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Assessment of Ontario's Geriatric Preventive Dentistry Program.

Ontario's Geriatric Preventive Dentistry Program (mandated under the Health Protection and Promotion Act) is assessed using the rational comprehensive approach. Policy options are examined, taking into account population characteristics, the nature of the health problem, current service delivery policy and resources, and barriers to access. Examining the 1974 Task Force recommendations, sets of draft guidelines issued in 1982, 1983, and 1984, and the revised 1985 guidelines as implemented, one can note changes in the benefits offered and in eligibility for coverage. The final program appears to be largely a symbolic policy response, which is unlikely to have major implications for either efficiency or community effectiveness. Implications of the current program, including the possibility it may be a precursor to more effective policies, are noted.

Aged↗

Dentistry preventing family violence.

Dentistry has a long history of dealing with one form of family violence, child maltreatment. However, a recent national survey shows that dentists are not living up to their legal and ethical obligations to report suspected child victims. Dentistry needs to be equally concerned with adult victims of family violence--the victims of spousal abuse and elder abuse and neglect. Successful child abuse prevention programs need to expand to cover all of family violence. All health care professionals need education and awareness training to help develop the necessary attitudes to deal with all victims of family violence.

Adult↗

Current research in preventive dentistry and its impact on the future of dental care.

To my mind, preventive dentistry has not changed all that much in the last 10 to 15 years. No miracle drug has come on the scene to prevent periodontal disease. There is no caries vaccine to eliminate dental caries. Interestingly, it has been the traditional technologies that have, given the advantage of time, proven their potential. The reality seems to have surpassed even our most optimistic expectations. But while we have learned how to effectively implement these technologies in many instances, the promotion of water fluoridation has lagged. Nevertheless, the improvements in oral health speak well of the work of our predecessors, who shaped the world of modern dental care. It is up to the profession to use existing preventive technologies to their best advantage and to devise even better preventive measures for the 20 per cent to 30 per cent of the population who are at highest risk of caries and periodontal disease. This paper has focused on some points of interest that have been published in the dental literature on preventive dentistry. Other issues represent concerns of the author. I invite comment and discussion on the topics and issues that were raised. Dialogue is healthy.

Adolescent↗

[Analysis of activities of the preventive dentistry service in the Health Area 8 of the Valencia Autonomous Region].

OBJECTIVES: We describe and analize the activities we carried out in a surgery from a preventive dentistry unit. DESIGN: Longitudinal descriptive study from 1993 since 1994. SETTING: Health Area 8 from the Valencian Autonomous Region. PARTICIPANTS: Children from 3 to 14 year-old attendant to the preventive dentistry unit's surgery (2.497). MEASUREMENTS AND MAIN RESULTS: We visited 5.012 children. The highest percentage of population corresponded to the zona 4, where began at first the preventive service. The activities distribution was as follow: oral explorations and plaque control (100%), fluoride topic aplication (90.38%), diet control (36.81%), pit and fisure sealants (6.46%), profilaxis (8.71%), radiological diagnosis (6.46%), dental emergencies (2.17%). The users origin was: 38.88% school oral explorations made over 6- and 10-year-old children; 63.71% from self-request; and 16.45% sent by other health professionals. 41.42% were continuated visits. CONCLUSIONS: Demand of preventive dental services is very high in our health area, although incorporation of therapeutic techniques is wished by the population. This demand increase as well as the surgery is closer to the user. People from big cities are stubborn using these services from smallest villages, even having transport facilities. Children start coming to the consults between 5-6 year-old, keeping an acceptable control until 12 approximately.

Adolescent↗

A preventive dentistry component in the curriculum of Israeli dental students.

A preventive dentistry program conducted by 34 and 27 senior dental students as an integral part of children's clinic was evaluated. At the initial meeting of the three-session program, dental knowledge and oral hygiene levels were all 265 participating children. Follow-up who had participated in the prevent program the previous year and were now continuing their treatments, demonstrated significantly improved dental knowledge oral hygiene as compared to new patients. All of the children demonstrated significantly improved dental knowledge and oral hygiene at the final session of the program. The effectiveness on the participating children, this program was also successful in being accepted by students and faculty as a regular component of the clinical curriculum. The model presented here will be modified and improved on for future continued implementation.

Curriculum↗

Dental health promotion and preventive dentistry practices of U.S. Army dentists.

In May 1997, all Army dentists assigned full-time to clinical duties (1,100) were sent a mail survey that queried how often they deliver dental health promotion and preventive dentistry services and the type and source of their patient educational materials. By August, 606 dentists had responded. Simple frequencies were generated using SPSS. Results show that tobacco, oral hygiene, and periodontal counseling and oral cancer and blood pressure screening are delivered frequently, whereas nursing caries, mouthguard, sealant, and nutrition services are delivered infrequently. Army dentists relied almost exclusively on oral presentations to deliver health promotion messages. Few used more than one source for health promotion materials. These results suggest that the delivery of dental health promotion and preventive dentistry services in the Army is suboptimal. A campaign to heighten provider awareness of the importance of delivering these services should be launched. The campaign should also teach providers how to make their health promotion efforts maximally effective through the application of proven health marketing techniques.

Health Education, Dental↗

[Preventive dentistry for children. 1. The use of fluoride and pit-fissure sealant].

In the past 10 years, the dental caries prevalences of children in developed countries have declined dramatically and the same trend seems to appear for Thailand. This report will review the current knowledge and technology of many modalities in preventive dentistry on which concerted use will bring about the highest efficiency in preventing caries & gingivitis in children. In part one, the etiology of caries & periodontal disease in children will be reviewed. The use of systemic and topical fluoride, pit and fissure sealant are the first two methods of preventive dentistry discussed. The mechanical plaque control, diet modification and infant oral health counseling will be presented in part two.

Child↗