Community Dentistry

Question 1

what is the goal of public health?

Answer 1

protection and improvement of the oral health of the whole population accomplished by cooperation btw both the public and the private sectors

Question 2

what are the oral health objectives for the nation?

Answer 2

-reduce the proportion of young children with untreated dental decay in their primary teeth

target = 9%
baseline = 16% of 2-4 yr olds had untreated decay

Question 3

what is the target for kids with sealants?

Answer 3

50% in both children and adolescence

Question 4

what is the target for the proportion of the US pop served by community water with F-?

Answer 4

75%

baseline = 62%

Question 5

what are some population based prevention programs?

Answer 5

• water fluoridation
• school-based sealant programs
• school-based fluride rinse programs
• community-based fluoride varnish programs

Question 6

how many americans drink naturally fluoridated water at 0.7ppm or more?

Answer 6

10 million

Question 7

in what year did ohio mandate fluoridation?

Answer 7

1969

more than 5,000 ppl served

Question 8

what level should you maintain your fluoride to be?

Answer 8

0.8mg - 1.3 mg

Question 9

in 1970, how many communities voted to NOT fluridate their water supply?

Answer 9

30

since then, 8 have reversed that decision

Question 10

what is ohio’s national ranking for percentage of persons on public water systems that receive fluoridated water?

Answer 10

11th

Question 11

currently, what percentage of Ohioans are not served by fluoridated water?

Answer 11

12%

Question 12

why is there a proposed change to decrease the total fluoridation of water supplies?

Answer 12

• americans get fluoride from more sources today than they did when the levels were first set
• water consumption does not differ by region or climate
• prevalence of enamel fluorosis has inc
• get some F- in the foods we eat

Question 13

nearly all fluorosis in the US is what level of severity?

Answer 13

mild or very mild

Question 14

what are the target grades for the typical sealant program?

Answer 14

2 and 6

(follow up with grades 3 and 7)

*high risk schools are eligible

Question 15

how does the typical sealant program work?

Answer 15

• portable equipment
• RDH-DA teams apply sealants
• each team (12-20 children/day)
• children with additional needs sent home with note and school nurse is notified
• parental consent forms needed
• —55% return consent

Question 16

how many kids/year receive sealants from the typical sealant program?

Answer 16

25,000 kids

Question 17

what is the dental care safety net?

Answer 17

• where ppl go when they dont have a regular dentist
• they now medicaid will be accepted
• they wont be turned away when they are in pain and cant afford care
• bc the clinic is close to home and linked to their other health care provider

*mostly concentrated in major state cities

Question 18

what are some other examples of access to care programs?

Answer 18

• smiles for Ohio Fluoride

- community based programs (head start)

Question 19

what are the core functions of public health?

Answer 19

• assessment
• policy development
• assurance

Question 20

what are some examples of primary data?

Answer 20

• mail survey
• epidemiological/screeing survey
• telephone interview

Question 21

what are some examples of secondary data?

Answer 21

• medicaid
• vital stats
• cancer registry

Question 22

once your assessment has identified a problem, waht are you going to do about it?

Answer 22

• decide on appropriate course of action (policy statements)

- mobilize community partnerships to find solutions to oral health problems

Question 23

the implemetation of some combo of policies, programs, and collaborations?

Answer 23

assurance