Community Oral Health Care Planning

Question 1

Describe the 3 stages of approach to population preventative medicine

Answer 1

1. Starting Well
2. Living Well
3. Ageing Well

Question 2

What is national guidance issued by NICE to maintain dental health?

Answer 2

Recall intervals based on disease risk

Question 3

How does a typical regular dental attender’s health compare to a non-regular attenders?

Answer 3

It is better

Question 4

Name 4 patient related barriers to attending for dental care

Answer 4

1. Perceived need
2. Lack of awareness
3. Anxiety
4. Disability

Question 5

Name 3 dentist related barriers to attending for dental care

Answer 5

1. Professional attitude
2. Perceived competence
3. Availability of specialist dentists

Question 6

Name 4 system related barriers to attending for dental care

Answer 6

1. Cost
2. Availability of NHS services
3. Physical barriers
4. Rural and remote area issues

Question 7

What is the normative need?

Answer 7

Health needs as measured objectively by a health professional

Question 8

What is felt need?

Answer 8

Health needs are measured by the individuals perceptions of variations from normal health

Question 9

What is expressed need?

Answer 9

Vocalisation of felt needs

Question 10

What is supply?

Answer 10

The care which is provided

Question 11

Name 2 factors which influence needs

Answer 11

1. Disease

2. Demography

Question 12

Name 2 factors which influence supply

Answer 12

1. Resources

2. Policy

Question 13

Name 3 factors which influence demand

Answer 13

1. Cultural factors
2. Media
3. Education

Question 14

Name 2 special groups of patients which have different needs but are not provided for by Special Care Dentistry

Answer 14

1. Armed forces

2. Prisoners

Question 15

Name 5 examples of special groups of patients which may be provided for in UK by Special Care Dentistry

Answer 15

1. Disabilities (physical and mental)
2. Frail / Elderly
3. Homeless
4. Traveller families
5. Substance users

Question 16

How does the GDC describe Special Care Dentists

Answer 16

Providing preventative and treatment oral care services for adults who are unable to accept routine dental care

Question 17

Who commissions prison dentistry in the UK?

Answer 17

NHS

Question 18

Name 5 challenges to providing dental care in prison

Answer 18

1. Poor oral health (most prisoners from low socioeconomic areas)
2. Compounded by poor general health
3. In house surgeries
4. Dental anxiety
5. Transient population

Question 19

What 4 groups of people does Defence Dental Service provide dental care for?

Answer 19

1. Soldiers
2. Sailors
3. Airmen
4. Families of service men

Question 20

What 2 groups of armed forces may need specialist dental care?

Answer 20

1. Submariners (at sea for months)

2. Jet pilots (barometric changes leading to toothache)

Question 21

Describe the 6 stages to the wheel of rational planning model used to plan health services

Answer 21

1. Identification of need
2. Options
3. Decisions of policy
4. Availability of resources
5. Implementation
6. Evaluation

Question 22

Name 4 areas of information needed to plan health services

Answer 22

1. Sociodemographic population profile
2. Disease levels
3. Existing service provision
4. Public concerns

Question 23

Name 4 components of sociodemographic population profile

Answer 23

1. Age
2. Ethnicity
3. Social class
4. Special needs groups

Question 24

Name 2 areas of public concern

Answer 24

1. Views of health services

2. Demands on health services

Question 25

Describe 4 components of the life course focus for oral health services

Answer 25

- Prevent oral disease and the damage it causes - Provide urgent and prompt care - Minimize impact of disease by providing minimally invasive dentistry and personalised prevention - Provide treatment to maintain and restore quality of life

Question 26

Describe 6 stages of the pyramidal model which describe priorities for public funding of dental care from the bottom to the top

Answer 26

1. Public health 2. Urgent care and pain relief 3. Personalised disease prevention 4. High quality routing treatment of disease 5. Continuing care 6. Advancing and complex care