3. INTRODUCTION
School Health – Branch of Community Health
The Concept Birth – 19th Century by William Fisher,
(A Dentist)
Formation of School Dentists Society – 23rd July 1898
(London)
4. IN INDIA
•1909 – Beginning in Baroda City
•The Bhore committee (1946) reported non existence of school
health services
•1953 – Secondary education committee emphasized the need for
school nutrition programme
•1960 – Government of India constituted a School Health
Committee
•January 1982 – Task force submitted its report (Only 14 states
had done some progress)
5. Advantages of School
Based Programme
•Availability of children
•Less threatening
•Central education on dental subject
•Helping to provide total health care
6. Importance of School Dental Health
Programme
• Availability of children
• Less threatening
• economical & powerful means dental subject
•AnCentral education on of raising community health
•It is the most logical and practical place to implement large
• Helping to provide total health care
scale school dental health programme
•5-16 years of age group comprises about 30% of total
population
Advantages of School Based Programme
•Health patterns can be more modified and altered at this age
•Environment is more conducive to learn and therefore dental
health education and motivation shall be more effective
7. Objectives of School Health
Programme
•To evaluate the dental health status of students and
school staff.
•To counsel students, parents & teachers regarding
dental health status finding.
•To educate & motivate children for the correction of
correctable defects.
•To identify, educate and motivate the handicapped
children.
•To prevent & control diseases.
•To provide emergency services.
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8. Aims of School Dental Health Programme
•Information about the relationship between dental
health & general health, appearance & aesthetics
•Encouraging strict observation of dental and oral care
procedure and avail professional care and services
regularly
•Emphasis on the importance of balanced diet &
harmful effect of bad oral habits
•Complete provision of information regarding
preventive and curative measures.
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9. •Correlation of dental health activities with the overall
school health programme
•Resources development to make preventive programme
& dental health care available to all infants, children &
youth
•Stimulation & motivation of dental surgeons to provide
maximum dental health care for the infants & children
•Following “Tell show & Do” approach to teach “Home
dental care” to children
•Preparation of “orodental health” & “learn about your
teeth programme”
10. Three Phases in SDHP
•Dental health instruction or guidance
•Dental health services
Dental health treatment including preventive
procedures
11. Dental Health Instruction
Three Phases in SDHP
A procedure to help children & parents
understand the nature & significance of
condition revealed by dental inspection
and to solve dental health problem
12. Dental Health Service Programme
Dental Health Instruction
• A procedure to help children & parents
•Periodic dental check up
understand the nature & significance of
•Keeping the various reports and periodical
condition revealed by dental inspection
statistical evaluation problem
and to solve dental health
•Reports to parents
•Periodic follow up
•Emergency care
•Oral prophylaxis
•Periodical evaluation
13. Primary parameters of school
•Health history
health inspection
•Physical examination
•Emotional appraisal
•Vision screening
•Screening for hearing disorders
•Speeches appraisal
•Dental health inspection
•Growth height & weight records
•Posture appraisal
•Special procedure (chest radiograph tuberculin test)
•Family history
•Genetic disorders
14. Important elements of school
dental health programme
Improving school community relation
Conducting dental inspections
Conducting health education
Important elements of school
Performing specific programme
Classroom based fluoride programme
dental health programme
School water fluoridation programme
Tooth brushing programmes
Nutrition as a part of school preventive dentistry
programme sealants placement
Science fair
Referral for dental care – An important part of SDHP for
places where it is not possible to provide all the required
treatment and care
Follow up of dental inspection
15. • Improving school community relation
• Conducting dental inspections
• Conducting health education
• Performing specific programme
Classroom based fluoride programme
School water fluoridation programme
Tooth brushing programmes
Nutrition as a part of school preventive
dentistry programme
sealants placement
Science fair
16. Referral for dental care – An
important part of SDHP for places
where it is not possible to provide all
the required treatment and care
18. CHIEF SCHOOL DENTAL
HEALTH PROGRAMME
FLUORIDATION
•What fluoride and fluoridation are
•How fluoride work to protect teeth from
decay
•Method of application
•Safety, effectiveness and cost of each
procedure
•Who needs them
•Recommended frequency of use and duration
19. SCHOOL WATER FLUORIDATION
FLUORIDATION
• Developed and tested in the US in the 1960’s.
