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School Dental Health Program: Promoting Oral Health in Schools

Learn about the history, definition, principles, and ideal requirements of a school dental health program. Discover the importance of comprehensive dental care and preventive measures for school children.

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School Dental Health Program: Promoting Oral Health in Schools

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  1. Good morning

  2. SCHOOL DENTAL HEALTH PROGRAM

  3. INTRODUCTION School health is an important aspect of public health. It is an economical and powerful means of raising community health in future generations. 19th century - Dentist William Fisher of England observed high caries experience and lack of treatment among children, hence he devoted much time campaigning for compulsory inspection and treatment of children in schools

  4. July 23rd 1898 - School Dentists Society was formed in London. School Health Service in INDIA dates back to 1909- when for the first time medical examination of school children was carried out in Baroda City. 1953 - the Secondary Education Committee emphasized the need for school nutrition programs.

  5. 1960 - the Government of India constituted a School Health Committee, and submitted its report in 1961. • January 1982 - a Task Force constituted by the Government of India to propose an intensive School Health Service Project, submitted its report • July 19th 2001 - The “Tokyo Declaration” was made on at the 1st Asian Conference on Oral Health Promotion for School Children, held in Tokyo.

  6. February 23rd 2003 - The “Ayutthaya Declaration” was made at the 2nd Asian Conference of Oral Health Promotion for School Children held in Ayutthaya, Thailand. • January 28th 2005The “Bangalore declaration” was made at the CAMHADD/WHO workshop on prevention and promotion of oral health through schools held at Bangalore.

  7. DEFINITION

  8. School health services are defined as the “procedures established • to appraise the health status of pupils and school personnel, • to counsel pupils, parents, and others concerning appraisal findings, • to encourage the correction of remediable defects,

  9. to assist in the identification education of handicapped children • to help prevent and control disease and to provide emergency service for injury or sudden sickness. • (By The Committee on Terminology of The American Association for Health, Physical Education, and Recreation 1951)

  10. Principles OF SCHOOL HEALTH SERVICE

  11. HEALTH APPRAISAL It is defined as “the process of determining the total health status of child through such means as health histories, teacher and nurse observations, screening test; and medical, dental and psychological examinations”.

  12. HEALTH COUNSELING Defined as “the procedure by which nurse, teachers, physicians, guidance personnel, and others interpret to pupils and parents, the nature and significance of the health problem and aid them in formulating a plan of action which will lead to solution of the problem”. Eg; elimination of sales of candy and sweetened beverages in school

  13. EMERGENCY CARE AND FIRST AID: Since teachers are the first to realize any emergency in school, they should be trained in handling simple emergencies such as traumatic injuries to teeth during contact sports.

  14. SCHOOL HEALTH EDUCATION: It is the process of providing learning experiences for the purpose of influencing knowledge, attitude, or conduct relating to individual or community health.

  15. It should cover the aspects of:- • Personal hygiene • Environmental health and • Family life.

  16. MAINTENANCE OF SCHOOL HEALTH RECORDS These records are useful in analyzing and evaluating school health programs and to provide a useful link between the home, the school and the community.

  17. CURATIVE SERVICES They include regular dental checkups and prompt treatment wherever possible and referral for special problems

  18. PRINCIPLES OF SCHOOL DENTAL HEALTH PROGRAM • To help every school child appreciate the importance of a healthy mouth. • To help every school child appreciate the relationship of dental health to general health and appearance. • To encourage the observance of dental health practices, including personal care, professional care, proper diet, and oral habits.

  19. To enlist the aid of all groups and agencies interested in the promotion of school health. • To correlate dental health activities with the total school health program. • To stimulate the development of resources to make dental care available to all children and youth. • To stimulate dentists to perform adequate health services for children.

  20. IDEAL REQUIREMENTS

  21. A school dental health program should • Be administratively sound • Be available to all children • Provide the fact about dentistry and dental care, especially about self-care preventive procedures • Aid in the development of favorable attitudes dental health

  22. Provide the environment for the development of psychomotor skills necessary for tooth brushing and flossing • Include primary preventive dentistry programs-prophylaxis, fluoride program and use of pit and fissure sealants • Provide screening methods for the early identification and referral to pathology • Ensure that all discerned pathology is expeditiously treated.

  23. Why School Dental Health Program

  24. Programs can bring comprehensive dental health care including preventive measures to school children where they are gathered anyway for non-dental reasons in the largest possible numbers- advantageous in dentist deprived areas • Students can be accessed during their formative yearsfrom childhood to adolescence. These are important stages in people’s lives when lifelong oral health related behavior as well as beliefs and attitudes are being developed.

  25. School clinics are less threatening than private offices since the children are in familiar surroundings • The children’s daily contact with the dental personnel in other roles, such as joining with the teachers in a variety of school activities, may have a lasting effect in their attitudes towards dentistry in general.

  26. If the children can be maintained in a state of good dental health it will be relatively easy to maintain their dental health in adult life. • A regular dental attendance pattern in early life will be continued after the school age. • School dental health programs when associated with general health programs can facilitate valuable consultation on medico-dental problems

  27. The expenses involved and the time used in transportation to private dental office can be saved if the child gets dental care in the school itself. • If parents have to escort children to a private dental office, he/she will lose income for that day. This can be overcome by school dental health programs. • Utilizing dental auxiliaries can further reduce the cost. • The health of school staff, families and community members can be enhanced by programs based in schools.

