80% more decay in their baby teeth 30% more decay in their adult teeth compare to population (1)
Approximately 40% of India lives below the poverty line (2)
About 46% of Indian children suffer from malnutrition (3) Less likely to get medical attention
Approximately 35% of immigrants possess the necessary literacy levels to function adequately in a modernised, knowledge based economy (6)
Firstly, it makes it more difficult to convey important information about taking care of their teeth Discourages parents to seek help “on occasions, parents did not seek medical help due to language difficulties” (7)
A study found that there is a growing minority of Indian children with type II diabetes (8) Decreased alveolar bone (9)
Everyone deserves a chance Money doesn’t have to be spent on preventable oral diseases
Increased enamel porosity Self-esteem and confidence Evidence that children with fluorosis have higher rates of bone fracture compared to children with no signs of fluorosis
widely accepted for decades as between 0.05 and 0.07 mg fluoride per kilogram of body weight Problems Hard for parents to quantify this amount Sources of Fluoride Fluorinated drinking water, Toothpaste Toothpaste brands don’t all follow these units How to convert?
Variety of foods: Fruits Vegetables and Legumes Lean Meat, fish, poultry, eggs, nuts Breads, cereals, rice, pasta and noodles Milk, yoghurt and cheese Nutrition and Healthy Eating – Australian Guid to Healthy Eating 2008. Accessible at [http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-food-guide-guide2.htm]
Better Health Channel, Food Variety and a Healthy Diet, 2010. Accessible at: [http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/food_variety_and_a_healthy_diet] 4-5 3-6 1-2 3
1.Form of Food and Delivery 2. Frequency of Consumption 3. Nutrient composition and Saliva Stimulation 4. Fluoridation of Water and Substituting Bottled Water and Sugary Drinks
Touger-Decker R and van Loveren, S. Sugars and dental caries, Am J Clin Nutr 2003;78(suppl):881S–92S. 2003 Sticky Foods Long-Lasting Foods Liquids
Sugars exposure Higher frequency and High Amounts is Bad Plaque Number of Meals every Day Touger-Decker R and van Loveren, S. Sugars and dental caries, Am J Clin Nutr 2003;78(suppl):881S–92S. 2003
Fermentable Carbohydrates Consuming dairy with snacks or meals Dairy stimulates saliva production Milk, flavoured milk. Cheese effect on bacteria. Components that affect tooth decay 1. Edward L. Herod MS, The effect of cheese on dental caries: A review of the literature. Volume 36, Issue 2, pages 120–125, April 1991Volume 36, Issue 2, 2. Better Health Channel, Milk: Facts and Fallacies. Accessible at: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Milk_the_facts_and_fallacies
Flouride is proven to prevent Tooth Decay. A 1992 Blue Mountains study Evans, R W. Hsiau, A C Y. Dennison, P J. Patterson, A. et al. Water fluoridation in the Blue Mountains reduces risk of tooth decay. Aust Dent J. 54(4):368-73, 2009 Dec. What Happens after Fluoridation ends? Maupome, G. Clark, D C. Levy, S M. Berkowitz, J. Patterns of dental caries following the cessation of water fluoridation. Community Dent Oral Epidemiol. 29(1):37-47, 2001 Feb. Why encourage change/substitution?
Touger-Decker R and van Loveren, S. Sugars and dental caries, Am J Clin Nutr 2003;78(suppl):881S–92S. 2003
What is Paan and Gutka? TobaccoAreca Nut Spice s
Areca NutSubmucous Fibrosis Abrasion Oral Cancer TobaccoCarcinogen s (1)
What is dental trauma? A physical injury to the tooth
Higher rate of dental trauma among Immigrant Children Can save their tooth !
It depends... Permanent tooth e.g. Upper incisors of an 10-year-old. Wash with milk – Do NOT scrub Milk has a similar osmolality to the environment of the periodontal ligament
It depends... Baby tooth e.g. A 7 year old’s upper incisors Best to leave it out
-Age of losing baby teeth - Between 6~7 -Losing baby teeth - Painless - gum discomfort -Proper care - Diet - OHI
-Statistics -70,000 new cases/year in US -15,500 death/year in US - Prevention - no smoke - wear lip balms - wear lipsticks - Products - colour vs. transparent
are important to keep your teeth and gums healthy. It is a team effort – let’s work together!