The Queen Mary Cavity Free Incremental Children s Programme

Size: px
Start display at page:

Download "The Queen Mary Cavity Free Incremental Children s Programme"

Transcription

1 The Queen Mary Cavity Free Incremental Children s Programme Programme Overview Oral diseases are preventable and treatable, yet national oral health surveys clearly show that children s oral health is still a significant public health problem in the UK. Almost a third (30.9%) of five year old children had experienced dental decay in 2007/2008 while 27.5% of five year olds had untreated decayed primary teeth (1, 2). Only 18% of five year olds with decay had had their teeth filled (1). Similarly, 33.9% of 12 year old children in the UK in 2008/09 had at least one decayed or filled permanent tooth or a permanent tooth extracted because of dental decay (3). Less than 50% (47%) of 12 year olds had had their decayed permanent filled. Untreated decay is the main cause of toothache and significantly affects children s ability to sleep, eat, and speak (4). Preventing dental decay and improving the quality of oral health care for children in the UK should be a commissioning priority in line with the recently published White Paper Healthy Lives, Healthy People: Our Strategy for Public Health in England (5). This paper underscored the Government s renewed commitment to oral disease prevention and evidence based oral health care specifically focused on children s oral health (5). Developing an effective oral health strategy that includes early preventive interventions and evidence based treatment modalities will have long term benefits for children reducing the need for future costly and more extensive dental treatment as children age through the life course from childhood to adulthood. There is a clear need for change. A dental public health approach is required to address the key issues related to the low uptake of preventive services and the inadequate provision of cost effective high quality dental treatment for children in the UK. Hence, we propose a new programme The Queen Mary Cavity Free Incremental Children s Programme. This school and practice based partnership will provide high quality dental care including the assessment of risk, appropriate evidence based treatment modalities, preventive dental services tailored to the risk level of each child and 1

2 continuing care with evaluated quality assurance. In addition, it will encourage pupil s family practice link. It will incorporate evidence based treatment and preventive services including the Atraumatic Restorative Treatment (ART), fissure sealants, topical fluorides varnish, and oral health education as recommended by the Department of Health, Delivering Better Oral Health: An evidence based toolkit for prevention (6). This incremental programme will target Year 2 children in the first year and include an additional new cohort every subsequent year (Figure 1). It uses an incremental approach that will avoid the high cost of attempting to treat the whole school child population with high levels of untreated decay immediately. Instead, it will distribute the total cost of treatment in year cohorts, treating only the 6 7 year old children cohort in the first year, adding additional cohorts of the same age in subsequent years. Adopting an early intervention strategy to identify children at risk when the first permanent molar teeth erupt will prevent dental decay, or arrest/treat decay in its earliest stages. This highly cost effective approach will follow up each cohort to monitor their risk level (Table 1), ensure continuity of care, and dramatically reduce the likelihood that children will have large cavities in their permanent teeth, which are costly to treat. Therefore, this programme will ultimately allow PCTs to use cost effective, long term cost saving, and continuing care based on preventive and less destructive treatment approaches that will preserve healthy tooth tissue, increasing the likelihood that people keep their teeth for life (7). Figure 1: Schematic representation of the Queen Mary Cavity Free Incremental Children s Programme Year 2 Children (6 to 7 years) Year 2 Children (6 to 7 years) Year 2 Children (6 to 7 years) Year 3 Children (7 to 8 years) Year 3 Children (7 to 8 years) Year 4 Children (8 to 9 years) 2

3 School dental screenings will first categorize Year 2 children into three risk groups, which will determine the core services prescribed for each child. All children will receive tailor made health care depending on their risk. All children will receive health education irrespective of their disease risk. If resources permit, moderate and high risk children will receive additional core evidence based preventive dental services namely fissure sealants, and fluoride varnish applications. Alternatively, only high risk children will receive these preventive services. High risk children will have decay in at least one of their first molars (Table 1), and will receive ART. The ART is a minimally invasive approach used to treat open cavities involving dentine in primary and permanent molar teeth. The ART uses hand instruments rather than mechanical drills to remove dental decay from open cavities, which avoids the need for local anaesthesia (reducing dental anxiety and pain (8, 9), expensive equipment and designated dental clinics (10). Cavities are then restored with Glass Ionomer Cement (GIC), a filling material that adheres to tooth tissue and releases fluorides into the tooth (7). The adhesive restorative material also seals the remaining pits and fissures at risk of decay. This early intervention can successfully arrest decay in children. The ART has a strong evidence base supporting its effectiveness for restoring small cavities in permanent (adult) teeth (8, 10, 11). Systematic reviews have demonstrated the long term benefits of ART, reporting no difference between the long term survival of conventional amalgam restorations and GIC restorations over a two year period (12 15). Four randomized control trials showed that ART GIC restorations had higher success rates than amalgam restorations (12). A South African study reported a 17.4% reduction in permanent teeth extractions resulting from ART over a one year period. We can anticipate significantly larger impacts and absolute reductions in extraction and cavity rates among UK children who have greater access to dental care and lower decay experience. The ART approach also reduces the overall cost of dental treatment because of the lower equipment and operational costs for ART compared to traditional restorative treatment (16). Topical fluoride varnish applications and fissure sealants applied to first permanent molars will adhere to the Department of Health s preventive toolkit recommendations and national clinical guidelines (6, 17). Topical fluoride varnish prevents dental decay by optimizing fluoride exposure which makes tooth surfaces more resistant to acid attack (2) Systematic reviews show that twice yearly 3

