National strategy for prevention of oral diseases in children from 0 to 14 years old age in the Republic of Macedonia for the period 2008-2018.

Human principles and the fundamental values are the main principles stipulated in the Constitution of Republic of Macedonia. The Government of the Republic of Macedonia, within its program objectives, implementing the laws in the country, the international standards and the global health care as the worlds objective of the Constitution of WHO. According to the information received through the health monitoring system, as well as the results from target and selective studies, they have shown that the condition of oral health, especially the condition with the dental caries is serious health problem of all groups. The alarm was activated by the state of increase of the caries incidence, showing a value of DMFT=6.88 in children at 12 years of age, which is considered as a high value compared to the WHO recommendations for oral health (DMFT=3). The experience from the developed countries, as well as the knowledge based on scientific and professional evidence in RM, prove that this desease may be successfully prevented, eliminated and eradicated by conduction of primary preventive measures. The program objectives of the National Strategy for prevention of oral deseases are shared in shorth term, medium term and long term objectives, which aim is eradication of the caries. The Strategy include a prevention of periodontal desease and orthodontic anomalies. The prevention of the caries will be performed by using a five preventive measures: 1. mechanical and chemical control of the dental plaque 2. Discipline of sugar take regime 3. Application of fluorides (systemic and topic) 4. sealing fissures and cavities 5. Education and motivation for sustainnability of oral health. In the frame of the Strategy, we planed a dental dispensarisation of children through registering data in the patients file, as propose by WHO, and arrangement of preventive teams and professional assistance of paediatrics and gynecologists. The evaluation of the effects from the preventive program shall be performed two years from the initiation of the program implementation and the follow-up evaluations shall be performed every year, on the representative sample from the group of children at 6, 8 and 12 years of age covered with the program. The statistical data processing shall be presented at professional and scientific forums and published in the annual report of WHO.