algonquin college - jan ladas1 community dental health review

Community Dental HealthReview

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities1. Health Promotion: Awareness/Improvement/Responsibility2. Education:Teaching/Learning/Behavior Modification3. Clinical Therapy:Care/Treatment

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities4. Research:Scientific Investigation/Study/Reporting5. Change Agent:Catalyst for process of change6. Administration:Policy Development/Management Processes* All responsibilities mean a commitment toLifelong Learning to maintain competence.

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Private PracticeHealth Promoter: Enabling clients to increase awareness, responsibility and improvement of their healthPractice preventionEducator:Teaching / learning from clientsMotivating and modifying behaviour of clients

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Private PracticeClinician:Preventive, therapeutic and ongoing care proceduresTechnology used appropriatelyResearcher:Investigating, studying and keeping current with knowledge that validates D.H. practice

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Private PracticeChange Agent: Managing the process of change catalyst, solution giver, resource link/process helper advocator for rights and well-being

Administrator: Management process and policy development Record keeping Office policy Cost Effectiveness

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Community HealthHealth Promoter:Increase awareness, personal responsibility and improvement of oral health in the communityResource person for other health professionalsEducator / Program Planner:In response to needs and resources in the communityDental health advisor

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Community HealthClinician:Screening surveysPreventive care, referrals and client follow-upsResearcher: Keeping current

Algonquin College - Jan Ladas

Dental Hygienists Key Responsibilities In Community HealthChange Agent: For health policies rights and well-beingCatalyst, solution-giver, resource linkProcess helperAdministrator:Maintains records, data input, analysis and disseminationPolicy and procedure managementEnsures cost-effectiveness

Algonquin College - Jan Ladas

Phases Of Process Of CarePrivate PracticeAssessment of:Clients medical and dental historySocio-cultural historyOral examDiagnosis of:- Patients oral hygiene statusPublic HealthAssessment of:Needs of the community and the target populationAnalyzes assessment

Diagnosis of:- Community dental hygiene status

Algonquin College - Jan Ladas

Phases Of Process Of CarePrivate PracticePlanning of:Treatment needs and prioritiesMethod of paymentPublic HealthPlanning of:Program based on data, priority and resourcesFunding sources

Algonquin College - Jan Ladas

Phases Of Process Of CarePrivate PracticeImplementation of:Treatment plan and co-ordination of treatment with other professionalsChanging when necessaryPublic HealthImplementation of:Varied personnel are involvedChanging plan when necessary

Algonquin College - Jan Ladas

Phases Of Process Of CarePrivate PracticeEvaluationDuring treatment, specific intervals or on completion of treatmentPublic HealthEvaluationOngoing in terms of:- effectiveness- efficiency- appropriateness- adequacy

Algonquin College - Jan Ladas

Role Of Dental Hygienist In Community HealthSchool dental health programScreening, referrals, follow upsResource person in dental health to staffProviding clinical services where appropriateMaintaining records and data inputAssisting in developing education materials

Algonquin College - Jan Ladas

Role Of Dental Hygienist In Community HealthDental indices surveysOrganizing and implementingDental health advisor in the communityMultidisciplinaryDental health programsPlan, organize, implementIn-service trainer to the communityOn requestSpecial dental health activitiesDental hygiene week, dental health month, health fairs

Algonquin College - Jan Ladas

Role Of Dental Hygienist In Community HealthAs well as:Be familiar with all current legislation and regulationsCompile records, reports and statistics for disseminationRole model for dental services on committees and programs as assignedFunction as a team member in all activities

Algonquin College - Jan Ladas

Target PopulationsFamily caregivers (parents, relatives, etc.)School teachers / staffHealth care workers providers of direct patient careHospice workers for terminally illPersons with medical conditionsDevelopmentally disabledHearing impaired / deafVisually impaired / blind

Algonquin College - Jan Ladas

Target PopulationsThings to consider:Age specific competenciesCultural diversityBeliefs, values, attitudes, perceptions, expectations and needsBarriers to dental care: age, language, disabilities, finances, transportation, access to care, fear, misunderstanding, trust, illiteracy, denial of disease, social issues and habits