4 applications of 2.2% fluoride varnish applied to early decay tooth surfaces reduce decay by up to a third (18 20). The Department of Health preventive toolkit (6) supports the evidence base by recommending that children identified as high risk (Moderate/high risk Table 1) receive three applications of fluoride varnish (2.2%) annually. The occlusal (biting) surfaces of permanent teeth are the most susceptible sites for decay confirmed in the UK Children s Dental Health Survey in 2003 (21, 22). Fissure sealants help to prevent decay by sealing these deep fissures molar teeth with a plastic resin coating. Systematic reviews show that children who have had their molar teeth covered with a resin based fissure sealant are less likely to suffer from dental decay in their molar teeth than children without sealants (23, 24). The long term effectiveness of fissure sealants has been demonstrated by caries reduction rates ranging from 86% at 12 months to 57% at 48 to 54 months (23). The Department of Health prevention toolkit (6) recommends that children at risk of developing decay in their permanent teeth should have fissure sealants placed on all susceptible teeth and sites. 4

5 References 1. NHS Dental Epidemiology Programme For England. Oral Health Survey Of 5 Year Old Children 2007/ Health Development Agency. The Scientific Basis Of Dental Health Education: A Policy Document. Part 2. Fourth Edition Edition. London, Rooney E, Davies G, Neville J, M R, Perkins C, Bellis MA. Nhs Dental Epidemiology Programme For England Oral Health Survey Of 12 Year Old Children 2008/2009., Shepherd MA, Nadanovsky P, Sheiham A. The Prevalence And Impact Of Dental Pain In 8 Year Old School Children In Harrow, England. British Dental Journal 1999;187: Sumbler R. Healthy Lives, Healthy People: Our Strategy For Public Health In England. London: HMSO, Department Of Health Baftsocd. Delivering Better Oral Health: An Evidence Based Toolkit For Prevention. London, Mickenautsch S. An Introduction To Minimum Intervention Dentistry. Singapore Dent J 2005;27: Mandari GJ, Truin GJ, Vanâ T Hof MA, Frencken JE. Effectiveness Of Three Minimal Intervention Approaches For Managing Dental Caries: Survival Of Restorations After 2 Years. Caries Research 2001;35: Frencken JE, Leal SC. The Correct Use Of The Art Approach. Journal Of Applied Oral Science 2010;18: Frencken JE, Pilot T, Songpaisan Y, Phantumvanit P. Atraumatic Restorative Treatment (Art): Rationale, Technique, And Development. Journal Of Public Health Dentistry 1996;56: Van 'T Hof M, Frencken J, Van Palenstein Helderman W, Holmgren C. The Atraumatic Restorative Treatment (Art) Approach For Managing Dental Caries: A Meta Analysis. Int Dent J 2006;56: Mickenautsch S, Yengopal V, Banerjee A. Atraumatic Restorative Treatment Versus Amalgam Restoration Longevity: A Systematic Review. Clinical Oral Investigations Frencken J, Van 'T Hof M, Van Amerongen W, Holmgren C. Effectiveness Of Single Surface Art Restorations In The Permanent Dentition: A Meta Analysis. J Dent Res 2004;83: Frencken JE, Taifour D, Van T Hof MA. Survival Of Art And Amalgam Restorations In Permanent Teeth Of Children After 6.3 Years. Journal Of Dental Research 2006;85: Mickenautsch S, Yengopal V, Banerjee A. Atraumatic Restorative Treatment Versus Amalgam Restoration Longevity: A Systematic Review. Clin Oral Investig 2010;14: Mickenautsch S, Munshi I, Grossman E. Comparative Cost Of Art And Conventional Treatment Within A Dental School Clinic. SADJ 2002;57: Smallridge J. Guideline For The Use Of Fissure Sealants Including Management Of The Stained Fissure In First Permanent Molars. Int J Paediatr Dent 2010;20 Suppl 1: Faculty Of Dental Surgery Of The Royal College Of Surgeons Of England. Faculty Of Dental Surgery National Clinical Guidelines. London, Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride Mouthrinses For Preventing Dental Caries In Children And Adolescents. Cochrane Database Syst Rev 2003: CD Marinho VC. Cochrane Reviews Of Randomized Trials Of Fluoride Therapies For Preventing Dental Caries. European Archives Of Paediatric Dentistry: Official Journal Of The European Academy Of Paediatric Dentistry 2009;10: Batchelor P, Sheiham A. Grouping Of Tooth Surfaces By Susceptibility To Caries: A Study In 5 16 Year Old Children. BMC Oral Health 2004;4: Office For National Statistics. Children's Dental Health In The United Kingdom, London: National Statistics, Ahovuo Saloranta A, Hiiri A, Nordblad A, Mäkelä M, Worthington H. Pit And Fissure Sealants For Preventing Dental Decay In The Permanent Teeth Of Children And Adolescents. Cochrane Database Syst Rev 2008: CD

6 24. Office For National Statistics SSD. Adult Dental Health Survey, 1998 [Computer File]. Colchester, Essex: UK Data Archive, American Academy of Pediatric Dentistry, Policy on Use of a Caries Risk Assessment Tool (CAT) for Infants, Children, and Adolescents

