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levelsofprevention-measures to prevent dental diseases
- 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 of Health “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
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- 12. ⚫Action taken priorto the onset of disease, which removes the possibility that a disease will ever occur.
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- 17. ⚫ Mental anguish ⚫Physical pain ⚫ Loss of productivity ⚫ Expensive ⚫ Less effective than primary prevention
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- 20. ⚫Defined as “the processof enablingpeople to increase control over, and to improve health”.
- 21. ⚫decreasing the susceptibilityof the host
- 22. Detection of thedisturbances at homeostatic and compensatory mechanism while biochemical, morphological and functional changes are still reversible.
- 23. ⚫ 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.
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- 25. Prevent the disease & abnormalities Combined effortsof practitioner, patient and community Optimum oral health Practice of dentistry and community health programs Louis P DiOrio. Clinical Preventive dentistry. Appleton – century – crofts.
- 27. C Primary prevention Secondary prevention Tertiary prevention Health promotion Specific protection Early diagnosis & treatment Disability limitation Rehabilitation Indiv Dietplanning Periodic visit to dental clinic Demand for preventive services Proper oral hygiene - Appropriate use of fluorides -Use of F dentifrices - Oral hygiene practice - Self - examinatio n & referral; - Regular check up by dentist Use of dental professional services omm DHE programme Promotion of research efforts -Community or school water fluoridation - School F mouth rinse program -School sealants program - Periodic screening -Provision of Dental services Provision of dental services Dent prof Patient Education & motivation Plaque control program -Topical fluoride application - F supplements -Pit & Fissure -Complete examinatio n - Treatment of - Root canal treatment - Extraction - Dentures - Implants
- 28. Prevention of periodontaldiseases Primary prevention Secondary prevention Tertiary prevention Health promotion Specific protection Early diagnosis treatment Disability limitation Rehabilitation Indivl Periodic visit to dental clinic Demand for preventive services - Oral hygiene practice -Self - examination & referral; - Use of dental services Use of dental professiona l services Use of dental professional services Comm DHE programme Promotion of research efforts Provision of oral hygiene aids - Supervised school brushing programme - Periodic screenin g - Provision of Dental services Provision of dental services Provision of dental services Dent prof Patient Education & motivatio n Plaque control progr am -Correction of tooth malalignment -Oral prophylaxis - Complete examination; scaling, curettage corrective, restorative, & occlusal services Deep curettage; Root planing; Splinting; Perio surgery; Selective extraction - Removable & fixed prostho -minor tooth movement
- 29. Prevention of oral cancer Primaryprevention Secondary prevention Tertiary prevention Health promotion Specific protection Early diagnosis and treatment Disability limitation Rehabilitation Indivl Periodic visit to dental clinic -Avoidance of known irritants -Self - examination & referral; Use of dental professional services Use of dental professional services Comm DHE programme Promotion of research efforts - Periodic screening & referral Provision of dental services Provision of dental services Dent prof Patient Education & motivation -Removal of known irritants in the oral cavity -Complete examination ; Biopsy; Oral cytology; -Complete -excision Chemo- therapy Radiatio n Surgery Maxi-facial & Prostho Plastic surgery
- 30. Prevention of malocclusion Primary prevention Secondary prevention Tertiary prevention Health promotion Specific protection Earlydiagnosis treatment Disability limitation Rehabilitation Indivl Periodic visits to dentist -Use of protective device -Habit control Use of dental professional services Use of dental professional services Use of dental professional services Comm -DHE Programme -Promotion of Protective coverings & protective guards -Mouth guard programmes -Safety measures for play Provision of dental services Provision of dental services Provision of dental services Dent prof Patient educatio n Caries control; Periodontitis control; Space maintainers prenatal care parent counseling Minor orthodontics Major orthodontics surgery Maxi-facial & Prostho Plastic surgery
- 32. ⚫ 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.