Algonquin College - Jan Ladas

Criteria For Public Health DecisionsDisease or other threat to health is widespreadKnowledge exists on how to prevent or cure the conditionSuch knowledge is not being appliedW.H.O. Definition of healthA state of complete physical / mental and social well-being and not merely the absence of disease

Algonquin College - Jan Ladas

Community Prevention ProgramsPrevention primary goal

Primary prevention- Most effective- Prevents disease before it occurs fluoridization / immunization, diet, physical activity

Algonquin College - Jan Ladas

Community Prevention ProgramsPrevention primary goalSecondary prevention- Treats disease after it occurs- Promptly- Reduce prevalence- Shorten duration- Screening / referrals- Early & accurate diagnosis

Algonquin College - Jan Ladas

Community Prevention ProgramsPrevention primary goalTertiary prevention- Limits or rehabilitates a disability from disease e.g. - Prostheses provided- Reduce complications* Community prevention programs used only when shown to be effective by well-designed clinical studies and evidence-based research

Algonquin College - Jan Ladas

World Health OrganizationActivitiesMaintains country profile development (information on oral disease and services, tobacco use, sugar consumption, fluoride/fluoridization)Implements and evaluates community preventive programs (affordable oral care)Public education / health promotion

Algonquin College - Jan Ladas

World Health OrganizationACTIVITIESAdvocacy and legislation promotionInformation dissemination

(41 W.H.O. centers worldwide)

Algonquin College - Jan Ladas

Current Dental Public Health PracticeWater FluoridizationPrevention of oral cancerReduction of dental problemsEducationNutritionInjury preventionResearch and development

Algonquin College - Jan Ladas

1. Water FLUORIDIZATION1901-08Dr. Fredrick McKay observed Colorado Brown Stain(Motteling and brown opacities of the teeth less caries)1920Common link shared water source water analysis showed nothing1925McKay advised using water from outside source resulted in less motteling

Algonquin College - Jan Ladas

1. Water FLUORIDIZATION1930Improved water analysis method showed correlation between increased fluoride resulted in more motteling then termed Dental Fluorosis1931Dr. H. Trendley DeanGoal: to define the minimal level of fluoride to inhibit caries without Fluorosis- developed Fluorosis indexResult: caries rate down at F. Level up to 1.0 p.p.m.

Algonquin College - Jan Ladas

2. Prevention Of Oral Cancer W.H.O. A Global ConcernTobacco CessationHow to reduce oral cancer:Train health care workers to look for early signsEducation of the public advertising (causes and signs)Involve other educators (teachers)Public policy taxes / bansIndividual counselingPrevention / cessation programsSocial acceptance changes

Algonquin College - Jan Ladas

3. Reduction Of Dental ProblemsTechnology / research & developmentFluoride variety of sourcesImproved access to careEarly interventions / injury prevention campaignsImproved oral health education / promotionImproved nutrition awareness

Algonquin College - Jan Ladas

Preventive Properties Of FluorideCLASSICAL EPIDEMIOLOGICAL STUDY SIX PRINCIPALS1.Studied groups not individuals Colorado Springs Community2.Examined well and ill people long term residents more affected3.Looked at relative prevalence surrounding areas studied

Algonquin College - Jan Ladas

Preventive Properties Of FluorideCLASSICAL EPIDEMIOLOGICAL STUDY SIX PRINCIPALS4.Broad goal established, e.g. association between prevalence of fluorosis or caries and fluoridated and non-fluoridated areas5.Required 2 demonstrations - association itself is dependable and predictable from population to population- other factors could not be responsible

Algonquin College - Jan Ladas

Preventive Properties Of FluorideCLASSICAL EPIDEMIOLOGICAL STUDY SIX PRINCIPALS6.Support for association between fluoride and dental health is gained through additional studies

FINAL CONCLUSION

Water can be fluoridated to optimal level to reduce caries without increasing fluorosis

Algonquin College - Jan Ladas

Ministry Of Health ProgramChildren In Need Of TreatmentC.I.N.O.T.Dental Screening Program 3 HygienistsHigh/Mode