Abstract

Standardized dental examinations of schoolchildren were regularly carried out since 1964 in 16 rural communities of the Canton of Zurich. In 1964, there were no 14-year-old schoolchildren free from caries; in the Nineties about half of the 14-year-olds had a caries-free permanent dentition (DMFT = 0). From the year 1992 to 2000, the caries prevalence (DMFT) of 14-year-olds decreased once again, by 31%. The pit and fissure caries prevalence (DFS) of 12- and 14-year-olds decreased by 28% and 37%, respectively. In 2000, the mean DMFT-value of the 12- and 14-year-old schoolchildren was 0.90 and 1.27 respectively. In 1964, only few 7-year-old schoolchildren were caries-free; in the Nineties about half of the 7-year-olds had a primary dentition without caries. From the year 1992 to 2000, caries prevalence (dmft) in 7-, 8- and 9-year-olds increased by 64%, 22% and 31%. In 2000, the mean dmft-value of all 7-year-old schoolchildren was 2.45. The Swiss schoolchildren had 1.79 dmft; the schoolchildren from former Yugoslavia and from Albania had 6.89 dmft and those of other nations had 3.37 dmft. Possible reasons for the continuous caries decrease in the permanent dentition and the increase in the primary dentition are discussed. Additional measures in order to improve the situation in the primary dentition are proposed.

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