Dental Health 101

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(No Transcript)
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Dental Health 101
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Warning

• The following material contains
• disturbing pictures of the mouths
• of Ontario residents.
• Viewer discretion is advised.

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Im not a dental professional. Why do I need to
know about teeth?
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Agenda

• Why teeth are relevant to your clients
• How to teach your clients to care for themselves
• How to help your clients through the dental care
  system

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Why do teeth matter ?

• Teeth are needed for
• Clear speech
• Social interaction
• Self esteem
• Employability
• Eating

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What can go wrong with teeth?

• Caries (tooth decay)

Bacteria
Food
Tooth
Decay
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Prevalence of Dental Decay

• Dental decay is the
• most common chronic
• disease of childhood!

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CariesAn Infectious Disease

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How are the bacteria which cause dental decay
transmitted?
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• Early Childhood Tooth Decay

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Advanced ECTD
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What can go wrong with teeth?

• If left untreated
• Nerve inflamed (pulpitis) PAIN!!!
• Abscess SWELLING

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What can go wrong with teeth?

• 2. Periodontal disease
• (gum disease)

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What can go wrong with teeth?

• Congenital Problems
• (special funding is available)

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What can go wrong with teeth?

• Acquired medical problems

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Undesirable Outcomes

• pain, infection, loss of function
• affects learning, communication, nutrition, sleep
• lower body weight
• chronic inflammation
• psychological impact
• lasting detrimental impact on the dentition

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Recent Research

• Sick Kids Study
• Academic Performance UK Study
• Inflammatory Responses

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Who tends to get dental problems?

• Can affect anyone, but not everyone is affected
  equally

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Why are dental problems more likely to be seen in
socially deprived populations?
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Why are dental problems more likely to be seen in
socially deprived populations?
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Who is likely to have children with dental decay?

• Families whose members have untreated dental
  decay
• Families who drink a lot of sweetened drinks and
  eat a lot of unhealthy snacks
• Families who do not go to the dentist
• Families who do not brush their teeth regularly
• Families who have lower incomes

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Red Flags

• Parent/caregiver has poor dental health
• Siblings have needed lots of dental work
• Lack of routines for
• Mealtimes
• Basic hygiene (bathing, hair, tooth brushing)

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Red Flags (continued)

• Access to care
• Routine medical preventive care
• e.g. immunizations, prenatal
• No regular family dental care
• Attitudes
• Dental care (doesnt do any good, should be
  avoided, not my problem)
• Food (OK to soothe, bribe)

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Dental Neglecta critical issue in the larger
child abuse/neglect spectrum
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Neglect of Childs Basic Physical Needs

• Extremely or Moderate Neglectful Conditions
  Personal Hygiene Examples
• Child emits strong mouth odour
• Teeth encrusted with green or brown matter

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Caregiver Response to Childs Physical Health

• A child is in need of protection when
• Inadequate caregiver response to the childs
  physical health care means the caregiver either
  deliberately does not provide or refuses to
  provide or is unavailable or unable to provide
  consent to required medical treatment to cure,
  prevent, or alleviate the childs . . . dental
  problem. An inadequate caregiver response would
  also include those caregivers who consent to the
  treatment but who do not follow through and take
  the actions necessary to provide the treatment.

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Detection and prevention of dental neglect are
essential components in the overall care and
protection of children.
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Prevention Is Key
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• Limit Sugars Check Food Labels

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Breast Feeding is Best
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• Instead of a
• bottle try
• Stuffed toy
• Blanket
• Clean pacifier
• Rocking
• Back rub
• Reading
• Singing

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Healthy Eating

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Cleaning Childrens Mouths
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Brushing

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First Dental Visit by First Birthday
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Role of Primary Care Providers

• http//oralhealth.dent.umich.edu/VODI/html/01-dc/e
  -screening/youngChild/intro.html

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Anticipatory Guidance

• www.mchoralhealth.org/Toolbox/professionals.htmlA
  nticipatoryGuidance

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Online Continuing Education

• www.mchoralhealth.org
• This is an excellent site with many oral health
  resources for professionals.
• Please note this site is American. Check with
  your local public health agency for information
  on Canadian fluoride recommendations.

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Its not just health teaching!

• (Oral) health promotion demands more than
  instruction to individuals. It requires changes
  in the physical or social environment in which
  families live, play and study.
• -R.G. Watt, S.S. Fuller in BDJ 1861999

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Review of Current Government Programs

• What is available for your client?
• How to get through the maze.

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In Your Workplace

• Consider what you can
• do to incorporate
• dental issues into your
• routine assessments.

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In Your Community

• Help to raise awareness
• that dental disease is
• still a real problem in
• Ontario.

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In Your Community

• Support projects that help to decrease poverty
  in Ontario.

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In Your Province

• Lobby the decision
• makers to support
• (and improve)
• programs that
• address dental needs
• in Ontario.

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• Everyone Deserves a Pain-Free Smile

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• Portions of this presentation were adapted from
• The State of Connecticut Department of Public
  Health (with permission)
• The work of Dr. B. Carol Janik, Acting Chief,
  Division of Dentistry, Childrens Hospital of
  Eastern Ontario (with Permission) .
• Various photos (used with permission) are from
• Crest www.dentalcare.com
• The Public Health Agency of Canada
• The following Ontario Public Health Agencies
  Brant, Halton, Middlesex-London, Oxford, York
  Region
• Material may not be altered without permission
  from the Ontario Association of Public Health
  Dentistry.