วารสารทันตภูธร เล่ม4 ปี2553

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วารสารทันตภูธร เล่ม4 ปี2553

  1. 1. 2554 . .2563 . 10, , >> (1) .74 .74 >> (2) DMFT >> (3) , , , , , , >> (4) , , >> (5) >>(6) . ^^ ANC , WBC, , , , . .2563 ? . ( ) 083-4934543 ; nithimar_or@yahoo.com ☺ P1| - 2553
  2. 2. P39 2554 P40 P3 . 2554 P43 P4 . 2553 . P15 Jay-ac change the world : STILL LIFE P47 P16 . P48 ... : . P18 .. P50 : Fast food slow 5 B3 knowledge . P21 P52 . . . . P54 . P24 : . P56 : P26 : ... P58 " " P33 : P60 ( ) . . P34 : . P61 / / P35 P62 P37 Asian Chief Dental Officers Meeting 2010 2 . P63 : . 161/1 90000 074 - 326091 107 , 105 074 311386 www.ruraldent.org , http://ruraldent-magazine.blogspot.com 42/198 . 38 . . . . 11000 083 4934543ruralmax2007@ gmail.com : . : . , . , . , . . , . , . : . , . , . , . . , , . , , . , , . : . , . . , . , . . , . , . , . , . , . , . . , . , . , . . , 5 B3 P2| - 2553
  3. 3. . .2554 .P3| - 2553
  4. 4. 18-26 18 ( ) 19 6 1) 1Oral Health program in New Zealand, Dental Therapist& Dental Hygienist 2) Southern District Health Boards, 3) Oral Health program in New Dental Therapist& Dental Hygienist Zealand 4) SouthernSchool of Dentistry, University of Otago, District Health Boards 5) New Zealand New Zealand DentalDental council New Zealand Dental Therapists council 6) New ZealandAssociation 1 Dental Therapist& Dental Hygienist . . . Otago Dunedin Dental Therapist& Dental Hygienist P4| - 2553
  5. 5. Susan Kristen Clinical guidance Dental Therapist DentalHygienist Dental Therapists Dental Therapist Dental Nurse 2003 1921 Principal Dental Officer pal Dental Therapist District Health 1999 nurse Boards ( ) Diplomacourse 2002 Health Practitioners Dental Hygienist National Competence Assurance Act 2003 2004Certificate 1994 Diploma Dental Therapists & Dental Hygienist1997 Bachelor of Health Dental council (Sciences endorse in Dental Hygiene ( 3 ) 2002 Dental Council Dental Therapists, Dental Dental Therapists Hygienists, Clinical Dental Technicians Dentists) Dental council Dentoalveolar infiltration,Inferior dental nerve block Topical anesthetic Dental Therapists& Dental Hygienisttechnique, , , Pulpcapping Preventive Dentistry Cleansing, Polishing, Scaling, Fissure sealant Dental TherapistsFluoride applications, 6% Health Practitioners , Mouthguards, Competence Assurance Act 2003 , , 19 Radiography, Diagnostic y,radiography, Pulpotomy, Stainless steel crowns Adultcare Dental Hygienist Oral tissue P5| - 2553
  6. 6. Dental (Register) Dental CouncilTherapists& Dental Hygienist Dental therapy Dental Rosemary, Alison Kate Hygiene 2007 Recertification Health Promotion 2 Dental Council Therapist Hygienist Health Promotion (continuing education) HygieneTherapy 3 (Peer Contact Activity) 15:2 30:4 2 New Zealand New Zealand Good Oral Health for All, for Life Dental Therapist 4 1984 Health Practitioners Annual Practicing Competence Assurance Act 2003Certification & recertifiction Health Practitioners CompetenceAssurance Act 2003 2 (Over view of the NZ Health and Disability Support System) . , . . Wendy Edgar Manager Global 6.5 % 2001 10.2% 2011Health Office of the Director of Public Health 55 5 AucklandStrategy and System Performance Directorate ( (1.313 ), Christchurch (0.382 ), Wellington ) (0.381 ), Hamilton (0.197 ) Dunedin (0.114 ) ( )4.26 2008 P6| - 2553
