This document discusses strategies for preventing periodontal disease as a public health problem in the UK. It argues that current approaches focus too much on downstream treatment rather than upstream prevention. It advocates for whole population prevention strategies like reducing risk factors through public health measures, health education and policy changes. These include integrating oral hygiene education into schools, using media campaigns, and making oral hygiene products more affordable. A combination of population-level interventions and some targeted high-risk approaches is recommended over just clinical treatment to more effectively address periodontal disease on a public health scale.
Presentation made by Patricial Bonwell on the 29th of August, 2014 at the live webinar hosted by AlzPossible: http://alzpossible.org/webinars-2/hands-on/oral-health-and-dementia/
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Presentation made by Patricial Bonwell on the 29th of August, 2014 at the live webinar hosted by AlzPossible: http://alzpossible.org/webinars-2/hands-on/oral-health-and-dementia/
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Dr. Eirini Georgiou from PerioExperts.
Periodontal disease refers to the periodontal tissues that surround, bind and support the teeth into their socket. These tissues are the gums, the jaw bone, the cementum of the root and the periodontal ligament. In healthy circumstances the gums are light pink, do not bleed and are firmly attached to the tooth, like a nice frame around a picture painting.
Periodontal disease can affect all people regardless age, but as age progresses the incidence of infection increases. It is estimated that in US 80% of people over 45 years old suffer from periodontal disease. Although periodontal disease is nowadays the main cause of tooth loss in adults, early diagnosis and preventive therapy, provide effective treatment.
Recently, periodontal disease is associated with the onset of cardiovascular problems, diabetes melitus, or premature birth and underweight babies, and morbid obesity. Therefore, the preservation and restoration of periodontal health is directly related to the conservation and restoration of general health.
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Caries risk assessment and management in infant, children and adolescent
Introduction
Definition
Changing Paradigms for Dealing with Dental Caries
Advantages
Caries Balance/Imbalance
Risk Indicators
Caries Risk Assessment Methods
Caries Questionnaire in combination with Clinical Observations
AAPD's Caries-risk Assessment Form
The Cariogram Model
Caries Assessment and Risk Evaluation (CARE) test
Caries management by risk assessment (CAMBRA)
Traffic Light Matrix (TLM).
Caries management protocol for infants and children
Conclusion
References
Prevention of tooth loss and dental pain for reducing the global burden of or...fdiworlddental
ORAL HEALTH FOR AN AGEING POPULATION FORUM
Prevention of tooth loss and dental pain for reducing the global burden of oral disease
Susan Hyde
FDI World Dental Congress 2016 Poznań
So what is public health dentistry, why is it important to be included in the dental curriculum. Its here in this presentation. Go through it to get a small tour into public health dentistry.
This Webinar provides an overview of common oral health barriers for people living with HIV/AIDS (PLWHA) and the importance of overcoming these barriers. It will also share some of the ways HRSA has helped link PLWHA to oral health care, including the SPNS Oral Health Initiative. Featured presenters include:
- Dr. Mahyar Mofidi; Branch Chief of the Division of Community HIV/AIDS Programs and Chief Dental Officer of the HRSA HIV/AIDS Bureau
- Jane Fox, MPH; Project Director of SPNS Oral Health Initiative Evaluation Center for HIV and Oral Health (ECHO), Boston University School of Public Health.
Abstract— Dental diseases are health problem of developing countries mainly because of the fact that in developing countries these diseases are given less importance. People also not much bothered about children's personal hygiene and dental diseases until it leads to toothache and disability. And at this time it may lead to complication and expensive treatment. So a community based study was conducted in rural area of Jaipur district to find out the association between dental diseases and personal hygiene. From schools of Amer tahsil of Jaipur district 1600 students were examined for dental diseases and interrogated and observed for personal hygiene. Association of personal hygiene with dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and Periodontitis was found out with chi-square test. It was revealed that Dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and peridontitis all are associated with personal hygiene. Dental carries increases as the personal hygiene worsen and likewise same was observed with Malocclusion but Dental Fluorosis was observed in inverse direction mean as the personal hygiene improves the chances to have Dental Fluorosis increases. Periodontal it was found significantly more when personal hygiene of child is either poor or good, when it is fair chances of having Periodontal diseases were significantly less.
