CATIGAN KIMBERLY
EFFECTIVE COMMUNITY PREVENTION PROGRAMS
FOR ORAL DISEASES
ORAL DISEASES
o “Neglected epidemic”
o Affect almost the total population with many people having
new diseases
o Filipino children have alarming health and education status
o Diarrhea and respiratory tract infections are leading cause of
death
o 66% of children are infected with intestinal worms
o 97% have tooth decay
o 35% drop out of elementary school
o Do you know of any national oral diseases prevention
program
“PREVENTION and PREMATURE DEATH, disease, disability and
suffering should be a primary goal of society that hopes to provide a
decent future and a better quality of life for its people.”
PRIMARY PREVENTION
- Preventing a disease before it occurs is the most
effective way to improve health and control costs
SECONDARY PREVENTION
- Is treating or controlling the disease after it occurs,
such as placing a restoration
TERTIARY PREVENTION
- Is limiting a disability from a disease or rehabilitating an
individual with a disability, such as providing dentures
for those who have lost all their teeth
- PREVENTION may be accompanied at the individual or
community level
o INDIVIDUAL LEVEL: private clinic, by a professional or even
self- administered or home care recommended by the dentist
o Self responsibility by individuals for prevention also
is important
o COMMUNITY level: population based approach, cost
effective, evidence based (science systematic approach)
o Helps ensure a greater impact at a lower cost for a
large number of individuals, especially vulnerable
populations, such as low income and minority
groups
DENTAL CARIES
o Both universal and lifelong
o Ubiquitous
o Universal: sense that the prevalence or percent of the
population affected increase with age (starts with ECC-
young adulthood- geriatric, root surface caries)
o Lifelong: risk for caries as long as we have our natural teeth
PREVENTION OF DENTAL CAREIS
o FLUORIDES: major impact, dental fluorosis, practical,
dispense in many ways ( tablets, water milk, varnish)
o PITS AND FISSURE SEALANTS: costly
o ATRAUMATIC RESTORATIVE TREATMENT
o ORAL HEALTH EDUCATION AND AWARENESS
o STUDY BOX 10-3
WHAT EVERYONE SHOULD KNOW ABOUT PREVENTING
ORAL DISEASES
DENTAL CARIES
FLUORIDE
o What fluoride and fluoridation are
o How fluoride work to protect teeth from decay
o Methods of application
o Safety, effectiveness, and cost of each procedure
o Who needs them
o Recommended frequency of use and duration
PITS AND FISSURES SEALANTS
o What dental sealants are
o How they work to protect teeth from decay
o Who needs them and when
o Monitoring and reapplication
ORAL CANCERS
o Risk factors for oral cancers
o Signs and symptoms of oral cancers
o What comprises a thorough oral cancer examination and
recommended frequency
o Need for oral cancers examination
o Protective factors against oral cancers
GINGIVITIS
o What dental plaque is
o Role of dental plaque in oral diseases
o How to remove plaque
o Frequency of plaque removal
o Recommended types of toothbrushes and floss
PERIODONTAL DISEASE PREVENTION
o Inflammatory and degenerative conditions of the supporting
structures
o Ample evidence to demonstrate the relationship between the
presence of bacterial plaque and gingivitis
o These diseases are insidious and can effect both children
and adult
o 2 most common types: GINGIVITIS, inflammation of the soft
tissue surrounding the teeth: PERIODIC PLAQUE REMOVAL
o DENTAL PLAQUE: controlled with the use of antimicrobial
products such as chlorhexidine
UNINTENTIONAL ORAL FACIAL INJUIRES
o Oral facial injuries may be intentional or unintentional oral
injuries may occur from abuse, domestic violence, self-
mutilation or violence in general
o Dental personnel have a role in and responsibility for early
detection, treatment, and referral for these patients
o Occur from contact sports recreational activities, motor
vehicles and daily living, domestic violence
o Unintentional oral-facial injuries may result in broken and
avulsed teeth, facial bone structures, concussion, permanent
brain injury, TMD, blinding eye injuries and even death
HIGH RISK OR VULNERABLE POPULATIONS
o Risk groups
o Risk behaviours
o Social and environment determinants
o Early detection
o Reduce risk factors
HEALTH AWARENESS
o HEALTH PROMOTION: any planned combination of
educational, political, regulatory, and organizational supports
for actions and conditions of living conductive to the health
of individuals or communities
o HEALTH LITERACY: degree to which individuals have the
capacity of obtain, process and understand basic health
information and services needed to make appropriate health
decisions
o HEALTH EDUCATION: any combinations of learning
experience designed to facilitate voluntary actions conducive
to health
o May include educational intervention for children, parents,
policy markers or health care providers