special population


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Preventive Dentistry
Third Year

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special population

  1. 1. ‫بسم ال الرحمن الرحيم‬ Prevention strategies for special populations PDS 332
  2. 2. Outline • • • • Overweight and obesity Diabetes and cardiovascular diseases Osteoporosis Dealing with elder patients
  3. 3. • 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.
  4. 4. • 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
  5. 5. 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
  6. 6. Diabetes and cardiovascular diseases • Interactions with obesity and periodontal diseases • Evidence-based dietary recommendations
  7. 7. 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
  8. 8. 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
  9. 9. • Access to care: – The timely use of personal health services to achieve the best possible health outcomes
  10. 10. Range of special populations
  11. 11. • 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.
  12. 12. – Prevention • • • • Mouthwashes: chlorhexidine, powered toothbrush. Prosthesis cleaning: immersion cleaner Saliva stimulants Periodic dental visits.
  13. 13. The physically challenged • What is disability? • Developmental disabilities • Practice recommendations