dph core doctrine

Dental Public Health Web Resource Area

FOR PATIENTS THE DENTAL TEAM


[Blank Template Slide]MainMenu

The DDS Dental Public Health Web

Resource Area contains materials

relevant to military dentistry,

health promotion and upcoming

events

• The DPH Team• News

• MCAM

• Smile Month

• NSD

• Research

• Policy

• OHP Reports

• ROHC TORs

• DDS Reports

• Free CPD

• DN Extended Duties

• ROHC

• Web Links

• Samples

• Newsletters

• Army HP

• Service Guide to OH

• Health Fairs


Research Resources Events Documents ContactsTraining/CPD

Help

Achievements

• Achievements

Top tips for deploymentCommon Dental Problems

Tell me about fluoride varnish

Health Fairs


PATIENT RESOURCEMainMenu

BDHF ‘Tell me about’ Link

This area contains useful information and resources for dental patients

Free Stuff

Help

http://www.dentalhealth.org/tell-me-about


Help

The DDS DPH website runs within a MS PowerPoint presentation. Some features present in the full version of the site on the Defence Intranet have been disabled on this site.

Navigate around the site by hovering over and then clicking on the available links.

Use the return arrows in the bottom right corner to return to the previous or home page. Alternatively, the menu button to the right of the title will return users to the main menu page.

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The DPH Team

If you have an idea for how this site could be developed or an OHP resource you would like to share then please contact WO2 Lowe or the SO2 DPH:

WO2 Jane Lowe - [email protected]

SO2 DPH - [email protected]

Examples include locally produced posters, event reports and sharing of useful web resources.

Please note: We can only accept photos when the subjects have all provided written consent to the photo being included.

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mailto:[email protected]

mailto:[email protected]


NEWS

Relevant news and announcements will be placed here

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Regional Oral Health coordinators

West Midlands & Wales

Scotland

Northern England & Northern Ireland

East Midlands & Anglia

Home Counties

London & South East

PortsmouthWessex

South West

Select a region to see contact details for the nominated ROHC

Overseas

Germany

Cyprus

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DDS Cyprus

ROHC – Cpl Cat Warhurst

Dental Centre - Dhekelia

Mil Tel – 94 120 3553

Civ Tel - 00357 25963553

Email – DDS (CYP)-DHK-DHYG

BFPO - 58

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DDS Germany

ROHC – SSgt Alicia Gowans

Mil Tel – 94 8772008

Civ Tel – 004 9505196 2008

Email - DDS(G)-HOH DHyg

Address – Haig Barracks, Hohne, BFPO 30

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DDS East Midlands & Anglia

ROHC – SAC Jenny Briggs

Mil Tel – 95 751 7390

Civ Tel – 01400 261201

Email – DDS (EMA)-CRN-DN04

Address – RAF Cranwell, Sleaford, NG34 8HB

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DDS London & South East

ROHC – Lt Col Ian McDicken

Dental Centre – Baird

Mil Tel –

Civ Tel – 0207 4143371

Email -DDS(LSE)-BAI SDO

Address – The Baird Dental Centre, Birdcage walk, Wellington Bks, LONDON, SW1E 6HQ

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DDS Scotland

ROHC – PO Jo Harris

Dental Centre – HMS Neptune

Mil Tel – 93 255 6971

Civ Tel – 01436 674321 6971

Email – DDS(SCO)-CLY D Hyg

Address – Dental Centre, HMNB Clyde, Helensburgh, Argylle & Bude, G84 8HL

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DDS Portsmouth

ROHC – LDH Jody Hill

Dental Centre – HMS Excellent

Mil Tel – 9380 24270

Civ Tel - 02392 724270

Email - DDS(POR)-NEL DHyg2 (Hill, Jody Able Rate)

