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The experience of the work of mobile dental clinic city municipal institution «City Pediatric Dental Policlinic» Chernivtsi, Ukraine
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Budayev Iuij Victorovych, Bukovynian State Medical University, Assistant professor of the Department of Surgical and Pediatric Dentistry E-mail: dronykivan@ukr.net
The experience of the work of mobile dental clinic city municipal institution «City Pediatric Dental Policlinic» Chernivtsi, Ukraine
Abstract: The article describes advantages and disadvantages of the mobile dental clinic for children in urban conditions.
Keywords: mobile dental clinic, regular sanation, organized groups of children.
A problem of caries preventive measures still remains topical despite numerous researches on the topic. Investigations of the Ukrainian children's dental diseases show a rapid increase of such diseases like caries, gingivitis, parodontitis, etc. In 12-year-old children in western regions of Ukraine caries prevalence is up to 93-100 %, intensity — 3.4-6.5 [1]. During dentistry development the basis of the stomatological preventive measures appeared; they present a complex ofhealthy measures aiming at prevention and elimination of pathological changes in the mouth cavity and bordering tissues. Teeth caries preventive measures are the leading trends in the world dentistry as it presents low economic expanses comparing to the disease or its complications treatment.
"City Children's Dentistry" have two departments: outpatient clinic, clinic for preventive medicine. The outpatient clinic is providing a centralized planned sanitation of the oral cavity. Also it includes 4 dental clinics in the city schools which provide planned sanitation; and the mobile dental clinic (MDC). In Chernivtsi there are 42 secondary schools, 4 lyceums, 53 preschools (kindergartens).
Children's Dentistry and the outpatient clinic are comfortably placed according to the city center, though there are some schools and kindergartens in the remote territories. That is why sometimes difficulties may occur while transporting the patients especially children.
Though, we can omit those difficulties when using mobile dental clinics.
Preventive measures cannot be fulfilled without the schools' authorities. Before the work there is an agreement signed by the City Children's Dentistry which obliges to hold the whole treatment course of the school children (preschoolers), maintaining all the sanitary standards; and the school director on the other side who is responsible for the mobile dental clinic and allows connecting up the power and water supply.
The equipment of the MDC are:
- ergonomic and comfortable dental device with a compressor;
- doctor's chair with a height control;
- dental X-ray unit;
- dry sterilizer;
- Ultrasonic cleaner;
- Electric waterheater;
- Container for instruments cleaning;
- Ultra-violet bactericidal chamber;
- Air conditioner;
- Irradiation machine;
- Two wash sinks;
- Fan heater;
- Dry closet.
The equipment supplies independent water supply with the bactericidal system, instruments and materials'
Section 1. Clinical medicine
sterilization, materials recycling. All the using devices are safe for health, can be alcoholized. Comfortable furniture with numerous drawers allows keeping clothes and uniform, and the supply of stomatological materials, medicine, instruments.
Power supply of the clinic is accomplished through the remote cable from the alternating current 220 V, and in accidents from autonomous generator. The machine's mobility and the driver's experience allow parking the mobile dental clinic in a comfortable for connection place. An electrician connects it to the electricity, and the driver plumbs in the water-supply.
In the first days all the pupils are examined. Those who need help are on the list, and further not to disturb the learning process 2-3 pupils are called for sanitation. The results are recorded in the class journals, including the refusals from the preventive examinations, available bite abnormalities, problems connected with the surgical intervention. Class supervisors tell parents the information at the meetings. Most teachers pay attention to the information and further independently control therapeutic, orthodontic and surgical treatment of their child. As in Chernivtsi region there is lack of fluorine in water it causes high caries prevalence, obligatory are fissure sealants of 16, 26, 36, 46 teeth in 6-7 year-old children — 14, 24, 34, 44, 15, 25, 35, 45 teeth in 8-11 year-olds.
Very young children and preschoolers are examined in the clinic. In the kindergartens preschoolers are visited during the vacations. Here very important is hygienic education. The right oral cavity care is a part of the preventive measures [2].
Hygienic education should start as early as possible as the skills obtained in early childhood are preserved all life [3]. Underestimating the importance of the problem, intensive life style tends to the untimely and rare visits to the dentist [4]. Especially the families living in the suburbs. Private clinics usually do not provide preventive measures. Beside the price is quite high. The construction and integration of the clinic allows conducting all the types of work in comfortable conditions. Though, in spite of the available surgical instruments in the clinic, not any surgical interventions can be accomplished in the mobile dental clinic.
The mobile dental clinic has a range of advantages: high effectiveness, especially with equipment and staff, full coverage of the oral cavity sanitation of the groups of children, preventive measures without disturbing the learning process.
Having analyzed the work of the mobile dental clinic we can draw a conclusion that the methods gives positive results in short terms. Though, we can't stick only to this sanitation method due to the serious disadvantages. They are insufficient, inconsistent, incomplete oral sanitations; the disease treatment of the mucous membrane of the oral cavity is unavailable; there is no dynamic observation; unavailable modern methods of treatment, no permanent conditions for the doctors. To some extent the mobile dental clinic disorganizes the school work. And it can't be the only method of the stomatological service organization. Though, in range of cases it should be used as a helping method of the preventive measures organization especially at some schools.
References:
1. Savichuk N. O., Savichuk A. V. Preventive measures and treatment of the primary caries in children//Therapy. -2008. - № 129(32) - P. 53-56.
2. Khomenko L. O., Shmatko V. I., Ostapko V. I. and other. Dental preventive measures in children: Manual - K.: ISDO, 1993. - 192 p.
3. Kuzmina E. M. Prevention of stomatological diseases. - Manual. Publ. "PoliMediaPress", 2001. - P. 117-122.
4. Kuzmina E. M., Smirnova T. A., Nabatova T. A., Pavlova Y. V. The role in parents' motivation in supporting children's dental health//New Stomatology. - 1996. - P. 12-14.
