36031 - Fluoridation: Turning the Tide on Dental Decay...

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Fluoridation: Turning the Tide on Dental Decay Robert Weyant, DMD DrPH Department of Dental Public Health and Information Management University of Pittsburgh
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Fluoridation: controlled addition of fluoride compound to a public water supply in order to bring its fluoride concentration to optimal One of the CDC’s Top 10 major public health achievements in 20 th c. Major factor responsible for the decline in dental caries (tooth decay). Classic example of clinical observation leading to epidemiologic investigation and community-based public health intervention.
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The fluoride story 1901 - 1950
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Caries: Case Definition Dental Caries is the localized destruction of dental hard tissues by acidic by- products from bacterial fermentation of dietary carbohydrates. The disease process is initiated within the bacterial biofilm. No global consensus on staging. DMFT index = severity. coronal caries root caries Bacterial Acids Diet Salivary Minerals Rx
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Dental Caries Dental caries most common chronic childhood disease. Over 50% of 5- to 9-year- old children have at least one cavity or filling. Decay prevalence is 78% in 17-year-olds. Early childhood caries
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Root Caries Common infectious disease in older adults. Poor rates of diagnosis and treatment. More retained teeth - more “at risk” teeth. Strong link with xerostomia Fluoride effective in prevention. Root Caries Prevalence by Age
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Nutrition (baby bottles, sodas, Oral Hygiene (tooth brushing, fluoride use, flossing) Access to and Use of Professional Dental Care (regular cleanings, restorative care) Caries (i.e., tooth decay, cavities) Patient’s Knowledge, Attitudes, Behavior (dental fear, mistrust, competing priorities, lack of OH knowledge, cultural expectations) Caries Process
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Nutrition (baby bottles, sodas, Oral Hygiene (tooth brushing, fluoride use, flossing) Caries (i.e., tooth decay, cavities) Family Functioning (parental engagement, limit-setting, attachment, communication, support from extended family, conflict, abuse and neglect) “Built Environments”
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This note was uploaded on 03/08/2012 for the course PHARM 300 taught by Professor Staff during the Fall '11 term at Rutgers.

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36031 - Fluoridation: Turning the Tide on Dental Decay...

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