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  1. 1. ORAL HEALTH EDUCATION: HOW CAN WE HELP AS NURSES Andrew Brewer Chair, WFH Dental Committee
  2. 2. IDEAL SITUATION <ul><li>Dental team is an integral part of the comprehensive care unit. </li></ul><ul><ul><li>Dental surgeon </li></ul></ul><ul><ul><li>Dental nurse </li></ul></ul><ul><ul><li>Dental hygienist (therapist) </li></ul></ul><ul><ul><li>Access to specialist services </li></ul></ul><ul><ul><ul><li>Oral surgeon </li></ul></ul></ul><ul><ul><ul><li>Orthodontist </li></ul></ul></ul>
  3. 3. GOOD ORAL HEALTH <ul><li>Prevents periodontal disease </li></ul><ul><li>Reduces dental caries </li></ul><ul><li>Poor Oral health has been related to: </li></ul><ul><ul><li>Septic arthritis </li></ul></ul><ul><ul><li>Coronary artery disease </li></ul></ul>
  4. 4. IMPROVE ORAL HEALTH <ul><li>Diet </li></ul><ul><li>Tooth brushing </li></ul><ul><li>Fluoride </li></ul><ul><li>Dental examinations </li></ul>
  5. 5. Poor oral hygiene
  6. 6. Plaque develops Poor oral hygiene
  7. 9. Plaque develops Poor oral hygiene Bleeding gums
  8. 12. Plaque develops Poor oral hygiene Bleeding gums Stop toothbrushing
  9. 13. Plaque develops Bleeding Increases + Caries Poor oral hygiene Bleeding gums Stop toothbrushing
  10. 15. Tooth brushing Antibiotics +/- antibacterial mouthwash Plaque develops Bleeding increases Poor oral hygiene Bleeding gums Stop toothbrushing
  11. 19. PATIENT GROUPS <ul><li>SEVERE & MODERATE </li></ul><ul><li>All treatment in the hospital except for prosthodontics. </li></ul><ul><li>MILD & CARRIERS </li></ul><ul><li>Treatment shared with GDP. </li></ul><ul><li>Patient reviewed at the hospital every 2 years. </li></ul>
  12. 20. LOCAL ANAESTHETIC IN HAEMOPHILIA <ul><li>No Problem </li></ul><ul><li>Buccal Infiltration </li></ul><ul><li>Mental nerve block </li></ul><ul><li>Care Required </li></ul><ul><li>Inferior alveolar nerve block </li></ul><ul><li>Lingual infiltration </li></ul><ul><li>Posterior superior alveolar nerve block </li></ul>
  13. 21. Bleed following inferior alveolar nerve block
  14. 22. <ul><li>Andrew Brewer </li></ul><ul><li>Oral Surgery Department </li></ul><ul><li>The Royal Infirmary </li></ul><ul><li>Glasgow </li></ul><ul><li>G31 2ER </li></ul><ul><li>Email: [email_address] </li></ul>

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