kose nehan oral health program kn aileu
play

Kose Nehan Oral Health Program KN -Aileu 6 subdistrict schools - PowerPoint PPT Presentation

Kose Nehan Oral Health Program KN -Aileu 6 subdistrict schools 1 part time employee Tooth brushing Health promotion SDF History 2008 Friends of Aileu 2009 Situational analysis 2010 - 12 1 school


  1. Kose Nehan Oral Health Program

  2. KN -Aileu • 6 subdistrict schools • 1 part time employee • Tooth brushing • Health promotion • SDF

  3. History ✓ 2008 Friends of Aileu ✓ 2009 Situational analysis ✓ 2010 - 12 1 school (pilot) ✓ 2013 – 15 3 schools ✓ 2016 - 18 KN 6 schools ✓ 2019 - ??

  4. Partner or Perish ✓ Loc ✓ Australia Local ian • • District Administration Donors • • District Health Friendship groups • • District Education Professional associations • MOH Organisational • Other Health Providers Universities • ADETIL Personal contacts

  5. National OH Plan 2015 -20 ✓ Primary health ✓ Fluoride toothpaste in schools ✓ Prevention ✓ Capacity building - dental nurses ✓ Young people ✓ Capacity building - teachers ✓ Integration of oral health promotion ✓ School curriculum ✓ Oral health materials

  6. Kose Nehan Focus on Prevention

  7. Education Build an enabling information technology platform

  8. T ooth Brushing

  9. OH Resources https://www.livrutimor.org/book/kose-nehan/

  10. Data ✓ 2016 2016 bas baseline surv survey • 75% 6 year dmft = 4.17 • 51% 12 year DMFT = 1.32 • Activity 84% • Impact of nutrition?

  11. SDF Disease Management

  12. Silver Diamine Fluoride ✓ Colorless liquid pH 10 ✓ 38% SDF ammonia solution - 5% F, 25% Ag ✓ 40% Aqueous solution ✓ Cheap ~40c/child = 10c/tooth ✓ Primary teeth

  13. Products

  14. Actions, Dose & Safety ✓ 85% ✓ Sa 85% les esio ions s ar arrested Safety • • Ag bacteriocidal Oral LD50 = 520mg/kg • • F remineralises enamel & dentine 1 (20uL) drop = 9.5mg F in a 10kg child at 100% absorption = • Preserves collagen ? 0.95mg/kg ✓ Dose Dose 400 x safety margin acute toxicity • 1 drop/10kg child = ~4 teeth • No reported adverse effects Build an enabling • SDF F < 0.25 ml fluoride varnish information technology platform

  15. Application ✓ Remove gross debris ✓ Excess: gauze, cotton roll, or cotton pellet ✓ Vaseline for gingiva ✓ Apply SnF or KI - new brush ✓ Isolate and dry with cotton rolls/gauze ✓ Continue to isolate up to ??? ✓ Pre dispense ✓ Microbrush Build an enabling information technology platform

  16. Build an enabling information technology platform

  17. Build an enabling information technology platform

  18. Contraindication ✓ Symptomatic tooth ✓ Protect eyes ✓ Black staining ✓ Silver allergy ✓ Messy on clothes desks etc ✓ Gingival irritation ✓ ? Anteriors

  19. Use in T-L ✓ Restorative option impractical ✓ Powerful indirect prevention ✓ Atraumatic ✓ Easy ✓ Cheap ✓ Minimal training ✓ It works ✓ Parental acceptance ✓ Reduce pain and suffering ✓ Benefits far outweigh risks

  20. Opportunities ✓ Prevention & early intervention ✓ Reducing risk of cancer ✓ Increase data ✓ Employment ✓ Training ✓ Codesign

  21. Challenges ✓ Prioritisation - prevention /pain relief ✓ Shift decision making to the community ✓ General Health • Rheumatic fever! • Malnutrition • Sustainability ($) and Logistic

  22. 2

  23. Kose Nehan Thank you

  24. ✓ American Academy of Pediatric Dentistry 2017 The SDF panel supports the use of 38 percent SDF for the arrest of cavitated caries lesions in primary teeth as part of a comprehensive caries management program ✓ Journal of Dental Research 2018, Vol. 97(2) 171 – 178. Chu, CH et al RCT using placebo and SDF 12% 38% on 888 kindergarten children 3790 lesions 66.9% and 75.7% in 38% group over 30 mths ✓ Advances in Health Science Research, vol8 2017. Durward, C et al 2x/year application SDF effective in management of v high risk caries population

  25. OH Resources

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend


More recommend