DentaltownUK February 2018 - 46

Oral Health Education and Promotion
by Kishan Sheth, BDS5 Dental Student at King's College London
and DentaltownUK student editor
Dental diseases play a major role in
general health, and what occurs in the
mouth may have systemic impacts. It is well
documented, however, that dental diseases
are largely preventable, and in their early
stages, reversible.
In recent years there has been a major
shift in the paradigm, as dental treatment
is now no longer the first line of defense.
The concept of minimally invasive
dentistry is starting to inspire practitioners
and dental schools around the world to
encourage the use of behaviour change and
oral hygiene education, where the profession
once picked up their burs at the first sign of
potential disease.
In spite of this, with the pressures of
general dental practice growing, there may be
minimal health promotion being undertaken
in clinical practice. I would also like to point
out that as final-year dental students, we
are well trained in the concept of minimal
intervention dentistry.
We have been trained to diagnose disease
as early as possible, facilitate behaviour
change, and intervene only when necessary.
A number of patients who have seen me have
undergone remarkable oral health changes,
and all I did was engage in a conversation
and promote oral health education.
It is obvious from the dental literature that
dental diseases are a major burden on health at
both the individual and population levels. In
my opinion, the two major diseases which are
causing concern around the world are caries
and periodontitis, and their consequences
include the likelihood of pain, impact on
eating, poor quality of sleep, and compromised
speaking ability and productivity.
In the United States, it is estimated that
'more than 51 million hours of school time

46

FEBRUARY 2018 // dentaltownuk.com

are lost due to dental disease' (Bagramian
et al., 2009).
Dental caries is a largely preventable
disease; it is caused by bacterial biofilm
gaining nutrition from free sugars and
fermentable carbohydrates in the individual's
diet, and in the process acids such as lactic,
propionic and acetic acid are formed. These
will disrupt the organic phase and dissolve
the inorganic phase of the dental hard tissues,
leading to the formation of a carious lesion.
However, despite our recent advances in
understanding of dental diseases and their
therapeutic treatment options, dental caries
remains a huge problem, and has been ever
since it peaked in the 1960s. A decline was
seen from the late 1970s until the 1990s in
industrialized countries (Marthaler 2004).
No one single factor or intervention
can take credit for this decline, but factors
such as dietary changes, daily applications
of fluoridated toothpaste and the use of
water fluoridation may have played a part
in decreasing caries rates.
These interventions have created a solid
foundation for the government to push the
focus in dentistry from treatment to therapy.

Every active carious lesions should be stabilised
and then restored for the longer term.
The use of GIC has increased, in my
experience, because practitioners now
appreciate its ability to release fluoride and
to create a more adaptive and versatile bond
to tooth structure. By doing so, it prevents the
accumulation of plaque at microscopic levels.
However, in each of these cases, only the
right material should be used for the right
patient and the right cavity. There are several
factors to consider, such as bond strength,
position of application, moisture control
achievement and aesthetic properties.
This shift in thinking is not new; in 1986,
the World Health Organisation issued the
Ottawa charter for health promotion, aiming
to increase levels of education in populations
and to prevent the rise of chronic diseases.
It is my belief that oral health is right at the
core of our general wellbeing.
In addition, oral health professionals
have a backbone of professional education in
elements of communication, physiology and
psychology, and so are well positioned to be
engaging in health behaviour modifications.
Preventing dental disease and improving


