Public Health Flashcards Preview

Gastro > Public Health > Flashcards

Flashcards in Public Health Deck (27):
1

What 3 elements do you need to get tooth decay?

Bacteria, sugar and tooth

2

What is dental caries

A dynamic process involving the exchange of calcium and phosphate ions between tooth structure and saliva (plaque fluid) in the presence of acids produced by the fermentation of carbs by oral micro-organisms

3

What are the 4 stages of tooth decay

Very early stage
Initial
Moderate
Extensive

4

What is DMF Index

The earliest way of summarising the dental health of populations.
It is the sum of decayed, missing and filled teeth or surfaces

5

What is decay?

Present experience of caries

6

What is missing

Past treatment of caries

7

What is filled?

Past treatment of caries

8

What are some of the problems with DMF?

Not all teeth are lost through caries
It is irreversible - and so not good for measuring beneficial interventions

9

What is DMFT

A count of all decayed or missing or filled teeth: a measure of obvious decay experience
It is a count of all primary teeth that are decaued, extracted due to carires or filled

10

Where is the highest caries distribution in the UK

Northern Ireland.
Scotland is higher than England

11

What is NDIP

A national dental inspection programme

12

What can be described as a caries trend?

The distribution of caries in a population through time

13

Why has there been a world wide reduction in dental caries in children over the last 40 years

Brushing teeth with toothpaste containing fluoride

14

Is there any factor involved in the unequal distribution of dental caries?

Socio-economic status - associated with many illnesses, including dental caries

15

Describe the distibution of caries areound the mouth

Usually in the molars at the back of the mouth

16

What has happened to the total tooth loss in the last 40 years

A decrease in total tooth loss due to improvements in toothpaste

17

What happens to the total tooth loss with age

Increases from around 50 years +

18

What is the most common disease in the world?

Tooth decay

19

How do we assess periodontal diseases

Basic Periodontal examination (BPE)
a probe that goes in between the teeth to determine the loss of bone structure

20

What are the treatments of gum disease?

Oral hygiene
Stop smoking
Scaling and root planing
Surgery (extreme cases)
Long term maintenance
Extraction

21

What has happened to the global numbers of gum disease recently

Incerased in some countries and decreased in others. Constant ongoing challenge to the NHS and other organisations

22

What is childsmile?

A national programme designed to improve the oral health of children in scotland and reduce inequalities both in dental health and access to dental services

23

Why are schemes like childsmile important?

We get a good idea of global trends through children more easily than we do through adults

24

What 3 elements are integrated in the programme

Core toothbrushing
Nursery and school
practice

25

Who delivers childsmile?

Dental Health support workers
Extended Duty Dental Nurses
Dental Practice staff
Health visitors and public health nurses

26

What causes a 40% reduction in dental caries in children?

2 applications of fluoride varnish

27

What reasons are there for a decrease in money spent in dental services

Less people are going due to having to pay
Reduce in dental problems

Decks in Gastro Class (67):