Address – HMS Nelson, Queen St Site, PORTSMOUTH, PO1 3HH

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DDS Wessex

ROHC – SSgt Darren Hutchinson

Mil Tel – 94342 2499

Civ Tel - 01980 650499

Email – DDS(WX)-TID DHyg

Address – Dental Centre, Kirkee Rd, TIDWORTH, SP9 7BQ

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DDS South West

ROHC – LDH Lesley Higgs

Dental Centre – Lympstone

Mil Tel – 935105512

Civ Tel - 01935 455049

Email – DDS(SW)-CTCRM-TDG-DENT-HYG

Address – Dental Centre Lympstone, CTC RM, Exmouth, Devon, EX8 5AR

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DDS West Midlands & Wales

ROHC – Sgt Greg Wilshaw

Dental Centre – Stafford

Mil Tel – 95551 7220

Civ Tel – 01785 787220

Email – DDS(WMW)-STF HYG

Address – Dental Centre Stafford, Beaconside, Stafford, ST18 0AQ

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DDS Northern England & Northern Ireland

ROHC – SSgt Alan Hutchinson

Dental Centre - Catterick

Mil Tel – 94731 2132

Civ Tel - 01748872132

Email - DDS(NE)-CAT-ScRd-Dhyg

Address – Scotton Rd, Catterick Garrison, North Yorks, DL9 3LD

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DDS Home Counties

ROHC – SSgt Liza Longworth

Dental Centre – Pirbright

Mil Tel – 94 211 5586

Civ Tel – 01483 798258

Email - DDS(HC)-PIR-HYGIENIST

Address – Dental Centre Pirbright, Woking, Surrey, GU24 0DT

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Useful Web Resources• British Dental Associationhttp://www.bda.org/

• British Dental Health Foundationhttp://www.dentalhealth.org/

• Evidence Based Toolkit for Preventionhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_102331

• Mouth Cancer Awareness Monthhttp://www.mouthcancer.org/

• National Smile Monthhttp://www.nationalsmilemonth.org/

• NICE Guidelines on Wisdom Teethhttp://guidance.nice.org.uk/TA1

• No Smoking Dayhttp://www.nosmokingday.org.uk/

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http://www.bda.org/

http://www.dentalhealth.org/

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_102331


http://www.mouthcancer.org/

http://www.nationalsmilemonth.org/

http://guidance.nice.org.uk/TA1

http://www.nosmokingday.org.uk/


DDS Research

The DDS carries out research in a number of areas, adding to the oral health evidence base and supporting patient care. Two recent papers of note are listed below. Copies can be accessed from the Dii based web portal version of this site:

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Third Molar related morbidity in deployed Service personnel - J Combes, E

McColl, B Cross & R J McCormick

Is there a differential in the Dental Health of new recruits to the British Armed Forces. A Pilot Study. T B Elmer, J Langford, R McCormick & J Morris


Common Dental ProblemsMainMenu

Click an image to see more


Eating sugar-containing foods more than 3-4 times per day WILL cause tooth decay

Fillings fill a hole, they do NOT prevent further decay

Keeping sugary foods to mealtimes (Less than 4 times per day)Is the ONLY way to prevent decay

Early decay forms UNDER the surface and may not be obvious until a cavity forms late on

Dental Decay

Watch out for ‘hidden sugars’ in baked beans, ketchup, coffee whiteners etc.

Oral Cancer can occur ANYWHERE in the mouth. Over 6,000 cases are diagnosed in the UK each year

The further back in the mouth it occurs, the HARDER it may be to detect, the LATER it may be diagnosed

SMOKING is a MAJOR risk factor for oral cancer

ALCOHOL can increase the risk when combined with smoking

White or red patches, lumps and ulcers can all occur commonly in the mouth BUT if in doubt GET IT CHECKED by a dentist

Unexplained symptoms present for over 3 weeks SHOULD be checked by a dentist

For more information visit:

http://www.mouthcancer.org/page/about-mouth-cancer

Oral cancer sufferers are more likely to die than those with cervical cancer or melanoma

