Preventive Dentistry

W i s a m O m er Gab a n i
BD S - M P H - M D

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By the end of the lecture the students will be able to

understand:
1. Meaning and definitions of prevention
2. The concept of prevention
3. Importance
4. Criteria of successful prevention
5. Principles
6. Our role of prevention
7. Challenges facing prevention

dr.wisam Monday, July 05, 2021

 The Concept of Prevention
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The goals of medicine are to promote health, to

preserve health, to restore health when it is
impaired, and to minimize suffering and distress.

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Prevention can be defined as ‘the action of keeping

from happening, or of rendering impossible, an
anticipated event or act.

Prevention in health care means action to stop ill

health before it begins.

Disease prevention, aiming to minimize the burden

of diseases and associated risk factors.

dr.wisam Monday, July 05, 2021

 Definition of Preventive Dentistry
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It is a philosophy of oral health care that embraces

all phases of dentistry. It includes not only the
prevention of dental caries and periodontal diseases
through the use of proper diet, home care, and
regular dental examinations, but it also includes
proper restoration and replacement of teeth, root
canal treatment, orthodontic braces, and even the
surgical removal of teeth to prevent the spread of
infection. Also of great importance in preventive
dentistry is the discovery of other oral diseases, such
as cancer, through soft tissue examinations.
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 Importance
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Prevention is the most cost-effective means of

controlling oral diseases and improving oral health.

 Maintain healthier teeth and periodontium,

which means less likely to experience tooth loss as a
result of periodontal disease or tooth decay.

Oral health is linked to general health . So, having

healthy mouth through preventive dental care can
help to have healthier body overall.

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dr.wisam Monday, July 05, 2021

 Principles of Preventive Dentistry
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1) Control of disease

2) Patient education and motivation

3) Development of host resistance

4) Restoration of function

5) Maintenance of oral health

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1) Control of disease
Removal of plaque and calculus

Emergency treatment and relief from pain

Control of active caries should be

Extraction of infected and decayed teeth.

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2) Patient education and motivation

Raise patients awareness
Home care

3) Development of host resistance

Nutrition and balanced diet

Water fluoridation
Topical fluorides
Use of toothpastes and mouth washes

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4) Restoration of Function
Permanent restoration
Prosthodontic, orthodontic restorations etc

5) Maintenance of oral health

Periodic oral health check up
Follow up of instructions

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Level of prevention Primary Secondary Tertiary
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Concept of Prevention of disease Prevention of disease Prevention of

prevention initiation progression and loss of function
recurrence

Goal Decrease new cases Decrease severity and Decrease impact and
complications death

Target population Susceptible Asymptomatic Symptomatic

(general or at risk) (Exposed or early (Advanced disease or
disease) complications)

Modes of Health promotion Early diagnosis Disability limitation

intervention Specific protection Adequate treatment Rehabilitation

Evaluation Decrease incidence of Decrease incidence of Decrease prevalence,

(Outcomes) exposure disease and morbidity morbidity and
mortality
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dr.wisam Monday, July 05, 2021

Levels of Prevention Treatment and services
Primary prevention
15Oral evaluation
Dental prophylaxis
Fluoride as a preventive agent
Dental sealant
Nutrition
Health education
Health promotion

Secondary prevention
Dental restoration
Fluoride use on incipient caries
Endodontics

Tertiary prevention
Prosthodontics
Implants
Oral and maxillofacial surgery
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dr.wisam Monday, July 05, 2021