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Oral Health Program Part 1 1
Oral Health Program Part 1 1
Sara Whitten/Scarborough
Oral Health Program Part 1
A. General Data
1. Description of site
Mauriceville Middle School is located on 22 acres of land (some is currently
undeveloped) at 19952 FM 1130 in Orange, Texas. It is comprised of three separate
buildings. The main building is made up of classrooms with the main offices and the gym
were both built in 1954. A newer building was built to add classrooms in 2000. Until
1971, it was grades K through 12 then in 71 it was consolidated with Little Cypress, to
make the Little Cypress-Mauriceville school district. The school then became just
Mauriceville Middle School with grades 6th-8th. Mauriceville Middle School serves as an
educational structure, funded by the state government. (1)
Little Cypress-Mauriceville CISD mission statement is to graduate young adults with the
knowledge and skills necessary for success in an ever-changing technological society by
guaranteeing each student an individualized and well-rounded education. (4)
2. Description of Target
This oral health program is focusing in on a 6th, 7th and 8th grade physical education class
made up of both girls and boys. The class is made up of honor students and some special
education students. This Oral Health Program will have sessions with class of 20-25
students who are not interested in athletic sports but still need the physical education
credit.
3. Description is Staff Population
The staff member that is working with this program is the instructor of the PE class. The
instructor is a teacher and the PE coach, he keeps the students in shape and instructs them
in physical activity and exercise. The class instructor has a college degree and a teaching
certificate to teach in the state of Texas. (3)
4. Description of Services Provided
The coordinator of activities at Mauriceville Middle School is the Assistant Principal. She
coordinates activities for the entire school, 6th 8th grade students. They have no current
events coming up. Their future plans include keeping their regular class schedule which
includes 7 class periods, each 50 minutes long and a 30-minute lunch period. Each
student is required at least one year of physical education during their time in middle
school. (1)
4. In 2007, 44.5% of people 2 years and older had a dental visit an increase from the
previous year. 30.2% of children and adolescents aged 2 to 18 years at or below 200
percent of the Federal poverty level received a preventive dental service, also an
increase. According to the 2003 National Survey of Childrens Health, only 14% of
Texas children have been to the Dentist. (6)
Goal:
To educate and inform the students at Mauriceville Middle School of the importance of
proper oral hygiene and the proper techniques.
Objectives:
1. Assist the students in the developmental techniques of daily plaque control.
2. Decrease the plaque score of the students at Mauriceville Middle School by 15%.
3. Increase the Dental Health knowledge of the students at Mauriceville Middle School
by 15%.
Rationale for Program:
The goal of this oral health program is to educate and inform the students at
Mauriceville Middle School of the importance of proper oral hygiene and the proper
techniques. There are many health programs that have been done before that are similar
to the this one. One oral health program that was started in Texas in 2001 used the school
nurses to educate and inform the students about oral health. In this specific oral health
program, the school wanted to encourage good oral hygiene and also to educate on the
prevention of problems that can arise in the oral cavity. This program taught the parents
and students about how to prevent tooth decay by using the correct oral hygiene methods.
This specific program also taught about fluoridated water, did nutritional counseling, and
talked about the significance of wearing mouth guards while playing contact sports. (10)
Another oral health program that is in the state of Texas comes from the
Department of State Health Services (DSHS). This program inspires those that live in the
state of Texas to increase their mental knowledge of proper oral hygiene and health and to
also try to sustain it. The oral health program that is put on by the Department of State
Health Services partners with numerous agencies and people across the state to help
recognize the oral necessities that the state needs. The Department of State Health
Services also provides the resources that it takes to meet the needs of the people of Texas.
Currently there are oral health programs that are put on by the Department of State
Health Services in six Texas cities which are- Lubbock, Houston, Austin, Midland, San
Antonio and also Tyler.
