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  1. 1. welcome
  2. 2. Department of Paediatric Dentistry SCHOOL DENTAL HEALTH PROGRAMME
  3. 3. INTRODUCTION School Health – Branch of Community Health The Concept Birth – 19th Century by William Fisher, (A Dentist) Formation of School Dentists Society – 23rd July 1898 (London)
  4. 4. IN INDIA•1909 – Beginning in Baroda City•The Bhore committee (1946) reported non existence of schoolhealth services•1953 – Secondary education committee emphasized the need forschool nutrition programme•1960 – Government of India constituted a School HealthCommittee•January 1982 – Task force submitted its report (Only 14 stateshad done some progress)
  5. 5. Advantages of SchoolBased Programme•Availability of children•Less threatening•Central education on dental subject•Helping to provide total health care
  6. 6. Importance of School Dental Health Programme • Availability of children • Less threatening • economical & powerful means dental subject •AnCentral education on of raising community health •It is the most logical and practical place to implement large • Helping to provide total health care scale school dental health programme •5-16 years of age group comprises about 30% of total populationAdvantages of School Based Programme •Health patterns can be more modified and altered at this age •Environment is more conducive to learn and therefore dental health education and motivation shall be more effective
  7. 7. Objectives of School Health Programme•To evaluate the dental health status of students andschool staff.•To counsel students, parents & teachers regardingdental health status finding.•To educate & motivate children for the correction ofcorrectable defects.•To identify, educate and motivate the handicappedchildren.•To prevent & control diseases.•To provide emergency services. Jump to first page
  8. 8. Aims of School Dental Health Programme •Information about the relationship between dental health & general health, appearance & aesthetics •Encouraging strict observation of dental and oral care procedure and avail professional care and services regularly •Emphasis on the importance of balanced diet & harmful effect of bad oral habits •Complete provision of information regarding preventive and curative measures. Jump to first page
  9. 9. •Correlation of dental health activities with the overallschool health programme•Resources development to make preventive programme& dental health care available to all infants, children &youth•Stimulation & motivation of dental surgeons to providemaximum dental health care for the infants & children•Following “Tell show & Do” approach to teach “Homedental care” to children•Preparation of “orodental health” & “learn about yourteeth programme”
  10. 10. Three Phases in SDHP •Dental health instruction or guidance •Dental health servicesDental health treatment including preventiveprocedures
  11. 11. Dental Health Instruction Three Phases in SDHPA procedure to help children & parentsunderstand the nature & significance ofcondition revealed by dental inspectionand to solve dental health problem
  12. 12. Dental Health Service Programme Dental Health Instruction • A procedure to help children & parents •Periodic dental check up understand the nature & significance of •Keeping the various reports and periodical condition revealed by dental inspection statistical evaluation problem and to solve dental health •Reports to parents •Periodic follow up •Emergency care •Oral prophylaxis •Periodical evaluation
  13. 13. Primary parameters of school •Health history health inspection•Physical examination•Emotional appraisal•Vision screening•Screening for hearing disorders•Speeches appraisal•Dental health inspection•Growth height & weight records•Posture appraisal•Special procedure (chest radiograph tuberculin test)•Family history•Genetic disorders
  14. 14. Important elements of school dental health programme Improving school community relation Conducting dental inspections Conducting health educationImportant elements of school Performing specific programme Classroom based fluoride programmedental health programme School water fluoridation programme Tooth brushing programmes Nutrition as a part of school preventive dentistry programme sealants placement Science fair Referral for dental care – An important part of SDHP for places where it is not possible to provide all the required treatment and care Follow up of dental inspection
