Community Dental Health

Spring, 2018
 Brookdale Assisted Living
 Pullman Family Dental Day
 Life Choices Pregnancy Center
 Project Leader: Nichole Gallagher
 Location: Brookdale Assistant Living
 Group to Teach: Nursing home care providers (CNA’s) ages
18 and older. At a nursing home.
 General Goal(s):
◦ Educate the staff on xerostomia and managing xerostomia,
◦ common medications and side effects,
◦ decay process, gingivitis, periodontal disease,
◦ how to take care of dentures, denture sores,
◦ how to care for the teeth, different health conditions, and oral care,
◦ hygiene aides,
◦ nutrition associated with tooth loss, dentures, and decreased saliva and
how that can relate to an alteration in diet.
Required Materials:
 Computer to show presentation and video,
 Dentures
 Sterilized extracted teeth to what decay
looks like
 Xerostomia products
 Pre and Post Test
 Different home care aids to use for elderly
 Typodont
Specific Objectives:
 Created a power point presentation that attains information
that are highlighted in the general goals.
 Brought dentures to educate how to properly clean and take
care of dentures.
 Brought a set of dentures that have calculus on them to show
the staff what it looks like.
 Brought a few xerostomia saliva substitute examples such as
biotene and xylimelts to show the staff how these products
work.
 Brought different types of home care aids and demonstrate
use.
 Displayed this video resource to help aid my presentation
https://www.youtube.com/watch?v=AVsMmppYXrI.
 Introduction:
“Aging is not a dominant or single factor in
determining the oral health status in the geriatrics.
Certain medical conditions, such as arthritis in the
hands and fingers can make brushing and flossing
difficult or impossible to accomplish. Different
medications also affect the oral health care leading
to adverse intraoral effects. Daily brushing, flossing,
and removing partial or complete dentures at night
is essential to keeping the elderly in good oral
health.”
Step-by-Step Procedures of Presentation:
 1) Hand out pre test for CNA’s to fill out. (3 minutes)

 2) Have power point presentation displayed and begin

educating the CNA’s. Use video resource to help aid in
presentation. (15 minutes)
 3) When I talk about home care show CNA’s dentures and how
to properly clean. (5 minutes)
 4) When I talk about decay, gingivitis, and periodontal disease
show extracted decayed teeth. (3 minutes)
 5) Show and have the CNA’s try the saliva substitutes for
xerostomia. (5 minutes)
 6) Answer questions and have CNA’s take post test. (5 minutes)
 Conclusion:
“With this information, you can help the elders to
live a more comfortable life and help prevent the
development of further gum disease, decay, and
tooth loss. The affects of certain medications on oral
health is crucial. I hope that in the future the signs
and symptoms will be more noticeable now. The
importance of taking care of the elderly’s oral
hygiene can help prevent future problems and pain.
It’s the best quality of life to help the elderly to
maintain their teeth and prevent future loss of teeth.
Does anyone have any questions?”
Tooth loss, dentures, and decreased saliva can
lead to alteration in diet. Elders may experience
the following:
• Changed sensory perception of eating
(texture and taste)
• Lowered chewing efficiency
• Decreased intake of important nutrients
• Less fresh fruit, vegetables, and fiber in
the diet
• Less Vitamin C
1. True or False. Continuous denture wear may lead to denture stomatitis, redness, and irritation of the palatal
tissues.
All six said true
2. True or False. Dentures can remain in the mouth as long as the individual want’s them in. They do not have to
be removed.
2 people said true
4 people said false
3. What is a common side effect of certain medications?
a. xerostomia
b. gingival overgrowth
c. dental erosions due to gastric reflux
d. all of the above
3 people said xerostomia
3 people said all of the above
4. On a scale of 1-5 with 5 being the most confident are you in removing
dentures and partials from a person’s mouth?
2 said 2
1 was a 3
1 person was a 5
2 people were a 4
5. True or False. When placing a partial back into someone’s mouth, once you
have it in the right position they can bite it back down into place.
4 people said true Picture of Swab Stick
2 people said false
6. Do you know any products to help manage xerostomia? Please list.
6 people said biotene, swab sticks.
They didn’t really know about xylitol products.
7. True or False. Caregivers will find it easier to stand behind the patient when assisting with brushing.
4 people said true
2 people said false
8. True or False. Dentures should be replaced every 5-7 years.
3 people said true
3 people said false
9. True or False. Dentures can be cleaned with regular toothpaste.
5 said true
1 said false
10. On a scale of 1-5 with 5 being the most confident are you in brushing and flossing someone’s teeth?
One person said 1
Two people said 3
Two people said 4
One person said 5
1. True or False. Continuous denture wear may lead to denture stomatitis, redness, and irritation of the palatal
tissues.
6 people said true
2. True or False. Dentures can remain in the mouth as long as the individual want’s them in. They do not have to
be removed.
6 people said false
3. What is a common side effect of certain medications?
a. xerostomia
b. gingival overgrowth
c. dental erosions due to gastric reflux
d. all of the above
6 people said all of the above
4. Do you feel more confident to brush and floss someone’s teeth now after this presentation?
4 people were a 5
2 people were a 4
5. True or False. When placing a partial back into someone’s mouth, once you have it in the right position they can
bite it back down into place.
6 people said false
6. Do you know any products to help manage xerostomia? Please list.
Xylitol, biotene, swab sticks, xyliomelts, xylio ice chips, trident, ice breakers, and Mentos gum.
7. Ture or False. Caregivers will find it easier to stand behind the patient when assisting with brushing.
4 people said true
2 people said false
8. True or False. Dentures should be replaced every 5-7 years.
3 people said true
3 people said false
9. True or False. Dentures can be cleaned with regular toothpaste.
5 said true
1 said false
10. On a scale of 1-5 with 5 being the most confident are you in brushing and flossing someone’s teeth?
1 person said 1
2 people said 3
2 people said 4
2 person said 5
 The care givers learned a lot. After the survey
most of them got a 100%. Our audience
demonstrated good knowledge of dental care.
However, after analyzing the post survey they
still learned a lot.
 Data From Survey
Survey Pre-Test

