CHAPTER 11: DENTAL PUBLIC HEALTH ISSUES IN PEDIA DENT

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Dental Public Health

Defined as the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts

Role of Individual Practitioner

Improve the oral health of their patients and their community  Engaging in advocacy efforts to promote better oral health

School-Based Dental Care Services that can be provided:

-Oral Health Education
-Fluoride Mouth Rinsing(FMR)
-Sealant placement

-Oral health screenings and referrals -Comprehensive Restorative Care

barriers to care matrix

Lack of finances is a significant barrier to oral health care for the at-risk patients  Lack of transportation and geographic isolation
 Language and cultural barriers
 Availability of dental providers

Nonfinancial barriers to care:

-low priority given to oral health
-no perceived need for dental care
-a dislike for going to the dentist
-lack of dentist office hours that do not interfere with school and other activities -lack of transportation

The AAPD encourages child care centers to:

utilize oral health consultation, preferably by a pediatric dentist, at least once a year and as needed.

promote the concept of the dental home by educating their personnel as well as the parents on the importance of oral health and providing assistance with establishment of a dental home no later than 12 months of age of the child.

maintain a dental record, starting at age 12 months with yearly updates, as part of the child’s health report. It should address the child’s oral health needs including any special instructions given to the caregivers.

sponsor on-site, age-appropriate oral health education programs for the children that will promote good oral hygiene and dietary practices, injury prevention, and the importance of regularly scheduled dental visits.

provide in-service training programs for personnel regarding oral hygiene concepts, proper nutrition choices, link between diet and tooth decay, prevention of ECC, and children’s oral health issues including proper initial response to traumatic injuries along with dental consequences. Personnel with an understanding of these concepts are at a great advantage in caring for children.

encourage parents to be active partners in their children’s health care process and provide an individualized education plan, one that is sensitive to cultural values and beliefs, to meet every family’s needs.

have clean, optimally-fluoridated drinking water available for consumption throughout the day

level 1 of school-based interventions

education

broad oral health education promoting hygiene and diet

level 2 of school-based interventions

prevention

fluoride mouth rinsing (FMR) programs and targeted sealant placement

level 3 of school-based interventions

triage

on-site oral health screenings and direct referrals

level 4 of school-based interventions

intervention

comprehensive restorative care provided in community settings

crisis management & swiss chesse model

active failures (unsafe acts)

layer 1 (history)

latent conditions (sins of omission)

layer 2 (physical)

layer 3 (monitoring)

layer 4 (procedure)

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