ORAL HEALTH AND GENERAL HEALTH IN AUSTRALIA The great disconnect FOREWORD Dr Rick Olive AM RFD BACKGROUND 2 Dr Chris Handbury Dr Louise McCuaig and Recreation Professor Chris Peck Lindy Sank Dr Eduardo Alcaino Dr Merrilyn Hooley Julie Barker Dr Robert Watson A/Prof Wendell Evans Christine Morris Dr Susan Cartwright Professor Mark Bartold Jo Purssey 3 TOOTH DECAY AND THE LIFE STAGES INTRODUCTION stages: Mothers & babies Childhood 5-14 years Young People 15-24 years Working Age 25-64 years Ageing 65+ What is tooth Two RISK factors • dental plaque & sugar Tooth decay, or dental caries, results from an imbalance among... 4 4 TOOTH DECAY AND THE LIFE STAGES Critical factors Two PROTECTIVE factors • saliva & fluoride 1 2 3 > neutralise acid > supply calcium for remineralisation; and Risk of tooth decay can be reduced through Twice daily tooth brushing with fluoride toothpaste x2 Control of dietary sugar 5 RESEARCH & INSIGHTS Mothers & babies 6 • The in-depth systematic literature review conducted by the World Health Organisation supported the relationship 7 between the amount of sugar intake and the development of 7 tooth decay across age groups. 8 8 8 9 Children are at risk of early childhood tooth decay 6 TOOTH DECAY AND THE LIFE STAGES Childhood 5-14 years Despite the fact this is largely preventable, tooth decay is the most common chronic disease of childhood. Young People 15-24 years Working Age 25-64 years 75% 58% 7 More than one in five Australian adults aged over 65 have no teeth; most of this tooth loss is attributed to dental caries and gum disease. Ageing 65+ More than 1 in 5 Australian adults RECOMMENDATION “ A/Prof Wendell Evans 8 TOOTH DECAY AND THE LIFE STAGES ” INTRODUCTION RESEARCH & INSIGHTS • There is more to gum disease than just simple plaque accumulation around teeth , such as how an individual’s immune system reacts to plaque bacteria and whether they have any underlying conditions that might influence their resistance or susceptibility to gum disease. Therefore a full patient assessment, and not just an assessment of oral hygiene, is crucial to successful management (and prevention) Speech Apart from increasing the risk of tooth loss, periodontitis can adversely affect of gum disease. Nutrition Selfesteem Quality of Life 9 2-3x The importance of good oral hygiene and how to prevent gum disease: disease than those RECOMMENDATION “ Professor Mark Bartold 10 ” INTRODUCTION that good oral habits are established early Healthy teeth are an general health 11 RESEARCH & INSIGHTS Despite our growing awareness and vigilance about health and appearance the prevalence and severity of tooth decay has been increasing in Australian children and adults... teeth ... since the mid 1990s. About one in seven Australians over 15 12 • inattention and • inattention Poor oral health in attendance and children is related to: Poor oral health in adults is eating related to: RECOMMENDATION “ Dr Merrilyn Hooley ” 13 REFERENCES 14 REFERENCES International Journal Paediatric Dentistry Oral Health in America Oral Health in America Community Dent Oral Peidemiol 15
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