http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK February 2018

Cover
Mike Gow: Contracts & the Hit Man
Howard Speaks
Message Board: Predictable Marginal Ridge
Dr. Harry Singh’s Financial Freedom Formula
Private Removable Prosthetics
Message Board: Large Composite Restorations
Quiz: Name that Oral Lesion!
The Boxing Dentist
Don't Make Assumptions
A Combined Digital Orthodontic and Restorative Approach
To Fill or Restore?
Back to Birmingham: BDC & Dentistry Show 2018
Temporomandibular Joint
Spin Me Right Round: Crown Preparations
Through the Keyhole-Dr. Alif Moosajee
Wish List-Dr. Yogi B. Savania
DentaltownUK February 2018 - Cover
DentaltownUK February 2018 - Cover2
DentaltownUK February 2018 - 3
DentaltownUK February 2018 - 4
DentaltownUK February 2018 - Mike Gow: Contracts & the Hit Man
DentaltownUK February 2018 - Howard Speaks
DentaltownUK February 2018 - 7
DentaltownUK February 2018 - 8
DentaltownUK February 2018 - 9
DentaltownUK February 2018 - Message Board: Predictable Marginal Ridge
DentaltownUK February 2018 - Dr. Harry Singh’s Financial Freedom Formula
DentaltownUK February 2018 - 12
DentaltownUK February 2018 - 13
DentaltownUK February 2018 - Private Removable Prosthetics
DentaltownUK February 2018 - 15
DentaltownUK February 2018 - Message Board: Large Composite Restorations
DentaltownUK February 2018 - 17
DentaltownUK February 2018 - Quiz: Name that Oral Lesion!
DentaltownUK February 2018 - 19
DentaltownUK February 2018 - 20
DentaltownUK February 2018 - 21
DentaltownUK February 2018 - 22
DentaltownUK February 2018 - The Boxing Dentist
DentaltownUK February 2018 - 24
DentaltownUK February 2018 - 25
DentaltownUK February 2018 - 26
DentaltownUK February 2018 - 27
DentaltownUK February 2018 - Don't Make Assumptions
DentaltownUK February 2018 - 29
DentaltownUK February 2018 - A Combined Digital Orthodontic and Restorative Approach
DentaltownUK February 2018 - 31
DentaltownUK February 2018 - To Fill or Restore?
DentaltownUK February 2018 - 33
DentaltownUK February 2018 - Back to Birmingham: BDC & Dentistry Show 2018
DentaltownUK February 2018 - 35
DentaltownUK February 2018 - Temporomandibular Joint
DentaltownUK February 2018 - 37
DentaltownUK February 2018 - 38
DentaltownUK February 2018 - Spin Me Right Round: Crown Preparations
DentaltownUK February 2018 - 40
DentaltownUK February 2018 - 41
DentaltownUK February 2018 - Through the Keyhole-Dr. Alif Moosajee
DentaltownUK February 2018 - 43
DentaltownUK February 2018 - 44
DentaltownUK February 2018 - 45
DentaltownUK February 2018 - 46
DentaltownUK February 2018 - 47
DentaltownUK February 2018 - 48
DentaltownUK February 2018 - 49
DentaltownUK February 2018 - Wish List-Dr. Yogi B. Savania
DentaltownUK February 2018 - Cover3
DentaltownUK February 2018 - Cover4
http://www.nxtbook.com/farran/dentaltown/2020February
http://www.nxtbook.com/farran/dentaltown/2020January
http://www.nxtbook.com/farran/dentaltown/2019December
http://www.nxtbook.com/farran/dentaltown/2019November
http://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
http://www.nxtbook.com/farran/dentaltown/2019October
http://www.nxtbook.com/farran/dentaltown/2019NewGrad
http://www.nxtbook.com/farran/dentaltown/2019September
http://www.nxtbook.com/farran/dentaltown/2019August
http://www.nxtbook.com/farran/dentaltown/2019July
http://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
http://www.nxtbook.com/farran/dentaltown/2019June
http://www.nxtbook.com/farran/dentaltown/2019May
http://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
http://www.nxtbook.com/farran/dentaltown/2019April
http://www.nxtbook.com/farran/dentaltown/2019March
http://www.nxtbook.com/farran/dentaltown/2019February
http://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
http://www.nxtbook.com/farran/dentaltown/2019January
http://www.nxtbook.com/farran/dentaltownuk/2018Winter
http://www.nxtbook.com/farran/dentaltown/2018December
http://www.nxtbook.com/farran/dentaltown/2018November
http://www.nxtbook.com/farran/dentaltownuk/2018November
http://www.nxtbook.com/farran/dentaltown/2018October
http://www.nxtbook.com/farran/dentaltownuk/2018October
http://www.nxtbook.com/farran/dentaltown/2018NewGrad
http://www.nxtbook.com/farran/dentaltown/2018September
http://www.nxtbook.com/farran/dentaltownuk/2018September
http://www.nxtbook.com/farran/dentaltown/2018August
http://www.nxtbook.com/farran/dentaltownuk/2018July
http://www.nxtbook.com/farran/dentaltown/2018July
http://www.nxtbook.com/farran/dentaltownuk/2018June
