This document discusses dental disease prevention and prophylaxis at different levels. Primary prevention aims to maintain good oral health through education, fluoride, sealants, nutrition and plaque control. Secondary prevention treats early signs of disease to prevent progression through education, fluoride and removing plaque and tartar. Tertiary prevention focuses on recovery, preventing advanced disease, and decreasing disability through specialist treatment. The overall goals are to reduce the prevalence and severity of dental caries and periodontal disease.

3. • Is the prevention of occurrence and progress of
oral cavity diseases
• Patient education
• Fluorides
• Dental sealants
• Proper nutrition
• Plaque control program

4. • Listen carefully - Each patient will have
different needs.
• The initial instruction - Explain the
relationship of plaque to dental disease.
• Assess the patient’s motivations and
needs
• Combine the patient’s motivating factors with
the patient’s needs.
• Select the home cleaning aids - Select a
toothbrush, toothbrushing
method, interproximal cleaning aids such as
dental floss, and a toothpaste.
• Keep the instruction simple - Comment
positively on the patient’s efforts.

5. • Fluoride has been our primary weapon to
combat dental caries.
• Fluoride slows demineralization and
enhances remineralization of tooth surfaces.
• Fluoride is a mineral that occurs naturally in
food and water.
• A supply of both systemic and topical
fluoride must be available throughout life to
achieve the maximum cavity prevention
benefits.

6. • Dental sealants are used as a means of
protecting the difficult-to-clean occlusal
surfaces of the teeth from decay.
• Sealants cover the occlusal pits and
fissures where decay-causing bacteria can
live.
• Dental sealants are an important
component in preventive dentistry.
• In several states, the application of dental
sealants is delegated to the dental assistant
as an expanded function.

8. • Without dietary sugars, dental caries will not occur.
• Sucrose has a greater decay-causing potential than
other sugars, but
maltose, lactose, glucose, fructose, and their
combinations do have high caries-producing abilities.
• Flour and starches are not usually decay-causing, but
when starch is used in conjunction with sugar, i.e. in
cookies and so on, the potential for caries increases.

10. • Plaque can be kept under control by
brushing, flossing, interdental cleaning
aids, and antimicrobial solutions.
• A goal of the program is to remove plaque at
least once daily.
• The techniques that are selected must be
based on the needs and abilities of the
individual patient.

11. • Scoial
• Medical
• Primary (mainly social)
• Secondary (socially-medical)
• Tertiary (Mainly medical)

12. Primary prevention has the task of maintaining the good health, keeping away
the negative factors from the natural and social enviorment, which can cause
pathological changes in the body.
The main role of stomatological personal at this level is to conduct sanitary
education, to train the medical staff and the population on prophylaxis
methods, and to control the efficiency of preventive actions.
Depending on the time when primary prevention was carried out, there are two
types:
Antenatal
Postnatal
Antenatal prevention means the influence on the child, including organs and
oral tissues, through the body of the pregnant women.
Postnatal prevention actions are carried out after the birth of the child.

13. Secondary Prophylaxis - aims at lowering the intensity of the development of
stomatological pathology. It is conducted as mass (at a national or regional
level), as well as group and individual prophylaxis.
Secondary prophylaxis provides therapeutic intervention at early signs and
symptoms of disease in order to prevent its progress.
Tasks of secondary • Sanitary education on oral cavity hygiene.
• Removal of dental plaque.
• Application of fluoride and remineralization substances at primary caries.
• Identification and exclusion of reasons for the accumulation of dental plque
and
tartar, This also refers to planned treatment of caries and early periodontal
g disease.
The general diagram of secondary prophylaxis:
• Dispensary supervision with constant elimination of the pathological situation
in an oral cavity and the indication of preventive means.
• Carrying out the complex preventive actions providing exogeneous and
endogeneous prophylaxis.
• Training children on sanitary hygienic education and teaching them about the
rational-oral Professional hygiene of the oral cavity.

14. Tertiary prophylaxis aims at:
• The recovery of health.
• The prevention of illness transition into more complicated
stage.
• The prevention of development of the disease.
• The decrease in temporary physical disability and death
rate.
These actions are carried out mainly by orthopedists and
dental surgery specialists.

15. The prophylaxis has three main tasks –
• To strengthen the health of healthy people.
• To prevent illnesses and traumas.
• To prevent the progress of illnesses and their
complications.

16. • To reduce the intensity and prevalence of dental caries. and to increase the number
of people who don’t have caries.
• To decrease the percentage of people who show signs of periodontal tissue lesion.
• To reduce the quantity of patient s with bleeding sickness, dental calculus and
pathological pockets.
• The main goal of primary prevention is to create conditions at which the risk of
progress of a stomatological pathology decreases
- At social level
- At sanitary-educational level.
Provide an optimum content of fluoride in drinkable water.

17. • The prophylaxis of stomatological diseases is very important, because the
number of people nowadays that have dental caries and periodontal
diseases is very high.
• As an example, the intensity of caries in the temporary teeth of a three-year
old child has almost 4 teeth affected by caries.
• As a person ages, the intensity of caries also increases.
By the age of 15, the average quantity of caries-affected teeth is 8 For
fdsadults it is 100%