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DENTAL PUBLIC HEALTH

Presented by:
Dr. Samah Mohamed Nageeb
BDS,MD,MBA
CONTENT
Public Health and Dental Public Health
Health and Disease
 General Epidemiology
Biostatistics
Levels of Prevention ....
Planning and Evaluation
Survey Procedures (dental indices)
Health Education and Communication
School Dental Health Programs
Practice/Delivery of Dental Care… dental chart/patient record
CONTENT
Infection Control
 Health problems
Dental Ethics (referral letters)
Consumer Protection Act (CPA)
Health Care System in Sudan.
 Environment and Health
Health Agencies
National Oral Health Survey/National Oral . Health Care Program
PUBLIC HEALTH
is defined as: “The art and science of preventing disease,
prolonging life and promoting physical and mental efficiency,
through organized community efforts; for the sanitation of the
environment, the control of communicable infections, the
education of the individual in the personal hygiene, the
organization of medical and nursing services for the early
diagnosis and preventive treatment of disease and the
development of the social machinery to ensure everyone a
standard of living adequate for the maintenance of health, so
organizing these benefits so as to enable every citizen to
realize his birth right of health and longevity.”— Winslow (1920 )
DENTAL PUBLIC HEALTH
The Council on Dental Education of the American Dental •
:Association has defined dental public health as
The science and art of“
preventing and controlling
dental diseases and promoting
dental health through organized
.community efforts
DENTAL PUBLIC HEALTH

It is that form of dental practice, which


serves the community as a patient rather
than the individual. It is concerned with the
dental health education of the public, with
applied dental research, and with the
administration of group dental care
programs, as well as the prevention and
control of dental disease on a community
.”basis
FUNCTIONS OF PUBLIC HEALTH DENTIST

.Conduct health education programs to create awareness among people .1


Educating and motivating an individual or community to utilize rendered .2
.dental services
To organize dental camps and delivering dental services for the needy .3
like people in rural areas, orphanages, mentally/physically compromised
.children, etc
Conducting school dental health programs and providing preventive .4
dental care to the school children like topical fluoride applications, pit and
.fissure sealants
FUNCTIONS OF PUBLIC HEALTH DENTIST

Conducting dental treatment camps and providing treatments like .5


extractions, oral prophylaxis, fluoride applications, simple restorations, ART,
.etc. in schools or in community for general public
Updating the knowledge of people regarding new dental preventive .6
.methods and procedures
Conducting surveys to collect baseline data, know the nature and extent .7
of the diseases in the community and plan programs accordingly, to
.decrease the incidence of the diseases
Conducting dental public health activities and field experiences for .8
.dental students and dental nursing students
A community
is a definite group of people or population having common organization,
living in the same region or area following similar rules and regulations
under the same environment
HEALTH
Health is a state of complete physical, mental and social well-being and“
not merely an absence of disease or infirmity” given by WHO in 1948

Health is multidimensional. The various dimensions function individually in


.its own nature and interact with one another and thus constitutes to health
Dysfunction or disturbance in the equilibrium of the various factors will
.alter the health
ORAL HEALTH
: Definition of oral health
Is a state of being free from chronic mouth and facial pain, oral and throat
cancer, oral sores , birth defect as cleft lip and palate , periodontal
disease , the tooth decay and tooth loss , and other diseases and
.disorders that affect the oral cavity
TOOLS OF DENTAL PUBLIC
HEALTH
.Epidemiology: Epi = upon, demos = people, logos = science .1
Is defined as “the study of the distribution and determinants of health
related states and events in population and the application of the study to
.”the control of health problems
TOOLS OF DENTAL PUBLIC
HEALTH
It aims to
minimize or eradicate the disease or health problem and its>
.consequences and to minimize the chances of its occurrence in future
It also helps to define the magnitude and occurrence of disease in man,>
identify the etiologic factors and provide necessary data for planning,
implementation and evaluation of programs for preventing, controlling and
treating diseases
TOOLS OF DENTAL PUBLIC
HEALTH
.Biostatistics .2
.Social sciences .3
.Principles of administration .4
a:Organization: Which deals with the structure of an agency and the way
.people are arranged into groups within it
b. Management: Concerned with the handling of personnel and operations
in such a way that the work of the agency gets done
Preventive dentistry .5
EPIDEMIOLOGY
The basic tenet of epidemiology refers to the study of the clusters of
.causes and the combination of effects and how they relate to each other

The term ‘‘Natural history of disease” is a key concept in epidemiology. It


signifies the way in which disease evolves over the time from the earlier
stage of its prepathogenesis phase to its termination as recovery and
disability or death
EPIDEMIOLOGY

Incubation Period It is defined as the time interval


between invasion by an infectious agent and
appearance of the first sign and symptom of the
.disease in question
EPIDEMIOLOGY

-: The length of incubation period


a: Short incubation time: Few hours or 2–3
days (e.g: staphylococci food poisoning,
.cholera, bacillary dysentery)
b: Medium incubation time:10 days to 3
weeks (e.g: typhoid, viral diseases like
.chickenpox, mumps)
C: Long incubation time: Months to years
EPIDEMIOLOGY
-:.two phases
Prepathogenesis phase: This refers to the period before .1
.the onset of disease in man
This situation is frequently referred to as “Man in the midst
.”of disease” or “Man exposed to the risk of disease

Pathogenesis phase: This phase begins with the entry of .2


the disease agent in the susceptible human host
PROCEDURAL STEPS IN DENTAL
PUBLIC HEALTH
:Survey .1
Surveys are methods for collection of data, analyzing and evaluating them
in order to determine the amount of disease problems in a community and
.also to identify cases that have not been identified

:Analysis .2
It is necessary to arrange or organize the data collected from the survey in
such a way that meaningful figures are obtained. Analysis can be done
manually or using computers
PROCEDURAL STEPS IN DENTAL
PUBLIC HEALTH
:Program planning .3
After analyzing the problem, the next step is program planning. The
objective is to design the plan so that it is accepted by the community
and in which they are interested in, which is comprehensive and cheaper.
It has to be ensured that the community is well informed about the
.program so that they participate in all the steps involved
PROCEDURAL STEPS IN DENTAL
PUBLIC HEALTH
Program operation: Execution of the program once the plan has been .4 •
accepted. A public health team, which constitutes of professionals in
various disciplines, has to be employed for executing the program.
Example: Water fluoridation, which includes a team of dentists,
.engineers, chemists, water works department, public health authorities

Financing: Financing in public health program is usually through the .5 •


.government or by the local or state authorities
PROCEDURAL STEPS IN DENTAL
PUBLIC HEALTH
:Program appraisal .6
Final step in any public health program where effectiveness of the program
is assessed. The baseline data prior to the introduction of the program
serves as an indicator against the effectiveness of the program after the
implementation. The criteria for evaluation are appropriateness, adequacy,
effectiveness and efficiency

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