  28. Thank you

  29. GOOD MORNING

  30. ELEMENTS/COMPONENT OF SCHOOL DENTAL HEALTH PROGRAM

  31. IMPROVING SCHOOL - COMMUNITY RELATION One of the first steps in organizing a dental health program is the formation of advisory committee. It should include broad representation from parents, teachers, school administrators, dental professionals, health officers and community leaders.

  32. The task of these committees is • To apprise and publicize the dental needs of the school children • To address the school administration’s concern in the promotion of oral health. • To make people realize the importance of dental health.

  33. CONDUCTING DENTAL INSPECTIONS • It serves as a basis for school dental health instruction. • Every child unless proved otherwise is considered to be free from dental disease , the positive findings, on such children will provide greater motivation towards dental health.

  34. It builds a positive attitude in the child towards the dentist and dental care. • The child and the parent are motivated to seek adequate professional care • Teacher, students, and dentists concerned with dental health may use the dental inspection as a fact-finding experience.

  35. Baseline and cumulative data for evaluation of the school dental health program are made available. • Provide information as to the status of dental needs to plan a sound dental health program.

  36. CONDUCTING DENTAL HEALTH EDUCATION • The dentist serves as the expert resource person to strengthen the teacher’s classroom instruction program. • He should give each teacher sincere attention. • This is important in developing proper attitudes and personal dental health practices by the teacher which can be passed on to the classroom.

  37. PERFORMING SPECIFIC PROGRAMS

  38. TOOTH BRUSHING PROGRAMS • In the classroom, 6-8 children can be taught as a group. Each is given a cup, a napkin, and a kit containing a disclosing tablet, a toothbrush, and a tube of fluoride dentifrice. • The mastery of the 45 degree angulations and the short vibratory strokes can then be repeated on an oversized dentoform model. :

  39. Next, the children are asked to chew a disclosing tablet and to swish it around the mouth for 30 seconds. • They are then encouraged to look at each others teeth with appropriate emphasis on the fact that the red stain colors the plaque in which the bacteria live.

  40. Next a magnifying mirror is passed around so the participants can note that their teeth are no different from those of their neighbor i.e. all people have plaque. • Guided brushing can then begin, with the instructor establishing the sequence of teeth to be brushed. • At the end, the mirror is again passed around to show that progress has been made.

  41. CLASSROOM-BASED FLUORIDE PROGRAMS: Fluoride ‘mouth-rinse’ program • Fluoride mouth- rinse programs received official recognition of safety from the FDA in 1974 and by council on dental Therapeutics of the ADA in 1975.

  42. A once-a-week mouth rinse can be expected to result in 20% to 40% reduction in dental caries. • The dispenser is graduated so that 2.0 gm. of packaged sodium fluoride powder can be placed in a jug and water is added to the 1000-ml mark. • The rinse should be non-sweetened and non-flavored to discourage swallowing.

  43. Rinsing programs are advised for grades 1 to 12 but not below. • 5 ml of the rinse is dispensed in to each cup and all the children are instructed to rinse the solution in the mouth for 1 minute, after which they are to spit carefully in to the cup. • The napkin is used to wipe the mouth, after which it is forced into the bottom of the cup to absorb all fluid

  44. Fluoride tablet program: • One tablet is given to each student. The student then chews and swishes the 2.2mg sodium fluoride (1mg fluoride) tablet in the mouth for a minute and then swallows.

  45. The swish-and-swallow technique provides the optimum systemic benefit during the period of tooth development and maturation. • The daily tablet is more effective than the weekly rinse.

  46. SCHOOL WATER FLUORIDATION PROGRAMS • The amount of fluoride added to school drinking water must be greater than that used in communal water supplies, i.e. 4.5 times the optimum concentration since children are in school for shorter hours and less water is consumed during that time. • Study have shown a reduction in Dental Caries prevalence by about 40% amongchildren attending school that support school water fluoride programs

  47. NUTRITION AS A PART OF SCHOOL PREVENTIVE DENTISTRY PROGRAMS: School lunch programs are designed to provide the child with an intake of nutrients that approximate one third of the daily intake of essential carbohydrates, proteins, fat, minerals and vitamins.

  48. MID DAY MEAL PROGRAM OF GOVERNMENT OF INDIA • The program of providing hot cooked meal was introduced in 7 north eastern districts of the state during 2002-2003. • AksharaDasoha -2003-2004

  49. The scheme consisted of providing free food grains at 3 kg per child/per months to children of class 1 to 5 of government schools on the basis of 80% of attendance in a month. • The scheme was extended to classes 1 to 5 in Government aided schools from 1-9-2004 and to class 7 and 8 in Government/Government Aided Schools from 1-10-2004

  50. The objectives of the program • To improve enrolment and attendance • To reduce school drop outs. • To improve child health by increasing nutrition level. • To improve learning levels of children. The hot cooked food contains about 400 calories (per child per day) Rice - 100 gms Pulses - 20 gms Oil & fat - 05gms • Vegetables - 50 gms Salt - as needed

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