Why Oral Health Intervention?• High prevalence of dental disease (Caries, Gum diseases)• Dentist: Population ratio• Pricing is very high and not standardized• Lack of awareness about importance of oral hygiene especially in rural areas
High Prevelance Of Dental Disease • Dental caries which may lead to life threatening condition. • Periodontal disease Gum disease is another major Oral health. When left untreated it leads to loss of teeth. • These two diseases were found in highest rate in rural areas
Dentist: Population ratio • The dentist to population ratio in India in 2004 was 1:10,000 in urban areas and 1:250,000 in rural areas • Presence of doctors skewed towards urban area.
Cost Of Treatment• Pricing is very high and not standardized.• Normally dental chair alone cost around 1,15,000.• More over the pricing of dental services has put it way beyond the reach of common man with dentists pointing to the capital intensive nature of the practice as the reason• Here we innovate in simple manner.
Dental Awareness Lack of awareness about Importance of oral hygiene especially in rural areas.
SughaVazhvu Oral health InterventionMainly based on… 1.Curative approach2.Preventive approach
Curative Approach •Providing good oral hygiene through our innovative dental set up available in RMHC. •Give oral health education
Oral Health Education• Dental plaque is the most important factor in the etiology and progression of prevalent forms of periodontal disease and dental caries• This can be is achieved through promoting oral health education.
Preventive Approach• School Based Screening• Provision of oral health education through a school based intervention to increase the awareness of importance of oral hygiene.
Oral Health Screening in Primary Care• Oral health screening in the primary care setting is important because primary care providers often have early access to children who are most at risk for poor oral health.
Components of Oral Screening• An oral health screening is comprised of three parts:• Reviewing oral health history;• Performing a physical examination of the child’s mouth; and• Referring for preventive dental care or assessment and treatment.
Oral Health Assessment• Dental Caries status & Treatment Need• Periodontal Disease status• Oral mucosal conditions• Dental Fluorosis status
Market Dental Chair • Body Contoured electrically operated multi programmable chair (Two Erasable, Zero & Gargle) right arm Rotatable for Easy access. • FARO(Italy) Operating Light with Intensity Control, Sensor (non touch) On/Off. • Chair Side Porcelain Spittoon. Vacuum Suction : High & Low Motorized • Chair Mount Unit Modular delivery system hanging Cords • Two Airoter Points – One HPS with Fibre Optic Light ultra push quick change twist free cord. • Supreme Micro motor 35000 rpm • Three way syringe – 2 nos. • X-Ray viewer • Monitor Mounting arm with all the Movement • Multi – Function foot control • Operating Stool
COMPARISONRMHC-DENTAL SET UP MARKET DENTAL CHAIR
Sughavazhvu Dental Chair-Design• Innovation in the design of dental chair.• It was designed in-house as an alternative to the expensive non-customizable dental chair currently available in the market.• An adjustable examination bed was converted into a dental examination bed.• A Light Emitting Diode (LED) fitted to an elevated stand on the side of the bed acted as the light source during examination and treatment procedures.
• A spitting bowl attached by the side of the bed has a direct connection to the drainage, which led to the hygienic disposal of by-products of scaling procedure.• Apart from the multi-functional utility of the dental bed, the entire set up cost Rs 50,000 less than dental chairs currently available in the market
On Launch date• 17 patients on the day of launch at the Alakkudi RMHC.• The patients examined on the dental bed were very comfortable and expressed satisfaction with the entire set up.• Among the 17 cases, one case of Gingivitis was advised scaling.• The remaining 16 cases had to be referred because of the advanced nature of the ailments.
Referred cases…• Dental caries in late stage.• Advanced gingivitis• Periodontitis cases were mostly in advanced stages requiring tooth extraction.• Dental fluorosis
Intervention launch- Success…• Most of the patients were accessing oral health service for the first time and were eager to hear about maintenance of oral hygiene and brushing techniques.