In response to the increasing social need for the mass treatment of periodontal diseases, 185 workers, composing a plant of the Tokyo Shibaura Electric Co., Ltd., have been picked up the study. Survey of thier periodontal states were made on the following five items; number of deposits on the visible internal and external tooth surfaces, depth of the gingival pocket at the medial and distal side of the gingival papilla, blood content in a gargled water regarded as gingival bleeding, redness of papillomarginal gingiva, and activity of the calculus formation (ACF). Depend on the pathological, statistic and/or strategic view point in the operation of the public health program. indexing of the results on the items surveyed and correlation between either two of them for the simplification of the screening items were performed and reached the following test program to be operated for this disease.
The 1st screening will be carried by disclosing solution made of neutral red and persons possessing 7 or more than 7 sites of deposit will be indicated to receive thorough scaling which is necessary precaution for the 2nd screening of the gingival pocket. People who have 6 or lesser than 6 deposits and none of the pocket deeper than 3 mm will be screened out as they belong to the “intact group”. A “pockety group” will be receive general anti-inflammative treatment and some minor surgery for the elimination of the pocket by general practioners in dentistry and cases diagnosed need for more complicate treatment will be passed for the special treatment by periodontologists. The“recall group”, consisting of the people who have been eliminated the pocket and/or the deposit will be first fixed their proper scaling interval based on the activity test on the calculus formation. A very active depositor who needs a scaling for every 3 months will be recommended to use the calculus splint for the prevention. They will receive training of the proper tooth brushing for every individual under the aid of the disclosing depositous. Finding of gingival hemorrhage in this group will be regarded as either commensment or return of the pocket. At the Department of Preventive Dentistry, Tokyo Medical and Dental University, School of Dentistry, the scaling interval have been determined by The activity of calculus formationi; (ACF: Ca content of the deposit on the lower incisors during one month) as the following table.
A thin discus with the diameter of 3 mm fixed on the point of a gingival explore were deviced for the screening of the pocket which have been meassured at the medial proximal of every tooth. Phenolphthalin was applied for the detection of slightest blood in a gargled water.
It was estimated that a dental team composed by one general dentist, one dental hygienist, and one auxialiary may operate the above program for a population group of approximately 4000 workers at 1st year and 6000 at the successive year.
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