Sanation of oral cavity in children. Part 2

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For successful realization of planned rehabilitation is very important to organize accounting and reporting. Basic accounting document, which reflects the results of the oral cavity sanation is rehabilitation card (form № 267). It starts on each child and maintained throughout the period of its stay in school or kindergarten. It reflects all of the conducted treatment and prevention activities.
Records of daily work of the doctor is the form № 39-a shrub. It reflects the amount of work done for the day, month, and based on it the head of the institution shall prepare a report for a certain period of time (month, quarter, year).
Outputs planned dental rehabilitation should be reflected in the classroom statements and consolidated semi-annual reports. Cool list are based on the data of rehabilitation cards and store in first graduating class. In the summary report summarize by months results of rehabilitation of children of all schools attached to the clinic (office). These forms of accounting and reporting allows to analyze all parameters of clinical work, the coverage of children with the planned reorganization, the number of those in need of renovation and sanitized, the recurrence rate of dental caries, dynamics of complicated forms of dental caries, i.e. give the opportunity to get a complete picture of the state of dental care to children of the school, district, city.
Other forms of routine dental procedures. By the decree of the USSR Council of Ministers № 916 dated 5 November 1976 "About measures on the further improvement of dental care to the population" provides for further development and improvement of prevention of dental diseases among the population, and first of all among the employees of industrial construction, students of higher and secondary special educational institutions, vocational schools and General secondary schools, nurseries and kindergartens, sanatoriums, rest homes, boarding houses and sanatoria. These tasks require that all health care workers dental profile great responsibility.
With the aim of further development of preventive work, and first of all in terms of improving sanitation of the oral cavity in children and adolescents need to use the existing experience some dental clinics of the country.
An important milestone in the development of planned preventive rehabilitation should be considered a valuable initiative Leningrad dentists N. A. Abramov and C. A. Kozlov (1958, 1960), which consisted of organizing and conducting systematic sanation of oral cavity in children in the summer, during their stay in pioneer camps. Such statement of work has allowed more efficient use of medical personnel, to increase the coverage of children prophylactic and sanitation, and to some extent reduce the load of doctors in the autumn-winter period.
For organization of this work with business leaders and chairmen of salcombe with their pioneer camp, was provided with equipment and premises for work and housing doctors. With dentists who leave the camps, conducted a special two-day conference. It is introduced with the objectives and working procedures in pioneer camps, with modern methods of treatment of complicated and uncomplicated caries, features the removal of teeth and pain relief in children, methods of rendering assistance in inflammatory diseases and trauma of the maxillofacial area. Was introduced the unified form of accounting and reporting.
All of the pioneer camp of the city were divided into 5 sectors on a territorial basis. In each sector worked 20 to 30 doctors. The responsible sector has provided Advisory-methodical help, check the quality of clinical work and supplied doctors of the sector supplies and drugs. Responsible for the sectors were selected cars for delivery of materials. Once a week the responsible physicians reported district dentists about the process of financial rehabilitation of the oral cavity in the camps, which allowed to monitor its results in the dynamics.
Experience has shown that examinations of children appropriate to implement in the camps, by order, starting with the youngest age groups. After a day of detachment doctors treated all the needy, and then proceeded to the examination and rehabilitation of the next squad. Usually doctors performed two servings per day: morning and evening. During the summer period on average were saniroval 30,000 children, which has put more than 90 000 seals.
Every year this work was improved, and twenty years of experience sanation of oral cavity in children in period of summer health campaign showed its effectiveness and great practical importance. This is an important and useful initiative was introduced in a number of cities of the USSR and socialist countries. The Ministry of health of the USSR gave a high appraisal of such an organization dental care.
Equally important is the oral cavity sanation in adolescents (students of vocational schools, senior classes of secondary schools, technical schools). Here it is necessary to observe the same principles as in the planning of rehabilitation of zubce-lustnau system in schoolchildren. However, observations I. S. Potapova (1967) showed that it is very difficult to achieve complete coverage contingent in centralized method of rehabilitation (only 27,2% of teenagers). Meanwhile the work decentralised manner (team, consisting of 2 - 3 doctors and nurses) helped to reach the planned reorganization 91% of adolescents in need of medical assistance, as well as to reduce the number of forms of complicated caries of teeth. Systematic oral cavity sanation in adolescents is of great practical importance.
So, comparing the state of the oral cavity two groups of adolescents (systematically and not systematically rehabilitated) showed that the number of decayed and filled teeth in children with non-systematic rehabilitation 1.5 times, including complicated forms of caries is 2.3 times more. It was especially noticeable difference on the performance of remote permanent teeth average teenager. If systematically rehabilitated he was equal to 0.01 per surveyed, with unsystematic rehabilitation is reached 0,18 per surveyed, i.e. 18 times more.
Thus, observations I. S. Potapova showed that when sanation of oral cavity in adolescents more appropriate to apply decentralised form of planned activities more effectively and persistently conduct of sanitary-educational work among this cohort of young people, and to take into account age peculiarities of children.