should be coordinated with the company's management and approved by the chief doctor. It is necessary to provide seasonal load of workers and terms of conducting of public activities, excluding their coincidence with the schedule dental prophylaxis. All needing treatment the author recommends to divide into four groups:
the first is in need of urgent dental care over the coming days;
second, patients with diseases of the teeth and the mucous membranes of the oral cavity;
third - patients who need long-term treatment and medical observation;
fourth - patients who need disposable dental care.
These groups of patients, it is advisable to establish certain doctors that will keep the principle of dynamic observation and better qualified staff of doctors.
After the planned rehabilitation of workers and employees some of them are subject to medical examination, are registered, by filling in a special card. In the presence of occupational hazards on dispensary account taken of all workers and the annual examination and necessary treatment. Along with this study the causes of dental diseases in specific professional groups of workers and take measures to eliminate them.
This system of dental prevention among industrial workers can significantly reduce dental morbidity, change its structure, preventing the emergence of complicated forms of the disease, and generally improve the overall condition of the observed population.