7 Table 1: Revised Individual Caries Risk Assessment used for School Dental Screenings Low Risk Moderate Risk High Risk Clinical Conditions No caries (dmft 0) Caries-free first permanent molars at 6 to 8 years No enamel demineralisation No plaque No gingivitis dmft = 1-4 Caries-free first permanent molars at 6 to 8 years One area of enamel demineralization Caries white spot lesions Some plaque but no visible plaque on anterior front teeth Gingivitis dmft 5 Caries in the first permanent molars More than one area of enamel demineralization Enamel caries, white spot lesions Visible plaque on anterior front teeth Wearing fixed orthodontic appliances Enamel hypoplasia Environmental Characteristics Optimally fluoridated water Regular brushing twice daily with fluoridated toothpaste Consumption of sugary intakes primarily at mealtimes Mother s education: higher degree School located in first IMD quintile neighbourhood (least deprived) Good dental attendance pattern Suboptimal fluoridated water with optimal topical exposure (e.g. regular brushing twice daily with fluoridated toothpaste) Occasional (1-2) sugary intakes between-meal exposures Mother s education: tertiary School located in 2 nd or 3 rd IMD quintile neighbourhood Irregular dental attendance Suboptimal topical fluoride exposure (e.g. 2/day toothbrushing with fluoridated toothpaste No fluoridated water supply 3 sugary intakes between-meals Mother s education: secondary school only School located in 4th or 5 th IMD quintile neighbourhood (most deprived) Poor dental attendance Active caries present in the mother General Health Conditions Children with special needs Based on the American Academy of Pediatric Dentistry guidelines and the Faculty of Dental Surgery of the Royal College of Surgeons of England, Faculty of Dental Surgery National Clinical Guidelines (25). 7

Atraumatic Restorative Treatment - ART

Atraumatic Restorative Treatment - ART Atraumatic Restorative Treatment - ART Full Summary Description and Use: Atraumatic restorative treatment (ART) is an alternative treatment for dental caries used to emove demineralized and insensitive

More information

Introduction. Need in the population current and future

Introduction. Need in the population current and future Oral health in children and young people in Buckinghamshire Key contacts/author: Jenny Oliver, Consultant in Dental Public Health, NHS Commissioning Board Introduction The most significant oral disease

More information

The state of children s oral health in England

The state of children s oral health in England The state of children s oral health in England Contents Overview 3 The impact of poor oral health 4 The prevalence of children s tooth decay in England 4 Regional inequalities 5 Hospital admission 5 What

More information

Dental Quality and Outcomes Framework

Dental Quality and Outcomes Framework Dental Quality and Outcomes Framework DH INFORMATION READER BOX Policy Estates HR / Workforce Commissioning Management IM & T Policy Planning / Finance Clinical Social Care / Partnership Working Document

More information

REPORT ON THE COCHRANE TOPICAL FLUORIDE REVIEWS INFORMING ABOUT THE IMPORTANCE OF EFFECTIVE USE OF TOPICAL FLUORIDES

REPORT ON THE COCHRANE TOPICAL FLUORIDE REVIEWS INFORMING ABOUT THE IMPORTANCE OF EFFECTIVE USE OF TOPICAL FLUORIDES 6 May 2004 REPORT ON THE COCHRANE TOPICAL FLUORIDE REVIEWS INFORMING ABOUT THE IMPORTANCE OF EFFECTIVE USE OF TOPICAL FLUORIDES Prepared by the WHO Oral Health Programme with technical assistance from

More information

Although largely preventable by early examination, identification of

Although largely preventable by early examination, identification of The Consequences of Untreated Dental Disease in Children Poor oral health in infants and children destroys more than just a smile. Although largely preventable by early examination, identification of individual

More information

7.14 Oral health Joint Strategic Needs Assessment for Barking and Dagenham 2015

7.14 Oral health Joint Strategic Needs Assessment for Barking and Dagenham 2015 7.14 Oral health Joint Strategic Needs Assessment for Barking and Dagenham 2015 Good oral health is an important part of general health as it contributes to general wellbeing and allows people to eat,

More information

Our Mission: Protecting partially. erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters.

Our Mission: Protecting partially. erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters. Our Mission: Protecting partially erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters. Did you know: first and second permanent molars take about 1.5 years to

More information

Types Of Tooth Decay

Types Of Tooth Decay Types Of Tooth Decay Occlusal decay: Decay that develops on the biting or chewing surface in the pits and fissures of the back teeth. Pits and fissures are tiny grooves and channels on the biting surface

More information

Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments by Valéria CC Marinho

Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments by Valéria CC Marinho 78 REVIEW Valéria CC Marinho DOI 10.1308/204268514X13939420839106 Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments by Valéria CC Marinho There is a long

More information

Child Oral Health in Hounslow

Child Oral Health in Hounslow Child Oral Health in Hounslow Introduction With the 2012 Health and Social Care Act the responsibilities for commissioning programmes to improve children s oral health changed and the commissioning of

More information

Fluoride Products for Oral Health: Professional Information

Fluoride Products for Oral Health: Professional Information Albertans without water fluoridation and without drinking water that has natural fluoride around 0.7 parts per million (ppm) may benefit from other forms of fluoride that prevent tooth decay. This information

More information

PUBLIC HEALTH GUIDANCE DRAFT SCOPE

PUBLIC HEALTH GUIDANCE DRAFT SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH GUIDANCE DRAFT SCOPE 1 Guidance title Oral health: local authority strategies to improve dental health among vulnerable groups 1.1 Short

More information

Your child s heart problem and dental care

Your child s heart problem and dental care Your child s heart problem and dental care Contents p.3 Why is dental health important for my child? p.3 What is tooth decay and what causes it? p.4 How can I prevent this from happening to my child? p.6

More information

6. CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES

6. CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES 6. CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES 6.1 Oral health of children The most significant oral disease for children and young people is tooth decay (dental caries). Tooth decay is a preventable disease

More information

First Dental Visit by Age One

First Dental Visit by Age One CONTINUING EDUCATION August 2004 First Dental Visit by Age One A guide to the new recommendations Recommended by American Dental Association American Academy of Pediatrics American Academy of Pediatric

More information

The dental benefits of water fluoridation

The dental benefits of water fluoridation One in a Million: the facts about water fluoridation The dental benefits of water fluoridation KEY POINTS Fluoridation of water supplies reduces the number of decayed, missing and filled teeth in children

