Effectiveness of School-Based Oral Health Preventive Programme FINAL.pptx

A discussion to showcase the effectiveness and other aspects of Preventive Healthcare Programs in School-Base Programs

1. Effectiveness of School-Based Oral Health Preventive Programme Presented by House Surgeons Chit Pyone Hnin Si Saw Naing Naing Min Si Yain Htet Zay Ya Min

2. Contents Introduction Definition (School health service) Objective Aspects of School health service Ideal Requirements Advantages Elements Conclusion

3. Introduction A good oral health plays a vital role in overall well-being Understanding the importance of oral hygiene helps to prevent dental problem Dental caries is the most common childhood disease >> significant health and economic impact globally About 80% of school going age suffered from dental caries 3

4. Eating habits, oral health knowledge, practices, availability and accessibility of oral health services are issues concerning oral health School oral health promotion activities are effective in preventing oral diseases and promoting oral health among school children (WHO) 4

5. Definition School health services are defined as the “procedures established - to appraise the health status of pupils and school personnel to counsel pupils, parents, and others concerning appraisal findings to encourage the correction of remediable defects 5

6. to assist in the identification of education of handicapped children to prevent and control disease and to provide emergency service for injury or sudden sickness

7. Aspect of School Health Service 6 https://link.springer.com/chapter/10.1007/978-981-16-1858-1_12

8. Objectives To help every school child appreciate the importance of a healthy mouth To help every school child appreciate the relationship of dental health to general health and appearance To encourage the observance of dental health practices, including personal care, proper diet and oral habits To correlate dental health activities with the total school health program 7

9. To stimulate the development of resources to make dental care available to all children and youth ( Making health services more accessible and acceptable according to principles of health promotion ) To stimulate dentists to perform adequate health services for children 8

10. 9 https://docs.google.com/document/d/1euVGhPtf83mB-xN57H3yRJSxvnnMoPkuWfDU2gourse https://www.wimberleyisd.net/Page/698

11. Ideal Requirements A school dental health programme should be administratively sound should be available to all children should provide the dental care especially self-care preventive procedures 10

12. should create positive attitude towards dental health should include Primary preventive programs such as dental prophylaxis, school water fluoridation, pits and fissure sealants ) should provide screening for early identification and referral for dental care 11

13. Advantages Can bring comprehensive dental care to all school children Includes preventive measures to school children because at school, they are gathered anyway in largest possible numbers Can also be assessed during their teeth formative years from childhood to adolescence 12

14. School going age >> the best time to shape oral health related behaviour as beliefs and attitudes are being developed School clinics are less threatening compared to private dental clinics since school is a place where they are familiar to If the children can be maintained in a state of good dental health >> easier to maintain in their adult life 13

15. Elements of SDHP There are 3 phases in SDHP ; Preventive phase Curative phase Referral for dental care 14 Improving school-community relations Performing specific programs Imparting health education Conducting dental inspections Referral for dental care Follow up of dental inspection SDHP=School dental health program

16. Preventive phase Conducting school dental health education Conducting dental inspection ( Screening ) Performing specific preventive programme ( Systemic tooth brushing methods, Classroom based fluoride program, School water fluoridation program ) Sealant placement program 15

17. Conducting school dental health education School health education focuses on Oral health promoting behaviours and conditions Skills needed to practice those behaviours Knowledge, attitudes, beliefs and values Learning from experiences ( that allows students to model and practice skills ) Personal development and responsibility at home and in the society 16

18. Conducting Dental Health Education at Razagyo School 17

19. II. Conducting dental inspection ( Screening ) Benefits of screening Basics of school dental health instruction Positive attitudes in children Children are motivated to seek professional dental care Provides information about status of dental needs Baseline and cumulative data for evaluation 18

20. III. Performing specific preventive programs Demonstrate the children how to brush their teeth according to Systemic Tooth Brushing Methods (Golden Rules) Use soft-bristled toothbrush and fluoridated toothpaste Use Brush all surfaces ( the outer surfaces, the inner surfaces and the chewing surfaces )of teeth including tongue Two times a day; one before breakfast and before going to bed 19

21. (4) Tooth brushing time should be at least 2 minutes (5) Place toothbrush at 45 degree angle to the gums, gently move the brush back and forth in short (tooth-wide) strokes, scrub vertically down to occlusal / incisal direction in a rolling motion. To clean the inside surfaces of the front teeth, tilt the brush vertically and make several up-and-down strokes 20

