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Levels of prevention
This document discusses dental prevention. It defines prevention and describes its history from the 20th century onward, including the identification of oral diseases and establishment of fluoride's anticaries effects. The principles of prevention are described as primary, secondary, and tertiary. Types of prevention interventions are outlined for dental caries, periodontal disease, oral cancer, and malocclusion. The conclusion emphasizes that combined efforts of dental professionals, patients, and communities can achieve optimal oral health through prevention practices and community health programs.
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Levels of prevention
- 1. Dr. Shivashankar.K 1st yearPost Graduate.. Department of Public Health Dentistry
- 2. Definition Historyof prevention Principles of prevention Types of prevention Intervention Types of intervention Prevention of dental caries Prevention of periodontal diseases Prevention of oral cancer Prevention of mal occlusion Conclusion References
- 3. WHO definition ofHealth “ Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity and the ability to lead a socially and economically productive life.” Disease: A condition in which body’s health is impaired, a departure from a state of health, an alteration of the human body interrupting the performance of vital functions.
- 4. Prevention- Efforts whichare made to maintain normal development, physiologic function & to prevent disease of the mouth & adjacent parts - Blackberry
- 5. Intervention Any attempt tointervene or interrupt the usual sequence in the development of disease in man.
- 7. Twentieth century etiologic factors of most oro-dental disease were identified emergence of prevention oriented science In the first three decades Great emphasis was placed on oral hygiene Dental hygienist courses were started In the fourth and fifth decade Anti-carious effect of fluorides was established Water fluoridation and topical fluoridation started
- 8. In thesixth and seventh decade water fluoridation was started in many more cities Fluoride toothpastes, mouthwashes, rinses, gels & varnishes became popular Pit and fissure sealants Fluorides along with proper oral hygiene practice has shown decline in dental caries in some advanced countries.
- 9. Control ofdisease Patient education & motivation Development of host resistance Restoration of function Maintenance of oral health
- 10. Primary prevention Secondary prevention Tertiary prevention
- 11. Diagnosed disease Undiagnosed or wrongly diagnoseddisease Diagnosed disease Undiagnosed or wrongly diagnosed disease
- 12. Action takenprior to the onset of disease, which removes the possibility that a disease will ever occur.
- 15.
- 16. Psychological. Economic Functional Esthetic Social
- 17. Terminate disease Restore tissues
- 18. Mental anguish Physical pain Loss of productivity Expensive Less effective than primary prevention
- 19.
- 21. Defined as“ the process of enabling people to increase control over, and to improve health”.
- 22. decreasing thesusceptibility of the host
- 23. Detection of thedisturbances at homeostatic and compensatory mechanism while biochemical, morphological and functional changes are still reversible.
- 24. Pathogenesis phase Impairment handicap Restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being.
- 25.
- 26. Prevent the disease &abnormalities Combined efforts of practitioner, patient and community Optimum oral health Practice of dentistry and community health programs Louis P DiOrio. Clinical Preventive dentistry. Appleton – century – crofts.
- 28. - Appropriate useof fluorides -Use of F dentifrices - Oral hygiene practice -Community or school water fluoridation - School F mouth rinse program -School sealants program - Topical fluoride application - F supplements - Pit & Fissure sealants - Self - examination & referral; - Regular check up by dentist Use of dental professional services - Complete examination - Treatment of initial lesions; -Smpl restorative dentistry - Root canal treatment - Extraction Health promotion Specific protection Early diagnosis & treatment Disability limitation Rehabilitation Indiv Comm Dent prof Primary prevention Secondary prevention Tertiary prevention Diet planning Periodic visit to dental clinic Demand for preventive services Proper oral hygiene DHE programme Promotion of research efforts Patient Education & motivation Plaque control program Diet counseling Caries activity tests - Dentures - Implants - Periodic screening - Provision of Dental services Provision of dental services
- 29. - Oral hygiene practice -Supervised school brushing programme -Correction of tooth malalignment -Oral prophylaxis -Self - examination & referral; - Use of dental services Use of dental professional services Use of dental professional services - Complete examination; scaling, curettage corrective, restorative, & occlusal services Deep curettage; Root planing; Splinting; Perio surgery; Selective extraction Health promotion Specific protection Early diagnosis treatment Disability limitation Rehabilitation Indivl Comm Dent prof Primary prevention Secondary prevention Tertiary prevention Prevention of periodontal diseases Periodic visit to dental clinic Demand for preventive services DHE programme Promotion of research efforts Provision of oral hygiene aids Patient Education & motivation Plaque control program Recall reinforcement. -Removable & fixed prostho -minor tooth movement - Periodic screening - Provision of Dental services Provision of dental services Provision of dental services
- 30. -Avoidance of known irritants -Removalof known irritants in the oral cavity -Self - examination & referral; Use of dental professional services Use of dental professional services -Complete examination ; Biopsy; Oral cytology; -Complete -excision Chemo- therapy Radiation Surgery Health promotion Specific protection Early diagnosis and treatment Disability limitation Rehabilitation Indivl Comm Dent prof Primary prevention Secondary prevention Tertiary prevention Prevention of oral cancer Periodic visit to dental clinic DHE programme Promotion of research efforts Patient Education & motivation - Periodic screening & referral Provision of dental services Provision of dental services Maxi-facial & Prostho Plastic surgery
- 31. -Use of protective device -Habitcontrol -Mouth guard programmes -Safety measures for play Caries control; Periodontitis control; Space maintainers prenatal care parent counseling Use of dental professional services Use of dental professional services Use of dental professional services Minor orthodontics Major orthodontics surgery Health promotion Specific protection Early diagnosis treatment Disability limitation Rehabilitation Indivl Comm Dent prof Primary prevention Secondary prevention Tertiary prevention Prevention of malocclusion Periodic visits to dentist -DHE Programme -Promotion of Protective coverings & protective guards Patient education Maxi-facial & Prostho Plastic surgery Provision of dental services Provision of dental services Provision of dental services
- 33. K. Park,Park’s textbook of preventive and social medicine, park, 19th edition. Jong’s community dental health. George M Gluck & Warren M Morganstein. Fifth edition Joseph John. Textbook of preventive and community dentistry. Second edition. Louis P DiOrio. Clinical Preventive dentistry. Appleton – century – crofts. Richard. E. Stallard. A textbook of Preventive Dentistry. 2nd edition 1982. WB. Saunders Company, Philadelphia. Norman.O.Harris. Primary preventive dentistry.