Submitted By:bishow Dangal Roll No:seven 7 1) Problem 1

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Submitted by:Bishow Dangal

Roll no:Seven 7
1)Problem 1
Procedural steps to access dental public health problem in a community are as follows:
A. Survey
 Focus of attention in a survey is population rather than an individual
 survey are methods for collection of data, analyzing and evaluating them in order to determine the
amount of disease problem in a community
 In problem 1, public school children (having mixed dentition) of two different public school were
chosen and data on prevalence of dental caries in primary and permanent dentition was collected.
B. Analysis
 It is second step and is based on analysis of data collected from a survey,
 It is necessary to arrange or organize the data in such a way that meaningful figures are obtained.
 Statistical techniques can also be applied for this purposes.
 Statistics is an essential material to obtained description of a prevailing problem and in order to
achieve a correct diagnosis.
 In problem 1, prevalence of dental caries in a primary dentition was 60.3 % and while in a
permanent dentation was 55.6 % is data obtained through analysis. This shows that permanent
dentition are less prone to dental caries compare to the primary dentation.
C. Program Planning
 After problem and its characteristics are analyzed, the next step is program planning.
 Dental public health professional has to design program that is accepted by the community and
that the people show an interest in it.
Program planning for the problem of dental caries might be promotive and preventive measure at
individual and community level such as
 Dental treatment to community through organized dental camps.
 Providing dental prophylaxis and other oral hygiene measures.
 School health programs to deliver dental care for children.
D. Program Operation
 A professional in various disciplines has to be employed for executing the program
 Water fluoridation in a community with higher prevalence of dental caries and a low level of
fluoride caries in their water supply.
E. Financing
Usually financing in public health programs are through funds provided by local or state
authorities. Many public dental health programs have been conducted successfully through the
financial aid provided by local foundations and local service clubs.
F. Program Appraisal
Final steps in any public health program where effectiveness of the program is assessed. The
baseline data collected prior to introduction of public health program serve as an indicator against
which the effectiveness of the program can be assessed. E.g. comparing prevalence of dental
caries before and after the public health program.
2) Problem 2
Contrasting aspect of dental and dental public health models of practice

Dental model Dental public health model


Purpose: to maximize the dental interests of Purpose: to maximize the dental health status
individual of a population, community, or public
Work content: to provide personal dental Work content: to develop, implement, and
health services for patient to improve their evaluate dental health programs and to create
dental health health services for improving the public's oral
health
Practitioner is concerned with risk-benefit Practitioner is concerned with relative cost
calculus for individual patients benefits of different community interventions
or strategies
Practitioner's primary moral obligation is to Practitioner is obliged to think in terms of
individual patients how best to allocate community resources
The ideal is the provision of state-of-the-art The use of appropriate technology, which
services may not be state-of-the-art
Patient-specific needs are relevant for Population-based measures of need are of
decision making primary importance
Outcomes are measured in terms of changes Outcomes are measured in terms of
in individual patients community change

Implications of dental public health


Water fluoridation is the implementation of artificial fluoride in public water supplies with the
intentions to halt the progression of dental diseases. Fluoride has the ability to interfere with the
demineralization and remineralization process that occurs on the tooth surface and improves the
mineral intake when the pH level may reduce below the neutral pH level. This achievement was
implemented through the dental public health. This programs deals with issues which usually prove to
be beneficial only in the long run.
Oral Health Promotion outlines the strategies for improving and educating the general public about
how they can better take improve and maintain their current oral health.
Providing dental treatments like extractions, oral prophylaxis, fluoride applications etc.
3)Problem 3
Impact of dental caries on individual
Dental caries affects people physically and psychologically and influences how they grow, enjoy life,
look, speak, chew, taste food and socialize, as well as their feelings of social well-being. Severe caries
detracts from children’s quality of life: they experience pain, discomfort, disfigurement, acute and chronic
infections, and eating and sleep disruption as well as higher risk of hospitalization, high treatment costs and
loss of school days with the consequently diminished ability to learn. Caries affects nutrition, growth and
weight gain.

Impact of dental caries on society


 costs to the health service of treating the condition
 time do people take off work to get treatment and care
 effects on the condition have on economic performance and productivity of the country

Modalities to prevent the disease

 Use of pits and fissure sealants


 Fluoride treatment
 Regular visit to dental office
 Home care like tooth brushing should be done at minimum for 2 minutes each morning and night.
Tooth brushes should have extra soft and soft bristles and used with light pressure
 Prevent drinking commercial drinks such as sodas and sport drink
4) Problem 4
General and Dental public health problems prevalent in our part of the world
The majority of oral health conditions are: dental caries (tooth decay), periodontal diseases, oral
cancers, oral manifestations of HIV, oro-dental trauma, cleft lip and palate, and noma (severe
gangrenous disease starting in the mouth mostly affecting children)

Non communicable diseases, global influenza pandemic, antimicrobial resistance, Ebola and
other high-threat pathogens, dengue, HIV are some general public health problems.

Duties being a dentist towards public health


 To participate in community affairs
 Educate the public in promotion of health
 To be trustworthy and honest
 To follow community laws
 To take leadership role in community
 Elevate the steem of profession

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