There are also oral health programs that the dental public health professionals
provide many preventive services to Texas residents who are, eligible low income,
underserved, pre-school, and school-aged children. Appropriate discussion and
counseling are an important part of each session that the dental professional does. Topics
included are oral hygiene, dietary habits, injury prevention, nutritional habits, substance
abuse, oral piercings, and speech development. Oral hygiene counseling done by the
dental public health professional involves both the parent and patient. Initially with
young children, oral hygiene is the responsibility of the parent. As the child develops,
home care is performed jointly by parent and child. When the child can demonstrate the
understanding and ability to perform personal hygiene techniques, the health care
professional should take responsibility to counsel the child. Effectiveness of home care
should be monitored at every session and include discussion of the daily oral health care
routine. In 2012-13 academic year, an oral healthcare program in Boston, Massachusetts
provided oral health education to school children. (11, 12) The Mauriceville Middle
School Oral Health Program is different from the others mentioned above because it does
not involve the parents nor the school nurse. It relies solely on the dental hygiene students
instructing and the two staff members that work at the school.
Program Design:
A. Activities:
Session 1: Take a baseline plaque score of each student. Educate students over the proper
brushing technique. Demonstrate and have the students practice their brushing
techniques. Have the students take a pre-test.
Session 2: Take an updated plaque score, and review the proper brushing technique.
Educate the students over proper flossing method, demonstrate and have the students
practice flossing.
Session 3: Take an updated plaque score of each student. Educate students over gingivitis.
Also review the students brushing and flossing.
Session 4: Take a final plaque score of the students. Educate over Periodontitis. Have the
students take a post-test. Review previous session topics, compare baseline and final
plaque score.
B. Constraints and Alternative Strategies:
1. Holding the attention of the students could be a possible constraint. To avoid this, we
could encourage them with rewards for participation or correct answers.
2. Attendance may vary according to what day it is. To help with this we would work
with the instructor so the students are aware that a presentation is occurring.
C. Resources:
Session 1: Disclosing solution tablets, toothbrushes, toothpaste, floss, floss threaders,
patient napkins, bib clip, disposable mirrors, power point presentation, computer,
projector, pre-test, post-test, pens, paper, gloves, facial mask, caviwipes, plaque score
sheets and zip-lock bags.
2. A weekly inspection of the plaque in the students oral cavity will be conducted and
recorded and compared to assess the degree of effectiveness of individual plaque control.
3. A weekly discussion of the information which was previously presented will be
conducted to promote optimal understanding and retention of information.
B. Summative Evaluation:
1. The plaque score of 25 Mauriceville Middle School students is being evaluated during
a four-week oral health program. The program will be implemented through four, 50
minute sessions.
2. The students will be educated each session on proper techniques to decrease their
plaque scores. The plaque score will be measured by evaluations each session.
3. A pre-test and post-test will be administered to the students to assess and compare their
level of knowledge about dental health care.
4. The success of the overall program will be evaluated by a questionnaire given to the
director upon the conclusion of the program.
References:
1. K. Cox, personal communication, February 9, 2016
2. N. Burton, personal communication, February 9, 2016
3. J. Martin, personal communication, February 9, 2016
4. (2016). Mauriceville Middle School. Retrieved from: http://mms.lcmcisd.org
5. Texas Fluoridation Program, Department of State Health Services. Waters Fluoride.
Retrieved from: https://nccd.cdc.gov/DOH_MWF/Default/WaterSystemDetails.aspx
6. Oral Health of Children and Adolescents. (2016, March 17) Retrieved from:
https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives
7. Dye, B. A. (2012, August 21) Oral Health Disparities as Determined by Selected
Healthy People 2020 Oral Health Objectives for the United States, 20092010. Retrieved
from: http://www.cdc.gov/nchs/products/databriefs.dbl04.htm
8. Califano, J. V. (2004). Periodontal Diseases of Children and Adolescents. American
Academy of Periodontology. 37. Retrieved from:
