Introduction to Population Health, Clinical Prevention and Flashcards
Dental Public Health Definition
____ and ___ of ___ and ____ ____ ____ and ____ ____ ____ thru ___ ____ ____
“Dental Public Health is the science and art of preventing and controlling dental diseases and
promoting dental health through organized community efforts”
Dentistry and Public Health
Who do we focus on?
Goal or Target ____ _____/ ____ ____
Type __ __ __/ ___ ____ ___ ____
We think about ____ _____/ _____
Research ____/____
Individuals/ Populations
Disease diagnosis, treatment and care for indiv/ Comm disease prevention and promotion
Prosth, Endo, ortho/ Epidemiology, occupational health, environmental health, nutrition
Biological Sciences; guided by needs of patients/ Major threats to the health of the popl
Research: Lab–>Chair/ Lab–> Field
We are seeing a rise in
___ ____ and ____
oral cancer, oropharyngeal cancer and consequenses of exposure to HPV
Major areas of Public Oral Health Care
p___ m__ and a____
r____
o___ h___ p____
d___ s____
h____ p____
»Program Management and Administration
»Research
»Oral health promotion
»Delivery systems
»Health policy
Fluoridation
When we think about dental public health and the major contributions of dental public health measures that improved our quality of life, the ____ and most ___ and ____ implementation was fluoridation.
After fluoridation started in 1945 in Grand Rapids, ____ studies show a marked and consistent ___ in dental ___
When we think about dental public health and the major contributions of dental public health measures that improved our quality of life, the easiest and most popular and famous implementation was fluoridation.
After fluoridation started in 1945 in Grand Rapids, Michigan studies show a marked and consistent decline in dental decay.
Fluoride levels
About ____ of the US water receives fluoride and the target for Healthy People 2020 is that ____ of the country have access to fluoridated water.
these levels are determined by ____ & ____
About _____Texans drink fluoridated water every day and across the country this number is close to ____
About 74.6% of the US water receives fluoride and the target for Healthy People 2020 is that 79.5% of the country have access to fluoridated water.
these levels are determined by the existing concentration of fluoride in the water and also temperatures
About 20 million Texans drink fluoridated water every day and across the country this number is close to 210 million.
Hydrofluosilicic acid
The most ____ ___ ___ ____
AKA ____ ____ and ____
slg
Formula
may be ___ into ____ or may be ____
popular choice many treatment plants bc: and ____ to ___
However it can be ____ to ____ since its _____ _____ ___ and ___ than others
the most commonly used fluoridating chemical.
This acid, also known as fluorosilicic acid, hexafluosilicic acid, and silicofluoric acid, is a liquid with the formula H2SiF6.
The liquid may be fed directly into the raw water or may be diluted.
Hydrofluosilicic acid is a popular choice in many water treatment plants because it is usually the least expensive fluoridation chemical and is the easiest to feed. However, it can be expensive to ship since it is a liquid and is heavier than the other fluoridation chemicals.
The other two commonly used fluoridation chemicals are ____ ___
Sodium silicofluoride, AKA ___ ____
Formula
Solubility which makes it difficult to ____ and ___
NaF
lso dry, but is___ to ____ than other powdered fluoridation chemicals because it is ___ soluble in water.
was the ___ chemical used in fluor and is still ___
Not used in large plants bc ___ and _____
Dry powders
Sodium silicofluoride, also known as sodium fluorosilicate and characterized by the formula Na2SiF6, has limited solubility which makes it difficult to dissolve and use.
Sodium fluoride, NaF, is also dry, but is easier to feed than other powdered fluoridation chemicals because it is more soluble in water. Sodium fluoride was the first chemical used for fluoridation and is still used in small installations, but it is not generally used in large plants because of the high cost of chemicals and bulky saturators.
Water Fluoridations
Although the results are so ____ and definitive, fluoride remains the topic of strong ___.
