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Department of Paediatric Dentistry

SCHOOL DENTAL HEALTH


PROGRAMME

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INTRODUCTIO
N
 School Health – Branch of Community Health
 The Concept Birth – 19th Century by William Fisher,
(A Dentist)
 Formation of School Dentists Society – 23rd July 1898
 (London)

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IN INDIA
•1909 – Beginning in Baroda City
•The Bhore committee (1946) reported non existence of school
health services
•1953 – Secondary education committee emphasized the need for
school nutrition programme
•1960 – Government of India constituted a School Health
Committee
•January 1982 – Task force submitted its report (Only 14 states
had done some progress)
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Advantages of School
Based Programme

•Availability of children
•Less threatening
•Central education on dental subject
•Helping to provide total health care
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Importance of School Dental Health
Programme
• Availability of children
• Less threatening
• Central
•An economical education
& powerful meanson ofdental subject health
raising community
•It is the most logical and practical place to implement large
•scale
Helping to provide
school dental total health care
health programme
•5-16 years of age group comprises about 30% of total
population
Advantages of School Based Programme
•Health patterns can be more modified and altered at this age
•Environment is more conducive to learn and therefore dental
health education and motivation shall be more effective

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Objectives of School Health
Programme
•To evaluate the dental health status of students and
school staff.
•To counsel students, parents & teachers regarding
dental health status finding.
•To educate & motivate children for the correction of
correctable defects.
•To identify, educate and motivate the handicapped
children.
•To prevent & control diseases.
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•To provide emergency services.
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Aims of School Dental Health Programme

•Information about the relationship between dental


health & general health, appearance & aesthetics
•Encouraging strict observation of dental and oral care
procedure and avail professional care and services
regularly
•Emphasis on the importance of balanced diet &
harmful effect of bad oral habits
•Complete provision of information regarding
preventive and curative measures.
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•Correlation of dental health activities with the overall
school health programme
•Resources development to make preventive programme
& dental health care available to all infants, children &
youth
•Stimulation & motivation of dental surgeons to provide
maximum dental health care for the infants & children
•Following “Tell show & Do” approach to teach “Home
dental care” to children
•Preparation of “orodental health” & “learn about your
teeth programme”

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Three Phases in SDHP
•Dental health instruction or guidance

•Dental health services

Dental health treatment including preventive


procedures

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Dental Health Instruction
Three Phases in SDHP

A procedure to help children & parents


understand the nature & significance of
condition revealed by dental inspection
and to solve dental health problem

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Dental Health Service Programme
Dental Health Instruction
• A procedure to help children & parents
•Periodic dental check up
understand the nature & significance of
•Keeping the various reports and periodical
condition revealed by dental inspection
statistical evaluation
and to solve dental health problem
•Reports to parents
•Periodic follow up
•Emergency care
•Oral prophylaxis
•Periodical evaluation
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Primary parameters of school
•Health history
health inspection
•Physical examination
•Emotional appraisal
•Vision screening
•Screening for hearing disorders
•Speeches appraisal
•Dental health inspection
•Growth height & weight records
•Posture appraisal
•Special procedure (chest radiograph tuberculin test)
•Family history
•Genetic disorders www.FourthMolar.com
Important elements of school
dental health programme
 Improving school community relation
 Conducting dental inspections
 Conducting health education

Important elements of school


 Performing specific programme
Classroom based fluoride programme
School water fluoridation programme
dental health programme
Tooth brushing programmes
Nutrition as a part of school preventive dentistry programme
sealants placement
Science fair
 Referral for dental care – An important part of SDHP for places
where it is not possible to provide all the required treatment and
care
 Follow up of dental inspection
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• Improving school community relation
• Conducting dental inspections
• Conducting health education
• Performing specific programme
Classroom based fluoride programme
School water fluoridation programme
Tooth brushing programmes
Nutrition as a part of school preventive
dentistry programme
sealants placement
Science fair

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Referral for dental care – An
important part of SDHP for places
where it is not possible to provide all
the required treatment and care

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CHIEF SCHOOL DENTAL
HEALTH PROGRAMME

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CHIEF SCHOOL DENTAL
HEALTH PROGRAMME
FLUORIDATION
•What fluoride and fluoridation are
•How fluoride work to protect teeth from
decay
•Method of application
•Safety, effectiveness and cost of each
procedure
•Who needs them
•Recommended frequency of use and duration

