Dental Public Health Flashcards
What are the 3 oral diseases with significant public health impact?
Tooth decay (dental caries), gum disease (periodontal disease), oral cancer.
What are the 3 facets of oral health impact on a person?
Physical impact, social health, psychological health.
What kind of tooth decay is looked for in epidemiology?
Extensive decay.
What is the DMF index?
Sum of decayed, missing or filled teeth or surfaces.
What are some of the problems with the DMF index?
Teeth lost for other reasons, tooth can be in more than one conditions (precedence is missing, decayed then filled), DMF irreversible (not good for measuring beneficial interventions), components are unequal in impact (extracted tooth not equivalent to filled for a person).
What are the 3 adapted ways of using DMF?
DMFT - count of all decayed, missing or filled teeth (measure of obvious decay experience).
def - a count of all primary teeth that are decayed, extracted due to caries or filled.
DMFS - count of all decayed, missing or filled tooth surfaces.
What are the 2 levels of the national dental inspection program (NDIP)?
- Basic exam - all p1 and p7 children.
2. Detailed exam - representative sample of either p1 or p7 children inspected in alternate years.
What is the main reason in the worldwide reduction of dental caries in children?
Fluoride being put into the toothpaste.
Why are back teeth dental caries more common?
Good getting stuck and children not cleaning back teeth.
Define periodontal diseases (gum disease).
Group of related conditions, both acute and chronic, characterised by inflammation of the periodontal tissues in response to the presence of dental plaque.
Give examples of periodontal diseases.
Gingivitis, chronic periodontitis, agressive periodontitis, necrotising ulcerative gingivitis (NUG), periodontal abscess, perio-endo lesion, gingival enlargement.
What are the medical conditions associated with periodontal diseases?
Atherosclerosis/stroke/MI, adverse pregnancy outcomes, diabetes, resp infections, rheumatoid arthritis/osteoporosis, obesity.
What are some treatments for periodontal diseases?
Oral hygeine, stop smoking, scaling and root planning, surgery, long term maintenance, extraction.
What is the objective of Childsmile (national programme in Scotland)?
To improve the oral health of children in Scotland and reduce inequalities both in dental health and access to dental services.
What are the 3 key elements of childsmile?
Core-toothbrushing, nursery and school, practice.
