 Hello everyone, welcome back to a new session on dental treatment. So today we have a new topic, school dental health programs. So you know dental health programs are not very common in Indian scenario. Indian schools are not much focusing on the dental health of children. But whereas the programs are mainly concentrating on the nutrition programs like midday, male scheme, ICD scheme. So all such schemes are focusing on the nutrients and the wasting or standing problem to managing a wasting and standing problem. So the countries like USA and other European countries are started the school dental health programs of some 50, 40 years ago. So we are studying in this chapter about the programs which is which was happening or which is currently going in United States and some other countries. So let's see what are the programs they are conducting to promote and to protect cool children's dental health. So we'll see what is school health, why it is important because it is an aspect of community health program. So it is an economical and powerful means of raising community health in future generation. So it was William Fisher, a dentist of England who started this concept of treating children in schools. So in Indian scenario a little bit about its very primordial model was started in 1909 where the first medical examination of school children was carried out in Baroda city and even in board committee of 1946 reported that school health services were practically no existent in India and they existed where in another developed state. So still there is not much improvement happened in our country. So in this chapter or this video we are mainly studying about the United States school dental health programs. So it has a definition it is a very big definition we don't need to break our head for this definition. So let's see the aspect of school health services there will be counseling and emergency care and there will be health embrace and school health education and curative services. So all these are parts of school dental health programs or the aspect of school health services. So objectives like to help every school child to appreciate the importance of healthy mouth to help every school child appreciate relationship of dental health and general health and correlate dental health activities with the school health programs to encourage and observance of dental health practices including personal and professional care so that and oral habits stimulate dentist perform adequate health services for children. So these are the objectives of school dental health program and requirements it should be administratively sound should be available to all children. It provides the fact about dentistry and dental care. It creates favorable attitude provide the environment for development of psychomotor skills necessary for tooth brushing and closing and primary preventive dentistry programs like flu rate programs and screening programs. So all these should be there if a proper program we are planning the basic requirements. So what are the advantages of a school dental health program because these type of programs can bring comprehensive dental care including preventive measures to school children where they gathered anyway for non dental reasons in the largest possible number. So it is a most easy way to treat dental diseases at very early stage. It is just like a screening of a disease because once we treat the disease at very early stage it has a lot of benefits in the future generation because anyway these kids will be becoming the future generation and school clinics are less threatening than the private clinics and if children can be maintained in a state of good dental health it will be relatively easy to maintain their dental health in adult life. So at regular dental attendance pattern in early life will be continued even after the school age and utilizing dental theories can further reduce the cost. So what are the elements of a school oral health program? So first there should be a proper school community relationship then we should contact a dental inspection then we should educate the students then we should conduct programs then we should refer if needs further treatment and there should be a follow up. So these are the elements so we have seen objectives ideal requirements elements of school oral health program. So first we will see what is the community and school relationship there should be a task force or a task committee which includes the school authorities the teachers the parents administrators the dental profession and health officers so these committees should decide what exactly they are planning to do in the school. So that is a first one then we need to conduct dental inspections in the schools so where the dental extent of dental diseases can be found. So we need to know what exactly the disease pattern and the prevalence of dental diseases in school setting. Okay so that is conducting dental inspection so there are lots of benefits for dental inspection that is it serves the basis for school dental health instruction it builds positive attitude in child and the child and parents are motivated to seek adequate professional care and all are concerned with dental health basically an accumulated data for evaluation of school dental health programs. So next there is a lot of limitation also parents and children frequently accept the inspections to be comprehensive and depend entirely upon it rather than a complete dental examination they won't go to any dentists today will be completely trusting this program so that might be a limitation sometimes school inspection may tend to discourage rather than promote the development of habits visiting the dentist at an early age and if it is desirable for parents to be present during dental examination this procedure is not always feasible in school inspection so such limitations are there then we need to give proper dental health education