DENTAL PUBLIC HEALTH

DENTAL PUBLIC HEALTH




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Dentistry thumbnail

DentistryDentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition (the development and arrangement of teeth) as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist. The history of dentistry is almost as ancient as the history of humanity and civilization, with the earliest evidence dating from 7000 BC to 5500 BC. Dentistry is thought to have been the first specialization in medicine which has gone on to develop its own accredited degree with its own specializations. Dentistry is often also understood to subsume the now largely defunct medical specialty of stomatology (the study of the mouth and its disorders and diseases) for which reason the two terms are used interchangeably in certain regions. However, some specialties such as oral and maxillofacial surgery (facial reconstruction) may require both medical and dental degrees to accomplish. In European history, dentistry is considered to have stemmed from the trade of barber surgeons. Dental treatments are carried out by a dental team, which often consists of a dentist and dental auxiliaries (such as dental assistants, dental hygienists, dental technicians, and dental therapists). Most dentists either work in private practices (primary care), dental hospitals, or (secondary care) institutions (prisons, armed forces bases, etc.). The modern movement of evidence-based dentistry calls for the use of high-quality scientific research and evidence to guide decision-making such as in manual tooth conservation, use of fluoride water treatment and fluoride toothpaste, dealing with oral diseases such as tooth decay and periodontitis, as well as systematic diseases such as osteoporosis, diabetes, celiac disease, cancer, and HIV/AIDS which could also affect the oral cavity. Other practices relevant to evidence-based dentistry include radiology of the mouth to inspect teeth deformity or oral malaises, haematology (study of blood) to avoid bleeding complications during dental surgery, cardiology (due to various severe complications arising from dental surgery with patients with heart disease), etc.

Dentistry

Dentist thumbnail

DentistA dentist, also known as a dental doctor, dental physician, dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.

Dentist

Dental amalgam controversy thumbnail

Dental amalgam controversyThis discussion of the dental amalgam controversy outlines the debate over whether dental amalgam (the mercury alloy in dental fillings) should be used. Supporters claim that it is safe, effective and long-lasting, while critics argue that amalgam is unsafe because it may cause mercury poisoning and other toxicity. Supporters of amalgam fillings point out that it is safe, durable, relatively inexpensive, and easy to use. On average, amalgam lasts twice as long as resin composites, takes less time to place, is tolerant of saliva or blood contamination during placement (unlike composites), and is often about 20–30% less expensive. Consumer Reports has suggested that many who claim dental amalgam is not safe are "prospecting for disease" and using pseudoscience to scare patients into more lucrative treatment options. Those opposed to amalgam use suggest that modern composites are improving in strength. In addition to their claims of possible health and ethical issues, opponents of dental amalgam fillings claim amalgam fillings contribute to mercury contamination of the environment. The World Health Organization (WHO) reports that health care facilities, including dental offices, account for as much as 5% of total wastewater mercury emissions. The WHO also points out that amalgam separators, installed in the waste water lines of many dental offices, dramatically decrease the release of mercury into the public sewer system. In the United States, most dental practices are prohibited from disposing amalgam waste down the drain. Critics also point to cremation of dental fillings as an additional source of air pollution, contributing about 1% of global emissions. The World Health Organization recommends a global phase out of dental mercury in their 2009 report on "Future Use of Materials For Dental Restorations, based on aiming for a general reduction of the use of mercury in all sectors, and based on the environmental impacts of mercury product production." It is the position of the FDI World Dental Federation as well as numerous dental associations and dental public health agencies worldwide that amalgam restorations are safe and effective. Numerous other organizations have also publicly declared the safety and effectiveness of amalgam. These include the Mayo Clinic, Health Canada, Alzheimer's Association, American Academy of Pediatrics, Autism Society of America, U.S. Environmental Protection Agency (EPA), National Multiple Sclerosis Society, New England Journal of Medicine, International Journal of Dentistry, National Council Against Health Fraud, The National Institute of Dental and Craniofacial Research NIDCR, American Cancer Society, Lupus Foundation of America, the American College of Medical Toxicology, the American Academy of Clinical Toxicology, Consumer Reports Prevention, WebMD and the International Association for Dental Research. The U.S. Food and Drug Administration (FDA) formerly stated that amalgam is "safe for adults and children ages 6 and above" but now recommends against amalgam for children, pregnant/nursing women, and other high-risk groups.