More information

EFFECT OF FLUORIDE VARNISH ON CARIES PREVENTION OF PARTIALLY ERUPTED OF PERMANENT MOLAR IN HIGH CARIES RISK

EFFECT OF FLUORIDE VARNISH ON CARIES PREVENTION OF PARTIALLY ERUPTED OF PERMANENT MOLAR IN HIGH CARIES RISK Southeast Asian J Trop Med Public Health EFFECT OF FLUORIDE VARNISH ON CARIES PREVENTION OF PARTIALLY ERUPTED OF PERMANENT MOLAR IN HIGH CARIES RISK Orawan Suwansingha 1 and Praphasri Rirattanapong 2 1

More information

CDA Position on Use of Fluorides in Caries Prevention

CDA Position on Use of Fluorides in Caries Prevention Use of Fluorides in Caries Prevention Preamble The Canadian Dental Association supports the appropriate use of fluorides in dentistry as one of the most successful preventive health measures in the history

More information

Oral Health QUESTIONS

Oral Health QUESTIONS Oral Health COMPENTENCY The resident should understand the timing of tooth development. The resident should recognize the clinical picture of bottle caries. In addition, the resident should know the current

More information

Section 5: Oral Health Status and Service Use

Section 5: Oral Health Status and Service Use Section 5: Oral Health Status and Service Use Good oral health is important for good health and wellbeing. Poor oral health is a common cause of discomfort and pain and can affect children s development,

More information

Treatment Planning in Pediatric Dentistry CONTENT. Children as individuals. Ⅰ.. Quality Care for Children

Treatment Planning in Pediatric Dentistry CONTENT. Children as individuals. Ⅰ.. Quality Care for Children Treatment Planning in Pediatric Dentistry 許修銘 93/04/20 2004/5/4 2 CONTENT Ⅰ. Quality care for children Ⅱ. Philosophy of treatment planning Ⅲ. Diagnosis Ⅳ. Dental caries assessment Ⅴ. Dental charting Ⅵ.

More information

Children s Dental Health Survey Country specific report: England

Children s Dental Health Survey Country specific report: England Children s Dental Health Survey 2013 Country specific report: England Published 19 March 2015 We are the trusted national provider of high-quality information, data and IT systems for health and social

More information

EXAM RECORDS DENTAL IMAGES

EXAM RECORDS DENTAL IMAGES EXAM Description: It is a review of the medical history, diet, homecare, chief complaints, clinical extraoral and intraoral evaluation of the patient. Advantages: Obtain a diagnosis and develop a treatment

More information

A Non-Operative Approach to Children With Caries

A Non-Operative Approach to Children With Caries A Non-Operative Approach to Children With Caries Gary Pannabecker, D.D.S CAPT USPHS Chief Dental Officer Blackfeet IHS Dental Program Browning, Montana I have served at this facility for 19 years. Approximately

More information

The Science of Sealants NCIOM Task Force on Children s Preventive Oral Health Services

The Science of Sealants NCIOM Task Force on Children s Preventive Oral Health Services The Science of Sealants NCIOM Task Force on Children s Preventive Oral Health Services University of Michigan School of Dentistry Ann Arbor, Michigan Michael A. Ignelzi, Jr., D.D.S., Ph.D. Lake Jeanette

More information

Provide chairside support during the prevention and control of periodontal disease and caries and the

Provide chairside support during the prevention and control of periodontal disease and caries and the About this workforce competence This workforce competence describes the role of the oral health worker in providing chairside support during the prevention and control of periodontal diseases and caries,

More information

THE TRUTH. What it is like to provide baby dental care. Beth Noel RDH, BS

THE TRUTH. What it is like to provide baby dental care. Beth Noel RDH, BS THE TRUTH What it is like to provide baby dental care Beth Noel RDH, BS Oral Health During Pregnancy Good oral health for infants starts during pregnancy 2012 Oral Health Care During Pregnancy : A National

More information

Students are introduced to how dental plaque develops on the teeth and how the bacteria within this plaque can cause dental

Students are introduced to how dental plaque develops on the teeth and how the bacteria within this plaque can cause dental Key Stage 2 Science Animals, including humans Working scientifically PSHE Core Theme 1- Health and Wellbeing Estimated Teaching Time 50 minute sessions Section 3.3, explores how to prevent dental caries

More information

Red Lake Nation School Dental Prevention Program

Red Lake Nation School Dental Prevention Program Red Lake Comprehensive Health Services Red Lake Nation School Dental Prevention Program Cathy Jo Gunvalson School Dental Hygienist Celia Littlecreek School Dental Assistant 24760 Hospital Drive Red Lake,

More information

Index of clinical consequences of untreated dental caries (pufa) in primary dentition of children from north-east Poland

Index of clinical consequences of untreated dental caries (pufa) in primary dentition of children from north-east Poland Advances in Medical Sciences Vol. 58(2) 2013 pp 442-447 DOI: 10.2478/v10039-012-0075-x Medical University of Bialystok, Poland Index of clinical consequences of untreated dental caries (pufa) in primary

More information

USING ART IN MISSION DENTISTRY

USING ART IN MISSION DENTISTRY Chapter 17 USING ART IN MISSION DENTISTRY ART Atraumatic Restorative Treatment ART does not require sophisticated equipment or even electricity. This makes the ART technique ideal for remote or isolated

More information

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE The dental plan features a deductible. This is an amount the Enrollee must pay out-of-pocket before Benefits are paid. The

More information

Deonna M. Williams, MS, BS, CHES Gina Sharps, MPH, RDH

Deonna M. Williams, MS, BS, CHES Gina Sharps, MPH, RDH Deonna M. Williams, MS, BS, CHES Gina Sharps, MPH, RDH Session Description As the state oral health program continues to advance and address oral health disparities in the school-aged child, new strategies