Assess the Oral Hygiene Practices, Occurrence of Dental Caries and Gingivitis...ijtsrd
Background Dental caries continues to be a major health issue for worldwide population which decreases individual’s quality of life. In children dental caries and gingivitis are major health problem due to lack of preventive efforts and change in dietary requirement. According to WHO, oral health awareness among children can be promoted through schools by improving good knowledge, attitude and behavior related to oral health that will be helpful for prevention and control of dental diseases among children. Hence there is a necessity to find out oral hygiene practices and occurrence of dental caries among school age children. With this background, researcher make a plan to conduct a survey with the following objective. Objective To assess dental caries, gingivitis and oral hygiene practices among school age children in a selected community area. Methodology A quantitative approach with cross sectional descriptive design was used to assess dental caries, gingivitis and oral hygiene practices among children. 195 school going children residing in rural area of Doiwala block were selected by using convenience sampling technique. Data was collected by pretested questionnaire. Ethical permission was obtained from institutional ethical committee and informed consent was taken from study participants. Results The statistical finding shows that 184 94.36 mothers had not attend any education related to dental hygiene previously. Maximum mothers 97.95 have taught their child how to brush the teeth. It was surprising to note that 144 58.96 of children found to be suffering from dental caries. It was found that 38.79 of children were suffering with teeth pain. Very less 45 29.9 children had reported that they had visited dentist. There was significant association found between material use for remove food debris between the teeth’s and dental caries at p .001 . There was also significant association found between technique use for brushing teeth and dental caries p 0.003 . Conclusion The research findings showed that school age children give very less importance to oral hygiene. In this study we found greater need of health education and encouraging parents regarding children oral hygiene which can be beneficial to prevent dental caries among school going children. Mr. John Davidson | Ms. Mugdha Devi Sharan Sharma | Mr. Atul Kumar "Assess the Oral Hygiene Practices, Occurrence of Dental Caries and Gingivitis among School Age Children" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd32964.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/32964/assess-the-oral-hygiene-practices-occurrence-of-dental-caries-and-gingivitis-among-school-age-children/mr-john-davidson
1. Prevention Strategy of Periodontal
Disease as a Public Health
Problem in UK
“An ounce of prevention is worth a pound of
cure”
IBRAHIM BHAMJI
POST GRADUATE STUDENT MSC DENTAL PUBLIC HEALTH (2015 -2016)
2. Why do we fail in tackling
periodontal disease?
Focus on downstream approaches.
Inappropriate delivery of interventions.
Focus on treatment rather than prevention.
Lack of integration and isolation of the mouth from the rest of the
body.
Lack of community-based approaches.
3. Preventative strategies
Aim for prevention
If the overall aim of the dental public health strategy is focus on
individualistic approach then it wont be feasible strategy.
Whole population strategy and using upstream approach.
5. High risk vs whole-population
strategies
Two approaches for tackling periodontal disease: high risk or population
approaches.
“High-risk” approach: In which individuals at high risk of disease are
identified and targeted for preventive treatment. This is the most
natural and traditional way of dental professional use as a preventive
strategy. It relies on screening of individuals and providing an
intervention for those at high risk.
6. There is no strong evidence or study which can
recommend any clinical research to be implemented in a
clinical setting or population setting.
With this limitation highlighted, it needs to focus on
population strategy.
7. “Population” approach: In which population-wide changes in risk factors are made.
This addresses the determinants and lowers the mean level of risk factors by
shifting the whole population distribution to a favorable position.
For example, addressing the underlying cause plaque level and smoking
which reduces the risk and therefore produces a greater benefit.(rose
2008).
Rose G. (2008). Rose strategy for preventive medicine. Oxford, oxford university press.
8. Modified risk approach, the targeted population strategy can also be
used to direct action at particular high risk group within the population
but not individual.
To control periodontal condition a combined approach is needed.
9. Prevention in clinical practice
Health promotion for prevention of periodontal diseases progression.
To be effective it should be based on scientific and evident based.
Basic periodontal examination should be used routinely for assessing and
examine the periodontal health.
Oral health care professional should impart knowledge, skills and
demonstration of brushing for effective oral hygiene self practice.
10. Key health education messages to promote
periodontal health (Department of Health 2012)
Children under 7 years should be supervised with their brushing.
