Introduction to Dental Public Health
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© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION MODULE © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT INTRODUCTIONFOR SALE OR DISTRIBUTION TO DENTAL NOT FOR SALE OR DISTRIBUTION PUBLIC HEALTH © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC 1 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 1 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC HistoryNOT and FOR Principles SALE OR DISTRIBUTION of Dental NOT FOR SALE OR DISTRIBUTION Public Health 1 © JonesObjectives & Bartlett Learning, LLC © JonesASSESSMENT & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOTDocumentation FOR SALEDiagnosis OR DISTRIBUTION After studying this chapter and completing the study questions and activities, the learner will be able to: • Define dental public health. • Define common public health terms. © Jones & Bartlett• Describe Learning, three core LLC functions of public health. © Jones & Bartlett Learning, LLC NOT FOR SALE• ORDescribe DISTRIBUTION what constitutes a public health problem. NOT FOR SALE OR DISTRIBUTION • Describe the four phases in the history of public health. Evaluation PLANNING • Identify key organizations and events that have shaped dental public Implementation health. • Identify federal agencies involved in public health activities. KEY TERMS© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION American Association of Public Canadian Association of Public National Center for Health Statistics Health Dentistry Health Dentistry National Institute of Dental and American Board of Dental Public Community Craniofacial Research Health Core public health functions Pan American Health Organization © JonesAmerican & Dental Bartlett Hygienists’ Learning, LLCDental public health © JonesPublic health & Bartlett Learning, LLC Association Health Social Security Act NOTAmerican FOR Public SALE Health OR Association DISTRIBUTIONHealthy People NOTSurgeon FOR General’s SALE Report OR on DISTRIBUTION Oral Association of State and Territorial Institute of Medicine Health Dental Directors Maternal and Child Health World Health Organization See Appendix 3 for the ADEA competencies addressed in this chapter.1 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION provide you with the skills and knowledge neces- Introduction sary to be a valuable contributor in the commu- As you begin to explore the public health aspects nity in which you practice. of the oral health profession, you will find both It is essential all oral care providers, regardless differences and© similarities Jones & to Bartlett your clinical Learning, expe- of LLC practice location and mode,© are Jones aware of& theBartlett Learning, LLC riences. This chapter highlights the history and unique problems in ensuring oral health for all philosophy of NOTdental FORpublic SALEhealth, the OR structure DISTRIBUTION members of society and participateNOT inFOR the soluSALE- OR DISTRIBUTION of the profession, and the goals of public health. tions. This text is developed around the philosophy You may find many of your clinical skills in treat- that all members of the oral health professions, ment planning, problem solving, and critical and our allies from outside the profession, are all thinking are valuable in identifying and solving pieces of a puzzle that, when complete, would © Jonespublic health & Bartlett issues in Learning,the communities LLC in which assure oral health© Jones for all members& Bartlett of society. Learning, You LLC NOTyou FOR choose SALE to practice. OR ItDISTRIBUTION is the aim of this text to will also discoverNOT that FOR the puzzleSALE is ORnot completeDISTRIBUTION 2 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION CHAPTER 1 / HISTORY AND PRINCIPLES OF DENTAL PUBLIC HEALTH 3 and there is much opportunity for providers of definition does not define what constitutes a all types to© help Jones shape &and Bartlett complete Learning,the puzzle. LLChealthy public so much as it© provides Jones a & descrip Bartlett- Learning, LLC It may seemNOT that FOR in comparing SALE OR public DISTRIBUTION health tion of the professional NOTdiscipline FOR of SALEpublic OR DISTRIBUTION with private practice, they are separate from one health and the method used by that profession another. In fact, they are all pieces of the same to attain or maintain public health. In 1955, J.W. puzzle. Although private practice settings treat a Knutson5 also defined the discipline, reflect- significant portion of the population, public health ing the community nature of public health as, © Jonesreaches & outBartlett to many Learning, who may not LLC have access to “Public health© Jones is people’s & Bartlett health. It isLearning, concerned LLC NOT thatFOR mode SALE of care. OR It DISTRIBUTIONrequires everyone’s unique with the aggregateNOT FOR health SALE of a group, OR DISTRIBUTIONa commu- abilities working together to complete the puzzle. nity, a state, or a nation.” In 1988, the Institute As you learn about public health, consider how of Medicine (IOM)6 defined the mission of you, in the type of practice you eventually choose, public health as “… fulfilling society’s inter- can help complete the puzzle. est in assuring conditions in which people can © Jones & Bartlett Learning, LLC © Jonesbe healthy.” & Bartlett Interestingly, Learning, this LLC last definition NOT FOR SALE ORWHAT DISTRIBUTION IS DENTAL PUBLIC HEALTH? NOT FORincludes SALE “society’s OR DISTRIBUTIONinterest” as a component in the attainment of the public’s health. As you will encounter throughout this text, the interest, health If someone were to ask you about your , acceptance, and input from recipients of public how would you respond? Great? Good? Poor? health interventions are important elements of Lousy? Do you think only of your physical status © Jones & Bartlett Learning, LLCpublic health practice. © Jones & Bartlett Learning, LLC and not your mental mindset? Over time, many If we add oral health to our exploration of the people haveNOT attempted FOR to SALE define health.OR DISTRIBUTION Webster definition of health, we nextNOT attempt FOR to SALEdefine OR DISTRIBUTION defines health as “physical and mental well-being; dental public health. Dental public health freedom from disease.”2 This is an abbreviated is one of nine specialties of dentistry recog- version of the often-used definition established nized by the American Dental Association. The in 1948 by the World Health Organization 3 definition of dental public health adopted by the © Jones(WHO) & :Bartlett “health is Learning,a state of complete LLC physical, American© Board Jones of & Dental Bartlett Public Learning, Health LLC NOT mental,FOR SALE and social OR well-being DISTRIBUTION and is not merely (ABDPH),NOT the governing FOR SALE body forOR the DISTRIBUTION specialty, the absence of disease or infirmity.” How does defines dental public health as: one know when they have complete physical, mental, and social well-being? What about the “The science and art of preventing and control- multitude of people who live with chronic dis- ling dental diseases and promoting dental health © Jones & Bartletteases, Learning, such as LLCdiabetes or hypertension, and© Jonesthrough & Bartlett organized Learning,community efforts. LLC It is that consider themselves healthy? Even given the form of dental practice that serves the commu- NOT FOR SALE ORavailability DISTRIBUTION of a definition by a preeminent healthNOT FORnity as SALE a patient OR rather DISTRIBUTION than the individual. It organization like WHO, can one definition suf- is concerned with dental health education of the fice for all of the nuances and individual percep- public, with applied dental research, and with tions that surround health? Attempting to define the administration of group dental care pro- health as a dichotomy when it is, in reality, a grams, as well as the prevention and control of continuum ©continues Jones to & present Bartlett difficulties. Learning, LLCdental diseases on a community© Jones basis.”7 & Bartlett Learning,