Oral Cancer


Dental Trauma Falls, sports injuries, fighting and accidents can all result in damage to the teeth

Injuries can involve the lips and other ‘soft’ tissues and/or the teeth

Baby teeth should NEVER be re-inserted into the child’s mouth as this can damage the unerupted permanent tooth

Any injury involving suspected loss of consciousness should be seen by a medical professional

Teeth that are displaced (moved) will require further investigation by a dentist

Adult teeth that are knocked out can sometimes be successfully re-inserted: Time is important, further treatment will be required:

- Gently reinsert tooth into socket if practical

- If dirty, gently rinse tooth with clean water, don’t touch the root

- Alternatively transport tooth to dentist in milk, saline, saliva, or, as last resort, waterWearing a custom fitted MOUTHGUARD

for all contact sports can significantly reduce the risk of dental injuries. Contact your dental centre to make an appointment if required


Acid Tooth Erosion Juices and sports drinks, even sugar-free ones, contain acids

The longer the acids are in contact with the teeth, the greater the rate of erosion

Acid dissolves the tooth enamel, making it thinner and more prone to fracture over time

Top Tips:

Avoid frequent / prolonged sipping of fruit juices, fizzy drinks and sports drinks

Use a straw to minimise drink contact with the teeth

Avoid ‘swilling’ the drink around the mouth and against the teeth

Don’t brush teeth straight after the drink – this brushes away the softened enamel

Instead use a fluoride rinse to strengthen enamel

WATER provides adequate hydration during sports and does not damage the teeth!

Saliva and fluoride provide some limited repair to early / infrequent damage


Smoking and dental health

Thinking about Quitting?

- Book a smoking cessation appt at Med Centre

- Make a plan

- Tell others you are quitting

- Find out about Nicotine Replacement Therapy (NRT) or other drugs

-Avoid areas where you may be tempted to light up e.g. smoker’s shelters

- NHS Smoking Helpline 0800 169 0169 (Provide some free material

Smoking causes:

- Increased mouth cancer risk

- Increased gum disease and future tooth loss risk

- Greater risk of and slower healing mouth infections

- Faster loss of muscle tone around the mouth and premature ageing

- Stained teeth and tongue

- Bad breath

- On top of ALL the general health risks (cancers, lung & heart disease…)

Visit:http://www.nosmokingday.org.uk/

For further information


http://www.google.co.uk/imgres?imgurl=http://www.liveitwell.org.uk/wp-content/uploads/2011/03/No-Smoking.jpg&imgrefurl=http://www.liveitwell.org.uk/live-well/ways-to-better-health/stop-smoking/&usg=__elMwl6Pi4ON2HQ4P0UNmab7mqm8=&h=1248&w=1285&sz=264&hl=en&start=6&zoom=1&tbnid=cj6k6VZFmNEZQM:&tbnh=146&tbnw=150&ei=86jRULfSL8SS0QX1u4DwDg&prev=/search%3Fq%3Dsmoking%26um%3D1%26hl%3Den%26gbv%3D1%26tbm%3Disch&um=1&itbs=1

Oral Hygiene and gum disease

The gums around the teeth are vulnerable to disease

If your gums bleed after you brush then you are likely to be at risk – they need more attention from the brush not less!

Gum disease over years can lead to permanently receding gums, ugly gaps, loose teeth and is the biggest cause of losing teeth

Poor cleanliness and untreated gum disease can leave teeth prone to infections and abscesses

1. Brush twice daily for 2 mins – brushing all areas carefully

2. Spit but don’t rinse out the toothpaste

3. Use an interdental aid – floss / flossettes / tepes each day



Top Tips for DeploymentMainMenu

1 Arrange a pre-deployment dental inspection well in advance of your deployment date.

2 Limit the frequency of sugar-containing foods to 3-4 times per day MAX.

3 Avoid frequent intake of sports drinks & squash which cause both tooth decay and acid erosion. - Drink water: it rehydrates, is healthy, safe for teeth and best of all it’s free!