Using manual or powered tooth brushed.
Gentle pressure hold brush with pen grip
Use of of interdental cleaning aides.
Tooth brush size use a small head with a medium texture.
Replace tooth brush when bristles become excessively slayed.
Chlorhexidine is most effective chemical plaque suppressant.
Do not smoke.
Löe, H. (2000), Oral hygiene in the prevention of caries and periodontal disease. International Dental Journal, 50: 129–139. doi: 10.1111/j.1875-
595X.2000.tb00553.x
Department of Health (2012). Delivering better oral health an evidence based tool kit for prevention, 3rd edition, London, Department of Health.
11. Smoking cessation advice
It is a major etiological factor for periodontal disease and other chronic
condition.
If a patient is smoker should be given advice in regards to effect of
smoking on oral and general health.
Patient who wish should be refer to local NHS stop smoking service are
available and provide a evidence based support and treatment.
12. Public health approaches
Clinical preventive measure is not alone sufficient, public health
measures are essential elements in preventive strategy (Watt and
Peterson, 2012)
Watt,R.G and petersen, P.E. (2012). Periodontal health through public health --- the case for oral health
promotion. Periodontology 2000, 60, 147-155
13. Public health measures to reduce
periodontal disease
A community wide approach incorporating the principle of integration with
general health education, diversity of educational approaches, and community
participation.
Community leader education.
Mass media intervention.
Integrate oral hygiene into body cleanliness education in nurseries and
school.
Incorporate the importance and skills of oral hygiene into training of health,
education and social care professional.
Use fiscal policy to reduce cost of oral hygiene aids and toothpaste; remove VAT
at national level sell the products at cost price in NHS premises.
Dorri, M ., Sheiham , A., and watt , R.G (2009). Relationship between general hygiene behaviours and oral hygiene in Iranian adolscents.
Europe journal of oral sciences, 117, 407-12
Kay, L. and Locker, D (1996). Is dental health education effective? A systematic review of current evidence. Community dentistry and
epidemiology, 24, 231-5.
Watt,R.G. and Marinho, V. (2005). Does oral health promotion improved oral hygiene and gingival health? Periodontology 2000, 60,
147-55
14. Environmental change : Organizational policy; ensure oral hygiene is
placed on health promoting schools’ agendas structural change within
school provision and design of toilet facilities.
Comprehensive public health strategies to reduce smoking, epically
among low income groups.
Sheiham, A. and Netuveli, G. S. (2002), Periodontal diseases in Europe. Periodontology 2000, 29: 104–
121. doi: 10.1034/j.1600-0757.2002.290106.x
15. Conclusion
As a clinical approach alone is not sufficient to achieve a feasible
periodontal care modalities. So it is best to adopt upper stream
approach and public health approach in getting a success to
prevent a periodontal disease as a public health problem.
Improve a periodontal health of population
Smoking cessation in population.
16. Thank you for listening
“An ounce of prevention is worth a pound of cure”
Any questions?
Editor's Notes
Today I am going to tell you about preventive startegy of periodontal disease in UK. As before we start we preventive strtaegty let me go through some important issue which are reason for the failure of tackling periodontal disease.
Current concept of periodontal care
Care modalities and what is periodontal disease?
Upstream actions : legislative and fiscal policies building healthy public polic and creating supportive enviorments
No smoking policy in public spaces.
What is population approach? With am at promoting self care practices and in particular, effective oral hygiene practice need to reduce plaQue levels in the community and reduction in tobacco use.
Health promotion is enabling indiviual and communities to increase control over the determinants of health and thee by improve their their health. It is advocates through social and enviormant change to improve health based on
Building health public policies.
Creating supporttive enviorments.
Strnghtening community action
Developing personal skills
Re orientating health services toward prevention. There are some key messsages
Which can be benefical in delivery a message for beeter periodontal health.
Mouth cleaning is a part of personal hugiene and gromming behaviour, and therfore it has a strong social motivation rather than a purely healthy focus.
This education theory will be far more effectivein imparting knowledge
Proffesional education on influential professional groups such as health visitors, pharmacist, and teachers may be effective in deliverying a positive message to general public.
Marketing practices that promote high quality, low-cost oral hygiene product could be particuraly important in area of deprivation.
Frame work convention and tobacco control by who 2003.