More information

Nevis Oral Health Survey: Sample of Children Ages 6-8

Nevis Oral Health Survey: Sample of Children Ages 6-8 Nevis Oral Health Survey: Sample of Children Ages 6-8 Area of Technology and Health Services Delivery Health Services Organization Regional Oral Health Program July 2004 Nevis Oral Health Survey: Sample

More information

FIRST SMILES: DENTAL HEALTH BEGINS AT BIRTH

FIRST SMILES: DENTAL HEALTH BEGINS AT BIRTH FIRST SMILES: DENTAL HEALTH BEGINS AT BIRTH The purpose of this monograph is to improve the oral health and overall pediatric health of children, birth to 5 years old, including those with disabilities

More information

Oral Health Assessment. Best practice guidance for providing an oral health assessment programme for school-aged children in Ireland

Oral Health Assessment. Best practice guidance for providing an oral health assessment programme for school-aged children in Ireland Oral Health Assessment Best practice guidance for providing an oral health assessment programme for school-aged children in Ireland Oral Health Assessment Best practice guidance for providing an oral

More information

Early Childhood Oral Health A toolkit for District Health Boards, primary health care and public health providers and for oral health services

Early Childhood Oral Health A toolkit for District Health Boards, primary health care and public health providers and for oral health services Early Childhood Oral Health A toolkit for District Health Boards, primary health care and public health providers and for oral health services relating to infant and preschool oral health Citation: Ministry

More information

AWARENESS OF THE ORAL HEALTH OF PEDIATRIC PATIENTS AMONG THE PEDIATRICIANS IN AHMEDABAD CITY- AN EPIDEMIOLOGICAL RESEARCH

AWARENESS OF THE ORAL HEALTH OF PEDIATRIC PATIENTS AMONG THE PEDIATRICIANS IN AHMEDABAD CITY- AN EPIDEMIOLOGICAL RESEARCH ORIGINAL ARTICLE AWARENESS OF THE ORAL HEALTH OF PEDIATRIC PATIENTS AMONG THE PEDIATRICIANS IN AHMEDABAD CITY- AN EPIDEMIOLOGICAL RESEARCH Maithilee Jani 1, Anshul Shah 1, Ajay Pala 2 B.D.S, 1 Ahmedabad

More information

CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION.

CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION. CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION. ١ G.V. BLACK who is known as the father of operative dentistry,he classified carious lesions into groups according to their locations in permanent

More information

Caries Process and Prevention Strategies: Epidemiology

Caries Process and Prevention Strategies: Epidemiology Caries Process and Prevention Strategies: Epidemiology Edward Lo, BDS, MDS, PhD, FHKAM Continuing Education Units: 1 hour Online Course: www.dentalcare.com/en-us/dental-education/continuing-education/ce368/ce368.aspx

More information

Using The Canary System to Develop a Caries Management Program for Children. we design therapies to treat or remineralize early carious lesions?

Using The Canary System to Develop a Caries Management Program for Children. we design therapies to treat or remineralize early carious lesions? Using The Canary System to Develop a Caries Management Program for Children Dr. Stephen H. Abrams Dental caries is the most common oral disease we treat in paediatric dentistry. We place restorations to

More information

Insights into expecting and new mothers oral health habits.

Insights into expecting and new mothers oral health habits. 2015 Cigna Survey HEALTHY SMILES FOR MOM AND BABY Insights into expecting and new mothers oral health habits. 860769 10/15 About the study Dental checkups are important throughout one s life possibly even

More information

Motivating Public Housing Residents to Prioritize Children s Dental Health

Motivating Public Housing Residents to Prioritize Children s Dental Health Motivating Public Housing Residents to Prioritize Children s Dental Health Barbara Springer Executive Director Delta Dental of Colorado Foundation WELCOME DELTA DENTAL OF COLORADO FOUNDATION MISSION: Improving

More information

Best Practices for Oral Health Assessments for School Nurses. Jill Fernandez RDH, MPH. National Association of School Nurses June 22, 2012

Best Practices for Oral Health Assessments for School Nurses. Jill Fernandez RDH, MPH. National Association of School Nurses June 22, 2012 Best Practices for Oral Health Assessments for School Nurses Jill Fernandez RDH, MPH National Association of School Nurses June 22, 2012 Jill Fernandez RDH, MPH Clinical Associate Professor Department

More information

The Effect of Dental Rehabilitation on the Body Weight of Children with Early Childhood Caries

The Effect of Dental Rehabilitation on the Body Weight of Children with Early Childhood Caries The Effect of Dental Rehabilitation on the Body Weight of Children with Early Childhood Caries George Acs, Richard Shulman, Man Wai Ng, Steven Chussid Purpose: Methods: Results: The purpose of this study

More information

School Age 6-11 years School Age 6-11 Years

School Age 6-11 years School Age 6-11 Years Oral Health Risk Assessment Protocols, Training Modules and Educational Materials for Use with Families of Young Children. School Age 6-11 years School Age 6-11 Years FLUORIDE Makes teeth stronger and

More information

from the Oral Health Tips for Parents of Children from Birth to Age 3

from the Oral Health Tips for Parents of Children from Birth to Age 3 Bright Smiles from the Very Beginning Oral Health Tips for Parents of Children from Birth to Age 3 Daily Oral Care One of the most important facts about cavities is that they are preventable. Start to

More information

Position Paper on Access to Oral Health Care for Canadians

Position Paper on Access to Oral Health Care for Canadians Position Paper on Access to Oral Health Care for Canadians Approved CDA Board of Directors May 2010 Preamble A daily regimen of brushing and flossing is an important part of good oral health while equitable

