community dental health - weebly
TRANSCRIPT
COMMUNITY DENTAL HEALTH
Trisha Ferguson, Catherine Della Maggiora and Megan Woodman
COMMUNITY PROJECTS
#1: Lapwai Fluoride Varnish Program (4-6th Grade)
#2: Juniper Meadows Assisted Living (Geriatric)
#3: Idaho WIC (Special Needs Population)
SCHOOL-AGED GROUPLapwai Indian Health Services
Leader: Megan Woodman
LESSON PLAN
Title: “Effects of Nutrition and Meth on Oral Health”
Target Group: 4-6th Grade
Perceived Needs: Oral health and substance abuse education.
Date and Time: Spring Term 2015
GOALS AND OBJECTIVES
-Teaching the importance of nutrition in relation to oral health.
-Demonstrating the effects of substance abuse on oral health.
-Teaching home care techniques.
-Recording dmfs to assess fluoride varnish program.
TEACHING METHODS
-We used visual aids to demonstrate the effects of substance abuse on oral health.
-We combined a day’s worth of food into a ziplock bag to show students what accumulates on teeth through an average day.
-Modeling and practicing of home care techniques on typodont (bass method of brushing and c-shape flossing).
PHOTOS
VISUAL AID
ASSESSMENT
-We recorded dmfs for each student.
-We asked pre and post questions of our presentation.
-We had students demonstrate home care techniques on typodonts.
PRE-QUESTIONNAIRE
-How many sets of teeth do you get in a lifetime?
-“Three. Baby teeth, permanent teeth and dentures.”
-What is gingivitis?
-“When your gums bleed.”
-Do you know what periodontitis is?
-“No.”
-How can you prevent these diseases?
-“Brushing.”
POST-QUESTIONNAIRE
-How many sets of teeth do you get in a lifetime?
-“Two. Your baby teeth and permanent teeth.”
-What is gingivitis?
-“Gum disease. When your gums bleed.”
-Do you know what periodontitis is?
-“You lose your teeth. Gum disease turns into this if you don’t brush. ”
-How can you prevent these diseases?
-“Brushing and flossing!”
EVALUATION BY DMFS
Initial dmfs in 2010:
-Decay Rate: 51%
-Teeth Filled: 83
-Teeth Missing: 32
Most recent dmfs in 2015:
-Decay Rate: 32%
-Teeth Filled: 183
-Teeth Missing: 23
Decay Rate %
Teeth Filled
Teeth Missing
0 75 150 225 300
2010 2015
EFFECTIVENESS
The education we provided was successful. The students learned proper home care techniques and the value of nutrition. With
education and fluoride varnish program three times per year, the decay rates have significantly decreased.
RECOMMENDATIONS
After being in this program for two years, we discovered that splitting classes into groups was more effective with education. The students were able to focus better when moved to different stations
every 10-15 minutes. Show-tell-do proved to be the best way to teach school-aged children.
GERIATRIC GROUPJuniper Meadows Assisted Living
Leader: Catherine Della Maggiora
LESSON PLAN
Title: “Dental Care for the Geriatric Population”
Target Group: Residence of Juniper Meadows
Perceived Needs: Oral health education for geriatrics.
Date and Time: Spring Term 2015
GOALS AND OBJECTIVES
-Teaching the importance of nutrition in relation to oral health.
-Demonstrating brushing and flossing.
-Teaching home care techniques specific to denture care and elderly.
-Recording oral health condition with tissue description and quality of care.
TEACHING METHODS
-We used a variety of home care aids to show different ways to achieve adequate oral care.
-We did an oral screening on the residence and provided home care recommendations based on the results.
-Modeling and practicing of home care techniques on typodont (bass method of brushing and c-shape flossing).
VISUAL AIDS
NUTRITIONAL AID
PHOTOS
ASSESSMENT
-We recorded tissue description on each resident
-We asked pre and post questions.
-We had residence demonstrate home care techniques to evaluate their dexterity.
PRE-QUESTIONNAIRE
-Do you ever leave your denture out?
-“No.”
-When did you go to the dentist last?
-“A long time. I don’t go to the dentist unless I need to.”
-How often do you brush?
-“Sometimes once a day.”
-How often do you floss or use an interproximal cleaner?
-“A couple times a week.”
