Comprehensive dental health care program at an orphanage in Nellore district of Andhra Pradesh

Dhanya Muralidharan1, Nusrath Fareed, M Shanthi

  • 1Department of Public Health Dentistry, Narayana Dental College and Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India.

Insights

A comprehensive dental health care program (CDHP) significantly improved children's oral and general health in rural India. This prevention-focused approach, utilizing dental college resources, is effective in resource-limited settings.

Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Preventive Dentistry

Background:

  • Oral healthcare access in India is limited for underprivileged populations due to financial and manpower constraints.
  • Dental colleges can bridge this gap by offering prevention-oriented oral healthcare services.

Purpose of the Study:

  • To enhance the oral health status of primary school children in Andhra Pradesh, India.
  • Implementation of a prevention-based Comprehensive Dental Health Care Program (CDHP).

Main Methods:

  • A longitudinal, institution-based interventional study involving 162 primary grade children.
  • Interventions included dental health education, professional cleaning, fluoride mouth rinses and applications, sealant placement, and restorative care.

Main Results:

  • Significant reduction in mean treatment requirements per child after 18 months.
  • Minimal new caries development (4 children) and notable improvement in Body Mass Index (BMI) among children with prior decay.
  • Overall improvement in general and oral health indicators observed.

Conclusions:

  • The Comprehensive Dental Health Care Program (CDHP) demonstrates effectiveness in improving both general and oral health outcomes.
  • Dental school-led programs are a viable strategy for enhancing oral health in resource-limited countries like India.
Abstract

Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Tooth Anatomy01:21

Tooth Anatomy

The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...