Very recent there is a movement to ___ fluoridation in ___ and claiming that if they stop fluoridating the public water supply they will save _____
Although the results are so conclusive and definitive, fluoride remains the topic of strong debate. Very recent there is a movement to stop fluoridation in Dallas and claiming that if they stop fluoridating the public water supply they will save 1 million/year.
Dr. Lawrence Wolinsky
Dr. Lawrence Wolinsky is dean of Texas A&M University Baylor College of Dentistry.
What did he do?
Dallas currently fluoridates the water at ____.
The fate of water fluoridation in Dallas is still ____, they need to vote to renew a___ ___ ___ to ____ the addition of fluoride in the city water.
My opinion is___ stopping water fluoridation, evidence is strong that it is beneficial for the population but we cannot ignore that life now is different than in the 20th century and we get fluoride exposure in many ___ ___.
If they indeed stop fluoridating Dallas City water we will only know the real consequences in ____ years if there are enough well-____ ____ studies looking at prevalence and incidence of tooth ___y along with all sources of ___ ___
Such studies will cost much more than __ million in 3 years
Dr. Lawrence Wolinsky is dean of Texas A&M University Baylor College of Dentistry. Published an opinion article at the Dallas News on May 1st 2014.
Dallas currently fluoridates the water at 0.4ppm.
The fate of water fluoridation in Dallas is still undecided, they need to vote to renew a 3-year contract to finance the addition of fluoride in the city water. My opinion is against stopping water fluoridation, evidence is strong that it is beneficial for the population but we cannot ignore that life now is different than in the 20th century and we get fluoride exposure in many different ways. If they indeed stop fluoridating Dallas City water we will only know the real consequences in several years if there are enough well-designed epidemiological studies looking at prevalence and incidence of tooth decay along with all sources of fluoride exposure. Such studies will cost much more than 2 million in 3 years
City of Houston
___ of ___ 2010 Survey (PI: S. Linder, PhD)
»Provide ___ information about ___ residents
»Follow-up survey under ___ – UT School of ___ ___
»UTSD is collaborating with ____ for the follow up survey
»Health of Houston 2010 Survey (PI: S. Linder, PhD)
»Provide health information about Houston residents
»Follow-up survey under planning – UT School of Public Health
»UTSD is collaborating with questions for the follow-up survey
Health of Houston 2010 Survey (PI: S. Linder, PhD
objective of providing ___ ___ about Houston residents
there is a follow-up survey under planning and because of the results of the first survey we submitted a block of ___ questions for the follow-up survey.
I followed up with Dr. Linder in February and they were still working on gathering ___ for the next survey but he was optimistic!
objective of providing health information about Houston residents
there is a follow-up survey under planning and because of the results of the first survey we submitted a block of ten questions for the follow-up survey.
I followed up with Dr. Linder in February and they were still working on gathering funds for the next survey but he was optimistic!
And one of the surprising and unexpected results of this survey only ____% of surveyed adults (they surveyed over ___ adulsts) had ____ during all ____.
In the followup survey we hope to
We proposed questions such as _______, _______, ______,
is that only 42% of the surveyed adult residents – and they surveyed over 5,000 adults, had dental insurance during all 12 months. In the follow-up survey we hope to collect more data – we proposed questions such as: how do you perceive your oral health, do you have your natural teeth; frequency of dental visits, cleanings and check-ups.
Public Health
____ Science
____ health
Recognized as a specialty since ____
»Evolving Science
»Population health
»Recognized as a specialty since 1951
Oral health in America:
A Report of the Surgeon General
Dr. _______
Published in ____
Lack of ___ of ____ of ___ ___ among the public
Marked disparity bw ___ and ____ groups in relation to ____ and ____
Brought awareness from policy makers that ___ ___ should be part of ___ ___
»Dr. David Satcher, Surgeon General
»Published in 2000
»Lack of awareness of the importance of oral health among the public
»Marked disparity between racial and socioeconomic groups in relation to oral health and overall health issues
Brought awareness from policy makers that oral health should be part of general health