http://www.aapd.org/media/policies_guidelines/e_periodontaldisease.pdf
9. McMurray, C. (2004, September 14). Teens and Teeth: Most Brush, Few Floss.
Retrieved from: http://www.gallup.com/poll/13009/Teens-Teeth-Most-Brush-FewFloss.aspx?g_source=brushing%20teeth&g_medium=search&g_campaign=tiles
10. (2015, December 9). Oral Health Program. Retrieved from:
http://www.dshs.state.tx.us/dental/
11. (2015, May 7). The Texas Guide to School Health Programs. Retrieved from:
https://www.dshs.state.tx.us/schoolhealth/pgtoc.shtm
12. Goldman, H. M. School-Based Oral Health Programs. Retrieved from:
http://www.bu.edu/dental/community/health-programs/school-based/
13. (2015. April 16). Gum problems - Gingivitis by Oral-B. Video retrieved from:
https://www.youtube.com/watch?v=PWTvsfVVGHA
14. (2009, August 11). Periodontal Disease and Treatment. Video retrieved from:
https://www.youtube.com/watch?v=kXI4AFEeHA8
Appendix:
Pre test and Post test sheets are attached.
Pre- Test:
Created by Sara Whitten and Manessah Cox
1. Should you brush your teeth twice each day? True or False
2. Do you brush your teeth 2 times a day? Yes or No
3. Do you floss? Yes or No
4. Do you know what plaque is? Yes or No
5. Do you know what Gingivitis is? Yes or No
6. Do you know what Periodontal Disease is? Yes or No
Post Test:
Created by Sara Whitten and Manessah Cox
1.
Should you brush your teeth twice each day? True or False
2.
3.
4.
5.
6.
Activities:
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A. Initiatory Activities:
1) First we will introduce ourselves as Sara Whitten and Manessah Cox from the
Lamar Institute of Technology Dental Hygiene Program.
2) Next we will introduce the topics of brushing and plaque.
3) We will then ask the students at the middle school the question, Does anyone
know what plaque is?
4) Next, we will ask the students, Does anyone know how many times you are
supposed to brush your teeth each day?
5) We will give the students a quick pretest to take, so we can assess their oral
hygiene knowledge.
B. Developmental Activities:
1)
First, we will hand out the pre-test and have them take it. Next we will explain
to the students that in todays session we will be talking about proper brushing
techniques. Why it is important to brush and also how frequently they should
be brushing. We will also teach the students about plaque. What plaque is, how
it develops and what it does to your mouth. We will also take a plaque score on
each student.
2)
We will provide a PowerPoint that has pictures to help demonstrates the proper
brushing technique. Also in the PowerPoint, the students will be able to
observe pictures of plaque, and how it develops into calculus. We will then
observe the students demonstrating the proper brushing technique and take a
plaque score.
C. Culminating Activities:
1) We will review what plaque is. We will also review how frequently one should be brushing.
Lastly, we will ask the students questions about the lesson they learned today. The questions will
let them to express their feelings and knowledge that they gained from the lesson. Answers and
comments will be deliberated about what they think and feel. We will also thank everyone for
participating in their learning process.
Materials and Resources:
A. Visual Aid & Demonstration Materials
1) PowerPoint.
2) Typodont
3) Toothbrush
Evaluation:
The pretest will be given to evaluate the knowledge of the students at Mauriceville Middle
School prior to the lesson. A plaque score will be taken to evaluate if the student is increasing in
their oral hygiene needs.
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Flossing
A. Why you should floss
1) Dental floss removes the plaque growing between your teeth and under
your gums
B. How to floss
1) Wrap about 2 feet of floss between the middle fingers of each hand or
make a loop by tying the ends together
2) Use the thumb and index fingers to guide the floss
3) Work the floss gently between your teeth
4) Bend the floss around the tooth in a U-Shape
5) Pull the floss against the tooth
6) Move the floss gently under the gum until you feel pressure
7) Hold the floss firmly against the tooth and scrape the plaque from the side
of your tooth in one pull.
C. How many times should you floss each day?
1) At least once a day
2) It would be fantastic if you flossed after each meal
D. Why should you floss your teeth?
1) It helps remove bacteria and helps to eliminate build up.
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Gingivitis
A. What is gingivitis?
1) Inflammation of the gums.
