Dental Public Health at a Glance

The Author Ivor G. Chestnutt, BDS, MPH, PhD, FDS(DPH)RCSEd, FDS RCSEng, FDS RCPSGlas, FFPH, DDPH RCS ENG FHEA is Professor and Honorary Consultant in Dental Public Health at the School of Dentistry, Cardiff University in the UK. Ivor is also registered as a Specialist in Dental Public Health with the General Dental Council.

Preface from the First Edition vii

Preface to the Second Edition viii

Part 1 Introduction 1

1 What is dental public health? 2

2 Health, oral health and their determinants 4

Part 2 Epidemiology 7

3 Basic epidemiology 8

4 Principles of measuring and recording oral disease and oral health 10

5 Epidemiology of dental caries 12

6 Epidemiology of periodontal disease 14

7 Epidemiology of oral and oropharyngeal cancer 16

8 Epidemiology of malocclusion, non- carious tooth surface loss and traumatic dental injuries 18

9 National trends in oral health 20

10 International oral health 22

Part 3 Evidence Based Dentistry 25

11 Study design 26

12 Case reports and cross- sectional studies 28

13 Case- control studies 30

14 Cohort studies 32

15 Randomised controlled trials 34

16 Randomised controlled trials II: Split mouth and cross- over studies 36

17 Systematic reviews and meta- analysis 38

18 Evidence- based dentistry and clinical guidelines 40

Part 4 Oral Health Promotion 43

19 Inequalities in oral health 44

20 Oral health education, oral health promotion and oral health improvement 46

21 Considerations in promoting oral health 48

22 Behaviour change I 50

23 Behaviour change II 52

24 Strategies for improving oral health in populations 54

Part 5 Fluoride and Oral Health 57

25 Strategies for the delivery of fluoride in the prevention of dental caries 58

26 Toothpaste 60

27 Water fluoridation 62

28 Community fluoride schemes and fissure-sealant programmes 64

Part 6 Diet and Oral Health 67

29 Diet and oral health 68

30 Public health aspects of dietary modification 70

Part 7 Tobacco and Oral Health 73

31 Tobacco and oral health 74

32 Alternative ways in which tobacco is used and tobacco control 76

33 Smoking cessation 78

Part 8 Alcohol and Oral Health 81

34 Alcohol and oral health 82

Part 9 Assessing Health Needs 85

35 Assessing oral health needs on a population basis 86

36 The oral health needs of specific population groups 88

37 Screening and diagnostic tests 90

Part 10 Providing Dental Services 93

38 Health economics 94

39 How the National Health Service is organised 96

40 How dental care is organised in the United Kingdom 98

41 Paying for dental care 100

42 Barriers to accessing dental care 102

43 Migration, race and ethnicity 104

44 Skill mix in dentistry 106

45 Pandemics and other threats in the context of providing dental services 108

46 The environmental agenda and dentistry 110

47 The future delivery of dental care 112

Part 11 Quality Assurance of Dental Care 115

48 Quality dental care 116

49 Clinical audit 118

50 Regulatory bodies and patient complaints 120

Part 12 A career in Dental Public Health 123

51 A career in dental public health 124

52 References and selected useful resources and further reading 125

Index 127