Nagadu ti

rukab mo
Pima Medical Institute
Dental Hygiene Program
Hosted by your future dental hygienists:
Amita, Briana, Gricelda, Rio, Sarah & Ying
Healthy People 2030 focuses on reducing tooth decay and other oral health
conditions and helping people get oral health care services.
Strategies to help people access dental services can help prevent problems like
tooth decay, gum disease, and tooth loss. Individual-level interventions like topical
fluorides and community-level interventions like community water fluoridation can
also help improve oral health. In addition, teaching people how to take care of their
teeth and gums can help prevent oral health problems.
 2030 Healthy People Objectives
FOR OLDER ADULTS (45yrs+)
OBJECTIVE 1: Reduce the proportion of older adults with untreated root surface decay
● 29.1% of adults aged 75 years and over had untreated root surface decay in 2015-16

OBJECTIVE 2: Reduce the proportion of adults aged 45 years and over who have lost all their
teeth
● 7.9% of adults aged 45 years and over had lost all of their natural teeth in 2013-16

OBJECTIVE 3: Reduce the proportion of adults aged 45 years and over with moderate and
severe periodontitis
● 44.5% of adults aged 45 years and over had moderate and severe periodontitis in
2015-16

https://health.gov/healthypeople/objectives-and-data/browse-objectives/oral-conditions
 WHAT IS DECAY?

Occlusal Decay
Root Surface Decay
 SURVEY RESULTS
Do you currently go to the Do you get numb for your Do you have fillings, crowns,
dentist on a regular basis? dental cleanings? implants or root canals in
your mouth?
 SURVEY RESULTS
Have you had a filling, crown, Does the possibility of having When you go to the dentist,
implant or root canal placed in decay in your mouth keep you area you usually told you have
the last year? from seeing your dentist? a cavity?
 SURVEY RESULTS
Do you brush your teeth at Do you use a manual Do you smoke cigarettes?
least once a day? toothbrush or electric
toothbrush?
 SURVEY RESULTS
Do you have dental Do you consider your diet Do you experience dry
insurance? to be high in sugar? mouth?
 SURVEY RESULTS
Do you drink coffee daily? Are you taking at least two medications daily? If yes, what
conditions are you taking the medications for?
 Filipino Americans and Oral Health
Dental care in the Philippines is crucial as statistics show that at least 80 percent of Filipinos suffer from dental problems. The
current dental system has not been effective in reducing the number of people suffering from tooth decay or cavities.

History of discrimination can cause distrust = barrier

The 2010 U.S. Census showed there is a substantial population in the region who are Filipino or Filipino in combination with
another race/ethnicity
● more than 20,000 in Seattle
● more than 60,000 in King County

2015-2016 Smile Survey found that children from low-income families in Washington state were more likely to experience tooth
decay. Other factors associated with poorer outcomes included race/ethnicity and speaking a language other than English at
home

45 percent of the Filipino population in King County is foreign-born, and 61 percent of Filipino households speak an
Asian/Pacific language at home

Increases in related search volume for dentures (DS) from 2015-2019, dental braces (DB) from 2014-2019, but results for tooth
decay (TD) and dentist (DT) showed little changes
 How to Prevent Dental Decay
● Homecare
○ Brushing
○ Flossing
○ Water flosser
○ Proxybrush
● Fluoride
● Dental Home
● Nutrition
 Homecare
01 What is homecare? 02 BRUSHING
How you take care of We recommend using an
your oral cavity at home. electric toothbrush and
brushing your teeth 2x a
day for approximately 2
minutes.

Mouth
cleaning

03 FLOSSING 04 PROXYBRUSH
Flossing is important because Proxybrush is an additional
it cleans the space between homecare aid that should be
your teeth that your used in additional to brushing
toothbrush cannot reach. We and flossing. It helps kill the
recommend flossing your bacteria that leads to decay
teeth twice a day. and periodontal disease.
 Brushing
● Use a soft bristle toothbrush with
fluoride
● Place the brush at a 45-degree
angle
● Brush for two minutes twice a day
● Ensure that all surfaces of the
teeth are brushed
● Brush the tongue with a
toothbrush or use a tongue
scraper
 Electric vs. Manual Toothbrush
● Removes plaque
better ● More
● Has a 2 minute timer Affordable
● Gentler on gums ● Can be
● Only replace heads purchased at
● Better for limited most stores
mobility ● Requires no
● Easier use with batteries or
braces charging
● Different Modes
● Pressure sensor
 Flossing
● Removes bacterial buildup
and plaque formation from
areas toothbrushes cannot
reach
● Different floss available to
clean underneath the gums
● Lack of flossing can lead to
swollen and bleeding gums
● Reduces and prevents
inflammation caused by the
immune response to the
toxins produced by
interdental plaque
 Water Flosser
● Another way to clean between and
around your teeth
● Handheld device that sprays
streams of water in steady pulses
● Water flosser is just as efficient as
regular floss in removing
interdental plaque
● Great for people who lack manual
dexterity, have bridges or
undergoing orthodontic treatment
 Proxy Brush
- What is it?