  7. 7. ( 2007) 78.2 82.2 MOH DHB DHB 20 (Ministry of Health 11 4: MOH) ( ) / 7 ( , , Health Promotion, ) District Health Boards(DHBs) 20 28 DHBDepartment of Health1980 Ministry of Health (taxation revenue) (universal access) (Hospital Boards) Area Health Boards District Health Boards (DHB) P7| - 2553
  8. 8. (community and GDP 2.4 % 2 (individual needs-based) 3.8% 2009) WHO GDP 2009 5%) 78% 86% 13% 1% 16% , , (co-payment) GP DHBs 18 DHBs 6% , Accident Compensation Corporation 0-6 , ( 2009 13.4 ) primary care, rest NZ 20 % home care (3 NZ) 1 - 513,115 . . 268,676 . . - (2008) 63.3 4.26 - (2007) . 69.9 / .77.6 .76.2 / . 82.2 - : 50 : 50 87:22 - (2009) 178.0 308.2 - (2009) 11 % 20% - GDP (2009) 3.8 % 7.4 % - BCG 99.9 % 86 % DPT 98.7% 6 , elective surgery, , 86 % P8| - 2553
  9. 9. , 5 3 3(3-year-promise) 3 Oral Health program in New Zealand . , . . Oral Health The MOH Oral Health Team 7 5 - 2005 MOH Oral Health Team (dental District Health Board Boards hygienist)(DHB) DHB ( ) 5 20 2006 2 3 dental nurse dental therapist P9| - 2553
  10. 10. dental therapist 4. Build links with primary health care services dentalhygienist dental lift-the-liptherapist dental hygienist well child B 4 School check (family health centre) 5. Build the oral health workforce , , 6. Develop oral health policy (The Strategic Vision for Oral Health -in New Zealand) Vision : Good Oral Health for All , for life 7 Research, monitoring, and evaluation vision 7 1. Re-invest in child and adolescent oral health MOHservices unit District Health Boards (DHB) , 2. Reduce inequalities in oral health outcome Therapists ( 0-18 ) ,and access to services DHBs 2 Public 3. Promote oral health Funding Private Funding 2007/2008 1,095 NZ 16.7 1. Public Funding DHB P 10 | - 2553
  11. 11. 0-18 2. Private Funding 2 73.8 (Private dental insurance) (Out of Pocket payment) (Universal Coverage for accidents and injury) Accident Compensation Corporation 4 Southern District Health Board . , . . DHB 1980 District Health BoardMinistry of Health (Hospital Boards) 80% AreaHealth Boards District HealthBoards (DHB) DHB 20 ( . ) DHB 2006 DHB Oral Health Policy Good 20 Southern District Health Board DHB Oral Health for All , for life DHB Otago Region Southland Region 286,000 P 11 | - 2553
  12. 12. (fixed clinic)(portable equipment and mobile treatment units) Southern District Health Board Dental Therapist 6 85% (Scope of Practice) Dental Council 18 97% DHB 5 New Zealand Dental council . . . Professional Boards Dentist Board, Dental Hygiene Dental Therapy Board Dental Council Audit & Risk management committee (ARM) ADC/DCNZ Accreditation committee Dental Council, NewZealand (DCNZ) Secretariat DCNZ Dental council DCNZ Dentist & Dental specialist, Dental hygienists, Orthodontic Auxilliaries, DCNZ Dental Therapists, Dental technicians and Clinical Dental Dental Council Technicians Health Practitioners 2003 DCNZ code of Practice Code of Practice Agreement P 12 | - 2553
  13. 13. Code of Practice Agreement General Dental, Orthodontic Auxiliary, General Dental Therapy, DentalDental Specialists 12 , General Dental Hygiene, Technology, Clinical Dental Technology 2 New Zealand .2010 ( ) (%) ( %) Dentist and Specialist 1867 75 25 Dental Hygienists 371 100 Dental Therapist 682 100 Dental Technician 345 100 NZ Recertification (Medicalemergency certification) DCNZ DCNZ DCNZ / DCNZ Dental Council NZ Dental hygienists, Dental therapists, Orthodontic Auxiliaries, DentalTechnicians, Clinical Dental Technicians : New Zealand . Oral Health for All , for life 20 DHB New Zealand 1. 2005 2. New Zealand Good P 13 | - 2553
