Please activate JavaScript!
Please install Adobe Flash Player, click here for download

prevention International magazine for oral health No. 1, 2017

practical prevention | caries prophylaxis caries progression, a risk and interval assessment is determined. In the case of caries progression, treatment, educa- tion and training are followed by fluoride application, sealing or restoration. Step 1 During the first visit, the patient and his or her parents are informed about the programme and asked about their motivation to participate, problems, previous experiences, fear, stress, etc. Step 2 After disclosing of the plaque, the level of oral hygiene and self-care is noted—plaque index—followed by in- formation and instruction. The patient or his or her parent is asked to remove the plaque him- or herself. Step 3 The next step in the NOCTP pro- tocol is professional cleaning. Step 4 A very important factor for risk assessment is the diagnosis of caries activity: small pits and severe caries Step 5 The next step is motivational in- terviewing, which is the key to success. The patient is prepared for implement- ing change and this might need multi- ple sessions. If the patient is ready to change, he or she is instructed—through explaining, showing and doing—and mo- tivated and coached, with the intention that he or she will change his or her attitude towards oral health and his or her behaviour. Step 6 If necessary, fluoride is applied on white spots or areas difficult to reach with a toothbrush. If the patient is not able to reach erupting molars with a toothbrush, sealants are applied to these and only if necessary. When it comes to the prevention of caries in children, what role do parents’ attitudes history, dietary habits, self-care routines and knowledge on dental topics. play? The programme focuses on behavioural change: the patient and/or his or her par- ents are encouraged to take responsibility for his or her oral health. In the study, the parents’ attitude turned out to be a decisive factor. There are parents who are conscious and responsible, but there also parents who are trivialising and fatalistic, appearance-driven and open-minded, knowledgeable but defensive, or con- scious and concerned. The health care providers are trained over several days to be familiar with these differences and to consider them in their approach towards the patient’s parents. After informed consent has been obtained, parents are asked to fill in a questionnaire to provide information on socio-economic circum- stances, oral hygiene habits, oral health What role does the IFDH play in the pro- motion of oral health in Europe? The IFDH is an international non-govern- mental organisation registered in the US. It unites dental hygienist associations from around the world (32 countries) in their common goal of promoting oral health and preventing oral disease. The federa- tion represents approximately 85,000 dental hygienists. All European countries where dental hygienist associations ex- ist are members of the IFDH and of the European Dental Hygienists Federation (EDHF). The IFDH and EDHF work togeth- er towards their common goal of improv- ing oral health worldwide with partners like the Alliance for a Cavity-Free Future, the Global Child Dental Fund and the Platform for Better Oral Health in Europe. References: 1. European Platform for Better Oral Health, The State of Oral Health in Europe (2012), accessed 20 Jul. 2017, . 2. Zorginstituut Nederland, Signalement Mondzorg 2016: Mondgezondheid en Preventief Tandheelkundig Gedrag van Jeugdigen (2016), accessed 20 Jul. 2017, . 3. Vermaire, J.H., Optimizing Oral Health: Towards a Tailored, Effective and Cost-Effective Dental Care, thesis, University of Amsterdam, Stompetoren, 2013. 4. Ekstrand, K.R. & Christiansen, M.E.C., Outcomes of a non-operative caries treatment programme for children and adolescents, Caries Research, 39/6 (2005), 455–67. 5. Vermaire, J.H., Poorterman, J.H.G., Van Herwijenen, L., Van Loveren, C., A three- year randomized controlled trial in 6-year-old children on caries-preventive strategies in a general dental practice in the Netherlands, Caries Research, 48/6 (2014), 524–33. september 2017 55

Pages Overview