DENTAL BLITZ: THE THREE WEEK
CAMPAIGN OF THE AACAP DENTAL TEAM
AT DOOMADGEE
AUSTRALIAN MILITARY MEDICAL ASSOCATION
JOINT H...
Army Aboriginal Community
Assistance Program
(AACAP 14)
DOOMADGEE
Gulf of Carpentaria
Doomadgee region
mid 2007
Camp White Rock
17th Construction Squadron
Infrastructure construction, training &
health promotion projects
E DENTAL PROBLEM - DECAY
• Many thousands of fillings and
“the dental enemy” = decay
resulting in pain and infection
• Periodontal disease
was a further result
of a lack of
The dental problem
pprox. six decayed teeth per person in
500 persons (364 schoolchildren)
hree to four week stay by Army ...
SOLUTIONS?
tions:
ND-AID SOLUTION? (fillings & extractions only
a few weeks)
NG TERM SOLUTIONS?:
rease the SIZE of the tea...
R reduce the scale of the problem by
ducing the problem of decay in future
with preventive health measures:
Targeted popul...
First: establish CREDIBILITY with the
ommunity to enable implementation of
these preventive health strategies
By providing...
Difficult teeth removal & specialist
consultations
~ Oral & Maxillofacial Surgeon
Rapport with children
~ hygienist for or...
deployment communication: establish the
port of permanent local health providers &
Community
E-DEPLOYMENT communication wi...
fter arrival, communication with female
ders and attending the local town council
eeting to outline and obtain community
p...
e ‘dental blitz’ team
JOR Catherine Prineas
entist
na Rodway ~ hygienist
l Webster ~ technician
nor Gray ~ assistant
PT Ba...
Dental facilities: 1. Government
dental clinic
2. Dental laboratory for making
dentures
3. Dental
hygiene &
oral surgery
clinic
First solution
Targeted population strategy of a
CHOOL BASED fluoride toothpaste
brush in” project
first phase of dental c...
Effectiveness of fluoride
othpaste school based program
Reduction in decay rate of up to 50 - 60%
“In fact, fluoride tooth...
ablish teacher and schoolchild enthusiasm &
pport by Colgate Oral Care donation of
RIGHT SMILES, BRIGHT FUTURES” oral heal...
RAL B donation of 16 school bag packs as
izes for classroom tooth drawing competitions
. preliminary school based oral hyg...
ractical education in solving the
decay problem using fluoride
toothpaste once per week
esources for school based oral hygiene
education
olgate Oral Care donation of 300
othbrushes, 300 fluoride toothpaste tube...
Donation of QLD Health Dept INDIGENOUS
oral health & nutrition education flip charts
sources for school based oral hygiene...
Small group learning
“Disclosing” or showing the plaque problem
with coloured disclosing solutions
Tooth brushing models for instruction
nvolving and tutoring the teaching staff
Printing and distribution of a USA University fluoride
oothpaste weekly school cl...
Education in dentally healthy eating habits
using indigenous nutrition flip charts
Long term solutions
going funding of project:
MY Donation of 7,200 TOOTHBRUSHES & 1,100
UORIDE TOOTHPASTES ($9,000 donatio...
More solutions
• 2. WATER FLUORIDATION
• Benefits both children and
ADULTS
• Decay reduction of approx.
50% in both adult ...
WATER FLUORIDATION
APPROACH
aison – with state fluoridation
oject officer ( for long term
mmunity support)
T water analysi...
ext targeted population strategy:
ose at significant risk of MORBIDITY &
EATH FROM DENTAL DISEASE
rheumatic heart disease ...
RHEUMATIC HEART DISEASE
reated dental disease can be
dly for rheumatic heart disease
ents
ER 50 PERSONS –YOUNG &
D – AT RI...
urther training & support for Qld Govt
visiting dentists to Doomadgee
providing practical training in specialised oral
ger...
e results of the AACAP ‘dental blitz’
by the end of 2007
QUEENSLAND DEPT OF HEALTH planners &
ngineers have visited Doomad...
SCHOOL PRINCIPAL AT DAJARRA
Birdsville track region) already instituted
fluoride toothpaste school program after
earning o...
Long term results: by 2010
ater fluoridation to commence next year for the
oomadgee community
ueensland Govt dental clinic...
est result ~ healthy, happy children
Discussion
CAP as a training exercise for dental teams for
manitarian work on overseas deployments
g. remote areas of Paci...
ushing the envelope”: reduce pain and suffering
curity issue = no Aust Army dental clinic for local
ilians possible
ale of...
ussion: Reducing dental disease in Afghanistan
sibilities:
othing
dequate civilian capacity is not available, military for...
MEMORIES OF AACAP 14
Sincere
anks to the
ental blitz’
am for their
mateship,
nthusiasm,
ard work &
cellent care
Questions?
Dental & maxillofacial task force
(DMTF) deployment
r training local Afghan army medics, dental
re for Australian soldiers...
Dental blitz  the three week campaign of the aacap dental team at doomadgee- reed
Dental blitz  the three week campaign of the aacap dental team at doomadgee- reed
Dental blitz  the three week campaign of the aacap dental team at doomadgee- reed
Upcoming SlideShare
Loading in …5
×