• The recommended concentration for school water
fluoridation is 4-5 times the concentration
• community fluoride
recommended for W hat water. and
fluoridation are
• High concentration is due to part time exposure
• How fluoride wor k to
EFFECTIVENESS: protect teeth from
20- 30% caries reduction.
decay
DISADVANTAGE: Delayed and part time exposure.
PRACTICALITY: • Methoda community does not
Good, when of
application
have its central water supply
• Safety, ef fectiveness
and cost of each
21. FLUORIDE MOUTH RINSE
PROGRAMME
• Most popular school based fluoride regimen in the United Sates
• .2% NaF is used
• safe and effective
• inexpensive
• easy to learn and do
• non dental personnel can supervise
• well accepted by participants
• little time required – 3 min daily
• provide systemic and topical benefits
• no waste materials
• suitable for preschool children
EFFECTIVENESS – 25% to 28% reduction in dental caries
PRACTICALLY – Fair because it is performed once a week
22. FLUORIDE VARNISHES
PROGRAMME
•Developed in Europe
•It increase the fluoride concentration in saliva
•Safe and professionally applied
•Increase concentration of fluoride at the tooth
structure
EFFECTIVENESS – 7-75% reduction in
dental caries
PRACTICALITY – as practical as any
operator applied fluoride treatments.
24. DENTAL SEALANTS
PROGRAMME
• Pit and sealant is needed to pr ovide near l y
total caries pr evention
• It must be perfor med by a dentist a dental
hygienist or a dental assistance
• Finland, w her e 85% of childr en have pit and
fissur e sealants on the per manent molar s
All school childr en should be taught about –
• W hat dental sealant ar e?
• How they wor k to pr otect teeth fr om decay
• W ho needs them and w hen?
• Monitoring and r eapplication?
EFFECTIVENESS – 51% to 67% r eduction in
caries
30. FLUORIDE VARNISHES
Developed in Europe
Other programme
It increase the fluoride concentration in saliva
in school dental
Safe and professionally applied
Increase concentration of fluoride at the tooth structure
health
EFFECTIVENESS – 7-75% reduction in dental caries
PRACTICALITY – as practical as any operator applied
fluoride treatments.
31. • Texas statewide preventive dentistry
programme – TATTLETOOTH 11-
A new generation programme
Developed – 1970’s by Texas education
agency and the Texas department of
health
2. Tattle Tooth 11 – A new generation
“Superbrush” preschool curriculum
32. 3. North Carolina State wide
Dental public health
programme
4. North Carolina’s Education
Promotion imitative
highlighting sealants
33. 5. Crest’s first grade oral health education
programme developed by Procter & Gamble in
1963. AIM – Children how to fight cavities
6. ASKOV Dental demonstration (1949-57)
checkups and demonstration to prevent dental
caries
7. New Zealand programme (Educational)
for preschoolers
8. School Health additional Referrals Programme
(SHARP) motivation through home visit in
Philadelphia
34. In India : Bright Smile Bright
Future Program, developed by the
Colgate oral pharmaceuticals – Free
dental screening treatment referrals
and oral health education.
A commitment to
promote oral health
Scholarship & grants
Research and Training
New initiatives
35. CONCLUSION
Dental care to school children as
•The community has a social responsibility
for it children
•If children maintaned in good dental health
, it will be easy to maintain their dental
health in adult life
36. CONCLUSION
REFERENCES
•SOBEN PETER (2004) -Essentials of
Dental care to school children as
prevention and community dentistry 2nd ed
The community has a social
•GEORGE M. GLUCK & WARREN
responsibility for it children
M. MORGANSTEIN(2004) –
If children maintaned in good dental
Community dental health 5th ed
http;//www.findarticles.com to maintain
health , it will be easy
their dental health in adult life
http;//www.colgatebsbf.com
