DTCM 551

Dental Clinical Practice: Community Dentistry

2556-2557

Self Reflection

/

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2
DTCM 551

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Self Refection ....

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DTCM 551: ;

2551 2552, 2553,
2554 2555 5

2555
2555-2556
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DTCM 551

2556

Humanized Health Care


DTCM 551 Dental Clinical Practice: Community Dentistry

1. 5

2.
3. technology

4.

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6.

7.
8.
10.
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12.

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DTCM 551

Self reflection 3

Self reflection

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3.1
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1.1 Mask ()
1.2
1.3
1.4
1.5
1.6 PRR (Preventive resin restoration)
1.7 ( Ultrasonic scaler Hand instruments)
1.8
1.9
1.10 glass ionomer
2.
2.1 ( )
2.2
2.3 Erythrosin 6% cotton buds
2.4
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CAI
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11

12

 2
DTCM 551
DTCM 551

1. (program

cycle)
a.
b.
c.
d.
2. PRECEED-PROCEED Model


3. 2
a. (Oral Health Promotion) : Ottawa
Charter
2 ( 2 action means)
b. (Oral Health Prevention) :

: 40:60

13


PRECEDE PROCEED MODEL

Predisposing Factor

Enabling Factor

Reinforcing Factor

Program cycle

Oral Health Prevention

Oral Health Promotion

Primodial Prevention

Ottawa Charter
Advocate
Mediate
Enable

Build healthy public policy

Create supportive
environment
Strengthen community actions
Develop personal skills
Reorient health services
Moveing into future

Primary Prevention
Secondary Prevention
Prevention
Tertiary Prevention

14

1.
2.
3.

4.
5. 1 - 4
DTCM 551

1.
2.
4.
5.
6.

15

1)
1.1
deft, DMFT, SiC OHI - S

deft DMFT

M
F

e
f

OHI S Greene and Vermilion, 1964

debris calculus (Simplified) DI S CI S

1. DI-S (Simplified Debris Index) 1
Debris

16, 26 Buccal
11, 31 Labial
36, 46 Lingual

0 =
1 = 1/3
2 = 1/3 2/3

16

3 = 2/3

2. CI S (Simplified Calulus Index)

DI S
0 =
1 = 1/3
2 = 2/3
3 = 2/3

1.2

(predisposing factors) (Enabling factors) (Reinforcing factors)

1 6 mouth mirror, explorer

40




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17

2.
2.1

1.

=

100

2.
deft, DMFT

deft
= d, e, f
DMFT
= D, M, F

=

(WHO)2
5
6 7
12
28
DMFT
DMFT

0 - 1.1

1.2 - 2.6

2.7 - 4.4

4.5 - 6.5

6.6

Significant Caries Index (Si-C)

Si-C
DMFT DMFT 1 3

(
DTCM 441 )

18

3.
5 ( Buccal Lingual Mesial Distal
Occusal) 4 Occusal
2

.1 .2 2
2 Sealant PRR Scaling
2
Fluoride gel cases case
Fluoride vanish cases 2554 2555
.1 .2 2 Fluoride vanish
2 cases

DI S CI S

DI S

DI S

DI S
DI S

0.0 0.6
Good
0.7 1.8
Fair
1.9 3.0
Poor
CI S
=
CI S

OHI S OHI - S
OHI S
OHI S
0 6

= CI S DI S
=

OHI S

OHI S
OHI S

0.0 1.2
Good

19

1.3 3.0
3.1 - 6.0

Fair
Poor

( )
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Enamel






1 .

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.5

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d ( / )
deft ( / )

( / )
DS ( / )
DMFS ( / )
D ( / )
DMFT ( / )

Significant Caries Index (Si-C)
3.
OHI S

4.
1 ()
1 ()
1 ()
1 ()
1 ()

20

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PRR ()
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21

2.2
PRECEED-PROCEED Model
1) (Predisposing Factors)
(Knowledge) (Skills), (Attitude),
(Self-efficacy), (Beliefs), (Perception), (Value),
(Life experiences)
2) (Enabling factors)

()

(Availability of resources) (Accessibility of resources) (Cost)

3) (Reinforcing factors)

22

3. -
3.1
(Oral
Health Promotion) (Oral Health Prevention)
3.1.1
Incremental care


1



1 2


1






2553 2555


3.1.2

(The Ottawa Chater For Health Promotion 1986)
-


PRECEED-PORCEED Model

23

2 (action means)
Ottawa Charter
Build healthy public policy :
Create supportive environment :
Strengthen community actions :
Develop personal skills :
Reorient health services : -
* Ottawa Chater
http://www.who.int/healthpromotion/conferences/previous/ottawa/en/

3.2

4 Es (Economy) (Effective)
(Efficiency) (Equity) (Feasibility)

(Needs)
(Equality)


Incremental care

PRR

24

. 1 .2


cases
1 White lesions




PRR

DI-S 1.9
( )
(CI S 0)

2 3 5
1
2

- :
, / /

-


1. .1 .2
2. . 3 , PRR, PPF
3. . 1 Sealant, PRR, PPF Fluoride Vanish
4. . 2 Sealant, PRR, PPF Fluoride Vanish
5. . 6 Sealant, PRR, PPF Fluoride Vanish
6. . 5 Sealant, PRR, PPF Fluoride Vanish
7. . 4 Sealant, PRR, PPF Fluoride Vanish

25





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PRR (Preventive
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1.
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1.
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2

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(Sealant retention)

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(2) (.)

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(3)

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DTCM 551 28 2556

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4.2
4.3 ( DTCM 551)
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6.2
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9.

30

31

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Greene JC, Vermillion JR. The simplified oral hygiene index. J Amer Dent Assoc;1964
World Health Organization. Oral Health Survey Basic Methods. 4th Edition. Geneva;
1997.
Mayshark and Shaw. Administration of School Health Program: Its Theory and Practice.
C.V. Mosby Company: St. Louis; 1967.
Nemir, A.W.B. The School Health Program. Saunders Company: Philadelphia; 1965.

Available at http://www.anamai.moph.go.th/fluoride/com/find.html
4 .. 2537
2538.
5 ..2543-2544
. 2545.
.
2541.
Dunning, J.M. Principle of Dental Public Health, 3rd edition. Harvard University Press:
Cambridge; 1979.
Jung, A.W. Community Dental Health, 2nd edition. C.V. Mosby Company: St. Louis; 1988.
Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride varnishes for preventing
dental caries in children and adolescents. Cochrane Database Syst Rev. 2002(3):CD002279.
Ripa LW. The current status of pit and fissure sealants: A review. J Canad Dent Assn
1985;51:367-80.
Seppa L. Fluoride Varnishes in Caries Prevention. Medical Principles and
Practice. 2004;13:307-311.
Weintraub J, Ramos-Gomez F, Jue B, et al. Fluoride Varnish Efficacy in
Preventing Early Childhood Caries. Journal of Dental Research. 2006;85(2):172-176.

32

33

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44


Self Refection ..........
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sealant retention,
OHI - S

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15 OHI - S
52
1. .. ...............................
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13. .. .............................
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48

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