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T Marthaler

Publications and source records attributed to T Marthaler.

13 recordsLinked to original sources
PubMed1979

[Dental insurance systems in light of present-day prevention potentials].

The situation of public dental insurance systems of several countries in Western Europe was examined in the light of the fact that caries and periodontitis may be prevented. Available epidemiological data were discussed as to their relevance. In Switzerland, dental insurance systems are of minor importance. In voluntary insurance plans for adults, prevention is scarcely included. On the other hand, the communities provide subsidies for dental care of schoolchildren, and prevention is an integral part of this system. In the German Federal Republic, dental insurance costs have quadrupled during the period 1970-1977. Preventive measures are not subsidized, and in recent years, more than half of the insurance payments were used for prosthetic dentistry. The few dental statistics available show that dental treatment of children is unsatisfactory. In Sweden, preventive measures are refunded at 75%. Since the introduction of the public insurance system in 1974 prosthetic dental work has increased at the expense of conservative treatment. In France, the social security system pays for about three quarters of conservative and simple prosthetic work. Prevention has so far not been included. Despite liberal refunding of restorative work markedly higher prevalence of tooth loss was found in lower social levels as compared to higher levels. In Great Britain, the National Health Service was introduced in 1948. As in France, tooth loss is most frequent in lower social levels. The findings are discussed with respect to cost developments and oral health prospects in Switzerland. Attention is focused upon the observation that the insurance systems were conceived at a time when realistic preventive programs were unavailable and their success had not yet been demonstrated in large groups.

Dental Health Services↗
PubMed1979

[Preventive dentistry, particularly in schools].

Dental caries may easily be prevented. Based on experiences extending over 20 years, several preventive programs for schoolchildren can be offered and the one best suited for the local circumstances may be selected. Two types of dental auxiliaries have proved very useful to realize preventive programs on the level of communities and/or cantons, requiring costs of only Fr. 3.--to 7.-- per year and child. Considering the excellent results already available, it should be possible to obtain cooperation even of those communities who have not yet introduced preventive programs. If salt fluoridation could also be generalized, caries levels could be reduced to a fraction of their initial values.

Adolescent↗
PubMed1978

[Preventive dentistry programs in the schools].

Dental caries and gum disease may easily be prevented. Based on experiences extending over twenty years several preventive programs for school children can be offered and the one best suited for the local circumstances may be selected. Two types of dental auxiliaries have proved very useful to realize preventive programs on the level of communities and/or cantons, requiring costs of only 3 to 7 Swiss fracs per year and child. Considering the excellent results already available it should not be very difficult to obtain cooperation even of those communities who have not yet introduced any preventive programs.

Child↗
PubMed1978

[Preventive practice in dentistry and its current meaning].

Improvements in the field of sealants and of adhesive restorations based thereon represent the most important new development in preventive dentistry. Caries prevention by means of better nutritional habits is greatly enhanced by newly developed and marketed sugar-free and tooth sparing products. Statistical mortality studies have again demonstrated that prevention by means of fluorides constitutes no danger to public health. Considerable advances have been made in the field of fluoridation of domestic salt. Newer Scandinavian studies revealed that intensive care programs with children including dental hygiene sessions every 3-5 weeks resulted in moderate decreases of caries incidence. By contrast, intensive care programs with adults were extremely successful. By means of 4-6 recall sessions with dental hygienists it was possible to completely stop periodontal destruction for 4, even for 7 years. Apart from initial restorative and conservative dental work, the success of periodontal treatment may be guaranteed only by prevention of recurring gingivitis. Extensive dental statistics from Switzerland reveal a marked success of applied preventive dental medicine. The work of dental practitioners is by now greatly influenced by the new scientific insight gained from research in the prevention of dental disease.

Adult↗
PubMed1975

[Selective intensive prophylaxis for the farreaching prevention of dental caries, gingivitis and periodontitis in the school child].

Until about 1970, clinical studies showed a caries inhibition from 20-70%. Newer preventive programs have brought about an almost complete disappearance of caries and gingivitis. Generally speaking the preventive measures at the school level shows that the majority of children responds with reduced or completely eliminated caries incidence, but that a minority still remains heavily caries and gingivitis active. Such children are selectioned and submitted to intensive programs. They are ordered to the dentist or the school clinic every month and are instructed and checked. Thus the restorative needs are considerably reduced and with them, expenditure.

Child↗