Group prophylaxis

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In Germany, the term group prophylaxis is used to promote dental care for young people as part of health education ; especially understood in kindergartens and schools. This includes the coordination of measures to prevent and combat tooth, mouth and jaw diseases .

Legal basis

The basis is a legal requirement in accordance with section 21 SGB V .

"The health insurance companies have in cooperation with dentists and relevant for dental health care in the countries positions [...] measures to detect and prevent dental disease to their insured persons who have not yet completed their twelfth year to promote and participate in the costs of implementing to contribute. You have to work towards nationwide measures. In schools and facilities for the disabled, in which the average risk of caries is disproportionately high, the measures are carried out up to the age of 16. The measures should primarily be carried out in groups, especially in kindergartens and schools; they should extend in particular to the examination of the oral cavity , assessment of the tooth status , tooth enamel hardening , nutritional advice and oral hygiene . Specific programs need to be developed for children with a particularly high risk of tooth decay. "

- § 21 Abs. 1 SGB V

Supporting organization

To implement this statutory mandate, the health insurances and organizations agreed on a framework recommendation on June 17, 1993. The German Working Group for Youth Dental Care e. V. (at that time still under the name " German Committee for Youth Dental Care eV ") was commissioned as a non-profit association as the supporting organization. The German Committee for Youth Dental Care eV (seat: Bonn) was founded in 1949.

The German Working Group for Youth Dental Care has 40 member organizations. These are the federal organizations

The organizational concept of the DAJ shows how the different actors in group prophylaxis work together at the municipal, state and federal level.

Country-specific actions

Different actions are carried out in the regional working groups. As an example, reference is made to the LAGZ's Löwenzahn campaign , under the motto: Strong as a lion with good teeth at all Bavarian elementary and special schools in the first to fourth grade, the class teacher hands out a dandelion envelope at the beginning of the school year. It contains - in addition to a letter from parents - two reference cards (lion cards) for the half-yearly dentist visit. After every six-monthly examination, the children have their family dentist stamp a lion card. The children in their class throw this card into a poster collection box. Cards are counted at the end of the school year. The schools with the highest return of the cards in relation to the number of students receive handsome cash prizes.

financing

The state dental health working groups and their group prophylactic measures are mainly financed by the statutory health insurance companies, as well as by the respective dental association, the state dental association and the state governments.

Contents of group prophylactic measures

The group prophylactic measures extend in particular to:

  • Inspection of the oral cavity with a survey of the dental status to classify the risk of caries according to uniform standards
  • Referral in dental treatment to remove existing tooth damage. Fissure sealing when indicated
  • Improvement of oral hygiene behavior
  • Improvement of the enamel quality through fluoride
  • Nutritional advice
  • Motivation for regular dental examinations
  • Implementation of specific age-appropriate programs for the collective and individual care of children with a particularly high risk of tooth decay
  • Recognition and education to avoid (early) childish undesirable developments in the tooth, mouth and jaw area

Children with disabilities

If necessary, intensive measures must be provided for children with disabilities (e.g. special instruction for carers and relatives). In accordance with the legislature, group prophylactic measures in facilities for the disabled, in which young people with disabilities are cared for, are to be extended up to the age of 16.

Children at high risk of tooth decay

The determination of children with a high risk of caries as part of the group prophylactic screening is based on the dmft index . The definition of risk groups according to age differentiation is:

  • up to 3 years: not caries-free, dmf (t)> 0
  • up to 4 years: dmf (t)> 2
  • up to 5 years: dmf (t)> 4
  • 6 to 7 years: dmf / DMF (t / T)> 5 or D (T)> 0
  • 8 to 9 years: dmf / DMF (t / T)> 7 or D (T)> 2
  • 10 to 12 years: DMF (S) on approximal / smooth surfaces> 0

history

Norway was the first country to introduce state-funded school dental care in 1919. Shortly afterwards, a corresponding law was passed in Sweden. In addition to school dental prophylaxis, attempts have also been made in Sweden to motivate the elderly to have dental care and check-ups. This is considered to be the beginning of popular dental care .

In the German Empire in 1879 efforts were made to establish dental care for young people through regular examinations of school children. Court dentist Zimmer carried out examinations in Kassel.

Various systems became known: the Bonn system , established by Alfred Kantorowicz ; the Frankfurt system , practiced by Hans Joachim Tholuck and the Mannheim system .

A similar concept exists in Switzerland under the name of the School Medical Service ; it is regulated by the cantons - as is usual in the school system.

See also

Web links

Individual evidence

  1. ↑ GKV-Spitzenverband, framework recommendation for group prophylaxis  ( page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. (PDF; 159 kB).@1@ 2Template: Toter Link / www.gkv-spitzenverband.de  
  2. ↑ Archived copy ( Memento of the original from May 3, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.daj.de
  3. ^ Federal Dental Association , National Association of Statutory Health Insurance Dentists .
  4. ^ DAJ, overview of the state working groups for dental health
  5. ↑ DAJ, organizational concept (PDF; 399 kB).
  6. ↑ LAGZ, Aktion Löwenzahn ( Memento of the original dated November 11, 2012 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. . @1@ 2Template: Webachiv / IABot / www.lagz.de
  7. ↑ LAGZ Bayern ( Memento of the original from November 11, 2012 in the Internet Archive ) Info: The archive link was automatically inserted and not yet checked. Please check the original and archive link according to the instructions and then remove this notice. .  @1@ 2Template: Webachiv / IABot / www.lagz.de
  8. ^ DAJ, principles .
  9. ↑ Note in Nils Jörn : The University of Greifswald in the educational landscape of the Baltic Sea Region, Volume 5 of Nordic History, LIT Verlag Münster, 2007, p. 337 ( online at googlebooks ).
  10. ^ Elisabeth Schenck - Bonn. The importance of the school dental clinic for school dental care. In: The socialist doctor , 4th year (1928), issue 3–4 (December), pp. 25–30 digitized .
  11. ↑ Max Jarecki. The importance of the school dental clinic for school dental care. In: The socialist doctor, 5th year (1929), issue 2 (June), pp. 73-76 digitized .
  12. ↑ https://www.gef.be.ch/gef/de/index/gesundheit/gesundheit/schulaerztlicher_dienst.html