Community Dental Health Flashcards
Dental Practice Vs. Community Dental Health.
EvaluationSurvey DiagnosisAnalysis Treatment PlanningProgram Planning TreatmentProgram Operation PaymentFinance EvaluationEvaluation/appraisal
Focuses on health problems of international status.
World Health Organization.
Focus on health problems of national population.
Federal.
Focus on health problems of state populations; consult with local health departments.
State.
Focus on health problems of local population (county/city).
Local.
What is epidemiology?
Provides general understanding for critically interpreting new information in literature.
What is an endemic?
Disease that occurs regularly in a population as a matter of course.
An unexpectedly large number of cases of disease in a particular time and place.
Epidemic
What is a pandemic?
Outbreak of disease over a wide geographical area such as a continent.
Number of live births
Natality
Rate of an illness in a population.
Morbidity
number of deaths in a population.
Mortality
number of new cases in a population at risk during a particular period of time.
Incidence
Number of new and old cases of a disease in a population in a given period of time.
Prevalence
Incidence rate calculated for a particular population for a single disease outbreak.
Attack
Descriptive Studies
describes an epidemic with respect to person, place, and time. Who, Where, When.
Aimed at testing hypotheses?
Analytical Studies
Retrospective Study (case control study)
seeks to compare those diagnosed w/a disease with those who do not have.
A cohort is classified by exposure to one or more specific risk factors observed into the future to determine the rate at which the disease develops.
Prospective study.
Longitudinal study
group is observed over a long period of time.
Group has the experimental treatment (intervention) withheld; receive a placebo.
Control groups.
Treatment Groups
group that receives the experimental treatment.
Researcher remains uninformed and unaware of the identities of treatment and control group members to prevent bias.
Blindness
Double Blindness
neither the researcher nor the subjects know whois receiving treatment.
What indices can be reversed?
Gingivitis indices.
What indices are irreversible?
Caries and periodontal indices.
DMFT/DMFS
Decayed, Mising, Filled teeth or Decayed, Missing, Filled Surfaces. Irreversible and involves permanent teeth.
deft
decayed, need for extraction, filled teeth. Irreversible and measures caries in primary teeth.
dft/dfs
decayed filled teeth/decayed, filled, surfaces.
RCI
Root Caries Index. Irreversible. Assess the extent of root caries within the context of individuals at risk for the disease.
GI
Gingival Index. Reversible and based on inflammation and location.
SBI
Sulcular Bleeding Index. Reversible.
PDI
Periodontal Disease Index. Irreversible and Reversible. Measures prevalence and severity of periodontal disease.
PI
Periodontal Index. Irreversible. Developed by Russel. Each tooth scored according to condition of surrounding tissue and does NOT measure attachment loss.
Process by which the planner identifies and measures gaps between what is and what ought to be. Analyses and understand the target population.
Needs Assessment
Reasons for Needs Assessment.
defines the extent and severity if problem, identifies causes of problem, and collects baseline data.
Ways to collect a needs assessment?
Direct observation, interview, questionaire, survey (best choice for large groups), epidemiological surveys, records, documents, and charts.
Type I Examination Method
Complete exam.
Type II Examination Method
includes mouth mirror, explorer, lighting, and limited radiographs.
Examination using mouth mirror and lighting ONLY.
Type III Examination Method.
Examination with tongue depressor and lighting ONLY.
Type IV Examination Method.
Health insurance for elderly and disabled.
Medicare
Health insurance for the poor.
Medicaid
Consolidated Omnibus Budget Reconciliation Act. Offers insurance to workers when they no longer work.
COBRA
Block Grants
Lump sum of money given to group to use at their discretion.
Specifies where monies are to be used.
Line item grant.
Formal Delivery
Active; lecture, demonstration, and discussion.
Informal Delivery
Passive; Brochures, pamphlets, etc.
Stages of the Learning Ladder.
Unawareness-learner has incomplete/inaccurate info.
Awareness-correct info is obtained but lacks personal meaning.
Self-interest-learner personalizes info.
Involvement-learner motivated to act.
Action-learner tests new concepts.
Habit- learner begins to experience gratification and self-satisfaction.
Must be continuous from the beginning of the program.
Evaluation
Summative Evaluation
outcome evaluation; measures impact of program.
Formative Evaluation
Conducted during the program.
Outcome of interest; should change in response to intervention.
Dependent Variable.
The intervention; what is being manipulated.
Independent Variable.
Data Matrix
Arranges data scores from lowest to highest measures utilizing the statistics supplied above.
Measures how often each score occurs.
Frequency of Distribution.
Frequency of distribution is plotted on an x-y graph resulting in a pictorial representation of the data.
Measures of Central Tendency.
When data is plotted using a normal curve, what is all equal?
Mean, median, and Mode.
Most commonly used method of dispersion in oral hygiene research and reflects the range within the data matrix.
Standard Deviation; represents the square root of the sample variance.
Positive Skew
When more scores fall in the lower range, the curve will have a positive skew. “Tail” goes to the right.
When more scores fall in the higher range, the curve will have a negative skew. “Tail” goes to the left.
Negative Skew
Validity
Degree that a study measures the variable it is designed to measure.
Reliability
The extent to which the method of measurement performs consistently.
T-test
Statistical hypothesis test used when comparing the statistical difference between TWO mean scores.
P-value
Probability value. Used when testing hypothesis, refers to the probability that a condition would happen by chance, a p-value of greater than 0.05 will negatively affect study results.
Direct association between two variables.
Positive correlation
The score on one scale predicts an opposite score on the other scale.
Negative correlation
Primary Services
Preventative therapies: mechanical plaque removal, dietary restriction of sucrose, and fluoride treatments.
Restore tissues to as normal as possible: Periodontal debridement and restorations.
Secondary Services
Tertiary Services
Replacing lost tissues: Implants, bridges, and dentures.