➢ Proxy brush is a type of interdental

cleaner. You can use it to clean the
spaces between your teeth.

➢ Different sizes and shapes available

➢ Ideal for Class II and III embrasures

 Proxy Brush
- Why use it?

➢ It helps you remove bits of

food and plaque between
your teeth that are easy to
miss with your toothbrush.
 Proxy Brush
- How to use it?

➢ Insert bristles into embrasure at 90

degree angle to tooth surface

➢ In and out motion from both facial and

lingual surfaces

➢ Rinse to remove debris

➢ Can reuse bristles until worn

HOW TO USE A PROXYBRUSH

 Proxy Brush
- Where to buy?
Almost all Supermarkets and Pharmacy stores
 What is Fluoride?
● A mineral that occurs naturally and released from rocks into
soil, water and air.
● Fluoride is most found in water but can be found in dental
products such as toothpaste, applied professionally or
prescribed through tablets, drops, or lozenges.
 How Fluoride Works
- Dentin and enamel (tooth structures) are composed of tiny mineral crystals
(hydroxyapatite).
- Microscopic pores and gaps are found between the crystals and constant change of
minerals occur between the gaps.
- When bacteria on the tooth surface metabolize cooked starch or sugars, they produce
acid causing demineralization of the tooth surface.
- Fluoride in saliva around the teeth is incorporated into the surface of enamel crystals
during remineralization. Fluoride replaces the minerals lost from the tooth surface by
forming fluorapatite. It has lower solubility and can withstand the acid attacks.
- PH of at which tooth mineral dissolves is about 5.5 but fluorapatite dissolves at 4.5.
- Fluoride makes it more difficult for the acids produced by decay causing bacteria in
plaque to demineralize tooth structure and cause dental caries (cavities).
 Benefits of Fluoride
- Prevent tooth decay
- Prevent or decrease
sensitivity
 Water Fluoridation
- All water contains some fluoride but not enough to prevent decay. Water fluoridation is the
communities’ efforts to prevent decay by adjusting the amount of fluoride in the drinking water to a
level that would prevent decay.
- In the 1930s, the relationship between natural occurring fluoride in drinking water and tooth
decay in children was studied and the study found that children drinking water with more natural
levels of fluoride had less tooth decay. Since 1945 hundreds of cities started community water
fluoridation and in 2016, nearly 73% of the United States with community water systems had access
to fluoride.
- Water fluoridation played a vital role in the dramatic decrease in decay in the past 75 years and
is considered 1 of 10 great public health achievements of the 20th century.
- Supplements are not desired when the community water supply has a fluoride content higher
than 0.7 PPM.
Map of Fluoridated Water in Washington
 Dental Home
❖ Dental home is an ongoing relationship
between you and your dentist!

❖ It is recommended to have your own dental

home and regularly visit it.

❖ Oral health care can be delivered in a

comprehensive, continuously accessible,
coordinated, and family-centered way.
 Dental Home

❖ E.g., with a fixed dentist,

your teeth health is
continuously monitored.
Sealant could be applied
as a preventative
procedure as needed,
before you are impacted
by a real caries and
decay.
 Nutrition and Dental Caries
Teeth demineralize during acid attack - every eating
event is an opportunity for bacteria to use sugar to
make acid

Carbohydrates in Diet

● Frequency of sugar eaten is a primary factor in

caries
● Form of foods can increase incidence
● Retentive foods that stay in the oral cavity
longer than liquids increased the rate of caries
● Sugar exerts caries-promoting effect locally on
tooth surfaces
 Cariogenic Foods Cariostatic Foods
High fructose corn syrup, Rice, Fruit juice, Honey, Meat, Milk, Cheese, Nuts, Yogurt,
Soda, Acidic foods, Chips/Crackers, Candy Crunchy Vegetables, *coffee
 Nutrition Recommendations
● Crunchy foods (vegetables) = stimulate
saliva
● Cariostatic foods for each meal - use them
is snacks as well
● Reduce amount of sugar
● Increase water intake
● Use of sugar substitute
● Brush, floss, use of interdental aids
(2x/day)
● Questions?
● Post survey in one month
● Raffle for OralB Toothbrush and Free FANHS membership
 REFERENCES
https://www.mouthhealthy.org/en/az-topics/w/water-flossers
https://borgenproject.org/how-dental-care-in-the-philippines-is-combating-tooth-decay/
https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/national-snapshot
https://depts.washington.edu/fammed/chws/wp-content/uploads/sites/5/2017/11/Washington_State
_Oral_Health_Workforce_FR_Nov_2017_Patterson.pdf
https://www.washington.edu/uwired/outreach/cspn/Website/Classroom%20Materials/Curriculum%2
0Packets/Asian%20Americans/Asian%20American%20Main.html