Preventive / Prophylaxis Dentistry

Student Dentist Tal Kaplan

• What is preventive dentistry?

• Level’s of Preventive Dentistry

• Task's , goal’s & general importance

Content

What is preventive dentistry?• Is the prevention of occurrence and progress

of oral cavity diseases

• Patient education

• Fluorides

• Dental sealants

• Proper nutrition

• Plaque control program

• Listen carefully - Each patient will have different needs.

• The initial instruction - Explain the relationship of plaque to dental disease.

• Assess the patient’s motivations and needs

• Combine the patient’s motivating factors with the patient’s needs.

• Select the home cleaning aids - Select a toothbrush, toothbrushing method, interproximal cleaning aids such as dental floss, and a toothpaste.

• Keep the instruction simple - Comment positively on the patient’s efforts.

Patient Education

• Fluoride has been our primary weapon to combat dental caries.

• Fluoride slows demineralization and enhances remineralization of tooth surfaces.

• Fluoride is a mineral that occurs naturally in food and water.

• A supply of both systemic and topical

fluoride must be available throughout life to achieve the maximum cavity prevention benefits.

Fluoride

Dental sealent• Dental sealants are used as a

means of protecting the difficult-to-clean occlusal surfaces of the teeth from decay.

• Sealants cover the occlusal pits and

fissures where decay-causing bacteria can live.

• Dental sealants are an important component in preventive dentistry.

• In several states, the application of dental sealants is delegated to the dental assistant as an expanded function.

Proper nutrition• Without dietary sugars, dental caries will not

occur.

• Sucrose has a greater decay-causing potential than other sugars, but maltose, lactose, glucose, fructose, and their combinations do have high caries-producing abilities.

• Flour and starches are not usually decay-causing, but when starch is used in conjunction with sugar, i.e. in cookies and so on, the potential for caries increases.

Plaque control program• Plaque can be kept under control by

brushing, flossing, interdental cleaning aids, and antimicrobial solutions.

• A goal of the program is to remove plaque at least once daily.

• The techniques that are selected must be based on the needs and abilities of the individual patient.

Level’s of Preventive Dentistry

• Scoial

• Medical

• Primary (mainly social)

• Secondary (socially-medical)

• Tertiary (Mainly medical)

Primary (mainly social) Primary prevention has the task of maintaining the good health, keeping away the negative factors from the natural and social enviorment, which can cause pathological changes in the body.

The main role of stomatological personal at this level is to conduct sanitary education, to train the medical staff and the population on prophylaxis methods, and to control the efficiency of preventive actions.

Depending on the time when primary prevention was carried out, there are two types:AntenatalPostnatal

Antenatal prevention means the influence on the child, including organs and oral tissues, through the body of the pregnant women.Postnatal prevention actions are carried out after the birth of the child.

Secondery (socially-medical)Secondary Prophylaxis - aims at lowering the intensity of the development of stomatological pathology. It is conducted as mass (at a national or regional level), as well as group and individual prophylaxis.Secondary prophylaxis provides therapeutic intervention at early signs and symptoms of disease in order to prevent its progress.Tasks of secondary - • Sanitary education on oral cavity hygiene.• Removal of dental plaque.• Application of fluoride and remineralization substances at primary

caries.• Identification and exclusion of reasons for the accumulation of

dental plque and tartar, This also refers to planned treatment of caries and early periodontal g disease.The general diagram of secondary prophylaxis:• Dispensary supervision with constant elimination of the

pathological situation in an oral cavity and the indication of preventive means.

• Carrying out the complex preventive actions providing exogeneous and endogeneous prophylaxis.

• Training children on sanitary hygienic education and teaching them about the rational-oral Professional hygiene of the oral cavity.

Tertiary (mainly medical)Tertiary prophylaxis aims at:

• The recovery of health.

• The prevention of illness transition into more complicated stage.

• The prevention of development of the disease.

• The decrease in temporary physical disability and death rate.

These actions are carried out mainly by orthopedists and dental surgery specialists.

Task’s of preventive dentistry

The prophylaxis has three main tasks –

• To strengthen the health of healthy people.

• To prevent illnesses and traumas.

• To prevent the progress of illnesses and their complications.

Goal’s of preventive dentistry• To reduce the intensity and prevalence of dental caries. and to increase

the number of people who don’t have caries.

• To decrease the percentage of people who show signs of periodontal tissue lesion.

• To reduce the quantity of patient's with bleeding sickness, dental calculus and

pathological pockets.

• The main goal of primary prevention is to create conditions at which the risk of

progress of a stomatological pathology decreases- At social level- At sanitary-educational level.

Provide an optimum content of fluoride in drinkable water.

General importance ofpreventive dentistry

• The prophylaxis of stomatological diseases is very important, because the number of people nowadays that have dental caries and periodontal diseases is very high.

• As an example, the intensity of caries in the temporary teeth of a three-year old child has almost 4 teeth affected by caries.

• As a person ages, the intensity of caries also increases. By the age of 15, the average quantity of caries-affected teeth is 8 For fdsadults it is 100%

Thank you for the attention,Student Dentist Tal Kaplan