Adut R, Yakobovitch Y, Sgan-Cohen H D
Dept. of Community Dentistry, the Hebrew University-Hadassah School of Dental Medicine, Jerusalem.
Refuat Hapeh Vehashinayim (1993). 2004 Apr;21(2):42-7, 97.
In Israel there are approximately 9,000 "sheltered" children who are lodged in several boarding schools. These children have been removed from their parents' guardianship, some with their parents permission and some by court order, usually due to neglect or abuse. This article describes these children and the efforts implemented regarding oral health: dental care insurance, a preventive program which has been conducted for approximately 10 years among 80 boarding schools and family care shelters, evaluation of these services and caries levels among the children.
A sample of 123 children was examined in four Israeli boarding schools. The DMF(T) index was employed according to WHO guidelines, by one examiner, using a torch, plane dental mirror and probe when required.
An average DMF(T) level of 4.62 was detected among 12 year olds. Among all the children from ages 1-18 years, only 30% were caries free. The rate of caries-free children decreased with age.
Caries prevalence among this population was higher than levels reported in Israel and abroad. There is a clear need for oral health promotion among this community.
在以色列，约有9000名“受庇护”儿童被安置在几所寄宿学校。这些儿童已被剥夺父母监护权，一些是经父母同意，一些是根据法院命令，通常是由于被忽视或虐待。本文介绍了这些儿童以及在口腔健康方面所做的努力：牙科护理保险、一项在约80所寄宿学校和家庭护理庇护所开展了约10年的预防项目、对这些服务以及儿童龋齿水平的评估。
在以色列的四所寄宿学校对123名儿童进行了抽样检查。根据世界卫生组织的指导方针，由一名检查人员使用手电筒、平面牙科镜并在需要时使用探针来确定DMF(T)指数。
12岁儿童的DMF(T)平均水平为4.62。在所有1至18岁的儿童中，只有30%没有龋齿。无龋儿童的比例随年龄增长而下降。
这一群体中的龋齿患病率高于以色列国内外报告的水平。显然有必要在这个群体中促进口腔健康。
