Causes of gingival recession include deposition of plaque and calculus, occlusal trauma,36 toothbrush trauma, and other oral hygiene practices. The index is calculated as the number of root surfaces that are decayed or filled, divided by the number of surfaces exposed because of gingival recession surfaces with loss of attachment. The carious lesion will spread along the maxilla, first infecting the incisors. A discussion of the association between risk and prevention for dental caries is provided in Chapters 4 and 15. Realistic computerized testing experience with a clock function helps you learn to use the available testing time wisely. Up-to-date information on national initiatives details the goals and guidelines of various government programs. Courtesy of the National Center for Health Statistics, in collaboration with the National Center for Chronic Disease Prevention and Health Promotion, 2000.
Spacing eating and drinking occasions more than 2 hours apart allows the oral pH levels to return to normal and enhances weight management behaviors. Population-based cancer registries are the foundation for cancer surveillance, providing data about patterns and trends that enable individuals with cancer to be followed over time. The rule is that you must floss daily before bedtime. Rutter M: Gene-environment interdependence, Dev Sci 10:12-18, 2007. Prevention in Clinical Oral Health Care integrates preventive approaches into clinical practice, and is a valuable tool for all health care professionals to integrate oral health prevention as a component of their overall preventive message to the patient. .
Transport of the sample as soon as possible is critical to avoid degradation of the bacteria. The dental professional must exercise caution in the interpretation of clinical signs relative to nutritional status. No bleeding observed on gentle probing. Hadaegh F, Zabetian A, Harati H et al. Cochrane Database of Systematic Reviews.
Lack of empathy is considered an undesirable trait in a health care professional. The lack of adherence for some patients because of misunderstood instructions is associated with complex regimens, limited patient cognitive abilities, and depression. At this point one can begin to collect the patient sample by having the patient expectorate directly into the collection tube and Chapter 9 Biological and Chemical Indicators of Disease Risk funnel. As our medication history becomes increasingly complex, diminished salivary function may result from these drugs Chapter 7 , placing the patient at increased risk for caries. Carcinomas may arise from lesions in which epithelial dysplasia has not been diagnosed.
The trend toward improved overall health is reflected in better oral health, but the disease of dental caries is increasing in prevalence among older persons. Prevention Strategies for Oral Components of Systemic Conditions -- -- 19. The interchange of fluid between the vasculature in the gingival tissue and the gingival sulcus allows immune cells to be delivered to the site. Calcium, phosphorus, and the protein, casein, in dairy products are thought to increase salivary production, decrease dental caries, and help to maintain bone health. This method is effective in screening for disease and for measuring the prevalence of disease in populations. If the patient uses tobacco, these lesions can be followed over time. This factor can drive treatment over prevention in clinical practice and has resulted in our current model for the provision of oral health care.
We integrated the concept of risk for disease and the relative environmental and behavioral choices into prevention as an approach to compress and possibly prevent the advent of oral diseases. Dental education in the United States and Canada. This shift toward prevention will change practice from a predominantly surgical model to more of a medical model of care, with an emphasis on the behavioral domain. If delivery to the laboratory is delayed, the sample should be kept cold for as long as 4 hours until the sample can be delivered. Dietitians, occupational therapists, nurses, and physician assistants are our partners in patient care. This index accounts for teeth that are restored and missing, and those teeth that are decayed.
The status of the oral health of the U. Incidence and Mortality Oral cancer comprises 2. Prevention Strategies for Oral Cancer -- -- 18. Correlation between oral hygiene and periodontal condition, Acta Odontol Scand 22:121-135, 1964. Table 11-3 provides examples of questions associated with adherent and nonadherent responses and suggests neutral questions for consideration. Furthermore, patient education has the potential to increase the efficacy of the health care delivery system. The most frequently referenced measure of supragingival plaque is the Plaque Index or PlI.
This increase is the result of both the prevalence of distant metastases and the recurrence of primary tumors. The E-mail message field is required. In the healthy mouth, they are protected from the oral environment by the gingival attachment. Group lectures or talks are appropriate when there is little time, but less learning takes place in this format than in any other method. Once a plan evolves and patient rapport and motivation is acknowledged, the educational or counseling program can be implemented. The principles of adult learning listed in Box 10-3 have been used to guide the development of patient education programs based on this philosophical orientation.