Professional Documents
Culture Documents
Public Health Dentistry
Public Health Dentistry
By Vedesh Patil
III BDS
Roll no. 53
CONTENT
Topic 1: Environment & Health
Topic 3: Water
02
Topic
01
Environment and Health
03
What is
Environmental
health?
Environmental health addresses all the physical,
chemical, and biological factors external to a
person, and all the related factors impacting
behaviors.
-WHO Report 2016
World Environment Day: 5th June
World Environmental Health Day: 26th September
• Climate stability.
02
Effects of Environment in
Dentistry
06
How does environment
affects oral health?
The environment can affect dental health in several ways, which includes:
03
Water
08
Water
01
Introduction 02
Potable water 03
Sources 04
Purification
- What is potable water - Surface water - Large scale
- Uses - Ground water - small scale
- Rain
Water
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Introduction
• Good oral health requires a clean water
supply, sufficient for brushing & cleaning teeth
regularly from an early age.
Water
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Potable Water
defined as water that is.
Free from pathogenic Free from harmful Useful for all Pleasant to taste
agents chemical substances domestic needs i.e. free from color &
odor
Water 11
Uses
01
Domestic uses-
drinking, cooking
02
Public purposes-
cleaning streets &
fire protection
03
Industrials uses-
factories
04
Agriculture purposes-
irrigation
Water 12
Sources of Water
Water
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Sources of Water
Surface Water
• Impounding reservoirs
• Rivers & Streams
• Ponds & Lakes
• Sea water
Water
13
Purification of Water
01
Large scale
02
Small scale
• Storage • Household purification of water
- Physical action - Boiling
- Chemical action - Chemical disinfection
- Biological - Filtration
• Filtration • Disinfection of wells
- Biological or slow sand filter
- Rapid sand or Mechanical filter
• Chlorination
Water
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Storage
01
Physical action 02
Chemical action
The aerobic bacteria oxidize the
03
Biological
About 90% of the suspended During storage the pathogenic
impurities settle down in 24 organic matter present in the water organisms gradually die out.
hours by gravity. The water with the help of dissolved oxygen
reducing the content of the free However, if the water is stored for
becomes clearer allowing long periods, there is like hood of
ammonia and the increasing the
penetration of light. concentration of nitrates. development of vegetative
growths.
Water
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Filtration
• Biological or slow sand filter
1. Supernatant (raw) water
- depth is 1-1.5 meters
- provide a constant head of the water so as to
overcome the resistance of the filter bed
- provide time to water undergo purification
2. Sand bed
- thickness is 1-1.2 meters
- sand grain diameter is 0.2mm & 0.3mm
- vital layer / “Schmutzdecke”
- water percolates to sand bed very slowly & it is
subjected to mechanical straining, oxidation,
sedimentation, adsorption & bacterial action
3. Gravel support
- thickness about 0.3 meters
- consist of perforated pipes which not only provides
outlet for filter water but also supports filter medium
above
4. Filter bottom
- thickness about 0.16 meters
-maintain the constant rate of filtration
Water
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Filtration
• Rapid sand or mechanical filters
1. Coagulation
- raw water is treated with chemical coagulant
2. Rapid mixing
- allows a quick and through dissemination of alum
throughout the bulk of the water
3. Flocculation
- slow & gentle stirring of the treated water for about
30 minutes
- result in formation of a thick, copious, white
flocculent precipitate of aluminium hydroxide
4. Sedimentation
- kept for 2-6 hours
- flocculent precipitate together with impurities &
bacteria settle down in the tank
5. Filtration
- partly purified water subjected to filter beds
Water
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Chlorination
Chlorination is a supplement & not a substitute to Action of chlorine
sand filtration • When chlorine is added in water, there is formation
• Chlorine kills pathogenic bacteria, but it has no of hydrochloric and hypochlorous acid.
effect on spores & certain viruses except in high • Disinfection action of chlorine is mainly due to
doses. hypochlorous acid.
• It oxidizes iron, manganese & hydrogen sulphide. • Chlorine acts best as a disinfectant when the pH of
• It destroys taste & odour producing constituents. water is around 7 because of the predominance of
• It controls algae & slime organisms. hypochlorous acid.
• It aids coagulation.
Water
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Methods used
01
Chlorine applied as
02
Break point chlorination 03
Super chlorination
Chlorine gas: The addition of chlorine to water to a • This method is used for heavily
- economical, quick in action,
efficient & easy to apply point at which free residual chlorine polluted river water.
- irritant to the eyes & poisonous begins to appear is called break point • Super chlorination comprises of the
Chloramines: chlorination. addition of large doses of chlorine to
- loose compounds of chlorine & the water and removal of excess of
ammonia
- less tendency to produce chlorinous chlorine by dechlorination.
taste
Perchloron:
- high test hypochlorite
- calcium compound
Water
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Household Purification of Water
01
Boiling
02
Chemical disinfection 03
Filtration
- Rolling boil for 5 to 10 minutes - Bleaching powder - Ceramic filter such as Pasteur
- Kills bacteria & spores, cysts & ova - Chlorine solution Chamberland filter, Berkefeld
- No “residual protection” - High test hypochlorite filter & “Katadyn” filter
- Chlorine tablets
- Iodine
- Potassium permanganate
Water
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Disinfection of Wells
Wells are the main source of water supply in rural areas. The
most effective and economical method of disinfecting well is by
bleaching powder.
- Two cylindrical pots are used, one placed inside the other.
- The inner pot is introduced into the outer one and the mouth of the latter
closed with polyethylene foil.
Water
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Conclusion
Environmental health is a systematic conduct of a planned program designed to promote optimum health and
comfort of the individual, family and community by modifying or controlling the environment, so as to
prevent illness or disability caused by interrelationships with the environment.
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References:
• Essential of Public Health Dentistry- Soben Peter 6e
• WHO.int
• watereducation.org
• wikipedia.org
THANK YOU!
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