regarding the brushing pattern and other things I we can use the dentist they can act as expert resource person then they can help the teachers to motivate or to educate their children or the students then we need to conduct programs so after the inspection and after the health education we need to conduct specific programs like blue brushing programs, flow rate programs, school water fluoration, nutrition and sealant placement and science fair brushing programs it's like we are teaching the students how to brush so we need to teach them what is the exact brushing method if it is very young group we can go for a phones technique and if it is a little bit higher higher schools so we can go for a modified baths technique so brushing programs, flow rate mark trends programs we keep 2 gram of packed sodium fluoride and it will be mixed in 100 ml of water we have seen this neutral sodium fluoride and we can give it to the students 5 ml of rinse by giving each cup to all children and solution keeping rinsing the solution for one minute so this is a good program at the early stage that is flow rate mouth rinse program then we can give flow rate tablet like 2.2 milligram sodium fluoride that will provide 1 milligram fluoride in the mouth for a minute and then swallow they need to chew and swish it then they need to swallow but it gives both topical and systemic effect then we can mix water fluorides in the school water so it will automatically provides school water provides caries protection it should be we have seen in flow rate chapter it should be around 4 to 5 times higher than the optimal concentration that is 1 ppm then we can give nutrition programs then sealant placement so we can provide pitain fisher sealants for first second sixth and seventh standard because these years are coinciding with eruption of molars and permanent molars and permanent remolars and we can keep science phase for improving the knowledge and we need to always keep a referral as some children's might need further complicated treatment such cases referral is missed but how do we monitor the students we referred whether they got the treatment done or not so in that case we can keep a blanket referral method it is like a program which is proved to be effective in many schools that blanket referral of all children to their family dentists in this program so what we are doing is all children are given referral card to take home and then subsequently to the dentist who signed the card upon completion of examination treatment or both the science cards are then returned to the schoolness or classroom teacher plays an important role because we are giving a referral card to the student students taking the card to the parent and then to the dentist so dentist signs the card by mentioning that this treatment which was referred for was done here and he gets the the student gets the card back to the school dental nurse or class teacher so the school dental nurse or class teacher will be getting the idea that this student has completed the treatment which was referred for so it is like a blanket protecting the children so about the dental diseases because students might they are at a younger age so they might not give very good attention for the treatment part so we are giving a card means they might displace it they might not give to parents so in this way in the blanket referral card will be a very effective way they take it to the parent and parent to the dentist and after signature that the treatment is done then he'll get back to the school dental nurse or class teacher so class teacher will have an idea how much students are completed this if anybody is not getting back the signed card so he can monitor and he can ask the student to do it so we'll be having an idea about how many of the students are completing this task and how many are not completing so that is a blanket referral then we need to keep a follow-up program so let's learn some of the school oral health programs so we have many programs but all the programs are not from our country all are from United States the first one is learning about your oral health then tattle tooth program as co-dental demonstration note Carolina statewide program sharp which is school health addition referral program which is an acronym sharp then theta teenage health education teaching assistant program then some world health organizations program so let's see what is learning about your oral health just started by American dental association in 1971 in the schools it is a comprehensive program to develop the information to teach the students about oral health so it was implemented at various level pre-school level 1 2 3 4 and the core material was each of the file well teaching packet will be there so each packet will be having a guide on dental health fact and curriculum guide which contains school behavioral objects and suggested activities and five lesson plans for preschool and seven or more plans for other levels and 12 spirited masters and methods and activities for parental involvement so this is a program where the school is trying to improve the dental health of the students by providing educational tips to all these levels of all these levels of students so the tattle tooth program is a Texas statewide preventive dentistry program it was started in 1974 to 76 between Texas dental health professional organization and Texas Department of Health so what they were doing is they were giving similar kind of health education tips and in 1989 the tattle tooth to program was launched that is a new generation grades to K6 so there will be three video tapes for part of teachers training package first video tape for the training lesson format second for brushing and flossing 30 provides teachers with additional background information so this is tattle tooth program first one was learning about your oral health it was started in 1971 by ADA tattle tooth by Texas in 1974 