  14. 14. Dental Therapist & DentalHygienist MOH 2 3. NZ Health PractitionersCompetence Assurance Act 2003 3. Good Oral (scope of practice) scope Health for All , for life 90 Continuing 1 Re-invest in child and adolescent oral investEducation and Recertification health services ( 2-7) 4. scope of practice Dental Therapists& Dental Hygienist 4. 5. activity base ☺ 1. 2. NZ THANK YOU FOR YOUR ATTENTION P 14 | - 2553
  15. 15. Jay- Jay-acChange the world STILL LIFE ( ) . . . Jay-ac Jay Jay.ac@hotmail.com ☺ P 15 | - 2553
  16. 16. .: . ( 2553) 1 6 . 2000 . . . . . 2551 . P 16 | - 2553
  17. 17. 2554 . 74.2 ( 53.9) 46.1 ☺ P 17 | - 2553
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  20. 20. ? ... ? 197/102 mmHg ? . ... ☺ ( 5 B3 > . , . , . , . , . , . >> . . . ( ) P 20 | - 2553
  21. 21. . . ( ) www.toothfriendly.com 2 15 2553 (CTW) 22 . ( . . . ) R2R Mr.Happy-tooth . (Tooth .friendly) P 21 | - 2553
  22. 22. Health literacy . . Healthliteracy Health literacy P 22 | - 2553
  23. 23. Oral diseases as a . . .possible risk factors for pregnancy and infants in maternaland child health period Prof. Dr. Yoshinobu MakiTokyo Dental Collage .Severe Periodentitis 5.9 Stannousfluoride mutans streptococciSodium monofluorophosphate Sodiumfluoride Modified Goteborg 12 2 www.dentpublichealth.com . . . ☺ 2 . P 23 | - 2553
  24. 24. ‹  ( . ‹ prae001@gmail.com ) ‚ ‹ Œ ( ‹ ) ‚ ‹ Œ Œ Œ ‚ ‹ Œ ‹ 2 Œ ‹ ‹ (  Œ Œ Œ ‚ ( . ) .‹ ‹  ‹ ‹)‹ ‚ .  ‹ 2 ‚ š 4 ‚ ‹ ( - ‹ Œ 50 ) Œ‹ ‹ ‹ ‹ Œ Œ ‹ Œ Œ š ‹ Œ ‹ Œ ‹ ‹ . Œ ( ) . ‹ ‚( ) ‹ Œ ‹ ‹ Œ Œ Œ . Œ 6 ‹ ‹ Œ ‹ ‹  Œ Œ Œ ‹ Œ Œ ‹ “ Œ ” ‹ .Œ ‚ š Œ ‹ ‹ ‹ Œ Œ Œ ‹ ‡ Œ ‹ Œ Œ ‹ ‹ š ‹ defend ‹ ‹ Œ Œcomplete Œ š Œ ‹ š Œ Œ 232553 Œ Œ  ‹  Œ ‹  ‚2554 ‹ P 24 | - 2553
  25. 25. ‹ Œ JHCIS ./ .  Œ ‹ ˜ Œ Œ šJHCIS Œ Œ ‹ ‹‹ š Œ Œ ‹ Œ ‹ ˜ Œ Œ . ( ) Œ Œ Œ ‹ Œ , ., . Œ Œ Œ   ‹ Œ ‹ ‹ JHCIS Œ ‹ ‹ Œ 1-2 š series Œ ‹ ‹ ‹ Œ Œ Œ .Œ ‹ Œ ‹ ‹ Œ ‹ ‹ Œ ‹ ‚ 2554 ‹ Œ  ‹ ‹ ŒŒ ‹ ‹ 3 Œ ‹ 1) ‹ Œ ‚ 27 30  6 ‹ Œ 30 Œ 2) ‹ ‹ š 3 ‹ Œ ‹ 1) Œ ‹ 2) 3) Œ ‹ š ‹ 2 ‹ Œ Œ 13 . ‹ ( ‹ Œ  ) ŒŒ 1 3) P4P ‹  ˜ Œ‹ Œ ‹ ‚ Œ2554 ‹ ‹ Œ ˜ ‚ 2544 Œ Œ  Œ ‹ š  ‹ . Œ ‹ Œ ‹ Œ ‹ ‹ ☺ Œ š ( ‹ ‹ Œ ) ‹ P 25 | - 2553
  26. 26. “ ”… … Q: A: - 2550 . 4 . , . , . . “ ” Q: A: . . . :2541 .25502552 HealthCareCare Administration, NagoyaUniversity, Japan : 2541-2543 2543- . P 26 | - 2553
  27. 27. (www.sweetenough.in.th/index.php/ www.sweetenough.in.th/index.php/ downloads- downloads- sweet/finish/2/74/0 ) Q: A: 2553 18 12,271Q: A: . / 11 25 , ., P 27 | - 2553
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  35. 35. “ ” “ ” - “ ” “ ” “active person” “ ” “ ” “ ” ( , ) “ ” “ ” ( ) ( 3 ) “ ” “ ” “ ” !!! “ ” “ ” “ ” , “ ” “ ” nutrition “ ” “ ” “ ” “ ” “ ” “ ” “ ” “ ”nutrition P 35 | - 2553
  36. 36. . How-to“ ” “empowerment” empowerment “ ” net + work work work for them Co-operationwork with them “empowerment” “promote “ ”them” “ ” empowerment “ ” “ ” .....☺“Co-operation” “participation” “power-over” “power-with” P 36 | - 2553