More information

Dental. Covered services and limitations module

Dental. Covered services and limitations module Dental Covered services and limitations module Dental Covered Services and Limitations Module Covered Dental Services for Patients Under the Age of 21...2 Examinations...2 Radiographs and Diagnostic Imaging...2

More information

Feasibility of including APF gel application in a school oral health promotion program as a caries-preventive agent: a community intervention trial

Feasibility of including APF gel application in a school oral health promotion program as a caries-preventive agent: a community intervention trial 185 Journal of Oral Science, Vol. 53, No. 2, 185-191, 2011 Original Feasibility of including APF gel application in a school oral health promotion program as a caries-preventive agent: a community intervention

More information

Children s Dental Health Survey Report 2: Dental Disease and Damage in Children England, Wales and Northern Ireland

Children s Dental Health Survey Report 2: Dental Disease and Damage in Children England, Wales and Northern Ireland Children s Dental Health Survey 2013 Report 2: Dental Disease and Damage in Children England, Published 19 March 2015 Wales and Northern Ireland We are the trusted national provider of high-quality information,

More information

[PAGE HEADLINE] Improve your Health and Change Your Smile with Complete Dental Services in One [CITYNAME] Location

[PAGE HEADLINE] Improve your Health and Change Your Smile with Complete Dental Services in One [CITYNAME] Location Eddie Stephens//Copywriter Sample: Website copy/internal Dental Services Pages [PAGE HEADLINE] Improve your Health and Change Your Smile with Complete Dental Services in One [CITYNAME] Location [LEAD SENTENCE/PARAGRAPH]

More information

Bonitas Dental Benefit Table 2015

Bonitas Dental Benefit Table 2015 Bonitas Dental Benefit Table 2015 Dental benefits are paid at the Bonitas Dental tariff (BDT). Hospitalisation and certain specialised dentistry and treatment must be pre-authorised*. Procedures and treatment

More information

Oral Health Coding Fact Sheet for Primary Care Physicians

Oral Health Coding Fact Sheet for Primary Care Physicians 2015 Oral Health Coding Fact Sheet for Primary Care Physicians CPT Codes: Current Procedural Terminology (CPT) codes are developed and maintained by the American Medical Association. The codes consist

More information

Updating Recommendations for School-based Sealant Programs. Barbara Gooch DMD, MPH Division of Oral Health bgooch@cdc.gov

Updating Recommendations for School-based Sealant Programs. Barbara Gooch DMD, MPH Division of Oral Health bgooch@cdc.gov Updating Recommendations for School-based Sealant Programs Barbara Gooch DMD, MPH Division of Oral Health bgooch@cdc.gov Presentation Overview Review CDC s s decision to convene an expert panel Describe

More information

Children s Dental Health in the United Kingdom, 2003

Children s Dental Health in the United Kingdom, 2003 Children s Dental Health in the United Kingdom, 2003 Summary Report Deborah Lader Barbara Chadwick Ivor Chestnutt Rachael Harker John Morris Nigel Nuttall Nigel Pitts Jimmy Steele Deborah White Crown copyright

More information

Oral health in Iran. Hamid Reza Pakshir Shiraz, Iran

Oral health in Iran. Hamid Reza Pakshir Shiraz, Iran International Dental Journal (2004) 54, 367 372 Oral health in Iran Hamid Reza Pakshir Shiraz, Iran The health network in the Islamic Republic (I.R.) of Iran is an integrated public health system with

More information

Dental fluorosis KEY POINTS. There are some 90 different causes of markings on the enamel surfaces of teeth. These are known as enamel defects.

Dental fluorosis KEY POINTS. There are some 90 different causes of markings on the enamel surfaces of teeth. These are known as enamel defects. One in a Million: the facts about water fluoridation Dental fluorosis KEY POINTS There are some 90 different causes of markings on the enamel surfaces of teeth. These are known as enamel defects. One of

More information

Ann A. Stueck, MSN,RN

Ann A. Stueck, MSN,RN Integrating Bright Futures into Public Health at the State and Local Levels Oral Health Theme Murray L. Katcher, MD, PhD, FAAP Moderator Chief Medical Officer for Community Health Promotion State MCH Medical

More information

School-Based Oral Health Care. A Choice for Michigan Children.indd 1

School-Based Oral Health Care. A Choice for Michigan Children.indd 1 School-Based Oral Health Care A Choice for Michigan Children School Based Oral Health Care: A Choice for Michigan Children is part of an information set meant to serve as a guideline for school personnel

More information

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74

Oral Health Bexar County Community Health Assessment Health behaviors Oral Health 74 Oral Health A National Call to Action to Promote Oral Health marks the latest in an ongoing effort to address the country s oral health needs in the 21 st century. In 00, Dr. David Satcher released Oral

More information

Plaque and periodontal disease

Plaque and periodontal disease Patient information Plaque and periodontal disease This leaflet explains how you and your dentist or hygienist can work together to help prevent plaque and periodontal disease. What s in a tooth? Enamel

More information

TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2

TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2 TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2 PRIMARY TEETH (BABY TEETH, DECIDUOUS TEETH)... 2 EARLY CHILDHOOD TOOTH DECAY... 2 CAREGIVER

More information

Atraumatic restorative treatment (ART) factors affecting success

Atraumatic restorative treatment (ART) factors affecting success Atraumatic restorative treatment (ART) factors affecting success Mickenautsch S 1 and Grossman E S 2 Abstract The success of tooth restorations rendered according to principles of the Atraumatic Restorative

More information

Oral Health Risk Assessment

Oral Health Risk Assessment Oral Health Risk Assessment Paula Duncan, MD Oral Health Initiative January 22, 2011 I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial

