Epidemiology, prevention and control of oral diseases in pediatric subjects

Risultato della ricerca: Conference contribution


Caries and periodontal diseases are a neglected epidemic by millions ofItalians who suffer unnecessarily from them. Both diseases are preventableand the combination of high prevalence, high morbidity and relative inattentionfrom the National Health Service (NHS), makes caries and periodontaldisease a significant public health problem. In this perspective, the WorldHealth Organization and the University of Milan have promoted a nationalepidemiological study aimed at a sample of 4, 6 and 12-years-old studentsfrom schools in the North, Central and South of Italy. The study provides forthe administration of a questionnaire to parents and a dental examinationcarried out at school by dentists trained by the WHO.In our town the epidemiological study planning and the survey were carriedout by professors of the School of Specialization in "Pediatric Dentistry"(Prof. G. Giuliana and Prof. G. Pizzo) supported by specialist dentists fromthe same School, calibrated according to the WHO methodology.The survey was carried out between 2017 and 2019 involving 2701 childrenattending schools in the 8 districts of the town.The parents were sent a letter which explained the nature of the surveyand contained a pre-printed form for the issue of informed consent to participatein the survey with a questionnaire regarding the family nuclear, theoral hygiene and eating habits of the minor and the child's previous dentalexperiences.The ICDAS (International Caries Detection and Assessment System) wasused to detect the prevalence of carious lesions. The dentist used for eachchild visited a dental mirror and the CPI (Community Periodontal Index)index for periodontal assessment.Preliminary results showed that 25.3% of 12-years-old students had gingivalbleeding and 41.1% had tartar.The caries index (ICDAS) shows us that as early as 4 years, 20% of childrenhave initial carious lesions, 37% have dentine caries and that 34.38%have highly destructive caries.At 12 years, 34.95% had initial carious lesions, 46% had cavities that alreadyaffected dentin and that 42.44% had highly destructive cavities.The exigence to implement a program of prevention / early treatment ofcaries/gingivitis in pediatric subjects living in Palermo, since the first monthsof child's life, was born from the data analysis. The project "Un sorriso per54tutti i bambini", carried out at the U.O. of "Pediatric Dentistry" of PoliclinicoPaolo Giaccone in Palermo, was therefore finalised in order to1) improve efficiency and effectiveness in the promotion of the oral healthof minors, through the creation of a preventive / assistance route of significantsocial health impact;2) assess the effectiveness of the preventive methodologies adopted
Lingua originaleEnglish
Titolo della pubblicazione ospite1a Giornata delle Scuole di Specializzazione "Restate al Di.Chir.On.S." - Principali linee di ricerca delle Scuole di Specializzazione
Numero di pagine2
Stato di pubblicazionePublished - 2019

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