then 1989 tattle tooth to program so we just need to know about this program not in very detail next one is a scourved dental demonstration which is again a small farming community in Danish population so there was surveys made 1943 and 46 49 to 47 section of dental health of Minnesota Department of Health supervised a demonstration of school dental health program in escrow because they were reporting a lot of high incidence of caries so in the escrow community all the schools were providing this program so that was like prevention and control and dental health education and dental care so it was done in a scour farming community so after the tenure period there were 28 percent reduction in this age group 34 reduction in 6 to 12 and 14 percent reduction in 13 to 17 age group North Carolina statewide preventive dental health program towards the 1970 North Carolina dental society passed a resolution for this preventing dialysis program embracing school and community water fluidation so the next one is sharp so this is school health additional referral program so acronym is sharp dislike motivation through home visits so the program started in Philadelphia with the purpose of motivating parents so parents should be motivated how these parents are motivated by the district nurses so these district nurses with the corporation of school personnel the nurses made day visits to the family in which mothers were at home so what they do is they keep on motivating the parents day visits are through phone calls for working parents for a better or dental health of their children so the one-to-one basis of health guidance between parent and health worker created a better rapport between school and home so that is an additional referral program by the dental nurse chosen Philadelphia so teenage health education teaching assistant program or a theta so it is like dental personnel train high school children so the dentist or the dental personnel go to the school and they train high school children to teach about preventive dentistry to elementary school children so these people in turn teach the elementary school children ok so dental personnel trained high school children they train elementary school children so that is like teenage health education teaching assistant program so we are training teenage people to train the elementary people so that is theta program before it was sharp so in India we had one program like all gates bright smile and bright future program but it was nowhere seen nowadays and WHO also has some global health initiative program is designed to improve the health of students whole personal families now we have two types of care that is incremental care and comprehensive care so by its name suggest increment means layer by layer comprehensive means all together okay so increment is a layer by layer and comprehensive is all together so incremental layer is a periodic care which is a periodic care we provide a care to the school children on a periodic basis because we don't have enough fund so with the available fund we treat a particular class and next year we take up the another class and the next year we take up another class so each year we provide maintenance care to the previous group okay so one year one class or two class how much our fund we have we provide the treatment and we provide maintenance care in the successive years for the previous students so that is increment care because we don't have enough funds so we provide the dental care to school children by layer and layer it is by increment okay so that is why it's known as incremental care so advantages are we can treat the disease before it is reaching pulp because we are treating the students if you go to a school you always pick up the lowest class first so every time we take the lowest class so each year that class goes to the higher class so we provide maintenance care so at the higher levels one or two classes might miss their treatment but we don't have enough fund to provide all the class so we aren't treating the disease at very early stage we are not going and rating at the highest class that is if a school with one to ten we go and treat the first standard not the 10th standard because we need to pick up the children with earliest lesions that is the initial lesions so all these can be captured and interceptor at very early stage so it will have a good prognosis so disadvantage is time-consuming because restricted industry is more time-consuming on a piecemeal because we are providing at one interval then again and again so more laborious restrictive work comprehensive care is nothing but we are providing all treatment at one point of time okay so we have enough fund we are going as cool and we are providing whatever treatment we could afford to provide them all at one point and on later year we provide maintenance care it is a meeting of accumulated dental needs at the time of population taken into this program and then correction of new increment of dental disease on a semi and a low periodic base whereas incremental care it was not like that we are not taking all the students at once at one point of time or class by class we are taking an increments as a name suggest but comprehensive care we are taking all the students at one point of time and we are providing it initial care and maintenance care so that is incremental care and competency care so that's all about school dental health programs you need to learn a little bit about its objectives its components the community relationship the inspection sealant programs and health education so the components of a school dental health program and few examples which is in the United States that is Texas program that is tattle tooth sharp data program learning and the other programs and the last part is incremental and comprehensive care that is how we provide care to the school children okay so I'll come up with a new session on dentistry and move thank