What is the cause of this

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What is the cause of this?
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The answer A huge increase in refined sugar
intake - a negative impact of tourism

• Initially sweets from trekkers
• Sweets and soft drinks now ubiquitous
• Sugar is a cheap form of energy
• Children are grazing on sweets while parents work
• Caries not just a factor of poverty

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Early dental care important

• Evidence from studies suggests that poor dental
  health in early life predicts a lifetime of
  dental disease, including multiple decayed,
  missing or filled teeth and gum disease

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SmileHigh Mission

• To reduce the level of dental caries in all
  Nepalese children of remote communities by
  education and preventative strategies in order
  to increase their standard of living.

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SmileHigh strategies

• School visits
• Free examinations for all children
• Tooth brushes and fluoridated paste
• Constant reiteration of importance of healthy
  diet
• Oral hygiene instruction
• Posters and, pamphlets
• Oral Health Day
• Prize for best smile
• Oral health related quiz
• Drawing

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Clinical strategies - SmileHigh is all about
saving teeth SSS- Simple, Safe, Sustainable

• Annual school dental camps
• Hand scaling
• Preventative restorations
• Fissure sealants
• ART- atraumatic restorative technique (local
  anaesthetic not required)
• Caries reversal technologies
• Referral to clinic for all extractions

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The bigger picture staying on-track

• Empowerment a hand up is much better than a hand
  out
• Sustainability- including support strategies
• Mission- adhere to it
• Efficiency- value for money
• Friendships- All I have done is help my friends
  Sir Edmund Hillary

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Current Relationships Friends of HDHF pro bono
support

• Baker McKenzie (legal services)
• BDO Kendall's (auditing)
• Rotary Australia (RAWCS)
• Melbourne IT (website design and hosting)
• GC Corporation (innovative dental materials)
• Naked Communications (creative design
  communication)
• KaVo (dental equipment)
• KEA (Kiwi expatriate association)

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Local clinical personnel

• The core of SmileHigh. Happy, motivated,
  committed and determined.
• At present Mingma and Pasang
• Kanje from Khumjung wants to join SmileHigh
• Therapist2 year training program followed by VT
• Approx cost per year A2500.00

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Thinking ahead - the future

• Key objectives
• Train more dental therapists
• Commence SmileHigh Langtang Project
• Continue to review efficacy of existing projects
• Explore delivery of services below Kharikola
• Consider delivery of services to orphanages in
  Kathmandu

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SmileHigh Expedition 2008

• 4 Weeks
• 15 People
• 9 Dentists
• Key outcomes
• Very young are the most vulnerable
• Must continue to do more
• Need more therapists to work in the field

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Thank you for your attention