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BHS II Exam > 2. Global PH > Flashcards

2. Global PH Flashcards

1
Q

Trends in Caries Among Children

Developed vs. Developing Countries
Fluoride & Fluoridation
Sugar Consumption
Ratio of Dentists and Dental Providers

• Trends are beginning to level out
	○ Increased access to \_\_\_\_ and fluoridation, and reduced sugar consumption > DMFT of about 2.5
	○ Based on how many \_\_\_\_ in a community
A

fluoride

dentists

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2
Q

• Map regarding caries for adults
○ US is moderate
○ Too much fluoridation in ____ and other Asian countries
○ ____ worldwide regarding children and adults

A

china

variation

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3
Q
  • Perio disease
    • Most countries are between ____ (0 is the lowest)
    • ____ in periodontal status
A

2 and 3

variation

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4
Q

• Oral cancer among females; althought much higher in ____ then they are in females
• ____ has high oral cancer rates
○ Beetle nut

A

men

india

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5
Q

• Oral cancer among males
○ Related to ____ use
○ High in the ____, Europe

A

tobacco

US

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6
Q

• NOMA
○ ____
○ China
○ Poor ____ and poverty

A

sub-saharan africa

nutrition

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7
Q

• Distribution of dentists
○ Ideal is 1 dentist for every ____ individuals
§ Shortage in US is defined as 1 in every ____ individuals
○ Other countries have shortages

A

2000

5000

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8
Q

dentists working

* \_\_\_\_ has the highest
* \_\_\_\_ the lowest
A

north america

central africa

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9
Q

World-Wide average: ____ Dentists per 100,000 Shortage: ____ Dentists per 100,000

* Worldwide do not have a \_\_\_\_, but there are vast \_\_\_\_ in countries
* Political \_\_\_\_ and low \_\_\_\_ standards have fewer dentists
A 
29
20
shortage
variation
unrest
socio-economic
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10
Q

Global oral health providers

• High in income were doing well in \_\_\_\_ ratio; lower income countries were very few
	○ Related to \_\_\_\_ status of a country
• Distribution is very \_\_\_\_
	○ Related to the socio-economic status of the country
A

dentist:population
socio-economic
skewed

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11
Q

A review of global literature on dental therapists

  • Found in ____ Countries
  • Most work with ____
  • Most work in ____ settings and also ____ areas, most often with ____
  • Provide technically ____ care
  • Formal ____, most commonly 2 years
A 
54
general supervision
public health
underserved
children
competent
education
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12
Q

Hesperian foundation

• How best to provide care when there isn't a \_\_\_\_around
A

dentist

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13
Q

NIDCR Global Research Mission

Global Research Activities
Support & Expand \_\_\_\_ Systems 
Partner with \_\_\_\_ Staff
Respect \_\_\_\_ Norms
Expand Body of \_\_\_\_
Apply Knowledge \_\_\_\_
A 
existing
local
cultural
knowledge
globally
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14
Q

World Health Organization

Premier world wide resource for oral health
World Congress 2015: Tokyo Declaration Spring 2016: Global Oral Cancer Forum

A

yay

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15
Q

Standardizing Research in
& Implementing
Designing Oral Health Surveys

\_\_\_\_, DMFS
CPITN (Community Periodontal
Index of Treatment Needs)
\_\_\_\_
HIV and Oral Health 
\_\_\_\_ 
Developmental Disorders 
\_\_\_\_ Cancer

Economic impact of oral disease

A

DMF
noma
edentulousness
oral

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16
Q

World Health Organization Basic Package of Oral Care (BPOC) 2002

____ (OUT)
____ (AFT)
____ (ART)

* Basics people should get in oral care
* Prevention, restorative and fixing
A

oral urgent treatment
affordable fluoride toothpaste
atraumatic restorative treatment

17
Q

Oral Urgent Treatment (OUT)

___ From Oral Pain
First Aid For Oral ___
Referral for ___ Cases

• Teaching OR to extract teeth
A

relief
infections
surgically complex

18
Q

Affordable Fluoride Toothpaste (AFT)

Ø Basic Level of \_\_\_\_ Care
Ø \_\_\_\_ Based Intervention 
Ø Financial Access
Ø Economic Development
Ø \_\_\_\_ Water
Ø Cultural Norms
• Preventative
A

preventive
community/nation
clean

19
Q

atraumatic restorative therapy (ART)
interim therapeutic restoration (ITR)

  • description of ____
  • ____ restorations
  • silver diamine fluoride
  • ____ results
  • personnel required
  • ____
  • disadvantages
    • Restorative
    • ART is done with SDF to provide a glass ionomer restoration to use without a ____
    • Can use an ____ when no electricity
A

technique
glass ionomer
research
advantages

bur
excavator

20
Q

Pan American Health Organization (PAHO)

Ten year plan

  • ensure a minimum level of ____ to care
  • integrate oral health care into ____ (PHC) & schools
  • ____ up on proven cost effective interventions, specifically ____• Scale up on proven activities
A

access
primary health care
scale
caries prevention

21
Q

PAHO’s multi-year plan for ____programs in the region of the americas

• Can use salt fluoridation when unsafe water elvels
A

water-salt fluoridation

22
Q

direct cost of caries prevention programs

sealants > supplements > water fluoridation > salt fluoridation

* \_\_\_\_ fluoridation is so much cheaper than the others
* All proven activites to scale up when price is. Factor > salt fluoridation is best (home)
A

household

23
Q

• Using ____ and ____ programs all decreased DMFT

A

salt fluoridation

educational

24
Q

95% sound permanent teeth
____% percentage of caries free children
Fluorosis, using Dean’s criteria, was negligible

A

61

25
Q

EMW Dental Program
Began in 1995 by Dr. Charles Craft
1996: original clinic near China Beach
2000: current clinic in Da Nang

2004: milestone of having treated >10,000 children
Treated > 82,000 children to date

Patient population
Da Nang School for the Blind EMW’s Village of Hope
Tuong Lai School for Disabled Children
Hoi An Handicapped Orphanage Street Children’s Center
Rural primary schools around Da Nang

A

yay

26
Q

Challenges in International Mission Efforts

Combination of ____, Preventive and ____ Efforts
Ability and ____ of Dental Care Providers
Program ____
Ethical Considerations of ____, Beneficience, ____, justice

A 
education
clinical
credentialing
sustainability
autonomy
non-maleficence
27
Q

Vacation Travel for Dental Care

Cheaper dental care at what cost?
Emergency during care
Continuity of care after procedure
Popular countries: ____, Costa Rica, Thailand

• Border states, have patients travel for \_\_\_\_ dental care
A

mexico

cheaper

BHS II Exam (7 decks)

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