22. Demonstration of systemic tooth brushing method 21

23. Classroom based fluoride programs Fluoride mouth rinsing program It includes a kit of fluoride rinse dispenser, cups and napkins From dispenser, 2 g of sodium fluoride powder is collected and added to 1000 ml of water 5 ml of rinse dispensed into each cup and distributed to all children and instructed to rinse it for 1 mi, then spit carefully to the same cup Only for Grades 1 to 12 (not below Grade 1) 22

24. School water fluoridation program The procedure makes the fluoride available to children for whom dental caries is a primary problem The amount of fluoride added to school drinking water should be greater than community water supply concentration around 2ppm 30-40% reduction in dental caries among school children having fluoridated school drinking water 23

25. IV. Sealant placement program The placement of pit and fissure is ideal for SDHP Children from 1st, 2nd, 6th and 7th grades would be desirable for intervention of pits and fissure lesions 1st and 2nd grades >> First permanent molar will be sufficiently erupted for fissure sealant 6th and 7th grades >> Second permanent molar will be sufficiently erupted for fissure sealant 24

26. Before After 25 Fissure sealant procedure

27. (2) Curative phase Treat the cause Dressing Filling (Carious cavity) Extraction (Retained deciduous teeth, shedding teeth, teeth which cannot be saved) 25

28. (3) Referral for dental care In school, provided dental care is only emergency treatment, eg: eugenol-soaked cotton to relieve the pain Parents should be notified in writing about emergency treatment is not a cure of the dental problem Referral to a dentist for a proper treatment Blanket referral - all children were given referral cards 27

29. Oral Health Promotion Activities in Myanmar The following oral health promotion programs were established in Myanmar for different targeted groups ( i ) Early Childhood Caries Prevention Program for younger than five-year-old children, including toothbrushing and oral health education to caregivers (ii) Institution-based School Oral Health-care Activity for school children, including toothbrushing, oral examination, oral health education, and essential dental treatment 28

30. (iii) Maternal Oral Health Education Program, including oral health services for pregnant women, improved maternal and child health (iv) Feasible Effective and Affordable Fluoride Program for the whole population (v) Oral Cancer Awareness Program by screening among tobacco and betel quid consumers in suburban and rural area 29

31. Texas Statewide Preventive Dentistry Programme (TATTLETOOTH PROGRAMME) Developed in 1974-1976 between Texas DENTAL professional organizations Separate lessons plans were developed for each grade and a system approach was used to develop all educational material Three videotapes were produced as part of the teacher-training package The first videotape familiarizes the teacher with the lesson format and content A second videotape, "Brushing & Flossing" was developed for the dual purpose of teacher training & as an educational unit to be used by the teacher with the students 30

32. A third videotape provides teachers with additional background information as a means of preparing them to teach the lessons The materials that were developed to aid in the implementation of the program consisted of a brochure that provides an overview of the program A school nurses brochure A letter to school principals & nurses was sent out as part of a package distributed annually by the Bureau of Maternal & Child Health A two hour training session using the materials in the new curriculum was televised to the schools via a video network 31

33. Colgate’s Bright Smiles, Bright Future Launched by Colgate, 2008 Was introduced to make children the true ambassadors of oral health The children learnt about good oral health practices and also helped in spreading the message of good oral hygiene to the community 32

34. THETA - Teenage Health Educational Teaching Assistants Developed by US public health service division of dentistry Utilizes qualified dental personnel to train interested high school students to each preventive dentistry to elementary students Goal is give young children the knowledge and skills to start preventive practices 33

35. North Carolina Statewide Preventive Dental Health Program First statewide program The largest and most comprehensive of all state public health programs in US Project Head Start Largest preschool program in US 3 to 5 years old children from low income families and children with disabilities 34

36. Objectives of the program Appropriate use of fluoride Health education in schools and communities Availability of public health dental staff in all countries 34% reduction in DMF-T among children who had 8 years experience, 53% reduction in 10 years experience drinking fluoridated water at school 86% reduction in dental caries after 4 years of fissure sealant use on permanent teeth Program Evaluation 35

37. 36

38. Conclusion The main objective of this program is to assess the effectiveness of school dental health screening programs on overall oral health status and use of dental services According to WHO, schools are ideal settings to promote oral health It is suggested that school-based oral health programs with multiple levels may advance oral equity and Intervention programs brought positive outcomes 37

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