Dental Disease; Impact and Treatment Richard Balmer

1. Dental Disease; Impact and Treatment.
Richard Balmer

2.  Impact of Dental Disease
 Management of Disease
 Examples of Dental Neglect

6.  Tooth Ache
 Infection
 Damage to permanent successor
 Early Loss – Crowding

7.  Tooth Ache
 Infection
 Damage to permanent successor
 Early Loss – Crowding

8. Shepherd et al 1999
 589 Eight-year-old children interviewed
 RESULTS
◦ 47.5% had previously had toothache
◦ 17.7 % had had dental pain which caused
crying
◦ 7.6% (45) had had pain in the previous 4
weeks

9. Shepherd et al 1999
Of those with recent pain:
 41.9% had visited the dentist as a result
 26.7% had stopped playing
 73.3% had been unable to eat
 31.4% had been unable to sleep
 11.1% had missed time at school

10.  Tooth Ache
 Infection
 Damage to permanent successor
 Early Loss – Crowding

12.  Tooth Ache
 Infection
 Damage to permanent successor
 Early Loss – Crowding

14.  Tooth Ache
 Infection
 Damage to permanent successor
 Early Loss – Crowding

20.  Prevent Disease.
 Treat Disease.
 Do it in a way that is acceptable to the child.

21. Prevent Disease

25.  Acclimatisation
 Desensitization
 Behaviour Shaping

26.  Positive Reinforcement
 Distraction
 Modelling

35.  Dental Disease both in primary and
permanent dentition can have significant
impact on immediate and long term health.
 Dental disease is preventable and treatable