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A NEW strategy with the focus of preventing dental problems among children is be introduced in Sheffield.
Dentists in the city, who are currently paid according to how much treatment they carry out, will be asked to sign a new contract that will encourage them to carry out more preventive work.
At present, fluoride is added to children's milk in 42 primary schools in the city. This will continue, and the local NHS is also planning to begin talks on the possibility of adding fluoride to water
1. Dental health status: The oral health status within the community, especially that of the children, must be determined properly. If the DMFT among the children is moderate to very high, then there is a clear indication for caries preventive programmes.
2. Other fluoride sources: The levels of fluoride in the drinking water of the community and whether fluoride tooth pastes are being used should be considered before fluoride dose to be delivered in the milk is estimated.
3. Urine analysis: When a decision has been taken to implement a milk fluoridation scheme, urinary fluoride monitoring procedure, now recognized as mandatory with respect to safety and compliance of the programme, must be made available.