http://www.nxtbook.com/farran/dentaltown/2018June
http://www.nxtbook.com/farran/dentaltownuk/2018May
http://www.nxtbook.com/farran/dentaltown/2018May
http://www.nxtbook.com/farran/dentaltownuk/2018April
http://www.nxtbook.com/farran/dentaltown/2018April
http://www.nxtbook.com/farran/dentaltown/2018March
http://www.nxtbook.com/farran/dentaltownuk/2018March
http://www.nxtbook.com/farran/dentaltown/2018February
http://www.nxtbook.com/farran/dentaltownuk/2018February
http://www.nxtbook.com/farran/dentaltown/2018January
http://www.nxtbook.com/farran/dentaltown/2017December
http://www.nxtbook.com/farran/dentaltownuk/2017Winter
http://www.nxtbook.com/farran/dentaltown/2017November
http://www.nxtbook.com/farran/dentaltown/2017October
http://www.nxtbook.com/farran/dentaltownuk/2017october
http://www.nxtbook.com/farran/dentaltown/NewGrad2017
http://www.nxtbook.com/farran/dentaltown/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017September
http://www.nxtbook.com/farran/dentaltownuk/2017August
http://www.nxtbook.com/farran/dentaltown/2017August
http://www.nxtbook.com/farran/dentaltown/2017July
http://www.nxtbook.com/farran/dentaltownuk/2017July
http://www.nxtbook.com/farran/dentaltown/2017June
http://www.nxtbook.com/farran/dentaltownuk/2017may
http://www.nxtbook.com/farran/dentaltown/2017May
http://www.nxtbook.com/farran/dentaltownuk/2017April
http://www.nxtbook.com/farran/dentaltown/2017April
http://www.nxtbook.com/farran/dentaltown/2017March
http://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
http://www.nxtbook.com/farran/dentaltown/February2017
http://www.nxtbook.com/farran/dentaltown/2017January
http://www.nxtbook.com/farran/dentaltown/2016December
http://www.nxtbook.com/farran/dentaltown/2016November
http://www.nxtbook.com/farran/dentaltown/2016October
http://www.nxtbook.com/farran/dentaltown/2016nge
http://www.nxtbook.com/farran/dentaltown/2016september
http://www.nxtbook.com/farran/dentaltown/2016august
http://www.nxtbook.com/farran/dentaltown/2016july
http://www.nxtbook.com/farran/dentaltown/2016june
http://www.nxtbook.com/farran/dentaltown/2016may
http://www.nxtbook.com/farran/dentaltown/2016april
http://www.nxtbook.com/farran/dentaltown/2016march
http://www.nxtbook.com/farran/dentaltown/2016february
http://www.nxtbook.com/farran/dentaltown/2016january
http://www.nxtbook.com/farran/dentaltown/2015december
http://www.nxtbook.com/farran/dentaltown/2015november
http://www.nxtbook.com/farran/dentaltown/2015october
http://www.nxtbook.com/farran/dentaltown/2015nge
http://www.nxtbook.com/farran/dentaltown/2015september
http://www.nxtbook.com/farran/dentaltown/2015august
http://www.nxtbook.com/farran/dentaltown/2015july
http://www.nxtbook.com/farran/dentaltown/2015june
http://www.nxtbook.com/farran/dentaltown/2015may
http://www.nxtbook.com/farran/dentaltown/2015april
http://www.nxtbook.com/farran/dentaltown/2015march
http://www.nxtbook.com/farran/dentaltown/2015february
http://www.nxtbook.com/farran/dentaltown/2015january
http://www.nxtbook.com/farran/dentaltown/2014december
http://www.nxtbook.com/farran/dentaltown/2014decemberb
http://www.nxtbook.com/farran/dentaltown/2014november
http://www.nxtbook.com/farran/dentaltown/2014october
http://www.nxtbook.com/farran/dentaltown/2014newgrad
http://www.nxtbook.com/farran/dentaltown/2014september
http://www.nxtbook.com/farran/dentaltown/2014august
http://www.nxtbook.com/farran/dentaltown/2014july
http://www.nxtbook.com/farran/dentaltown/2014june
http://www.nxtbook.com/farran/dentaltown/2014may
http://www.nxtbook.com/farran/dentaltown/2014april
http://www.nxtbook.com/farran/dentaltown/2014march
http://www.nxtbook.com/farran/dentaltown/2014february
http://www.nxtbook.com/farran/dentaltown/2014january
http://www.nxtbook.com/farran/dentaltown/2013december
http://www.nxtbook.com/farran/dentaltown/2013november
http://www.nxtbook.com/farran/dentaltown/2013october
http://www.nxtbook.com/farran/dentaltown/2013newgrad
http://www.nxtbook.com/farran/dentaltown/2013september
http://www.nxtbook.com/farran/dentaltown/2013august
http://www.nxtbook.com/farran/dentaltown/2013july
http://www.nxtbook.com/farran/dentaltown/2013june
http://www.nxtbook.com/farran/dentaltown/2013may
http://www.nxtbook.com/farran/dentaltown/2013april
http://www.nxtbook.com/farran/dentaltown/2013march
http://www.nxtbook.com/farran/dentaltown/2013february
http://www.nxtbook.com/farran/dentaltown/2013january
http://www.nxtbook.com/farran/dentaltown/2012december
http://www.nxtbook.com/farran/dentaltown/2012November
http://www.nxtbookMEDIA.com