Dental blitz the three week campaign of the aacap dental team at doomadgee- reed

820
-1

Published on

Published in: Health & Medicine, Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
820
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Dental blitz the three week campaign of the aacap dental team at doomadgee- reed

  1. 1. DENTAL BLITZ: THE THREE WEEK CAMPAIGN OF THE AACAP DENTAL TEAM AT DOOMADGEE AUSTRALIAN MILITARY MEDICAL ASSOCATION JOINT HEALTH COMMAND SYMPOSIUM Oct 2010 BARRY REED Royal Australian Army Dental Corps Australian Army Reserve Oral & Maxillofacial Surgeon: ~ 1st Health Support Battalion Senior Specialist Oral & Maxillofacial Surgeon ~ John Hunter Hospital, Newcastle Lecturer (part-time) School of Medicine University of Newcastle, Australia This lecture reflects my personal professional opinion 1st HSB C.O: LTCOL L Sinclair
  2. 2. Army Aboriginal Community Assistance Program (AACAP 14) DOOMADGEE Gulf of Carpentaria
  3. 3. Doomadgee region mid 2007
  4. 4. Camp White Rock 17th Construction Squadron
  5. 5. Infrastructure construction, training & health promotion projects
  6. 6. E DENTAL PROBLEM - DECAY • Many thousands of fillings and “the dental enemy” = decay
  7. 7. resulting in pain and infection • Periodontal disease was a further result of a lack of
  8. 8. The dental problem pprox. six decayed teeth per person in 500 persons (364 schoolchildren) hree to four week stay by Army dental am overnment dentist visits – 3 days every 3 onths, no dentures provided
  9. 9. SOLUTIONS? tions: ND-AID SOLUTION? (fillings & extractions only a few weeks) NG TERM SOLUTIONS?: rease the SIZE of the team LENGTH of stay - BOTH not practical - OR
  10. 10. R reduce the scale of the problem by ducing the problem of decay in future with preventive health measures: Targeted population strategies (two) Whole population strategy dental campaign objective:
  11. 11. First: establish CREDIBILITY with the ommunity to enable implementation of these preventive health strategies By providing practical help: **RELIEF OF PAIN** **Dentures provided – Unique service - ~ Importance of deploying dental technician o AACAP dental campaign planning:
  12. 12. Difficult teeth removal & specialist consultations ~ Oral & Maxillofacial Surgeon Rapport with children ~ hygienist for oral health education at school ablish CREDIBILITY with the community to enable implementation of these preventive health strategies
  13. 13. deployment communication: establish the port of permanent local health providers & Community E-DEPLOYMENT communication with the visiting local ior govt dentist, school principal & hospital matron to n approval for our planned preventive health strategies olving the govt dentist to continue programs long term port the govt dentist by providing practical training in cialised oral surgery at Mt Isa Base Hospital on last day
  14. 14. fter arrival, communication with female ders and attending the local town council eeting to outline and obtain community pproval for dental plans ommunication: establish the support of permanent local health providers & Community
  15. 15. e ‘dental blitz’ team JOR Catherine Prineas entist na Rodway ~ hygienist l Webster ~ technician nor Gray ~ assistant PT Barry Reed ~ oral maxillofacial surgeon ier: one dentist tractions & fillings)
  16. 16. Dental facilities: 1. Government dental clinic
  17. 17. 2. Dental laboratory for making dentures
  18. 18. 3. Dental hygiene & oral surgery clinic
  19. 19. First solution Targeted population strategy of a CHOOL BASED fluoride toothpaste brush in” project first phase of dental campaign:
  20. 20. Effectiveness of fluoride othpaste school based program Reduction in decay rate of up to 50 - 60% “In fact, fluoride toothpastes may be more effective than fluoridated drinking water” from: Fluoride in Dentistry, 2nd edition, editors: O. Fejerskov, J. Ekstrand & B.Burt mportantly, fluoride toothpastes have an significant ADDITIVE effect in decay reduction
  21. 21. ablish teacher and schoolchild enthusiasm & pport by Colgate Oral Care donation of RIGHT SMILES, BRIGHT FUTURES” oral health ucation teacher kits for every school class . preliminary school based oral hygiene education
  22. 22. RAL B donation of 16 school bag packs as izes for classroom tooth drawing competitions . preliminary school based oral hygiene education
  23. 23. ractical education in solving the decay problem using fluoride toothpaste once per week
  24. 24. esources for school based oral hygiene education olgate Oral Care donation of 300 othbrushes, 300 fluoride toothpaste tubes tooth models for BRUSH-IN PROJECT
  25. 25. Donation of QLD Health Dept INDIGENOUS oral health & nutrition education flip charts sources for school based oral hygiene education
  26. 26. Small group learning
  27. 27. “Disclosing” or showing the plaque problem with coloured disclosing solutions
