Medical and economic efficiency of dental caries prevention through the use of fluoride sealant in schoolchildren

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Abstract

Aim. To study the medical and economic efficiency of the program for the prevention of dental caries using UltraSeal XT among schoolchildren of Kazan.

Methods. In 2013, 200 schoolchildren from Kazan seen in the Republican Dental Clinic of the Ministry of Health of the Republic of Tatarstan (100 boys and girls aged 7–8) were selected. All patients were divided into two groups with similar distributions of sex and age: the test (main) group and control group. In the test group “Sealants”, the fissures of the first permanent molars were sealed with a composite fluorine-containing sealant according to the manufacturer's instructions. The control group was formed from children without dental sealants. The oral health assessment of children is reflected in the Examination Cards. Average indices of the severity of dental caries were determined (the number of decayed, filled and missing primary/permanent teeth — dmft/DMFT). Re-examination of children was carried out in 2016 with the determination of the same indicators. The economic analysis was carried out using the method of mathematical modeling. Statistical processing was performed in Microsoft Office Excel 2017.

Results. The use of sealants at the age of 7–8 years provided a lower level of caries severity in deciduous teeth (4.09±3.0; p <0.01). There was no statistically significant difference between the DMFT score of permanent teeth in children aged 7–8 years in the test group and the dmft score of deciduous teeth of children in the control group (p >0.05). The DMFT score in the permanent teeth of children in the test group of this age cohort (7–8 years old) was 0.66±0.95. The mean severity of dental caries DMFT index of 12-year-olds children with permanent dentition in the test group was 0.77±1.07, which is 1.52 more healthy teeth than in the control group — DMFT score 2.29±1.59 (t=4.01; p <0.01). The medical and economic efficiency of the fluoride prevention of dental caries in 12-year-olds schoolchildren through the use of a composite fluorine-containing sealant is expressed in the eradication of caries (less than 1 affected tooth according to the World Health Organization classification) and amounts to 437.38 rubles of notional saved costs per child for sealing versus dental treatment.

Conclusion. The use of a fluoride composite material reduces the severity of dental caries in children and the ­notional saved costs for sealing teeth.

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About the authors

N I Shaymieva

Kazan State Medical Academy-Branch of the Russian Medical Academy of Continuing Professional Education

Author for correspondence.
Email: nailya.shaymieva@mail.ru
Russian Federation, Kazan, Russia

R Sh Khasanov

Kazan State Medical Academy-Branch of the Russian Medical Academy of Continuing Professional Education

Email: ksma.rf@tatar.ru
Russian Federation, Kazan, Russia

V N Olesova

Medical and Biological University of Innovation and Continuous Education of the State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: olesova@fmbcfmba.ru
Russian Federation, Moscow, Russia

