摘要:Aims: The national agreement between dental surgeons and the healthcare funds introduced an oral-dental prevention measure in all 15 to 18 year-old adolescents. The medical evaluation of this measure was designed to analyse the oral-dental needs inventoried during the preventive examination and the care these patients received following the examination. Method: We performed a longitudinal descriptive study covering three years based on a random sample of adolescents who had just turned 15 during the first semester of 1999 and who received a preventive examination. Results: In this article, we give the results concerning the oral-dental health status of this cohort of 15 year-old adolescents and describe the care they received following the preventive examination after the first year of follow-up. The general health fund’s patient sample contained 18,492 adolescents. 61 % of them had not consulted a dental surgeon for more than one year. Each adolescent had an average of 4.08 teeth which either had caries, were absent or had an amalgam filling; of these, 1.95 teeth had caries and 1.68 had an amalgam filling. 45.9 % of the patients studied received dental care following the preventive examination. 75 % of the care they received concerned permanent molars and 72 % consisted in surface amalgam fillings. Conclusion: The majority of the adolescents who had received a preventive examination had not seen a dental surgeon for more than one year and we found that the oral-dental health of these patients was deteriorated. Two thirds of the adolescents who had at least one dental carie requested treatment. The main care given consisted in surface amalgam fillings and scaling.
关键词:oral-dental prevention ; health fund ; adolescent ; evaluation ; dental care