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School Dental Health Program Overview

The document defines a school dental health program and discusses its objectives, aspects, guidelines, advantages, disadvantages and components. It also discusses specific programs like tooth brushing and fluoride programs. Existing programs in India and incremental and comprehensive dental care models are described.
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0% found this document useful (0 votes)
99 views6 pages

School Dental Health Program Overview

The document defines a school dental health program and discusses its objectives, aspects, guidelines, advantages, disadvantages and components. It also discusses specific programs like tooth brushing and fluoride programs. Existing programs in India and incremental and comprehensive dental care models are described.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

School dental health program

Short notes

1. Define school dental health program?

Ans: Definition- 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
● To assist in the identification and education of handicapped children
● To help prevent and control disease
● To provide emergency service for injury or sudden sickness

2. What are the aspects of school dental health service?

Ans; Aspects of school dental health service

● Health appraisal

● Health counselling

● Encourage to correct the remedial effects

● Emergency care and first aid

● School health education

● Maintenance of School health records

● Curative services

3. What are the objectives of school dental health service?

Ans: Objectives of school dental health service are

● To help every school child appreciate importance of a healthy mouth.

● To appreciate the relationship of dental health to general health & appearance

● To encourage dental health care practices, including personal care, professional care,
proper diet and oral habits.
● To enlist the aid of all groups and agencies interested in promotion of school dental
health services

● To correlate dental health activities with total school health program.

4. What are the Guidelines for school dental health service?

Ans ; Guidelines

● Administratively sound

● Available to all children

● Provide facts about dentistry & dental care – self care preventive measures

● Aid in development of favorable attitudes towards dental health

● Include primary preventive programe- Oral Prophylaxis,Fluoride programs and Pit


and Fissure sealants.

● Provide screening method for early identification & referral to pathology.

● Ensure that all discerned pathology is expeditiously treated.

5. What are the Advantages and Disadvantages of school dental health service?

Ans: Advantages

● Less thereatening

● Availability of children

● Miss less time from school

● Provides central education on dental subjects

● Supplements the nursing services

● opportunity for positive peer modeling

Disadvantages:

● little face time with parents

● disruption in the school day

● comprehensive care - may be controversial

6. What are the Elements/components of school dental health programme?


Ans; Components are

● Improving school community relationship

● Conducting dental inspections

● Conducting dental education

● Performing specific programmes

● Referral for dental care

● Follow up of dental inspection

7. Name some specific programmes performed in school dental health programme?

Ans; specific programmes like

● Tooth brushing programmes


● Classroom-based fluoride programmes
● School water fluoridation programmes
● Nutrition as a part of school preventive dentistry programmes
● Sealants placement
● Science fair

8. Blanket referral

Ans: Referral for dental care - in few schools dental care is provided at the school
itself. However if only emergency treatment is provided then the parents should be
informed and made to understand that such emergency treatment is not a cure and they
have to visit the dentist for proper treatment.

Blanket referral – “A program that has proved to be effective in many schools is blanket
referral of all children to their family dentists. In this program all children are given
referral cards to take home and subsequently to the dentist, who sign the cards upon
completion of examination, treatment, or both. The signed cards are then returned to the
school nurse, or classroom teacher, who plays an important role in following up the
referral with the child and parents”.
9. Mention various types of school dental health care Programs?

Ans; they are

o Learning about oral health

o Tattle tooth program

o North carolina state wide preventive dental health program

o Askov school dental health program

o Preschool denatl health programme

o New zealand progrmme

o Incremental dental care

o Comperhensive dental care etc.

