Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Make your likes visible on Facebook?

Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.

No, thanks

Dental Caries

No description
by

Larissa Telfer

on 24 September 2012

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Dental Caries

Dental Caries in children Decay/breakdown and crumbling of the enamel surfaces of the teeth

Results from acid production following bacterial fermentation of sugars Dental Caries Oxford University Press. Concise medical dictionary. 7th ed. Oxford: Oxford University Press; 2007. Causes Combination of:

- Frequent intake of foods and drinks high in sugar

- Poor oral hygiene

- Low socioeconomic status Tinanoff N, Palmer CA. Dietary determinants of dental caries and dietary recommendations for preschool children. J Public Health Dent [serial on the Internet]. 2000; [cited 2012 Sept 21] 60 (3) [about 10 screens]. Available from: http://onlinelibrary.wiley.com

Marshall TA, Levy SM, Broffitt B, Warren JJ, Eichenberger-Gilmore JM, Burns TL, Stumbo PJ. Dental caries and beverage consumption in young children. Pediatrics [serial on the Internet]. 2003 Sept; [cited 2012 Sept 21] 112 (3) [about 10 screens]. Available from: http://pediatrics.aappublications.org Gingivitis - Inflammation of the gums near the teeth

- Swollen, bleeding gums

- Mainly due to plaque build-up resulting from poor oral hygiene

- Insufficient dietary vitamin C may worsen bleeding of gums Oxford University Press. Concise medical dictionary. 7th ed. Oxford: Oxford University Press; 2007.
Whitney E, SR Rolfes. Understanding nutrition. 12th ed. Wadsworth: Belmont, CA; 2008 Best Practice Guidelines &
Management Strategies -No best practice guidelines on dental caries

-Australian Dental Association suggests:

1. Be aware of what you eat and drink:

• Avoid snacking on sugary or acidic foods and drinks between meals.

• Eating calcium rich foods like milk, cheese and yogurt

• Drink plenty of fluoridated water.

• Chew sugar-free gum to stimulate saliva after meals

2. Maintain good oral hygiene habits:

• Brush your teeth twice a day for two minutes using a fluoride toothpaste.

• Floss your teeth daily

• Visit your dentist regularly for a professional clean and general check-up Let’s Stop the Rot [homepage on the internet]. Australian Dental Association: NSW [cited 2012 Sep 21]. Causes of Tooth Decay. Available from: http://www.dentalhealthweek.com.au/Static/downloads/fs_Causes-of-tooth-decay.pdf Other Management
Strategies • Fluoride supplements

• Fluoride mouth rinse

• Fissure sealants

• Dental fillings/restoration Tubert-Jeannin S. Auclair C. Amsallem E. Tramini P. Gerbaud L. Ruffieux C. et al. Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children. Cochrane Database of Systematic Reviews. 12:CD007592, 2011.
Marinho VCC, Higgins JPT, Logan S, Sheiham A. Fluoride mouthrinses for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews. 3: CD002284, 2003. Matthew’s original diet Breakfast: ¾ cup Cornflakes or Nutri Grain + small amount of low fat milk + 1 Tbsp sugar + lrg glass apple juice

Play lunch: fruit strap OR fruit rope OR 1 fun size choc bar OR packet of chips

Lunch: Vegemite sandwich (2sl WB + margarine) + 1 juice box
1/7: lunch from canteen – 4 chicken nuggets + 1 bag popcorn + sml strawberry Big M

Afterschool: snacks frequently until dinner
Dippits OR choc chip muesli bar OR toast + jam or honey + 2 glasses of cordial

Dinner: 1.5 cups Cheesy Mac OR 1 sausage + baked beans + mashed potato OR 1 cup fried rice OR fish fingers + vegetables AND 1 glass cordial (ALWAYS)
1/7: takeaway – MacDonald’s Happy Meal + Coke

Weekends: fish + chips OR hamburger + chips for lunch once per fortnight Matthew’s original diet Table 1: Qualitative analysis of Matthew’s original diet compared to recommendations outlined by the Australian Guide to Healthy Eating Inadequate: breads and cereals, vegetables & legumes, dairy

Excessive: extras → often high fat/sugar/sodium content

Meat: questionable quality

Fruit: all servings from juice Kellett E, Smith A, Schmerlaib Y. The Australian guide to healthy eating. Canberra: Australian Government Department of Health and Ageing; 1998 Breakfast: Cornflakes/Nutrigrain w/sugar