More information

Plaque and periodontal disease

Plaque and periodontal disease How do l maintain healthy teeth and gums? You can do five things to ensure you have healthy teeth and gums: 1. Visit your dentist or hygienist regularly and follow their advice on how to look after your

More information

IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION EVIDENCE RESOURCE PACK

IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION EVIDENCE RESOURCE PACK IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION EVIDENCE RESOURCE PACK NHS England Dental Analytical Team February 14 Gateway reference: 01173 Introduction to this pack This data pack has been produced

More information

Causes Of Tooth Decay

Causes Of Tooth Decay Causes Of Tooth Decay Tooth decay is caused over time by bacterial plaque forming on the teeth and/or the presence of acid in the diet. Diet: Frequent snacking or sipping on acid or sugary drinks increases

More information

FLUORIDE VARNISH TRAINING MANUAL FOR MASSACHUSETTS HEALTH CARE PROFESSIONALS

FLUORIDE VARNISH TRAINING MANUAL FOR MASSACHUSETTS HEALTH CARE PROFESSIONALS FLUORIDE VARNISH TRAINING MANUAL FOR MASSACHUSETTS HEALTH CARE PROFESSIONALS THIS INFORMATION IS SUPPORTED BY MASSHEALTH AND IS CREATED IN CONJUNCTION WITH MATERIALS FROM: Society of Teachers in Family

More information

oral health through everyday care everyday oral care routines for a lifetime of smiles

oral health through everyday care everyday oral care routines for a lifetime of smiles oral health through everyday care everyday oral care routines for a lifetime of smiles oral health through everyday care Everyday care routines are essential for maintaining good health. A toothbrush,

More information

Social factors and oral health in children

Social factors and oral health in children Children s dental health in the UK (1993) Social factors and oral health in children Children s Dental Health in the United Kingdom, 2003 Jimmy Steele Deborah Lader December 2004 Crown copyright Office

More information

Oral health care is vital for seniors

Oral health care is vital for seniors Oral health care is vital for seniors (NC) Statistics Canada estimates seniors represent the fastest growing segment of the Canadian population, a segment expected to reach 9.2 million by 2041. As more

More information

Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009

Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009 Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009 Goal of this presentation Describe the etiology, diagnosis, and treatment of secondary caries Emphasis on the diagnostic

More information

Toddler Months Toddler Months Handouts

Toddler Months Toddler Months Handouts Oral Health Risk Assessment Protocols, Training Modules and Educational Materials for Use with Families of Young Children. Toddler 12-35 Months Toddler 12-35 Months Handouts FLUORIDE Makes teeth stronger

More information

THE GOOD: Benefits and positive effects of orthodontic treatment

THE GOOD: Benefits and positive effects of orthodontic treatment Orthodontics: the Good, the Bad, and the Ugly A review of benefits, risks, and limitations of orthodontic treatment THE GOOD: Benefits and positive effects of orthodontic treatment 1. Enhancement of dento-facial

More information

Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California

Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California 95825 www.dbc.ca.gov Dental Materials Fact Sheet What About The Safety of Filling

More information

Business Services Authority. Completion of form guidance FP17 - England. NHS Dental Services

Business Services Authority. Completion of form guidance FP17 - England. NHS Dental Services NHS Dental Services provided by Business Services Authority Completion of form guidance FP17 - England Release 9 the FP17 is coming into effect on 1 April 2016. The changes to the form are : Part 4 inclusion

More information

Non-carious dental conditions

Non-carious dental conditions Non-carious dental conditions Children s Dental Health in the United Kingdom, 2003 Barbara Chadwick, Liz Pendry October 2004 Crown copyright 2004 Office for National Statistics 1 Drummond Gate London SW1V

More information

THE COLGATE CAVITY REPORT Drilling into the UK s Tooth Decay Epidemic

THE COLGATE CAVITY REPORT Drilling into the UK s Tooth Decay Epidemic THE COLGATE CAVITY REPORT Drilling into the UK s Tooth Decay Epidemic A FOREWORD BY ANOUSHEH ALAVI, DENTIST AND SCIENTIFIC AFFAIRS MANAGER, COLGATE-PALMOLIVE UK While many of us understand the importance

More information

Dental Therapists in New Zealand: What the Evidence Shows

Dental Therapists in New Zealand: What the Evidence Shows Issue Brief PROJECT Children s NAME Dental Campaign Dental Therapists in New Zealand: What the Evidence Shows Dental decay remains the most common chronic childhood disease in the United States. 1 More

More information

SAMPLE DENTAL SEALANT AGENCY PROTOCOL

SAMPLE DENTAL SEALANT AGENCY PROTOCOL SAMPLE DENTAL SEALANT AGENCY PROTOCOL Wisconsin Department of Health and Family Services Division of Public Health April 25, 2005 Table of Contents I. Sample Dental Sealant Policy...3 II. III. IV. Sample

More information

Electronic Medical Record Integration Guide: Pediatric Oral Health in Primary Care Practices

Electronic Medical Record Integration Guide: Pediatric Oral Health in Primary Care Practices Electronic Medical Record Integration Guide: Pediatric Oral Health in Primary Care Practices (Documentation, Coding, Charging, Billing & Measurement) The purpose of this document is to guide medical providers

More information

Periodontal Disease. Department of Orthodontics and Restorative Dentistry Information for Patients. University Hospitals of Leicester.