4 If you are told you are at risk for dental decay;- Discuss your diet with the dental officer – try to keep sugars solely to main meals- Request protective fluoride varnish from the dental officer (applied 6 monthly).- Take a high strength fluoride toothpaste on deployment- Consider using an alcohol-free fluoride mouth rinse between brushings- Spit out, but don’t rinse away toothpaste after brushing, to increase the dose

5 Read the short booklet: The Service Guide to Oral Health:


Health FairsMainMenu

Health Fairs are an excellent way to find out more about important health issues that you may or may not have considered.

The dental team will be in attendance and can discuss topics such as:

-Improving diet to prevent dental problems

-Sports drinks and acid erosion of teeth

-Smoking cessation

-Dental problems on deployment

-Correct brushing techniques

-Fluoride supplements

-Types of toothbrush, floss and other aids to oral hygiene

Additionally, health fairs can offer:

-Friendly advice and direction to further services across all aspects of health

-General smoking cessation advice and services

-Children’s and dependants health (where applicable)

-Trade stalls for sports equipment

-Handouts, freebies, information leaflets and competitions

Click here to see a list of upcoming

health fairs


Free StuffMainMenu

dentalcare.com - Patient Information site

BDHF - Patient Information site

http://www.dentalcare.co.uk/dental-patient-education.aspx



Children’s Oral HealthMainMenu

A list of available documents and their links is available on the Defence Intranet

version of this website.

This can be accessed from the DDS HQ MOSS Homepage or via the Defence Intranet link:

1. Select menu option: Organisations & Locations

2. Select: Surgeon General

3. DDS is under the section ‘DMS Pages and links’

4. DPH Portal is in the box on the RHS


Free Cpd

Wrigleys Orbit CPD

Colgate CPD

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http://betteroralhealth.info/orbit_complete/professional-area/resources/cpd/index.htm

http://www.colgateprofessional.co.uk/professionaleducation/Side-effects-of-common-medications-in-the-mouth/cpddetails


Free Samples

GSK Dental Professionals

Colgate Free Samples

Colgate FluoriGard Alcohol-Free Sample

Wrigleys Orbit Free Samples/Factsheets

GSK Sensodyne Free Samples

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http://www.gsk-dentalprofessionals.co.uk/

http://www.colgateprofessional.co.uk/LeadershipUK/Samples/ColgateSamplesMailer2011.pdf

http://www.colgateprofessional.co.uk/products/Colgate-FluoriGard-Alcohol-Free-Mouth-Rinse/faqs

http://betteroralhealth.info/orbit_complete/professional-area/registration/index.htm

http://www.sensodyne.co.uk/dentalprofessionals/samples.aspx

http://www.gsk-dentalprofessionals.co.uk/

http://www.colgateprofessional.co.uk/

http://www.colgateprofessional.co.uk/products/Colgate-FluoriGard-Alcohol-Free-Mouth-Rinse/specifics

http://betteroralhealth.info/orbit_complete/professional-area/resources/factsheet/index.htm

http://www.gsk-dentalprofessionals.co.uk/default.aspx


Useful Web Links

British Dental Association

British Dental Health Foundation

DOH Evidence Based Toolkit for Prevention

Mouth Cancer Awareness Month

National Smile Month

NICE Guidelines on Wisdom Teeth

No Smoking Day

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http://www.bda.org/



http://www.mouthcancer.org/


http://guidance.nice.org.uk/TA1

http://www.nosmokingday.org.uk/


No Smoking Day

Click below to link to the latest news about NSD 2013BHF Military No Smoking Day Web Page

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http://www.nosmokingday.org.uk/military/

http://www.nosmokingday.org.uk/military/


Mouth Cancer Action Month

Click below to link to the latest news about MCAM

Mouth Cancer Action Month BDHF Website

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http://www.dentalhealth.org/news/category/5


