However, Jaafar cited the work of Holloway ( è Ö ã) and Hunter ( á ) as demonstrating the need to refocus the work of dental nurses on prevention as had recently been done in New Zealand. He indicated that Malaysia had already embarked on a refocusing of its School Dental Service on prevention, with emphasis being given to oral health education and tooth-brushing. Water uoridation had begun in Malaysia in the 1960s. By 1994, 132 out of 200 (66 percent) water treatment plants were uoridating the water. However, he cited evidence that only 56 (42 percent) were maintaining a satisfactory level of uoride in the water for more than 10 months per year. He indicated that absent a change
in orientation from treatment to prevention, the long-term impact of the work
of dental nurses was not great. Among his recommendations were: ì1) Limiting early restorative intervention; 2) Using ssure sealants judiciously to control cost- e ectiveness; 3) Modifying cavity design with the aim of preserving as much tooth structure as possible; 4) Limiting repair and re ll of slightly imperfect restorations; ) Encouraging development of public policies to control sugar abuse.î