  28. 28. Tooth brushing models for instruction
  29. 29. nvolving and tutoring the teaching staff Printing and distribution of a USA University fluoride oothpaste weekly school class program supervised by eaching staff modified for the Australian situation
  30. 30. Education in dentally healthy eating habits using indigenous nutrition flip charts
  31. 31. Long term solutions going funding of project: MY Donation of 7,200 TOOTHBRUSHES & 1,100 UORIDE TOOTHPASTES ($9,000 donation) ure Aboriginal health funding grants and/or Qld vernment health funding
  32. 32. More solutions • 2. WATER FLUORIDATION • Benefits both children and ADULTS • Decay reduction of approx. 50% in both adult & child dentitions • Decay reduction of up to 70% in adult teeth • Root decay reduced by up to 40% in elderly second phase of dental campaign:
  33. 33. WATER FLUORIDATION APPROACH aison – with state fluoridation oject officer ( for long term mmunity support) T water analysis - Army rvey - community decay rate ucation campaign – produce stomised fluoride fact sheets eetings – with Community elders
  34. 34. ext targeted population strategy: ose at significant risk of MORBIDITY & EATH FROM DENTAL DISEASE rheumatic heart disease patients Another targeted solution third phase of dental campaign:
  35. 35. RHEUMATIC HEART DISEASE reated dental disease can be dly for rheumatic heart disease ents ER 50 PERSONS –YOUNG & D – AT RISK (monthly bicillin ctions) T OF A POPULATION OF PROX. 1500 NTIFY BY HOSPITAL RECORDS D HELPFUL STAFF MMUNITY WORKERS PROVIDED ANSPORT UCATE & TREAT ATTENDEES
  36. 36. urther training & support for Qld Govt visiting dentists to Doomadgee providing practical training in specialised oral gery by visiting Mt Isa Base Hospital for the t day: al surgery operations in the operating theatre h senior dental officer Dr Rachel Seadon orning) ining in oral medicine/pathology and oral fourth phase of dental campaign:
  37. 37. e results of the AACAP ‘dental blitz’ by the end of 2007 QUEENSLAND DEPT OF HEALTH planners & ngineers have visited Doomadgee community lders & leaders to PROGRESS WATER LUORIDATION PROJECT T ISA based GOVT SENIOR DENTIST lanning to REPLICATE AACAP school based uoride toothpaste brush in project at ORNINGTON ISLAND COMMUNITY later in
  38. 38. SCHOOL PRINCIPAL AT DAJARRA Birdsville track region) already instituted fluoride toothpaste school program after earning of army dental program at Doomadgee Paediatric dentistry university professors at Sydney University requested AACAP dental program information to consider promoting similar CIVILIAN DENTAL PROGRAMS in e results of the AACAP ‘dental blitz’ by the end of 2007
  39. 39. Long term results: by 2010 ater fluoridation to commence next year for the oomadgee community ueensland Govt dental clinic at Mt. Isa provides gular resupply of fluoride toothpastes and othbrushes to continue the Doomadgee school sed fluoride program eaching other communities: ornington Island community continues their hool based fluoride toothpaste program
  40. 40. est result ~ healthy, happy children
  41. 41. Discussion CAP as a training exercise for dental teams for manitarian work on overseas deployments g. remote areas of Pacific island nations olomons nviting remote area state govt civilian dentists he introductory ADF dental officer initial urse for the clinical components of the course Pushing the envelope” ~ dental disease in hanistan = pain and suffering
  42. 42. ushing the envelope”: reduce pain and suffering curity issue = no Aust Army dental clinic for local ilians possible ale of the problem: ere are only 3 dentists per 100,000 persons in ghanistan e tooth decay rate is very high being 3.4 decayed teeth r child 3 to 4 years old and decayed teeth per adult in 1991 scussion: Dental disease in Afghanistan
  43. 43. ussion: Reducing dental disease in Afghanistan sibilities: othing dequate civilian capacity is not available, military forces fill the (COIN Manual p.55) ep programs small. This makes them cheap, sustainable, low-key and tailored to local conditions” (COIN Manual p.300) ain the local Afghan soldier medics in simple pain relief dentistry g their soldiers as patients in a clinic within the base trade training re. (overcomes the security issue) d a Dental “DMTF” rotation to train Afghan medics, ate simple instruments) ese Army medics can then use acquired dental skills later in their an careers (“winning hearts and minds”)
  44. 44. MEMORIES OF AACAP 14
  45. 45. Sincere anks to the ental blitz’ am for their mateship, nthusiasm, ard work & cellent care
  46. 46. Questions?
  47. 47. Dental & maxillofacial task force (DMTF) deployment r training local Afghan army medics, dental re for Australian soldiers and trauma care ne dental team of four members: entist ~ three month rotation al & maxillofacial surgeon ~ spring & summer ghting’ seasons ~ six week rotation ental assistant/technician

×