10. Name few existing School Oral Health Programs in India?

Ans; 1. “Young India” bright smiles, bright futures - A collaborative effort of IDA
and Colgate- Palmolive started in 1976 to deliver oral health education to children. Status
- Running

2. Chacha Nehru Sehat Yojna - school health scheme - Government of Delhi. The
dental component of school health scheme is looked after by two government hospitals,
namely. Maulana Azad Institute of Dental Sciences and DDU hospital which conducts
regular screening programs and also serves as referral centers. Status - Running

3. Neev - School Oral Health Program by Government of NCT of Delhi in Delhi State
as a Pilot Project. Mobile Dental Van would be utilized after drafting a district plan, and
public schools will be covered round the year. Status - Unknown

4. Trinity Care Foundation - Bengaluru conducts outreach programs and school health
programs in Bengaluru and nearby areas. It harbors the vision of Health Promoting
Schools and provides pre-screening of students for height, weight, skin, eye, dental,
cardiac, caries, oral lesions, facial deformities, etc. Status - Running

5. National Oral Health Program- AIIMS - Pit And Fissure Sealant Pilot Project.
Status – Running

11. Incremental dental care?


Ans; Definition - “Periodic care so spaced that increments of dental disease are treated at
the earliest time consistent with proper diagnosis and operating efficiency in such a way
that there is no accumulation of dental needs beyond the minimum”

Advantages:

● Applicable where incidence of new dental disease is to be expected each year


● Dental diseases intercepted at or near the beginning
● Topical and other preventive measures can be maintained on a periodic basis
● Reduce loss of teeth & inculcate habit of periodic return to dental office
● Avoiding high expenditure for the initial care
● Bills for dental services are equalized and regularly placed

Disadvantages:

● Time consuming
● Attention to deciduous teeth
● Likelihood of interruption in children's dental health programmes
● Inertia towards seeking private dental care

12. Comprehensive dental care?

Ans: Definition - “meeting of accumulated dental needs at the time a population group is
taken into the programme (initial care) and the detection and correction of new
increments of dental disease on a semiannual or other periodic basis (maintenance care)”.

Advantages:

● Restore serviceable teeth to good functional form


● Replace missing teeth
● Provide maintainenece care for the control of early lesions dental disease
● Provide preventive measures and education
● Good quality work using best of modern restorative techniques

13. Tattle tooth programme?

Ans; Texas state wide preventive dentistry programme

Developed by Texas Department of Health, Texas Education Agency (1974 -76}. In 1989
the bureau of dental health developed – Tattle tooth II- A new generation for grades K-6.

Teaching material - 3 videotapes, Separate lesson plans, training package for teachers

The first video tape familiarizes the teachers with the lesson format and content.
The second video tape,“ brushing and flossing” was developed for the dental purpose of
teacher training and as an educational unit to be used by the teacher with students.

The Third video tape provides teachers with additional background information as a
means of preparing them to teach the lessons.

14. Askova dental demonstration?

Ans: Askova is a small farming community, showed very high dental caries in the intial
surveys made in 1943 and 1946.

o 1949 -1957 dental heath of minnesota –implemented a school dental programme

o All methods used for preventing caries were used with exceptional of communal
water supply

o Dental care was rendered by a group of 5 dentist

o 10 year period findings include-28% reduction in caries-3-5 year, 34% in


permanent teeth

o Increased filled tooth ratios, but Cost more than water fluoridation

15. SHARP?

Ans: School Health Additional Referral Programme: A programme called SHARP was
instituted in Philadelphia where the lowest rate for correction of physical defects
prevailed. The purpose of the programme was to motivate parents into initiating action for
correction of defects in their children through effective utilization of community
resources. The project was carried out by the district nurses with the cooperation of all
school personnel. The nurses made daytime visits to families in which the mothers were at
home. Working parents were contacted by phone. The one-to-one basis of health guidance
between parent and health worker establishes better rapport between school and home.

Common questions

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School dental health services can address socioeconomic disparities by making dental care accessible to all children regardless of their economic background, as services are conducted in schools where attendance is compulsory . Additionally, programs like blanket referrals ensure that even children who may not regularly visit a dentist due to financial constraints can receive necessary dental assessments and treatments . Providing education on dental hygiene also helps empower students from lower socioeconomic backgrounds with the knowledge to maintain oral health independently, potentially reducing future health costs.