Smile MonthMainMenu

Smile Month runs from 20th May to 20thJune:

BDHF Link to National Smile Month

• One of the longest running health campaigns in UK

• Established 1977

• Based on simple oral health promoting messages

• Click on the link to find out more



Dental Nurse Extended DutiesMainMenu

Reference Documents

•Fluoride varnish product and aftercare information

•Delivering Better Oral Health (Publication)

Update on DN Fluoride Varnish Training

Whilst the DDS is keen to resume the DN fluoride varnish training course, the course format is currently being looked at by JMTRA. Once formally approved, it is hoped that selection for future courses can be offered at the Training Establishment.

Any DN who have undergone the training, either through the DDS or externally, must ensure that copies of their certificates are forwarded to RHQ in order for a record to be maintained at DDS HQ.

Only formally trained DN are authorised to apply fluoride varnish and give associated preventive advice, which must then be recorded on DMICP.

http://www.colgateprofessional.com/products/Colgate-Duraphat-Varnish/specifics



List of Upcoming Health FairsMainMenu

Portsmouth 17 Feb 13

Marham 19 Feb 13


ROHC TORsMainMenu









DDS ReportsMainMenu









OHP NewslettersMainMenu

Cyprus

WM&W

Wessex

Several Regions are now producing regular OHP newsletters. To see their content, access this site through Dii.


Army HP WebsiteMainMenu

The Army health promotion team are in the process of updating their site. Links will be provided from the Dii

version of this site in future.


The Service Guide to Oral HealthMainMenu

This resource is only available via the MOD Dii Intranet site.







Health FairsMainMenu

How to Order OHP Products









Oral CancerMainMenu









DDS Research PolicyMainMenu








The DDS is committed to undertaking and supporting research in order to build the evidence base and to support a shift towards more preventive focussed

oral healthcare.

The 2011 DDS Oral Health strategic Plan sets out the organisation’s strategic intent over a 5 year period. Research forms one of the core pillars of this

document.


Fluoride Varnish - Patient InformationMainMenu

What is it?A concentrated fluoride gel applied to teeth by the dental team at your appointment – painless and completed in minutes.

Why?Studies show that when applied twice-yearly it can reduce dental decay by up to 50% (Effectiveness is increased with dietary changes).

How?Fluoride absorbed by tooth enamel increases resistance against tooth decay. It helps protect against bacterial acids released after sugar is eaten.

Is that it?No…don’t forget, the best way to prevent decay is to cut down how many times a day you eat sugar-containing foods


How to Order OHP ProductsMainMenu

Background. 1. There are three major Oral Health Promotion (OHP) campaigns supported by the DDS - No Smoking Day, National Smile Month and Mouth Cancer Action Month.

2. In addition, the DDS has a budget that can be used by dental centres to purchase products to supplement these packs or at any other point throughout the year to promote oral health. 3. There is a collection of pooled electronic resources that can be accessed on this website (Dii version only)

Criteria for funding. 4. As the budget is limited, it is important to concentrate these limited resources on our patients so there are certain criteria for approval of funding:

a. Dental Centres that do not treat children are not entitled to funding for child OHP products. However, there are child OHP products held centrally at HQ DDS that are available for loan.

b. Everything needs to have an OHP message. A picture of a tooth and no message is not considered to be value for money. c. The maximum levels of funding for a single OHI orders is £200 and giveaways are limited to £30.

OHP suppliers.5. There are 2 companies that can be used:

British Dental Health Foundation. Their website is www.dentalhealth.org and all dental centres are eligible for the members’ prices.GASP. Their website is www.gasp.org.uk and as their name suggest this company concentrates on stop smoking merchandise.

Procedure for application of funding.6. Send an email to Polly Harrison [email protected] by using the template below. Please copy your Regional Oral Health

Coordinator into the email ROHC7. An email from Polly Harrison approving the order will be sent to you and copied directly to the OHP company. This email constitutes the order and therefore there is nothing that you will need to do until you have received your items. 8. The invoice will be sent directly to Polly. Therefore, it is imperative that on receiving your items you email Polly to confirm that you have received the order. HQ can then settle the bill.

