Good restorative dentistry is preventive dentistry.
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A preventive dentistry delivery system was developed for maximum effectiveness in private practice. Four new pit or fissure carious lesions developed in 20 patients who were 10 to 20 years old at the start of a two-year exploratory test; there were no new lesions of smooth surfaces. Of the incipient lesions that were under observation, no increase was observed in 23 of 26 pit or fissure lesions, 24 to 25 proximal and all of 26 buccal or lingual smooth surface lesions. In 33 patients 21 to 30 years old at the start of the test, no new lesions appeared and growth of the 142 incipient lesions appeared to be arrested. A low level of gingivitis was maintained in all patients who were tested.
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Examination of 11-year-old Scots children who had participated in a 5-year, fortnightly dental health education and preventive dentistry programme showed that, compared with a similar age-matched group, the regimen produced mean DMF and DMFS reductions of 48.6% and 42.1%, respectively. In addition, the plaque and gingival indices differed significantly and 22.5% of test children were caries-free compared with only 7.6% of controls.
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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.
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