  37. 37. Asian Chief Dental Officers Meeting 2010 2 3 1 2553 Putrajaya staffs . staffs - 2 staffs 10 Effective Asian Chief Dental OfficersMeeting 2010 2 6-8 2010 - Pullman Putrajaya Lakeside Hotel and ResortPutrajaya Putrajaya status . 3 . . Procter and Gamble powerInternational theme RegionalUpdates and Collaboration . P 37 | - 2553
  38. 38. 10 . 5 refer ( ) . ( ) 2 1) 2 1 2 2) update , ECC ( activities ( Asian Conference on Oral Health Prevention for School Children _ACOHPSC 6 7-9 2554 - ) ( ) Asian Academy on Preventive Dentistry 2555 .100% mass media . Guideline CD . effective ( ) ☺ P 38 | - 2553
  39. 39. 1 ....... “ 2554”. . ☺ ( ) 24 " " P 39 | - 2553
  40. 40. Œ ‹ www.oha-th.com13-15 2553 ( .) . . . "Implementation of oral health program in school for mentally challenged children : a case stud in southern Thailand" study Asia-Pasific CBR convention 2010 Kuala Lumpur , Malaysia Pasific . CBR Community Communi Based Rehabilitation theme Asia-Pasific CBR convention 2010 Kuala Lumpur , Malaysia R Asia-Pasific CBR convention 2010 R , , www.oha-th.com . P 40 | - 2553
  41. 41. 29 -1 2553 29 1 2553 ( 1 2 ) 14 30 29 2553 . , . , . . . - 43 2554 30 2553 1 2P 41 | - 2553
  42. 42. 1 2553 2 . / / / / / . 2 ( .) CDEC ( ) 43 2554 1. ( Home Health Care) 2. ( . ) .DOWNLOAD 2554 (PDF) www.oha-th.com P 42 | - 2553
  43. 43. 2553 . 1. 2553 -2. , 2 P 43 | - 2553
  44. 44. 3. , 90% 3 2 (poor oralhygiene) 100 %4. 3 feed back P 44 | - 2553
  45. 45. 5. complete case refer .6. 27. P 45 | - 2553
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  47. 47.  ^^  ‚ ‹ ‚ Œ !‹ !!! ‹ Œ ‹ ‹ ‚ Œ Œ ‹ ‹ Œ Œ‹Œ Œ ( Œ) ‚ Œ Œ ‹ !!!! 555555 ( . ‹ ŒŒ ‹ ^^) ‚ ‹ Œ ‹ Œ ‹ š ‚ ‹ ‹  Œ š Œ ‚ ‹ ‹ ‚ ‹  " " ‹  P 47 | - 2553
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  49. 49. - - . . 201 -- -- 4 1 2 6 3 4 9 53 3 --Dying Young-Dying so Young - 4-5 ... ---- -- -blueberry pine - ... . , 3 P 49 | - 2553
  50. 50. : Fast food slow knowledge 2 (fast knowledge) (slow knowledge) fast knowledge fast food3 fast knowledge 300 P 50 | - 2553
  51. 51. new media systemic slow thinking complex systemknowledge slow knowledge slow knowledge fast knowledge fast food slow knowledge fastknowledge fast food fast knowledge slow slow knowledge knowledge slow knowledge ☺ 9 P 51 | - 2553
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  55. 55. ? ? Case OK Case Case 2 ☺ HOTLINE 083-0339925 083-5689055 . 054 -771620 3131 P 55 | - 2553
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  61. 61. 2554 ΠΠ2554 4 53 . / . 500 @^^@ love u P 61 | - 2553
  62. 62. . ./ ./ ./ / ____________________________________________________ ________________________________________________________________________ _____________________________________________________ ___________ _____________________________ _______________ ____________ ( 7%)1. 0-5 6.422. 6-10 7.493. 8.56 ______________________ 1) “ ” 313 – 258671 – 8 ................................................. ............................................. ......... /........./......... =............................... 2) . ( ) . . 55000 083-0339925 , 054-771620 3131 Fax . 054 -710977 083-5689055 nui_95@hotmail.com , nui_95@yahoo.com P 62 | - 2553
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  64. 64. / . . 081-4781457,074-841634 Email : p-racha_dt@hotmail.com , ( )ruralmax2007@gmail.com , nithimar_or@yahoo.com 080-9075884 CONFIRM ☺ P 64 | - 2553

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