Periodontal Disease. Department of Orthodontics and Restorative Dentistry Information for Patients. University Hospitals of Leicester. Periodontal Disease Department of Orthodontics and Restorative Dentistry Information for Patients i University Hospitals of Leicester NHS Trust What is Periodontal Disease (Gum Disease)? Periodontal disease

More information

Pit and fissure sealants in dental public health. Application criteria and general policy in Finland

Pit and fissure sealants in dental public health. Application criteria and general policy in Finland Pit and fissure sealants in dental public health Application criteria and general policy in Finland Sari Kervanto-Seppälä 1*, Ilpo Pietilä 2, Jukka H Meurman 1,3, Eero Kerosuo 4. 1 Institute of Dentistry,

More information

Myofunctional Orthodontics. Information for parents and Children under 12 years. Orthodontic Early Treatment Centre

Myofunctional Orthodontics. Information for parents and Children under 12 years. Orthodontic Early Treatment Centre Myofunctional Orthodontics Information for parents and Children under 12 years Orthodontic Early Treatment Centre Dr John Flutter Myofunctional Orthodontics Dental and Facial Correction for the Growing

More information

NEW! Flairesse. The perfect combination for your prophylaxis.

NEW! Flairesse. The perfect combination for your prophylaxis. NEW! Flairesse The perfect combination for your prophylaxis. The perfect combination for your prophylaxis: Flairesse Protection instead of filling. Preservation teeth instead of drilling. Not only dentists

More information

Provision of Oral Health Care in Turkey

Provision of Oral Health Care in Turkey Provision of Oral Health Care in Turkey PROF. DR. BETÜL KARGÜL DEPTARMENT of PEDIATRIC DENTISTRY DENTAL SCHOOL MARMARA UNIVERSITY - TURKEY TURKEY Since the formation of the Turkish Republic in 1923,

More information

It s Essential for a Healthy Lifestyle

It s Essential for a Healthy Lifestyle It s Essential for a Healthy Lifestyle Better oral health is a key part of healthy living The essentials to maintain optimal health A balanced diet, regular exercise, stress management Proper oral hygiene

More information

Curriculum Vitae Ahmed Abdel Rhman Mohamed Ali. Ahmed Abdel Rahman Mohamed Ali Beirut Arab University. (961) 1 300110 ext: 2715

Curriculum Vitae Ahmed Abdel Rhman Mohamed Ali. Ahmed Abdel Rahman Mohamed Ali Beirut Arab University. (961) 1 300110 ext: 2715 PERSONAL INFORMATION Curriculum Vitae Ahmed Abdel Rhman Mohamed Ali Ahmed Abdel Rahman Mohamed Ali Beirut Arab University (961) 1 300110 ext: 2715 abdelrahman@bau.edu.lb Gender Male Date of birth 27/08/1949

More information

HealOzone for tooth decay

HealOzone for tooth decay Issue date: July 2005 HealOzone for tooth decay Understanding NICE guidance information for people with tooth decay, their families and carers, and the public Information about Technology Appraisal 92

More information

Centre for Policy Studies

Centre for Policy Studies Centre for Policy Studies University College Cork National University of Ireland Working Paper Series CPS WP: 13-007 ART and Conventional Restorations in the Management of Caries in Older Patients: A Randomized

More information

Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention results from a randomized clinical trial

Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention results from a randomized clinical trial Liu et al. BMC Oral Health 2014, 14:54 RESEARCH ARTICLE Open Access Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention results from a randomized clinical trial

More information

Dental Health and Epilepsy

Dental Health and Epilepsy Dental Health and Epilepsy Good dental health is important to everyone. But it is especially important for people who take antiepileptic medications. Certain antiepileptic drugs and other medications can

More information

1. Do you go to the dentist often? Dentistry in General Are your teeth alright? Do you have discomfort, such as improperly fitted dental implants, loo

1. Do you go to the dentist often? Dentistry in General Are your teeth alright? Do you have discomfort, such as improperly fitted dental implants, loo 1. Do you go to the dentist often? Dentistry in General Are your teeth alright? Do you have discomfort, such as improperly fitted dental implants, loose dentures, stinging or throbbing toothaches? We provide

More information

ARTICLE 20-03 DENTAL ASSISTANTS CHAPTER 20-03-01 DUTIES

ARTICLE 20-03 DENTAL ASSISTANTS CHAPTER 20-03-01 DUTIES ARTICLE 20-03 DENTAL ASSISTANTS Chapter 20-03-01 Duties CHAPTER 20-03-01 DUTIES Section 20-03-01-01 Duties 20-03-01-01.1 Expanded Duties of Registered Dental Assistants 20-03-01-02 Prohibited Services

More information

Evidence-based guidance on the use of topical fluorides for caries prevention in children and adolescents in Ireland

Evidence-based guidance on the use of topical fluorides for caries prevention in children and adolescents in Ireland Evidence-based guidance on the use of topical fluorides for caries prevention in children and adolescents in Ireland TOPICAL FLUORIDES Evidence-based guidance on the use of topical fluorides for caries

More information

Direct Fillings: Amalgam

Direct Fillings: Amalgam Direct Fillings: Amalgam Dental amalgam is a stable alloy made by combining mercury, silver, tin, copper and sometimes other metallic elements. Amalgam fillings can be placed in one appointment. Why you

More information

Bonitas Medical Scheme Dental Benefit Table

Bonitas Medical Scheme Dental Benefit Table Bonitas Medical Dental Benefit Table 2015 PRIMARY DENTAL BENEFIT TABLE 2015 BONSAVE DENTAL BENEFIT TABLE 2015 STANDARD DENTAL BENEFIT TABLE 2015 BONCOM DENTAL BENEFIT TABLE 2015 Dental benefits are paid

More information

Water Fluoridation: A briefing on the York University Systematic Review and Subsequent Research Developments

Water Fluoridation: A briefing on the York University Systematic Review and Subsequent Research Developments Water Fluoridation: A briefing on the York University Systematic Review and Subsequent Research Developments The York University Systematic Review 1. This systematic review, subsequently referred to as

More information