POST-QUESTIONNAIRE
-Did you learn how to brush and floss correctly from the presentation?
-“Yes”
-How long should you brush?
-“Two minutes.”
-When is a good time to take your denture out?
-“When I go to sleep.”
-How often should you floss or use interproximal cleaner?
-“Once a day.”
EVALUATION
The majority of residents evaluated had generalized moderate to severe plaque. They also had generalized
recession. We gave residents that we believed needed more assistance in home care a v-shaped toothbrush. Xerostomia
was also a common side effects of most of the residents’ medications.
EFFECTIVENESS
The home care techniques we demonstrated gave the residents motivation and an alternative option for plaque removal. They
were educated on proper brushing and interproximal cleaning and received new dental supplies to use daily.
*Further follow up is performed by Dr. Bailey in August.
RECOMMENDATIONS
After presenting to the residents, we learned that presenting to each person individually helped them comprehend the material. Some of the residents don’t have a great memory and they need the extra
time for proper education. Listening to each patient’s needs and preferences was important in selecting the right oral aid.
SPECIAL NEEDS GROUPWomen, Infant and Child (WIC)
Leader: Trisha Ferguson
LESSON PLAN
Title: Oral hygiene for life long success
Target Group: Parents of children from age 0-5 years old and their children
Perceived Needs: rampant decay #1 disease in childhood
Date and Time: Spring Term 2015
GOALS AND OBJECTIVES
-The importance of oral hygiene starting early.
- Teach parents about their role in their child’s oral health.
-Teach proper brushing techniques for different ages.
-Discuss the importance of fluoride during tooth development and place fluoride varnish.
TEACHING METHODS
-Teach parents to lay their child on their lap and pull their lip up and down to check teeth.
-Visual aids to show different techniques for brushing and amount of toothpaste to use.
-Pictures of rampant tooth decay in children and information on fluoride as a preventative measure.
PHOTOS
VISUAL AID
NUTRITIONAL INFO
If infant needs a bottle before falling asleep, use water only
Never prop a bottle for feeding. After first tooth erupts, limit feeding to every 3-4 hours
At 6 months offer cup for water or juice
Dilute juices with water as juices contain high amounts of sugar. Limit number of juice drinks.
If bottle-feeding, begin weaning at about 6 months and encourage infant to drink from a cup.
At 12 months, wean from bottle.
Encourage toddlers to drink only from a cup.
Offer healthy snacks, e.g. cheese, celery, carrot sticks, crunchy fruits, crackers, yogurt and drinks, e.g., milk, water.
Dilute juices as they contain high amounts of sugar. Limit the number of juice drinks.
By age 3 years, child should be completely weaned from bottle and drinking from a cup instead
Encourage drinking fluoridated tap water instead of juice or carbonated drinks, as they generally have little nutritional value.
Choose healthy snacks that are lower in sugar (see list in previous column).
Limit number of snacks to 3-4 per day for older children. Limit juice drinks, box drinks and sugary and/or sticky snacks.
ASSESSMENT
PRE-QUESTIONNAIRE
My child can drink anything in between meals? “Yes.”
Is it okay for your 0-5 year old to brush their own teeth? “Yes, I just let them play with the brush.”
At what age should your child go to the dentist for the first time? “Around 3 when all their teeth are in.”
POST-QUESTIONNAIRE
What should your child drink between meals? “Water only.”
Should your child brush their own teeth? How long should you help your child brush? “No, they need help until around age 9-10.”
First dental appointment should be? “By first birthday.”
EVALUATION
The major thing that we are trying to evaluate is if the parent is in control. If the child is not receptive to a toothbrush and fights the parent, the child is most likely not getting their teeth brushed very
well at home. Watching the child-parent interaction helps us determine whether or not the parent needs more counseling on
home care techniques. We also point out any plaque we see to the parent.
EFFECTIVENESS
The WIC program is set up by the public health Department, and the recommendation is the families come in every 6 months. Every 6 months the children
receive fluoride varnish and their parents receive recommendations to help at home. The parents were
very interested in learning new information and seemed on board to help their children to prevent
decay.
RECOMMENDATIONS
Be patient, but firm with the children.
Wear bright shoes and clothes because the kids like the bright colors.
Start with your assessment as soon as you go into the waiting room. See if the kids seem to be in control, see what Mom is
drinking, and see how many kids are in the family.