Dental Public Health - intro to dental public health

Question 1

What is the most prevalent non communicable disease (NCD)?

Answer 1

Dental diseases

Question 2

How many people suffer from untreated dental problems in the world today?

Answer 2

4 billion

Question 3

How much, on average does the cost of treating oral diseases cost the NHS annually?

Answer 3

£3.4 billion

Question 4

What is dental public health?

Answer 4

A non-clinical speciality of dentistry involved in the assessment of dental health needs and improving the dental health of populations rather than individuals

Question 5

What happens in a public health practice (7)?

Answer 5

1. Analysis of social and health data = assertain if there is a health need in the population
2. Examine the causes and effects that may be underlying the health problem
3. Plan an effective programme intervention
4. Ethics and planning approval
5. Programme implementation
6. Budget/finances
7. Appraisal and review

Question 6

What are the 3 aims of dental public health?

Answer 6

• dental and oral health issues of a population
• prevent and control dental disease and promoting dental health through organised community efforts
• Bringing into focus the range of factors that influence oral health and the most effective means of preventing and treating oral health problems

(Daly)

Question 7

What are the features of dental public health (5)?

Answer 7

• Providing leadership and expertise in population-based dentistry
• oral health surveillance
• policy development
• community-based disease prevention and health promotion
• maintainance of a the dental safety net

Question 8

Which % of the worlds population does not have access to a dentist?

Answer 8

75

Question 9

What % of the health budget of most industrialised countries goes towards treating dental diseases?

Answer 9

5-10%

(money thrown at it to treat but not stopped in first place)

Question 10

How often is the Public Health England (PHE) dental public health intelligence programme updated?

Answer 10

Every 2 years

Question 11

What is the separist approach?

Answer 11

Oral health policies are pushed to the margins (therefore only have a backwash benefit)

Question 12

What is “upstream policy development”?

Answer 12

Wide spread effect = total impact on everyones lives e.g. legalisation for smoke free public spaces/buildings

Question 13

What is “downstream policy development”?

Answer 13

Impacts at the level of the individual

e.g. new NICE guidelines for brushing

Question 14

Which indicator of health was added to the department of halths outcome frameowork?

Answer 14

tooth decay in 5 year olds

Question 15

Which indicator of health was added to NHS englands outcomes framework?

Answer 15

Includes patients experience of and access to dental services

Question 16

In 2014 which % of 5 year olds had tooth decay in england?

Answer 16

28%

Question 17

What is the dental safety net?

Answer 17

The sum of the individuals, organisations, private and public agencies and programes involved in delivering oral health services to people who for reasons of povery, culture, language, health status, geography and or education are unable to secure those services on their own

Question 18

What is the inverse care law?

Answer 18

The poor consistently gaine less from health services than the better off

Question 19

When was the NHS set up?

Answer 19

1948

Question 20

Before NHS was set up what was the cost of Dental care?

Answer 20

Very high

(common for people to have their teeth removed and dentures fitted, tendancy to see restoritive dentistry as a luxury i.e. nice teeth related to class)

Question 21

What problems were associated with visits to the dentist before the NHS was introduced?

Answer 21

• Cost
• Fear
• Anxiety

Question 22

Which changes have been made to the structure of the UK healthcare system in 2013?

Answer 22

• Increased role of local councils promoting dpublic health, commisioning surveys of dental health, dental screening & improving oral health of the population
• Partnership models to health (NHS England, Public health england, NHS trust development authority and health education england = stronger infrastructure)
• Local clinical commissioning groups (doctors, nurses & other professions) buying services for patients = more of a say

Question 23

What is the aim of dental public health?

Answer 23

• To broaden students focus and encourage a critical and questioning approach to the delivery of dental care (Daly)
• Shift our understanding of health towards social, economic, political and environmental factors that influence oral health