Click Here for template


TemplateMainMenu

Application for funding from DDS OHP budget. To: Polly Harrison [email protected] Dental centre delivery details: Name: Address: Mil tel no: Civ tel no: Email:

Catalogue Page Code Item description No of items Total price (BDHF use member’s price)

The page number is not essential but it is very useful if there is a query as to whether the item should be funded. Who will use the products? Are the items for a specific event e.g. Smile Month? Will the items be used by a single Dental Centre or a whole region? Invoice to be sent to: Ms Polly Harrison PS to Dir DDS HQ DDS DMS Whittington LICHFIELD Staffs WS14 9PY Tel: 94422 4302 or 01543 434302


OHP ReportsMainMenu









Achievements & InitiativesMainMenu

Health Promotion campaigns

‘Spit Don’t Rinse’


Oral Health Conference

Research

Ongoing Initiatives

Health Promotion Campaigns

Through DPH, the DDS participates in 3 funded major oral

health campaigns:

- Mouth Cancer Action Month

- Smile Month

- No Smoking Day

These campaigns reach thousands of military patients and

their families, delivering key oral health messages through a

variety of settings and media including:

- Attendance at Health Fairs & Unit events

- Displays in dental centres

- BFBS TV and Radio spots

- Local and National Publications

• Select a topic to view more

• Click again to close tab.Ongoing Initiatives

DDS DPH are actively engaging with the chain of command

to investigate modifications to operational ration packs in

order to reduce cariogenic components, ensuring they are

optimised to prevent dental diseases in those on operations

or training exercises

Targeted OHP:

DPH are producing a number of targeted oral health

promotion resources aimed at recruits, those on operations

and those attending health fairs.

Resources will include branded products such as

toothbrushes with clear oral health messages, posters and

information leaflets.

Research

DPH continue to support a number of individuals conducting

research for publication.

Recent examples included research on the health

differentials of Armed Forces recruits, the effects of

peripatetic clinics in reducing dental morbidity on operations

and the effects of third molar management on dental

morbidity.

Additionally, the DPH team support dental officers in the

undertaking of routine clinical audit as part of CPD and

quality assurance.

‘Spit Don’t Rinse’

Started in 2012, ‘Spit Don’t Rinse’ was conceived to

provide simple, memorable oral health advice that could be

easily adopted by patients to make a difference. The concept

is simple; after brushing with fluoride toothpaste, spit but do

not rinse out the mouth. This allows a greater concentration

of fluoride to remain on the teeth for longer and, particularly

at night time, can be an effective adjunct in the fight against

tooth decay. Posters, branded toothpastes and wide use of

media ensured maximum visibility whilst incorporation of the

health message into Phase I recruit training as part of a DPH

Consultant-led research project has helped to demonstrate

that lasting behavioural change is possible.

Oral Health Conference

With over 200 attendees and a variety of esteemed

speakers, the 2012 Oral Health Conference held at Keogh

Barracks, showcased the best of preventive practice in the

DDS. Open to all, particularly DCPs, it provided an

opportunity for dental health promoters to share knowledge.

Highlights included prizes for outstanding efforts in oral

health promotion which were presented by Nigel Carter Chief

Exec of the BDHF.

The 2013 event on 4 July will build on this success. The

theme is Oral Health Promotion for the Dental Team.

Regional Oral Health Coordinators

The implementation of a regional and international network

of Oral Health Coordinators (ROHC) provides a unique

opportunity to channel oral health promotion activities

through a subject matter expert. Highly motivated and

proactive, 11 selected ROHCs help ensure preventive best

practice is standard business and that dental teams are

resourced to improve the health of their populations.

ROHC hold a selection of regional resources that can be

loaned out to dental centres.