{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T23:38:13Z","timestamp":1762558693955,"version":"build-2065373602"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Dank effektiver Pr\u00e4ventionsstrategien ist bei Kindern und Jugendlichen ein\n                    starker Kariesr\u00fcckgang erkennbar. Allerdings f\u00e4llt diese Verbesserung der\n                    Zahngesundheit im Milchgebiss deutlich geringer aus, was zeigt, dass hier noch\n                    Handlungsbedarf besteht. Eine Studie der Deutschen Arbeitsgemeinschaft f\u00fcr\n                    Jugendzahnpflege f\u00fcr das Schuljahr 2015\/2016 kommt zu dem Ergebnis, dass fast 14\n                    Prozent der 3-j\u00e4hrigen Kinder in Kindertagesst\u00e4tten bereits von Karies betroffen\n                    sind. Ein fr\u00fcherer Beginn von Prophylaxema\u00dfnahmen ist daher das Gebot der\n                    Stunde. Dementsprechend erg\u00e4nzte die Deutsche Arbeitsgemeinschaft f\u00fcr\n                    Jugendzahnpflege 2016 ihre urspr\u00fcnglichen Empfehlungen aus dem Jahr 2012 um\n                    zentrale Inhalte der Gruppenprophylaxe f\u00fcr unter 3-j\u00e4hrige Kinder. 2019 wurden\n                    Fr\u00fcherkennungsuntersuchungen in das Leistungsverzeichnis der GKV aufgenommen.\n                    Der Gesetzgeber begr\u00fcndete diese Einf\u00fchrung auch damit, dass in dieser\n                    Altersgruppe eine relevante Zahl an Kindern keine Impulse der Gruppenprophylaxe\n                    erh\u00e4lt\". Das Prophylaxeprogramm \u201eAktion M\u00e4usez\u00e4hnchen\u201c kann helfen, diese\n                    L\u00fccke zu schlie\u00dfen. Das Programm f\u00f6rdert nicht nur die Gruppenprophylaxe in der\n                    Altersgruppe der unter 3-J\u00e4hrigen, sondern unterst\u00fctzt bereits in den\n                    Kindertagesst\u00e4tten durchgef\u00fchrten Gruppenprophylaxeprogramme f\u00fcr Kinder \u00fcber 3\n                    Jahre, bspw. das Programm \u201eKita mit Biss\u201c. \u00c4hnlich einer Open-Source-Software\n                    stellt das Pr\u00e4ventionsprogramm eine Basis dar, die sich individuell nach den\n                    Gegebenheiten vor Ort anpassen, ver\u00e4ndern und\/oder erweitern l\u00e4sst. Das System\n                    der Basis- und Wahlbausteine f\u00f6rdert die Akzeptanz bei den Einrichtungen und\n                    damit den leichteren Einstieg in das Pr\u00e4ventionsprogramm. Zwar soll das\n                    Pr\u00e4ventionsprogramm dazu beitragen die fr\u00fchkindliche Karies zu reduzieren,\n                    dennoch war es dem Projektteam wichtig, ein Programm zu entwickeln, das\n                    deutschlandweit ohne gr\u00f6\u00dferen Aufwand auf andere Arbeitsgemeinschaften bzw.\n                    Arbeitskreise f\u00fcr Zahngesundheit \u00fcbertragen werden kann. Ideal w\u00e4re es, wenn die\n                    teilnehmenden Arbeitsgemeinschaften bzw. Arbeitskreise ihre zus\u00e4tzlich\n                    entwickelten Materialien, aber auch Ideen, Erfahrungen und Vorschl\u00e4ge in einen\n                    Sammelpool einbringen, damit diese Materialien und dieser Schatz an Erfahrungen\n                    allen Teilnehmenden zur Verf\u00fcgung stehen. Technisch ist dies schon jetzt durch\n                    die im Rahmen des Projekts erstellte Internetseite m\u00f6glich.