Dental Public Health

Question 1

3 most prevalent dental disease

Answer 1

Tooth decay(dental carries)
Gum disease(peridontal disease)
Oral cancer

Question 2

How many ppl are affected by oral condt.?

Answer 2

3.9 billion ppl

Question 3

Problem in tayside?

Answer 3

760 children under the age of 15 having a surgical tooth removal

Question 4

Oral health impact

Answer 4

Physical health (healthy diet amd demotion)
Social health (kissing, easting, smiling)
Psychological health (self esteem, anxiety, communication)

Question 5

Common risk factor

Answer 5

Smoking
Alcohol
Tobacco

Question 6

What are dental carries?

Answer 6

Its a dynamic process involving exchange of calcium and phosphate ions btw tooth structure and saliva, in the presence of acids produved by the fermentation of carbohydrates by oral micro organisms

Question 7

Guidelines for daily intake for sugar

Answer 7

No more than 11% of our daily intake of calories

Question 8

What is the new target for % of food energy from sugar?

Answer 8

5% energy only

Question 9

Various stages of tooth decay are?

Answer 9

.

Question 10

How do you measure dental carries?

Answer 10

1) DMF index
(Decayed Missing Filled)

However conponents are inequal in impact. Hence not that effective.

2) def - 1° teeth that are decayed, and removed due to carries or filled
3) DMFS - a count of all decayed or missing or filled tooth surfaces

Question 11

Carries in under 5 yr old max when?

Answer 11

In Wales, Scotland then England

Question 12

What is National Dental Inspection Programme (NDIP)?

Answer 12

Since 1987

Yearly detailed examination for all P1 and P7 children

Question 13

What is the current trend in carries? Why jas it decreased?

Answer 13

World wide reduction in children over the past 40 years. It is due to the introduction of Fluoride Ion containing toothpastes (introduced since 60’s)

Question 14

Is there any factor involved in unequal distribution of dental carries?

Answer 14

Socio-economic status

Question 15

Are dental carries evenly distributed around the mouth?

Answer 15

No. Its is usually the ones at the back, then the ones at the sides with least probability for the front ones.

Question 16

What are periodontal diseases?

Answer 16

Group of related cond. both acute and chronic, characterised by inflammations of the perdidontal tissues in response to the oresence of dental plaque.

Question 17

What are the classifications of peridontal diseases?

Answer 17

Gingivitis
Chronic peridontitis
Aggressive peridontitis
Necrotising. Ulceratove gingivitis
Peridontal abscess
Peri-endo lesion
Gingival enlargement

Question 18

Peridntal disease risk

Answer 18

60% risk assc. with gum disease

Question 19

Weakest point of contact btw bone and gum.

Answer 19

Always in the tooth

Question 20

What are the stages of peridontal disease?

Answer 20

swelling and inflammation,

Question 21

What is the assessment used for assessment?

Answer 21

Basic peridontal examination (BPE)
Score from 0-4
Less than 3.5 - good; score = 0

Question 22

What is the treatmeny for peridontal disease?

Answer 22

Oral hygiene
Stop smoking
Scaling(plaque gets calcified and it has to be removed) and root planing 
Surgery
Long term maintenance
Extraction

Question 23

What is a dental public health intervention available now?

Answer 23

Childsmile - national programme designed to improve oral health of children in scotland and to reduce inequalities in dental health and acces to services.

Question 24

Childsmile programme includs what?

Answer 24

Core toothbrushing
Nursery and school
Practice

Question 25

Who delivers childsmile?

Answer 25

Dental Health Support Workers
Extended duty dental nurses
Dental practice staff
Health visitors and public health nurses

Chief dental officer - 2 programme directors - regional programme managers - coordinators - the works at the grass rpot level