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SCHOOL WATER FLUORIDATION
FLUORIDATION
• Developed and tested in the US in the 1960’s.
• The recommended concentration for school water
fluoridation is 4-5
W
timesfluoride
hat
the concentration
and fluoridation

recommended forarcommunity
e water.
• High concentration
• How is due to partwor
fluoride time
k exposure
to pr otect
teeth fr om decay
• Method of a pplication
EFFECTIVENESS: 20- 30%
Safety, caries
ef reduction.
fectiveness and cost

DISADVANTAGE: of Delayed
each prand part etime exposure.
ocedur
PRACTICALITY: •Good,W ho needs
when athem
community does not
• Recommended fr equency of use
have its central water supply
and dur ation

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FLUORIDE TABLETS

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FLUORIDE MOUTH RINSE
PROGRAMME
• Most popular school based fluoride regimen in the United Sates
• .2% NaF is used
• safe and effective
• inexpensive
• easy to learn and do
• non dental personnel can supervise
• well accepted by participants
• little time required – 3 min daily
• provide systemic and topical benefits
• no waste materials
• suitable for preschool children
EFFECTIVENESS – 25% to 28% reduction in dental caries
PRACTICALLY – Fair because it is performed once a week
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FLUORIDE VARNISHES
PROGRAMME
•Developed in Europe
•It increase the fluoride concentration in saliva
•Safe and professionally applied
•Increase concentration of fluoride at the tooth
structure
EFFECTIVENESS – 7-75% reduction in
dental caries
PRACTICALITY – as practical as any
operator applied fluoride treatments.
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FLUORIDE
VARNISH KIT

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DENTAL SEALANTS
PROGRAMME
• Pit and sealant is needed to provide near ly total
caries prevention
• It must be perfor med by a dentist a dental hygienist
or a dental assistance
• Finland, w here 85% of children have pit and fissure
sealants on the per manent molar s

All school children should be taught about –


• W hat dental sealant are?
• How they wor k to protect teeth from decay
• W ho needs them and w hen?
• Monitoring and reapplication?
EFFECTIVENESS – 51% to 67% reduction in caries

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BEFORE AFTER
SEALANT SEALANT

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SCHOOL BASED
TOOTHBRUSING
PROGRAMME

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FLUORIDE VARNISHES
 Developed in Europe
Other programme
 It increase the fluoride concentration in saliva

in school dental
 Safe and professionally applied
 Increase concentration of fluoride at the tooth structure

health
EFFECTIVENESS – 7-75% reduction in dental caries
PRACTICALITY – as practical as any operator applied
fluoride treatments.

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1.Texas statewide preventive dentistry
programme – TATTLETOOTH 11-
A new generation programme
Developed – 1970’s by Texas education
agency and the Texas department of
health
2. Tattle Tooth 11 – A new generation
“Superbrush” preschool curriculum
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3. North Carolina State wide
Dental public health
programme
4. North Carolina’s Education
Promotion imitative
highlighting sealants
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5. Crest’s first grade oral health education
programme developed by Procter & Gamble in
1963. AIM – Children how to fight cavities
6. ASKOV Dental demonstration (1949-57)
checkups and demonstration to prevent dental
caries
7. New Zealand programme (Educational)
for preschoolers
8. School Health additional Referrals Programme
(SHARP) motivation through home visit in
Philadelphia
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In India : Bright Smile Bright
Future Program, developed by the
Colgate oral pharmaceuticals – Free
dental screening treatment referrals
and oral health education.
A commitment to
promote oral health
Scholarship & grants
Research and Training
New initiatives
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CONCLUSION
Dental care to school children as
•The community has a social responsibility
for it children
•If children maintaned in good dental health
, it will be easy to maintain their dental
health in adult life

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CONCLUSION
REFERENCES
•SOBEN PETER (2004) -Essentials of
 Dental care to school children as
prevention and community dentistry 2nd ed
 The community has a social
•GEORGE M. GLUCK & WARREN
responsibility for it children
M. MORGANSTEIN(2004) –
If children maintaned in good
Community dental health 5th ed
dental health , it will be easy to
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maintain their dental health in
http;//www.colgatebsbf.com
adult life

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