<\/jats:p>","DOI":"10.1055\/a-2661-8233","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T23:13:02Z","timestamp":1758150782000},"page":"656-661","source":"Crossref","is-referenced-by-count":0,"title":["\u201eAktion M\u00e4usez\u00e4hnchen\u201c: Gruppenprophylaxe f\u00fcr 0\u20133-J\u00e4hrige \u2013 ein\n                    Modellprojekt"],"prefix":"10.1055","volume":"87","author":[{"given":"Uwe","family":"Niekusch","sequence":"additional","affiliation":[{"name":"Gesundheitsamt \u2013 Zahn\u00e4rztlicher Dienst, Landratsamt Rhein-Neckar-Kreis,\n                    Heidelberg, Germany"},{"name":"Arbeitsgemeinschaft Zahngesundheit f\u00fcr die Stadt Heidelberg und den\n                    Rhein-Neckar-Kreis, Landratsamt Rhein-Neckar-Kreis, Heidelberg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul-Razak","family":"Bissar","sequence":"additional","affiliation":[{"name":"Gesundheitsamt \u2013 Zahn\u00e4rztlicher Dienst, Landratsamt Rhein-Neckar-Kreis,\n                    Heidelberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sibylle","family":"Wilczek","sequence":"additional","affiliation":[{"name":"Arbeitsgemeinschaft Zahngesundheit f\u00fcr die Stadt Heidelberg und den\n                    Rhein-Neckar-Kreis, Landratsamt Rhein-Neckar-Kreis, Heidelberg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1922\/CDH_4016Calado05","article-title":"Caries prevalence and treatment needs in young people in Portugal: the third\n                    national study","volume":"34","author":"R Calado","year":"2017","journal-title":"Community Dent Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1111\/j.1365-263X.2007.00874.x","article-title":"Caries prevalence and distribution in individuals aged 3\u201320 years in J\u00f6nk\u00f6ping,\n                    Sweden, over a 30-year period (1973\u20132003)","volume":"18","author":"A Hugoson","year":"2008","journal-title":"Int J Paediatr Dent"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/bf03262797","article-title":"Oral health in young individuals with foreign and Swedish backgrounds \u2013 a\n                    ten-year perspective","volume":"12","author":"B Jacobsson","year":"2011","journal-title":"Eur Arch Paediatr Dent"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1055\/s-2007-970149","article-title":"[Dental health in German and Turkish school children \u2013 a 10-year\n                    comparison]","volume":"69","author":"R Heinrich-Weltzien","year":"2007","journal-title":"Gesundheitswesen"},{"key":"ref5","first-page":"138","article-title":"Caries prevalence in 12-year-old children from Germany: results of the 2009\n                    national survey","volume":"30","author":"K Pieper","year":"2013","journal-title":"Community Dent Health"},{"key":"ref6","first-page":"1084","article-title":"Changes in dental caries in Zurich school-children over a period of 45\n                    years","volume":"120","author":"M Steiner","year":"2010","journal-title":"Schweiz Monatsschr Zahnmed"},{"key":"ref7","first-page":"70","article-title":"Milchzahnkaries bei 3-6j\u00e4hrigen Kindern im Landkreis Steinburg","volume":"30","author":"A Baden","year":"2008","journal-title":"Oralprophylaxe & Kinderzahnheilkunde"},{"key":"ref8","first-page":"199","article-title":"Preschoolers\u2019 dental caries experience and its trend over 20 years in a\n                    North-East Italian Health District","volume":"8","author":"R Ferro","year":"2007","journal-title":"Eur J Paediatr Dent"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1055\/s-0035-1548933","article-title":"The Common Risk Factor Approach \u2013 Ein integrierter bev\u00f6lkerungsbezogener und\n                    evidenzbasierter Ansatz zum Ausgleich sozialer Ungleichheiten in der\n                    Mundgesundheit","volume":"78","author":"A Heilmann","year":"2016","journal-title":"Gesundheitswesen"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1922\/CDH_4085Jones06","article-title":"The caries experience of 5 year-old children in Scotland in 2013-2014, and in\n                    England and Wales in 2014\u20132015. 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