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The Journal of The Japan Health Care Dental Association
The Journal of The Japan Health Care Dental Association Vol.1 No.1, 1999
abstract
Seeking for dental practice rooted on the local necessity
Tatsuo Namikoshi
I opened a dental clinic at a town of 7,500 population where there was only one dental clinical facility available. The patients' oral health conditions were far worse beyond my expectation. I was given chances to examine oral health conditions of the most children in the town as a school dentist. I adopted possible measures in turn in my school health activities; 1) not using explorer at the examination, 2) the diagnosis of" regard the questionable tooth as a healthy tooth", 3) instruction of the fluorine application for treatment of primary caries, 4) mouth washing with 0.2% NaF once a week. Consequently, the DMFT index of 12 year-old children at the elementary school declined to 1.2 in 1998 from 3.0 in 1994, and the caries-free ratio of permanent tooth in the same age group was improved to 50.6% from 31.4%. Having focused on local dental health activity at first, contributed greatly to the preparation of the establishment of preventive dental practice in my clinic.

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