health
state of complete physical, mental, and social well being and not merely the absence of disease
public health
science of protecting and improving the health of families and communities through promotion of healthy life styles, research for disease and injury prevention and detection and control of infectious disease
dental public health
it is the form of dental practice that serves the community as the patient rather than the individual.
community efforts
community health
heath status of a defined group within a population and the actions and conditions that improve and protect the of the community
population health
has been defined as the heath out comes of a group of individuals including distribution of such outcomes within the group.
implicit goal of improving health outcomes
public health patient
community
public health examination
survey
public health diagnosis
analysis
public health treatment
program implementation
public health fee/payment
program funding
incidence
frequency
prevalence
how widespread it is
Public Health Solution
� Not hazardous to life or function
� Effective in reducing or preventing the targeted disease or
condition
� Easily and efficiently implemented; minimum compliance required
� Potency maintained for a substantial period
� Attainable regardless of socioeco
What meets all public health solutions
community water fluorination, reaches all people regardless of SES
Measurements of SES
� Education
� Type of occupation
� Income
� Wealth
� Place of residence- zip code
What federal department does dental health related activities fall under?
department of health and human services
Oral Health in America
2000-recognized that profound
disparities existed
Healthy People
2020-a new initiative launched every decade.
3 parts of core public health services
assessment, policy development, assurance
assessment
monitor health status, diagnose, inform and educate
policy development
develop policies and mobilize community services
assurance
enforce laws and regulations ,link people to health services,
Water fluoridation
CDC: one of the 10 most important PH accomplishments of 20th century
who is credited with developing the profession of dental hygiene?
Dr. alfred C. fones
first dental hygienist
Irene Newman, provided oral health in schools
Examples of Public Health Settings
� A community based clinic
� A mobile van
� A school based oral health program
� Hospital
� Long term care facility
� Home of a homebound individual
Primary Prevention
more effective, less costly, involve less technology, prevents the disease before it occurs
� Prophy
� Sealants
� Fluoride varnish
� Water fluoridation
� Education
Secondary Prevention
eliminates or reduces disease in early stages
� Restorations
� Periodontal therapy
� Extractions
� Oral cancer screening
teritary
seeks to reduce impact caused by disease
� Dentures
� Implants
� Prostheses
direct access
DH can provide services that he/she deems necessary without specific authorization (unsupervised practice)
Supervision Regulatory Changes
Licensed dental hygienists, by virtue of their comprehensive education and clinical preparation, are well prepared to deliver preventive oral healthcare services to the public, safely and effectively, independent of dental supervision
Direct supervision
Dentist must be present, exams pt, authorizes work and checks after
Indirect
Dentist must be present, generally authorizes work, exams pt either before or after, and is available for consult.
General
Dentist needs to authorize work prior to performance but
does not need to be present, must be pt of record.
Dental Health Professional Shortage Area (HPSAs)
Available workforce of dental professional, Population group has access barriers, Federal or state correctional, public health, or nonprofit private facility has inadequate capacity
midlevel provider
address the problems of access to oral health care for underserved populations
Advanced Dental Therapist
june 2004 ADHA house of delegates
public health administrator
creates and directs public health programs
public health advocate
clinician, supports recommends, campaigns
Interprofessional Collaborative Practice
happens when multiple health workers from different professional backgrounds work together with patients, families, careers and communities to deliver the highest quality of care
PH Clinician
Provides evidence-based clinical
services to priority populations
PH Educator
scientific based methods for prevention. Needs organizational skills, creativity, communication skills, and flexibility.
PH Advocate
Sees a problem related to achieving optimal
oral health and attempts to develop a solution
PH Researcher
Uses scientific methods and knowledge to identify and pursue a specific area of interest.