References

  1. Leous P.A. Evidence-based oral health dental ­science in prevention of dental caries in children population. Stomatologiya detskogo vozrasta i profilaktika. 2008; 7 (2): 3–11. (In Russ.)
  2. Kuzmina E.M. Clinico-economical analysis bulletin the epidemiologic oral health survey model based on world health organization criteria. Problemy standartizatsii v zdravookhranenii. 2007; (6): 13–16. (In Russ.)
  3. Stomatologicheskaya zabolevaemost' naseleniya Rossii. (Dental morbidity of the population of Russia.) Pod red. E.M. Kuz'minoy. M.: MGSMU. 2009; 236 р. (In Russ.)
  4. Agafonov A.A., Blashkova S.L., Dautov F.F. Prevalence of dental caries and parodentium diseases among the wor­kers of thermal power station. Obshchestvennoe zdorov'e i zdravookhranenie. 2011; (4): 42–44. (In Russ.)
  5. Nizamov A.Kh., Yakimova Yu.Yu., Shakirov R.G., Khakimullin A.N., Sakharov R.A. Clinical-statistical analysis of dental diseases in children of preschool age living in large industrial city. Kazan Medical Journal. 2006; (1): 67–69. (In Russ.)
  6. Shaydullin I.M., Khamitova N.Kh. Dental status of school children with physical development disorders who live in rural areas. Kazan Medical Journal. 2012; 93 (4): 632–633. (In Russ.) doi: 10.17816/KMJ1558.
  7. Iskorostenskaya O.V., Mikulinskaya-Rudich Yu.N., Mys' V.A., Oleynik E.S. Peculia­rities of clinical manifestations of Down’s syndrome in dental practice (literature review). Vestnik problem biologii i meditsiny. 2014; 3 (2): 20–29. (In Russ.)
  8. Shakavets N.V. Efficacy of treatment of noncavitated lesions in infants and toddlers. Sovremennaya stomatolo­giya (Minsk). 2018; (1): 47–51. (In Russ.)
  9. Carey C.M. Focus on fluorides: update on the use of fluoride for the prevention of dental caries. J. Evid. Based. Dent. Pract. 2014; 14: 95–102. doi: 10.1016/j.jebdp.2014.02.004.
  10. Kuzmina E.M., Yanushevich O.O., Kuzmina I.N., Lapatina A.V. Tendency in the prevalence of dental caries among the russian population over a 20-year period. Dental Forum. 2020; (3): 2–8. (In Russ.)
  11. Shaymieva N.I. Indicators of dental health monitoring of the population of the Republic of Tatarstan. Prakticheskaya meditsina. 2013; (4): 37–41. (In Russ.)
  12. Shaymieva N.I. The remote efficiency of dental cavity prevention programs among children in Tatarstan Republic. Obshchestvennoe zdorov'e i zdravoohranenie. 2020; (1): 38–43. (In Russ.)
  13. Kurbanov O.R., Garazha S.N., Alieva A.O., Khasaeva M.I., Omarov S.Z., Hubaev S.Z., Gadzhieva S.M., Salihova M.M. Dependence of dental morbidity of adult population in Chechen republic on fluorine content in drinking water. Yug Rossii: ekologiya, razvitie. 2018; 13 (1): 206–211. (In Russ.) doi: 10.18470/1992-1098-2018-1-206-211.
  14. Seow W.K. Early childhood caries. Pediatr. Clin. North. Am. 2018; 65 (5): 941–954. doi: 10.1016/j.pcl.2018.05.004.
  15. Iordanishvili A.K. Fluorides: their value for human health in modern conditions and prospects for their use. Kursk scientific and practical bulletin “Man and his health”. 2019; (2): 66–73. (In Russ.) doi: 10.21626/vestnik/2019-2/07.
  16. Klitinska O.V., Mukhina Y.A., Layosh N.V. Estimation stomatological to status of children there are 6–7 constantly resident in the conditions of biogeochemical deficit of fluorine and iodine. Molodiy vcheniy. 2016; (11): 82–85. (In Russ.)
  17. Ahovuo-Saloranta А., Forss H., Walsh T., Hiiri A., Nordblad A., Mäkelä M., Worthington H.V. Sea­lants for preventing dental decay in the permanent teeth. Cochrane Database Syst. Rev. 2013; 3: CD001830. doi: 10.1002/14651858.CD001830.pub4.
  18. Aoun A., Darwiche F., Al Hayek S., Doumit J. The fluoride debate: the pros and cons of fluoridation. Prev. Nutr. Food. Sci. 2018; 23 (3): 171–180. doi: 10.3746/pnf.2018.23.3.171.
  19. Griffin S.O., Naavaal S., Scherrer C., Patel M., Chattopadhyay S. Evaluation of school-based dental sealant programs: an updated community guide systematic econo­mic review. Am. J. Prev. Med. 2017; 52 (3): 407–415. doi: 10.1016/j.amepre.2016.10.004.
  20. U.S. DHHS. Healthy people 2020. Topics and objectives. Oral health. http.www.healthypeople.gov/2020/topics-objectives/topic/oral-health (access date: 23.04.2021).

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