e-health: At what age should I consult a dentist? Then what is the pace of consultations?

Dr Toury:As soon as possible after the first appearance of teeth, if only to dramatize the consultation and it is less feared by the young child is, from two and a half years, three years.
The desirable rate of consultation varies with caries risk that this child, but at least once a year.

e-health: In the absence of monitoring dental, what are the risks?

Dr Toury:The risks are threefold:
1) The risks Dental:
- Destruction of the baby tooth or permanent tooth,
- Mortification with risk of local infection: dental abscess,
- Gingival inflammation.

2) The medical risks: infection remote dental origin, including upper air, pulmonary or cardiac (valvular).

3) The risk orthodontic.

3 e-health: What are the main reasons why the CPAM de Paris to set up the device Sourire Paris?

Dr Toury:Numerous studies show an increase in the achievement caries at age 9.
Too many children do not consult a surgeon dentist.
To keep teeth throughout life, see a regular dentist.
There is a Paris screening and oral health education conducted in schools, kindergarten average section, preparatory courses, the average 1st and 5th years of colleges, led by the CPAM de Paris and the Union French oral health (UFSBD).
This device, although effective, seemed to be filled by promotion of the consulting dentist proximity and facilitating the achievement of dental care, removing the financial barrier by a support 100%.

e-health: In practice, what is it?

Dr Toury:It consists of the assumption of 100% of the rate of conventional preventive consultations, X-rays and care (except orthodontics and prosthesis) for four consecutive years between 6 and 9 years.
The waiver of fees in advance is largely proposed by the practitioner to the neediest families.
Children between 6 and 9 years receive in January of each year the Paris pack Smile:

• Paris Smiles card giving access to the device,
  

• of stickers to identify the piece of paper when care is used,
  

• T envelopes to ensure prompt reimbursement to the surgeon or dentist to the insured.
  

A follow-up dental book is more given to each child during the first visit to his doctor.
Intended to accompany him throughout his growth, it must be included in the book identifies all medical and preventive care or treatment given to children.

e-health: Is it planned to extend throughout the territory?

Dr Toury:Not for the moment, in fact the device Sourire Paris should be rigorously evaluated to determine whether its generalization.
In addition, a decision to extend the national level falls within the competence of national authorities.
The law of social security funding for 2001 provided for the establishment of national measures for the oral health of young people.
Article L.2132-2-1 of the Code of Public Health establishes an oral examination for the prevention of free and compulsory, with enrollment in the health record book during the year following the 6th and the 12th anniversary. Dental care made in the months following the examination will be exempted from the advance costs.
To date, implementation decrees were not published.