The 'blanket referral' functions by providing all children with referral cards to take to their family dentists, who then sign the cards after examination or treatment. These signed cards are returned to the school for follow-up by the nurse or teacher . Potential benefits include ensuring all children receive dental evaluations and encouraging parental and community involvement in children's health . However, drawbacks could include dependency on parental cooperation and consistency in follow-up, possible exclusion of underserved students without regular dental care access, and logistical challenges in coordinating return visits and processing paperwork.

The Askov dental demonstration, conducted in a small farming community with high initial rates of dental caries, employed all available caries-prevention methods except communal water supply . The program's findings, which included a significant reduction in caries and increased filled tooth ratios, underscored the effectiveness of comprehensive dental care and informed the development of integrated dental strategies in modern programs. By demonstrating tangible success, it highlighted the importance of multi-faceted approaches and the role of preventive measures beyond fluoridation, influencing current strategies to integrate community-based efforts and diverse preventive tools.

Emergency care and first aid are integral components of the school dental health program that ensure immediate response to dental injuries or sudden sickness, thereby preventing complications and reducing anxiety for the student . By providing timely intervention and stabilizing conditions until comprehensive care can be sought, these services maintain student well-being, support a safer school environment, and demonstrate a commitment to student health and safety. Quick access to first aid also educates students on responding to dental emergencies, aligning with broader educational goals of fostering health literacy.

Sealant placement programs in schools offer the benefit of directly reducing the incidence of cavities in students' molars by providing a physical barrier against decay-causing bacteria, thus aligning with preventive health objectives . These programs are convenient for students, as they occur during the school day, lessening the time lost from school and the need for parents to schedule separate dental appointments. Challenges include logistical complexities such as ensuring all necessary equipment and personnel are available, coordinating schedules with school activities, and maintaining the quality of sealant application. Additionally, managing consent and effectively communicating the program's value to parents can be a hurdle.

Technology plays a crucial role in enhancing school dental health programs by facilitating record-keeping, improving communication between school health officials and parents, and enabling educational initiatives such as interactive digital content or tele-dentistry consultations . Current applications include digital platforms for tracking student health records and mobile apps for parental engagement. Looking forward, potential expansions could involve AI-driven assessments to identify dental issues earlier, wider use of virtual reality for student education, and further development of telehealth services to reach underserved populations efficiently. However, implementation challenges like ensuring equitable access and maintaining data security must be addressed.

Disadvantages of school dental health services include limited face time with parents, potential disruption to the school day, and challenges in providing comprehensive care that may stir controversy . Schools can address these by implementing flexible scheduling to minimize classroom disruption, enhancing communication strategies to better engage parents, and collaborating closely with dental professionals to extend the scope of care offered on-site. Additionally, offering educational workshops can bolster parent participation and understanding of the program's benefits.

Components of a comprehensive school dental health program include health appraisal, health counseling, encouraging the correction of remedial defects, emergency care and first aid, school health education, maintenance of school health records, and curative services . Together, these components interact by providing a holistic approach that combines immediate care, preventive education, and regular monitoring, leading to improved oral health outcomes for students. Health education empowers students with knowledge, while appraisal and counseling ensure early detection and intervention of dental issues.

Integration of nutrition education into school dental health programs enhances overall effectiveness by addressing dietary factors that influence oral health, such as sugar intake linked to cavities . Educating students on nutritional choices supports healthier dietary habits and reinforces oral hygiene practices taught in dental health lessons. This holistic approach promotes broader health benefits, reducing the risk of dental diseases and impacting general well-being. The curriculum can engage students with interactive lessons, incorporate nutritional assessments, and include collaborations with nutritionists for specialized workshops, thereby reinforcing the importance of a balanced diet in maintaining dental and overall health.

The key objectives of a school dental health service include helping every school child appreciate the importance of a healthy mouth, understanding the relationship between dental health and overall health and appearance, encouraging dental health care practices including personal care, professional care, proper diet, and oral habits, enlisting the aid of groups interested in promoting school dental health, and correlating dental health activities with the total school health program . These objectives align with public health goals by promoting preventive health measures, ensuring comprehensive health education, and fostering partnerships between communities and health providers to enhance child health and reduce long-term health care costs.

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