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special population



Preventive Dentistry

Preventive Dentistry
Third Year



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special population special population Presentation Transcript

  • ‫بسم ال الرحمن الرحيم‬ Prevention strategies for special populations PDS 332
  • Outline • • • • Overweight and obesity Diabetes and cardiovascular diseases Osteoporosis Dealing with elder patients
  • • The bidirectional relationship between oral health and general health: fundamental, based on common risk factor. • Health promotion is directed at the underlying determinants as well as the immediate causes of ill health – Immediate causes: Diet and smoking • Common risk factor approach model: focus on the common risk factor that has the greatest impact on health.
  • • What is a risk? – The probability associated with a unique condition of developing or experiencing a change in health status • How can you modify a risk factor? – Modifying one factor can have effect on others
  • Overweight and Obesity • One of major public health problems in the 21st century • 37% increase in medical expenses • Risk of chronic diseases and cancer: more in over weight. • Availability of community-based programs • Screening: examining individuals to determine those at high risk of developing a condition. a charge for all health care pro. • Practice recommendations
  • Diabetes and cardiovascular diseases • Interactions with obesity and periodontal diseases • Evidence-based dietary recommendations
  • Osteoporosis • What is it? – Systemic skeletal disease, low bone mass, micro- architectural deterioration of bone tissue, increase in fragility and susceptibility to fracture. • Bone mineral density (BMD): can be detected by panoramix • Its relationship with oral diseases: not conclusive but linked with: tooth loss, perio diseases, alveolar bone loss. • Practice recommendations
  • Risk indicators for osteoporosis • • • • • • • • Women aged 65 years or older Family history Cigarette smoker Early menopause Low body weight Physical inactivity Diseases associated with osteoporosis risk Use of medications associated with bone loss
  • • Access to care: – The timely use of personal health services to achieve the best possible health outcomes
  • Range of special populations
  • • Healthy elderly – Oral health • Caries: affected by medications, systemic conditions, lower SES, smoking. • Periodontal diseases: linked with hypertention, CVD, DM. risk are: osteoporosis, smoking, low salivary flow, depression. • Edentulism: caused by chronic infection of the teeth and supporting structures. • Xerostomia: can cause: Candida, caries, perio. saliva: buffer, lubricant, form bolus, enhance taste.
  • – Prevention • • • • Mouthwashes: chlorhexidine, powered toothbrush. Prosthesis cleaning: immersion cleaner Saliva stimulants Periodic dental visits.
  • The physically challenged • What is disability? • Developmental disabilities • Practice recommendations