B. What causes gingivitis:
1) The bacteria in the mouth
2) If one does not brush and floss to get the bacteria off the teeth, plaque
forms
3) The longer the plaque stays there, it forms tartar (calculus) and becomes
more harmful to ones overall health
4) The bacteria causes inflammation of the gums which is called gingivitis
5) With gingivitis comes: Swollen, red and bleeding gums
C. How can gingivitis be prevented?
1) Since gingivitis is an mild form of gun disease, it can usually be reversed
with:
Brushing
Flossing
Regular cleanings at the dentist
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Activities:
A Initiatory Activities:
1 First we will tell the students and instructors hello.
2 Next, we will ask the students how many times they have been brushing
3 Then we will ask the students how many times they have been flossing.
4 We will ask the students if anyone is having trouble with the brushing and
flossing instructions they were given.
5 We will then ask the students if anyone knows what gingivitis is.
B Developmental Activities:
1
We will show them a video presentation that describes and goes over what
gingivitis is
2
We will then ask the children if they have any questions
3
We will also ask them to define what gingivitis is and how one get is
4
We will have the students review a demonstration on the typodonts of their
brushing and flossing techniques just to make sure they are properly doing it
5
We will take the childrens plaque score at the end of the session
C Culminating Activities:
1) We will review what plaque is. We will also review how frequently one should be
brushing and flossing. Lastly, we will ask the students questions about the lesson
they learned today. The questions will let them to express their feelings and
knowledge that they gained from the lesson. Answers and comments will be
deliberated about what they think and feel. We will also thank everyone for
participating in their learning process.
Materials and Resources:
A. Visual Aid & Demonstration Materials
1) Video ( https://www.youtube.com/watch?v=PWTvsfVVGHA )
Gum problems (13)
2) Typodonts
3) Toothbrush and Floss
Evaluation:
A plaque score will be taken to evaluate if the student is increasing in their oral hygiene
needs.
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Periodontitis
A. What is periodontitis?
1) A severe gum infection that damages the soft tissue and bone that supports the
tooth.
2) If periodontitis goes untreated, it will eventually result in tooth loss
B. What causes periodontitis?
1) Plaque
2) Not flossing
3) Not brushing
4) Not going to get cleanings regularly
C. How to prevent periodontitis?
1) Brush
2) Floss
3) Regular cleanings
D. The Process of Periodontitis:
1) First, the patient may develop gingivitis - inflammation of the gum around the
base of the teeth.
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2) Persistent gingivitis can result in pockets developing between the teeth and
gums. These pockets fill up with bacteria. (which results in periodontitis)
3) With the bacteria in the body and our bodies response is to start destroying the
bone and connective tissue that hold teeth in place. Eventually the teeth start
becoming loose, and can even fall out.
Activities:
D Initiatory Activities:
6 First we will tell the students and instructors hello.
7 Next, we will ask the students how many times they have been brushing
8 Then we will ask the students how many times they have been flossing.
9 We will ask the students if anyone is having trouble with the brushing and
flossing instructions they were given.
10 We will ask them to define what gingivitis is
11 We will then ask the students if anyone knows what periodontitis is.
E Developmental Activities:
6
We will show them a video presentation that describes and goes over what
periodontitis is
7
We will then ask the children if they have any questions
8
We will also ask them to define what periodontitis is and how one get is
9
We will have the students review a demonstration on the typodonts of their
brushing and flossing techniques just to make sure they are properly doing it
10
We will take the childrens plaque score at the end of the session
11
We will also have the children do the post test
F Culminating Activities:
1) We will review what plaque is. We will also review how frequently one should be
brushing and flossing. Lastly, we will ask the students questions about the lesson
they learned today. The questions will let them to express their feelings and
knowledge that they gained from the lesson. Answers and comments will be
deliberated about what they think and feel. We will also thank everyone for
participating in their learning process.
Materials and Resources:
A. Visual Aid & Demonstration Materials
1) Video (https://www.youtube.com/watch?v=kXI4AFEeHA80 )
Periodontal Disease and Treatment (14)
2) Typodonts
3) Toothbrush and Floss
Evaluation:
A plaque score will be taken to evaluate if the student is increasing in their oral hygiene
needs.
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