DPH

Question 1

What are the principles of population health approach

Answer 1

Identify why certain oral diseases are more prevalent in specific population groups
Your role as a health professional and working with social and other health workers
Identifying barriers and challenges patients have in maintaining their health
Identifying factors that affect oral health programmes and dental services

Question 2

What is DPHs focus

Answer 2

Prevention of oral disease
Promotion of oral health
Improving quality of life
Through society

Question 3

Wat is a risk factor

Answer 3

Personal characteristics, behaviour, or environmental factor that can increase an individuals likelihood of getting disease
Can be modifiable or non modifiable
Protective factors are the opposite
They are not necessarily causal

Question 4

Why is preventing oral disease important?

Answer 4

Oral disease are common, and largely preventable, they have a long term impact on individual, and costly to treat

Question 5

How much money does NHS spend on dental services yearly?

Answer 5

3.4billion

Question 6

How do we know sugar consumption causes caries?

Answer 6

Stephans curve - plaque ph studies- ph dropped after sucrose rinse
Vipeholm study - link between sugar intake and dental caries incidence
Turku study - finland - effect of artificial sweeteners which replaced sucrose = reduced caries 85%

Question 7

Describe Vipeholm study

Answer 7

1945-1955 in sweden
Fed mental institute patients with sweets and recorded dental caries incidence
Effect of number of sugar attacks- freq plus conc

Question 8

What percent of UK has access to water fluorodation

Answer 8

10

Question 9

% of dental attendence in TOH, London average

Answer 9

TOH = 50%
London = 63%

Question 10

Prevalence of caries in 5yr olds in TOH and London average in 2014/2015

Answer 10

TOH = 35.5%
London = 27.4%

Question 11

Describe steps in a patient preventative strategy

Answer 11

Identify their problem - history n examination
Diagnose the problem
Provide a treatment plan - take consent etc
Carry it out
Patient follow up

Plus dont just be surgically focused, must also give preventive advice on diet n oral hygiene maintenance

Question 12

Steps for a population preventive strategy

Answer 12

Identify populations oral health needs - what is the problem
Identify and tackle determinants, causal and risk factors
Develop a preventive strategy to address it
- whole pop
- high risk pop
- directed pop
Implement strategy
Evaluate efficacy

Question 13

Whats the mean dmft in 5 yr olds in Tower Hamlets in 2014/2015

Answer 13

1.26

England = 0.84