Community Chapter 4

World Health Organization (WHO)

maintains statistics on the prevalence of dental diseases from more than 170 countries in its Global Oral Health Database.
-identified profound oral health disparities

T/F: Dental caries and periodontal disease are NOT the most widespread of all human diseases.

False
Dental caries and periodontal disease ARE the most widespread of all human diseases

Risk Reduction Strategies

1. Identify those at risk
2. modify risk behaviors
3. connect (oral health systems)

Federation Dentaire Internationale (FDI)

the organization that represents the international community or dentists.
-collaborates with WHO on the planning and developing of global goals for oral health

The Council of European Chief Dental Officers (CECDO)

-maintains another databank
-key data (oral health work force, dental ed., costs and oral health indicators including epidemiological data on DMFT)
-info on the #s of registered & active DH in Europe

The Council of European Dentists (CED)

maintains a database on European countries regarding national oral health systems, work force and public health care demographics

International Federation of Dental Hygienists (IFDH)

the organization representing the international community of DH

Meaningful international comparisons concerning the equity and quality of oral health care must be based on a precise epidemiological assessment of:

1. tx needs
2. demands
3. information on how these are being met

For Strategic planning, it is imperative that data be:

-evidenced based
-consistent
-reproducible
-comparable
-current

Prevalence of caries is most commonly measured with

DMFT index
- a mean DMFT of 0.0-1.1 is LOW
-6.6 or more is HIGH

IntERexaminer Calibration

all examiners have a degree of consistency AMONG THEMSELVES when evaluating outcomes during a research study

IntRAexaminer Calibration

all examiners have a degrees of consistency WITHIN THEMSELVES

The International Caries Detection and Assessment System (ICDAS)

is a collaborative initiative with the goal of finding closer agreement b/w the outcomes of caries epidemiology and caries clinical trials
-used in pilot studies
-highlights individuals with high caries in each population

Community Periodontal Index of TX Needs (CPTN or CPI)

evaluates periodontal diseases in population surveys
-gobal health data generated
-no uniform criteria for the assessment
-data has been questionable & incompareable

In industrialized companies, access to dental hygiene care is through private practices

true

Currently, DH education is eclectic because schools vary in...

prerequisites, duration, and institutional settings

In most countries DH education aims to:

-qualify DH students in evidenced-based clinical care
-diagnostic assessment and intervention planning
-lifestyle consulting & risk behavior modifications
-public health promotion

What is the primary purpose of professional regulation?

to ensure the quality & safety of patient care

How can global DH impact oral health equality?

-community & school dental services available w/in public health sector
-expansion of oral disease prevention and health promotion
-cost effective as intermediate health care providers

Dental Therapist

provide restorative care under the general supervision of dentists
-found in UK and colonies
-services restricted to public health and facilities and school
-tx under the rx of the dentist

Dental Nurses

-in New Zealand
-services include DH care
-main focus on children's restorative
-may restore both primary and permanent dentition of children and extract primary teeth
-may provide services in the private practice or community dental services

Sonrisas

-an oral health care project for the underprivileged children in the Dominican republic

the Phelophepa Train

is a train that provides health care to rural South Africans
-phelophepa means "good clean health

Dysphagia management for the elderly in Japan

DH care was provided monthly for 5 months on a bedridden pt who suffered from a stroke. The patient had severe muscle tension around the oral cavity. Results of DH care showed decreased muscle tension, plaque accumulation, and gingival inflammation

International Association for Dental Research (IADR)

mission is to advance research and increase knowledge for the improvement of oral health worldwide

European Federation of Periodontology (EFP)

the promotion of periodontal health in eurpoe

Although the U.S. Surgeon General's Report was published in 2000, Fones started dental hygiene in the early 1900s based on the premise that dental health affects ________.

one's total health

The World Health Organization (WHO) is a self-governing, multilateral entity that developed the ________.

FDI or global oral health data bank?

A dental therapist in New Zealand is allowed to ________.

provide prophy and restore teeth

Dental hygienists worldwide are becoming more educated with longer training requirements.

True