Mt: Fruit strap/rope and chocolate bar

Lunch: White bread

At: Dippits, choc chip muesli bar

Drinks: Fruit Juice, Strawberry milk, cola, cordial Foods that need
to be modified Recommended Modified diet Alternatives for day 2/3
and beyond Adequate Intake Recommended Dietary Intake Modified diet
nutritional analysis RDI AI $356 - $225
= $131 for food/week*
* Plus child support payments Estimated weekly budget Original diet cost analysis Modified diet cost analysis Total Cost Shopping List Referral We plan to refer Mathew back to the oral health team to be further educated on dental hygiene and schedule regular follow up appointments to check on the progress of Mathew’s dental caries. Conclusion Mathew is within the healthy weight range for his age and as such, in treating him we focused mainly on –
-teeth brushing and overall dental hygiene
-reducing high sugar foods and beverages

Our goals for Mathew are as follows –
-Improve dental caries (ST)
-Prevent further incidence of dental caries (LT)
-Ensure nutritional adequacy (LT) - Shauna is of a low SES and literacy level

- Higher morbidity and mortality rate for socio-economically disadvantaged

- Communication plays a large role in the effectiveness of disease management Parents of a lower education level are less opinionated and ask less questions
- Less communication
- Less information giving
- Less effective consultation
- Less likely for a better health outcome
Encouragement and involvement judged important for better communication Health practitioner can be an important source of motivation, reassurance and support.

Supportive and considerate for a successful treatment Nutrition education and low SES Nutrition education and low literacy levels Nutrition education and low literacy levels References Tinanoff N, Palmer CA. Dietary determinants of dental caries and dietary recommendations for preschool children. J Public Health Dent [serial on the Internet]. 2000; [cited 2012 Sept 21] 60 (3) [about 10 screens]. Available from: http://onlinelibrary.wiley.com

Marshall TA, Levy SM, Broffitt B, Warren JJ, Eichenberger-Gilmore JM, Burns TL, Stumbo PJ. Dental caries and beverage consumption in young children. Pediatrics [serial on the Internet]. 2003 Sept; [cited 2012 Sept 21] 112 (3) [about 10 screens]. Available from: http://pediatrics.aappublications.org Oxford University Press. Concise medical dictionary. 7th ed. Oxford: Oxford University Press; 2007.
Whitney E, SR Rolfes. Understanding nutrition. 12th ed. Wadsworth: Belmont, CA; 2008 Let’s Stop the Rot [homepage on the internet]. Australian Dental Association: NSW [cited 2012 Sep 21]. Causes of Tooth Decay. Available from: http://www.dentalhealthweek.com.au/Static/downloads/fs_Causes-of-tooth-decay.pdf Tubert-Jeannin S. Auclair C. Amsallem E. Tramini P. Gerbaud L. Ruffieux C. et al. Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children. Cochrane Database of Systematic Reviews. 12:CD007592, 2011.
Marinho VCC, Higgins JPT, Logan S, Sheiham A. Fluoride mouthrinses for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews. 3: CD002284, 2003. $356 - $225
= $131 for food/week*
* Plus child support payments Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006 Nov 25;201(10):625-6.

Banoczy J, Petersen PE, Rugg-Gunn AJ. Milk fluoridation for the prevention of dental caries. Geneva: World Health Organisation; 2009.

Milgrom P, Chi DL. Prevention-centered caries management strategies during critical periods in early childhood. J Calif Dent Assoc. 2011 Oct; 39(10):735-41. References Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socio-economic status of the patient and doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005 Feb; 56(2):139-46.

Kaplan SH, Greenfield S, Ware JE. Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease. Med Care. 1989 March;27(3):s110-s127. Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socio-economic status of the patient and doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005 Feb; 56(2):139-46.

Kaplan SH, Greenfield S, Ware JE. Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease. Med Care. 1989 March;27(3):s110-s127. Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socio-economic status of the patient and doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005 Feb; 56(2):139-46.

Kaplan SH, Greenfield S, Ware JE. Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease. Med Care. 1989 March;27(3):s110-s127. Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socio-economic status of the patient and doctor-patient communication: does it make a difference?. Patient Educ Couns. 2005 Feb; 56(2):139-46.

Kaplan SH, Greenfield S, Ware JE. Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease. Med Care. 1989 March;27(3):s110-s127.
Full transcript