Prevention is defined as “Actions directed to preventing illness and promoting health to reduce the need for secondary or tertiary health care. GOALS OF PREVENTION 1. To promote health 2. To preserve health 3. To restore health when it is impaired 4. To minimize suffering and distress LEVELS OF PREVENTION 1) Primordial Prevention 2) Primary Prevention 3) Secondary Prevention 4) Tertiary Prevention 5 modes of intervention Health promotion Specific protection Early Diagnosis and treatment Disability limitation Rehabilitation Recent advances in Caries Prevention 2 approaches 1. Measures to prevent demineralization 2. Measures to promote remineralization a. Newer remineralizing agents b. Ozone therapy c. Recent advances in fluoride 1. Measures to prevent Demineralization a. Newer chemoprophylactic agents – mineral binding micellar drug delivery system b. Anti microbial peptides (AMPs) c. Probiotics d. Replacement therapy - S. mutans strain BCS3-L1 is a genetically modified effector strain – to prevent dental caries e. Bacteriophage therapy f. Photodynamic therapy g. Sugar substitute - stevia h. Immunizations 2) Measures to prevent Remineralization a. Newer remineralizing agents CPP-ACP TCP (Tricalcium phosphate) Pronamel Novamin Enamelon DCPD (Dicalcium phosphate dihydrate) IER (Ion exchange resins) b) Ozone therapy c) Recent advances in fluoride Fluoride glass device Copolymer membrane device Fluoride releasing pellets DCPA Nano composite Specialized phosphonate Hydroxyapatite- Eudragit RS 100 Diffusion controlled “F” system Synergistic effect of fluoride and laser Newer topical fluoride- amine fluoride and stannous hexafluorozirconate Recent advances in Periodontal Disease Prevention 1. Microscopic identification 2. Cultures 3. Enzymatic assay – 2 tests- BANA test and perio-check test 4. Immuno assay 5. Polymerase chain reaction 6. Biosensors – Perio 2000 – measures sulfur levels 7. Genetic analyses 8. Regenerative treatment 9. Photodynamic therapy 10. Enamel matrix derivatives 11. Bisphosphonates 12. Local antimicrobial delivery systems Metronidazole in ointment form (Elyzol) Chlorhexidine as Periochip Doxycycline in fibre form (Actisite) Polymeric delivery system (Atridox) 13. Inhibition of matrix degradation - Periostat Recent advances in Oral Cancer Prevention 1. Green tea – bunopyrene - decreased 2. Vitamin A, C, E and minerals such as Fe, Zn, Cu, Se, Mn have preventive effects. 3. L1 DNA Vaccine- prevent Papilloma associated oral cancer. 4. Tretinoin biofilm

1. By
Dr. Lasya

2. Levels of Prevention for Dental Caries

3. Primary Prevention

5. Secondary Prevention

6. Tertiary Prevention

8. Levels of Prevention for Periodontal Disease

9. Primary Prevention

10. Secondary Prevention

11. Tertiary Prevention

12. Prevention of Oral cancer

13. Primary Prevention

14. Secondary Prevention

15. Tertiary Prevention

16. Recent advances in Caries Prevention
2 approaches
1. Measures to prevent demineralization
2. Measures to promote remineralization
 Newer remineralizing agents
 Ozone therapy
 Recent advances in fluoride

17. 1) Measures to prevent Demineralization
o Newer chemoprophylactic agents – mineral binding micellar drug
delivery system
o Anti microbial peptides (AMPs)
o Probiotics
o Replacement therapy - S. mutans strain BCS3-L1 is a genetically
modified effector strain – to prevent dental caries

18. o Bacteriophage therapy
o Photodynamic therapy
o Sugar substitute - stevia
o Immunizations

19. 2) Measures to prevent Remineralization
a)Newer remineralizing agents
o CPP-ACP
o TCP (Tricalcium phosphate)
o Pronamel
o Novamin

20. o Enamelon
o DCPD (Dicalcium phosphate dihydrate)
o IER (Ion exchange resins)

21. b) Ozone therapy
c) Recent advances in fluoride
o Fluoride glass device
o Copolymer membrane device
o Fluoride releasing pellets
o DCPA Nano composite

22. o Specialized phosphonate
o Hydroxyapatite- Eudragit RS 100 Diffusion controlled “F” system
o Synergistic effect of fluoride and laser
o Newer topical fluoride- amine fluoride and stannous
hexafluorozirconate

23. Recent advances in Periodontal Disease
Prevention
1) Microscopic identification
2) Cultures
3) Enzymatic assay – 2 tests- BANA test and perio-check test
4) Immuno assay

24. 5) Polymerase chain reaction
6) Biosensors – Perio 2000 – measures sulfur levels
7) Genetic analyses
8) Regenerative treatment
9) Photodynamic therapy
10)Enamel matrix derivatives

25. 11) Bisphosphonates
12) Local antimicrobial delivery systems
Metronidazole in ointment form (Elyzol)
Chlorhexidine as Periochip
Doxycycline in fibre form (Actisite)
Polymeric delivery system (Atridox)
13) Inhibition of matrix degradation - Periostat

26. Recent advances in Oral Cancer Prevention
1) Green tea – bunopyrene - decreased
2) Vitamin A, C, E and minerals such as Fe, Zn, Cu, Se, Mn have
preventive effects.
3) L1 DNA Vaccine- prevent Papilloma associated oral cancer.
4) Tretinoin biofilm

27. CONCLUSION
• To initiate preventive measures it is not necessary to know everything
about the natural history of the disease. Often times, removal or
elimination of a single known essential cause may be sufficient to
prevent a disease.
• The main objective of preventive medicine is to intercept or oppose the
“cause” and thereby the disease process.

28. REFERENCES
1. Park K. Park’s textbook of Preventive and Social Medicine. 25th
edition. India. Bhanot publishers.
2. Hiremath SS. Textbook of Public Health Dentistry. 3rd Edition. New
Delhi: Elsevier; 2016.
3. Peter S. Essentials of Preventive and Community Dentistry. 6th edition
Arya publishers; 2017

29. 4. Priya H, Sequeira PS, Acharya S, Bhat M, Purohit B, Kumar M.
Recent trends in preventive dentistry- A Review. SRM University
Journal of Dental Sciences. 2011Sep;2(2):232-37.
5. Tote JV, Godhane A, Jain C, Das G, Sanklecha S, Vidhale G. Recent
advancements in treatment of dental caries. European Journal of
Biomedical and Pharmaceutical Sciences. 2015 Apr;2(2):231-44.
6. Devisha, Singh DK, Sarkar S. Recent advancements in Periodontics.
International Journal of Science and Nature. 2019;10(1):1-10.