  15. 15. • Improving school community relation• Conducting dental inspections• Conducting health education• Performing specific programme Classroom based fluoride programme School water fluoridation programme Tooth brushing programmes Nutrition as a part of school preventive dentistry programme sealants placement Science fair
  16. 16. Referral for dental care – Animportant part of SDHP for placeswhere it is not possible to provide allthe required treatment and care
  18. 18. CHIEF SCHOOL DENTALHEALTH PROGRAMME FLUORIDATION •What fluoride and fluoridation are •How fluoride work to protect teeth from decay •Method of application •Safety, effectiveness and cost of each procedure •Who needs them •Recommended frequency of use and duration
  19. 19. SCHOOL WATER FLUORIDATION FLUORIDATION• Developed and tested in the US in the 1960’s.• The recommended concentration for school water fluoridation is 4-5 times the concentration • community fluoride recommended for W hat water. and fluoridation are• High concentration is due to part time exposure • How fluoride wor k toEFFECTIVENESS: protect teeth from 20- 30% caries reduction. decayDISADVANTAGE: Delayed and part time exposure.PRACTICALITY: • Methoda community does not Good, when of application have its central water supply • Safety, ef fectiveness and cost of each
  21. 21. FLUORIDE MOUTH RINSE PROGRAMME• Most popular school based fluoride regimen in the United Sates• .2% NaF is used• safe and effective• inexpensive• easy to learn and do• non dental personnel can supervise• well accepted by participants• little time required – 3 min daily• provide systemic and topical benefits• no waste materials• suitable for preschool childrenEFFECTIVENESS – 25% to 28% reduction in dental cariesPRACTICALLY – Fair because it is performed once a week
  22. 22. FLUORIDE VARNISHESPROGRAMME •Developed in Europe •It increase the fluoride concentration in saliva •Safe and professionally applied •Increase concentration of fluoride at the tooth structure EFFECTIVENESS – 7-75% reduction in dental caries PRACTICALITY – as practical as any operator applied fluoride treatments.
  24. 24. DENTAL SEALANTSPROGRAMME• Pit and sealant is needed to pr ovide near l y total caries pr evention• It must be perfor med by a dentist a dental hygienist or a dental assistance• Finland, w her e 85% of childr en have pit and fissur e sealants on the per manent molar sAll school childr en should be taught about –• W hat dental sealant ar e?• How they wor k to pr otect teeth fr om decay• W ho needs them and w hen?• Monitoring and r eapplication?EFFECTIVENESS – 51% to 67% r eduction in caries
  27. 27. FLUORIDE VARNISHES Developed in Europe Other programme It increase the fluoride concentration in saliva in school dental Safe and professionally applied Increase concentration of fluoride at the tooth structure healthEFFECTIVENESS – 7-75% reduction in dental cariesPRACTICALITY – as practical as any operator applied fluoride treatments.
  28. 28. • Texas statewide preventive dentistry programme – TATTLETOOTH 11- A new generation programme Developed – 1970’s by Texas education agency and the Texas department of health2. Tattle Tooth 11 – A new generation “Superbrush” preschool curriculum
  29. 29. 3. North Carolina State wide Dental public healthprogramme4. North Carolina’s Education Promotion imitativehighlighting sealants
  30. 30. 5. Crest’s first grade oral health educationprogramme developed by Procter & Gamble in1963. AIM – Children how to fight cavities6. ASKOV Dental demonstration (1949-57)checkups and demonstration to prevent dentalcaries7. New Zealand programme (Educational)for preschoolers8. School Health additional Referrals Programme(SHARP) motivation through home visit inPhiladelphia
  31. 31. In India : Bright Smile BrightFuture Program, developed by theColgate oral pharmaceuticals – Freedental screening treatment referralsand oral health education. A commitment to promote oral health Scholarship & grants Research and Training New initiatives
  32. 32. CONCLUSIONDental care to school children as•The community has a social responsibilityfor it children•If children maintaned in good dental health, it will be easy to maintain their dentalhealth in adult life
  33. 33. CONCLUSION REFERENCES•SOBEN PETER (2004) -Essentials of  Dental care to school children asprevention and community dentistry 2nd ed  The community has a social•GEORGE M. GLUCK & WARREN responsibility for it childrenM. MORGANSTEIN(2004) –  If children maintaned in good dentalCommunity dental health 5th edhttp;// to maintain health , it will be easy their dental health in adult lifehttp;//
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