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Dental hygienist thumbnail

Dental hygienistA dental hygienist or oral hygienist is a licensed dental professional, registered with a dental association or regulatory body within their country of practice. Prior to completing clinical and written board examinations, registered dental hygienists must have either an associate's or bachelor's degree in dental hygiene from an accredited college or university. Once registered, hygienists are primary healthcare professionals who work independently of or alongside dentists and other dental professionals to provide full oral health care. They have the training and education that focus on and specialize in the prevention and treatment of many oral diseases. Dental hygienists have a specific scope of clinical procedures they provide to their patients. They assess a patient's condition in order to offer patient-specific preventive and educational services to promote and maintain good oral health. A major role of a dental hygienist is to perform periodontal therapy which includes things such periodontal charting, periodontal debridement (scaling and root planing), prophylaxis (preventing disease) or periodontal maintenance procedures for patients with periodontal disease. The use of therapeutic methods assists their patients in controlling oral disease, while providing tailored treatment plans that emphasize the importance of behavioral changes. Some dental hygienists are licensed to administer local anesthesia and perform dental radiography. Dental hygienists are also the primary resource for oral cancer screening and prevention. In addition to these procedures, hygienists may take intraoral radiographs, apply dental sealants, administer topical fluoride, and provide patient-specific oral hygiene instruction. Dental hygienists work in a range of dental settings, from independent, private, or specialist practices to the public sector. Dental hygienists work together with dentists, dental therapists, oral health therapists, as well as other dental professionals. Dental hygienists aim to work inter-professionally to provide holistic oral health care in the best interest of their patient. Dental hygienists also offer expertise in their field and can provide a dental hygiene diagnosis, which is an integral component of the comprehensive dental diagnosis.

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Dental degreeA number of professional degrees in dentistry are offered by dental schools in various countries around the world.

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Dental public health thumbnail

Dental public healthDental Public Health is a para-clinical specialty of dentistry that deals with the prevention of oral disease and promotion of oral health. Dental public health is involved in the assessment of key dental health needs and coming up with effective solutions to improve the dental health of populations rather than individuals. Dental public health seeks to reduce demand on health care systems by redirection of resources to priority areas. Countries around the world all face similar issues in relation to dental disease. Implementation of policies and principles varies due to availability of resources. Similar to public health, an understanding of the many factors that influence health will assist the implementation of effective strategies. Dental-related diseases are largely preventable. Public health dentistry is practiced generally through government-sponsored programs, directed for the most part to public-school children in the belief that their education in oral hygiene is the best way to reach the general public. The pattern for such programs in the past was a dental practitioner's annual visit to a school to lecture and to demonstrate proper tooth-brushing techniques. In the 1970s a more elaborate program emerged. It included a week of one-hour sessions of instruction, demonstration, and questions and answers, conducted by a dentist and a dental assistant and aided by a teacher who had previously been given several hours of instruction. Use was also made of televised dental health education programs, which parents were encouraged to observe.

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Pediatric dentistry thumbnail

Pediatric dentistryPediatric dentistry (formerly pedodontics in American English or paedodontics in Commonwealth English) is the branch of dentistry dealing with children from birth through adolescence. The specialty of pediatric dentistry is recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. Pediatric (also paediatric or pædiatric) dentists promote the dental health of children as well as serve as educational resources for parents. It is recommended by the American Academy of Pediatric Dentistry (AAPD) and the American Academy of Pediatrics (AAP) that a dental visit occurs after the presence of the first tooth or by a child's first birthday. The AAPD has said that it is important to establish a comprehensive and accessible ongoing relationship between the dentist and patient – referring to this as the patient's "dental home". This is because early oral examination aids in the detection of the early stages of tooth decay. Early detection is essential to maintain oral health, modify aberrant habits, and treat as needed and as simply as possible. Additionally, parents are given a program of preventive home care (brushing, flossing and fluorides), a caries risk assessment, information on finger, thumb, and pacifier habits, and may include advice on preventing injuries to the mouth and teeth of children, diet counseling, and information on growth and development.

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