Planned sanation of oral cavity in children

Planned preventive sanitation of the oral cavity in organized groups, and especially children plays a very important role in the overall improvement of the body. Planned preventive repair, in the modern sense is a complex medical interventions in the General system of preventive measures aimed at the improvement of the body and reduce the morbidity. The most important task of the planned reorganization is to combat dental caries and its complications. It also includes the rehabilitation of the mucous membranes of the oral cavity.
In accordance with modern requirements sanitized think of a child who has sealed all affected by caries of milk and permanent teeth, deleted, not subject to treatment of teeth and roots, and eliminating inflammatory diseases mucous membranes of the oral cavity.
The planned reorganization consists of a complex of organizational measures, requiring for their implementation efforts of a whole team of various specialists and nurses.
Organization of dental care to children and adolescents and implementation of treatment and preventive measures are carried out in close contact with the administration of the school or other children's institutions, teachers and educators.
The purpose of the planned and orderly conduct the necessary medical and preventive measures in schools the Ministry of education of the USSR and the Ministry of health of the USSR in 1969, issued a special decree that obliges the administration of schools to create the necessary conditions for treatment and preventive work among schoolchildren. In accordance with the order of the school in conjunction with the government health plan-the schedule of carrying out of treatment-and-prophylactic and anti-epidemic measures, which are exempt (if necessary) students from lessons for conducting medical examination and treatment measures. On the basis of these documents city or district education departments should issue internal orders on the allocation of special days during the school year to conduct routine dental procedures.
Experience towns in Sinitsyna, L. I. Pilipenko, V. N. Kuznetsova (1971) shows that for providing full routine dental care to children and adolescents of school age it is necessary to allocate not less than two days in a school year. These days should be provided for each class separately and taken into account in the curriculum and class schedules. Schedule of sanation of oral cavity in children is coordinated with the head teacher of the school and signed by the Director (or Director of studies) and the person responsible for its implementation (chief doctor of the polyclinic, head of the dental Department.).
There are three forms of planned rehabilitation of the oral cavity: centralized, decentralized and mixed.
When centralized children organized with the class teacher or educator come in a medical institution, where are all the necessary treatment and prevention activities, including x-ray examination, orthopedic, orthodontic treatment. This form should be used in the presence of the children's dental polyclinic or branches (not less than 5 - 6 seats) and then, when schools or kindergartens are located close to the medical institution. The centralized form of rehabilitation is convenient because it allows you to hold all kinds of dental care. In addition, under the supervision of teachers, nurses waiting children read books, participate in discussions, study stands, posters. In this case, it is appropriate to talk on the hygiene of mouth cavity, on the significance of the planned rehabilitation and treatment of teeth. This situation brings up the children respect to the doctor, disciplines them, contributes to the growth of sanitary culture. Gradually the child gets used to the situation and begins to understand the importance of this event.
In a decentralized form of rehabilitation of children treated in the school or kindergarten. It is used more frequently when the remoteness of children's institutions from the hospital. This form allows you to examine the situation on the spot, to establish direct contact with the school doctor, to find out the General health of the child, however, the conditions of work of a dentist and a nurse in this case does not allow to carry out the whole complex of treatment-and-prophylactic measures. Excluded x-ray examination, complex surgery, orthodontic treatment and other Children who need this assistance, it is necessary to send to the clinic. However, this form of sanation of oral cavity is acceptable, if it is properly organized. The experience of a number of dental clinics shows that in this case the most rational and effective is the principle of service consisting of two doctors and nurses. Sister provides a challenge children from class, manages documentation, prepares filling material and tools. After the completion of major rehabilitation measures in the school should send surgeon dentist and a nurse who perform scheduled minor surgery and complete renovation.
A mixed form pupils of one of schools sanitize centrally in the clinic, others at school or at first look around at school, and then people who need treatment are sent to the clinic. This form is most appropriate in rural areas. The disadvantage of it is that some children do not go to the doctor.
The nurse must establish personal contact with each homeroom teacher, which directly follows the progress of rehabilitation of its students. More help can be sanitary asset, in particular medical orderlies ensure a smooth flow of students into the study, monitor, help the nurse to prepare tools, kneading filling materials, etc., If organized a good contact with the class teacher and the students, in this case it is possible to reach the planned reorganization of the maximum number of children.

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