Caries Prevention Report

Eighty percent of untreated caries occur in twenty-five percent of children ages five to seventeen (Dye et al.

The prevention of caries is accomplished through the execution of a variety of measures, such as the fluoridation of the drinking water supply as well as the utilization of sealants and topical fluorides (Mouradian, Wehr, and Crall 2625). Despite the ease of preventability of tooth decay, it is one of the most common childhood chronic diseases, with more than half of the nation’s children having detectable caries (Mouradian, Wehr, and Crall 2625). Unfortunately, only 62% of water supplies are fluoridated, and underserved communities with low-income and minority families are usually the ones who are disproportionately affected (Mouradian, Wehr, and Crall 2626). Low-income individuals are generally less likely to seek preventative care, increasing their costs of neglected oral diseases and morbidity factors (Mouradian, Wehr, and Crall 2626). In addition, only one in five children who are covered by Medicaid are authorized for preventative oral healthcare, while restorative care is generally not even a consideration (Mouradian, Wehr, and Crall 2625).

As the number of older Americans continue to rise, along with dental practitioners who are entering retirement, it would benefit this under-served population for the dental profession to develop new models of mid- level care. To expand training as well as additional licensing for dental hygienists, along with more training for other health care professionals would be a great beginning towards improved access to care (Overview of oral health,

Because children are influenced by the family tradition and learn from their parents, it is important for parents to make sure that they are teaching proper oral care habits at a young age. The habits that children should learn at a young age are; keeping up with home dental care, receiving the dental care that people should, needing dental care but being enforced to go, brushing teeth as well as they should, being taught on how to control snacking between meals as well as they should, and being taught that dental care is indeed important. " Poor oral health has an impact upon children's health in general and dental caries can lead to a lack of appetite, problems with chewing, problems with sleeping and a decrease in school performance" (Abanto et al, 2011). Proper health education is somewhat

This proves that the lack of dental insurance within these low-income households plays a key role in whether or not these children will receive dental care. When these children do not visit the dentist, they increase their chances of developing dental caries significantly. The British Dental Journal disclosed that, “Sugars consumption varies by social class. National food surveys reveal a higher consumption of sugar and sugar-containing foods and drinks amongst low income groups”(Watt 8). Healthy food is expensive; therefore lower class families resort to unhealthy food because it is significantly cheaper. This extensive consumption of sugar-ridden foods is extremely detrimental to the enamel. The British Dental Journal also declared that “oral inequalities will only be reduced through the implementation of effective and appropriate oral health promotion policy”(Watt 6). The dental program will make the inequalities in dental care known and work to reduce those inequalities. Dental health is often times overseen because it is typically expensive and people are unaware of how the condition of their teeth affects the condition of the rest of their body. The all-inclusive dental health program will give people the treatment they need, regardless of their socioeconomic status.

The socioeconomic background of people is a major factor that dictates whether or not they will receive dental care. According to the American Journal of Public Health, “Children from a low socioeconomic status have been shown to have a high risk of dental caries”(Simmer-Beck 1764). Many children today do not receive the dental care they need because of their parents’ income. Going to the dentist is expensive for people without dental insurance so many people tend to blow it off; but what they don’t realize is that the condition of their mouth often dictates the state of the rest of their health. An internet source in correspondence with the American Journal of Public Health stated that, “More than half of low income-children without

Adults in the rural areas have increased rate of dental caries, increased loss of permanent tooth and debilitating chronic oral conditions due to under utilization of dental care, mainly attributed to the poverty, lack of or fewer dentists and increased distance from the nearest federally funded primary health care center. (4). (ADA)(5) National rural health association states that there are about 22 dentists for 100,000 people in rural areas and only 2% of dental care providers’ work for the federally funded programs. (ADA 6).

The patient decrease the number frequent snacks and now she eat only one snack in addition she didn’t put sager in her tea cup also as mother of children she decrease the cariogenic food in the home and do for her children healthy meal like she do vegetable salad and fruit salad more she stop the juices that only contain flavor and sager in the home , more over the patient use xylitol gum three time a day and she keep use fluoride toothpaste twice a day and she receive office topical fluoride also the patient use chlorhexidine for one week and she go to take dental appointment for dentist for the cavity treatment and also she go to take appointment for dental hygienist and that increase the protective factors and that is good and patient

Underserved and Low-income populations face high rates of untreated dental diseases due to low access to dental treatment. One of the main causes of this problem is lack of participating dentists or poor distribution of dentists due to transportation problems. Untreated oral diseases are often seen in low-income communities and underserved populations The most common oral diseases that manifest in underserved populations are periodontal diseases and dental caries

Many people feel that dental care coverage in health insurance and visiting the dentist regularly are not essential. However, poor oral hygiene is linked to diseases such as diabetes and heart problem. Moreover, researches has shown that oral diseases have a great link to ear and sinus infections, weakened immune systems, and other health conditions (Scully, 2000). Untreated dental conditions have the potential to affect children’s speech, social development, and quality of life. However, it is known that greater utilization of health services associated with increasing insurance coverage, thus directly increase medical costs (Finkelstein et al., 2012; Newhouse, 1996). In fact, insurance coverage can indirectly reduce total health costs. As one type of healthcare service or preventive treatment may lead to decreases the use of other covered services. For example, yearly visit to the dental office for general checkup may prevent the future need for emergency dental care due to undiagnosed or untreated dental cavity (Hsu et al., 2006; Kaestner, 2012; Shang & Goldman, 2007).

Oral health is an important part of an overall health. Oral diseases ranging from cavities to cancer are all serious threats to an oral health. Research shows that there may be a link between oral disease and other health problems such as diabetes, heart disease and stroke as well as pre-term and low-birth-weight babies. If left untreated, it can cause more complications to the oral health. Periodontal disease, root caries and infections and other oral cancer can lead to severe pain, loss of teeth and serious health conditions. As a health care provider, it is significant to realizing the connection between oral diseases and systemic diseases so that we all can deliver our services to prevent and help treat disease while it is still manageable. Expanding the role of dental hygienists might reduce the most serious consequences of limited access to dentists, and dental hygienists are potentially well suited to play an important role in expanding affordable access (1). Collaborative practice of dental hygiene

The method from Health Education Journal was based on collecting and evaluating evidence, “…using a combined approach incorporating the Cochrane Public Health and Health Promotion Field Handbook and the Health Gains Notation in order to a develop a synthesis approach to reporting,” (Satur et al., 2010). However, Community Dental Health utilized electronic searching, iterative-hand searching, critical appraisal and data synthesis in which the primary research reviewed settings were at clinical, community, schools or other institutions in which children, elderly, people with handicaps and disabilities were the participants. Another difference in both articles is the conclusions. Community Dental Health concluded that the use of fluoride is efficient in reducing caries through oral health promotion, chairside oral health promotion is shown to be effective; however mass media programs have not. On the other hand, the article from Health Education Journal states that even though there is a respectable support in incorporating the oral health into the general health promotion, it is vital to observe the outcomes in oral health terms.

Lastly, low income countries have 62% of the world population and there world health expenditure is 2%. By looking at this information “Evidence based intervention for all major oral diseases exist. But they are not available or implemented in majority of countries” (Beaglehole Pg 91). Please refer to appendix 5 and 6

Risk assessment is concerned to find the significant factors in individual and further perhaps it could predict the risk level in the community. So the suitable preventive measurement in preventing dental caries could be applied.

Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.