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107987
Trends in Dental Caries
Descripción
bacalaureat Dental Public Health Mapa Mental sobre Trends in Dental Caries, creado por Caroline Oxford el 25/05/2013.
Sin etiquetas
dental public health
dental public health
bacalaureat
Mapa Mental por
Caroline Oxford
, actualizado hace más de 1 año
Más
Menos
Creado por
Caroline Oxford
hace más de 11 años
73
1
0
Resumen del Recurso
Trends in Dental Caries
Up to 1850's Okay
Increased rapadly and peaked 60's
Reduced in both WW1+2
Now declined
Increase in 1983 in Undeveloped countries
Worse than in developed countries
70's- early 80's 30-50% decline
Except Poland, Russia, Italy+Germany.
Shift in frequancy distribution/area on tooth
76% of disease in 25% of population
Roor caries on increase
Population living longer, keeping teeth for longer
WHY?
Fluoride
Marthaler (1984) stated main reason for decline
Russia and Germany were not using flouride, High caries rate showed
Dietary modifications
High DMFT, high sugar diet
Adding sugar to bottles decreased
Sweetend dummies decreased
Changes in formula/baby foods
Changes in diagnostic criteria
No sharp probing of dental caries
reduction in premature caries lesion treatment
Practice of preventative fillings decreased
Social economic factors
Higher social group, lower rate
Overal improvement of living
Single parent/unemployed
3 year old increase from 4-10% in single parent/unemployed
Cyclical Variations
Many diseases often have a prevalence which varies with time, following cyclical, rhythmical patterns
But no evidence to support this
Dental services
Increased dental manpower has contributed MINIMALLY to the decline
Widespread use of antibiotics
Loesche (1982) Found relationship in more use of antibiotics and decline in caries.
Germany and Swizerland, similar antibiotic use. Germany did not decline
Oral Hygiene
No evidence that toothbrushing reduces caries.
Increase in OH in last 2 decades, no significant decline in caries
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