4
Number
of People 3

Correct Wrong Confidence Level Average

 Data From Survey

Survey Post Test

6

5
Number of 4
people 3

Correct Wrong Confidence Level Average

 Audience Response:
 They thanked us and said we had good visual
aids, they were familiar with some things but
felt more confident after the presentation,
they learned some new flossing aids, new
xerostomia products, and learned some new
ideas to clean the vestibules with a damp
rag, found out alternatives for patients that
like to suck on candies such as xylitol ice
chip candies.
 We were well prepared. They knew a lot more
information then we were anticipating.
 We would try to get a bigger audience if we
were to present again. If possible we would
like to include patients themselves and family
members in the presentation.
 Leaders: Alex Dimke and Carmen Koepl
 Location: Pullman Regional Hospital
 General Goals
◦ Provide dental care information for families
 Group to Teach
◦ Parents and their children, ages 2-12
 Specific Objectives
◦ Screened both the parents and their children with DMFT and
dmft indices and CIP for the adults
◦ Taught the kids and parents how to properly brush and floss
◦ Provided them with nutrition and cavity prevention information
◦ Provided them with toothbrushes, toothpaste, floss, and other
homecare items
 About 20 children, varying in ages 2-12
 While the parents were listening to their
presentation, we entertained/educated the
children!
 Since children seem to learn more effectively with
the Show-Tell-Do, we had different activities for
them to rotate through to learn about their teeth
and how to care for them.
 Some of the activities included: practicing brushing
and flossing on the models and stuffed animals,
matching activity on foods that are good or bad for
their teeth, and coloring pages.
 Required Materials
◦ Mouth models and toothbrushes
◦ Floss
◦ Stuffed animals with teeth
◦ Posters
◦ Coloring pages
◦ Toothbrushing calendars
◦ Storybook about dental care
◦ Prize box
◦ Disclosing tablets
◦ Calendar handouts with stickers
We discussed foods that are more likely to cause cavities and more
nutritious alternatives.
 Leader: Alex Dimke and Carmen Koepl
 Location: Pullman Regional Hospital
 General Goals
◦ Provide dental care information for parents
 Group to Teach
◦ Parents of children ages 2-12
 Specific Objectives
◦ Screened both the parents with DMFT and CIP
◦ Taught the parents how to properly brush and floss their child
teeth
◦ Provided the parents with nutrition and cavity prevention
information
◦ Provided the parents with toothbrushes, toothpaste, floss, and
other homecare items
 Specific Objectives:
◦ The parents will be able to teach their children how to properly
brush their teeth
◦ The parents will be able to teach their children how properly
floss their teeth
◦ The parents will be able to observe their success with brushing
and flossing by utilizing disclosing tablets
◦ The parents will be informed on the process of how to use a
sand glass timer
◦ The importance of brushing for a minimum of 2 minutes
◦ The parents will learn about the transmission of carious bacteria
from the primary caregiver to the child
◦ The parents will learn the Knee to Knee Technique
 Required Materials:
◦ Power point presentation
◦ “Rethink Your Drink” poster board
◦ Good for teeth and body poster board
◦ Demonstration typodont and toothbrush
◦ Floss
◦ Roo the Kangaroo Puppet
◦ Pamphlets and Brochures
◦ Pre and Post Questionnaire
◦ Toothbrushes for Kids and Adults
◦ Gift bags
◦ Disclosing tablets
 Introduction:
“Hi my name is Alex and I am a LCSC Dental
Hygiene student and this is Lacey, who is also a
dental hygiene student. Today we have some
information for you on how to properly care for
your child’s teeth. We have a power point
presentation that we will go through with you.”
 Step-by-Step Procedure of Presentation:
1. Began by handing out pre-questionnaire
2. Had power point presentation displayed and began
informing the parents on how to properly care for their
child teeth
3. Handed out brochures on child oral health
4. Demonstrated the proper brushing technique
5. Demonstrated the proper flossing technique
6. Demonstrated knee to knee technique
7. Handed out post questionnaire
8. Handed out goodie bags
9. Then answered any questions that the parents had
10. Screened family’s using DMFT and CIP
 “I want to thank you for attending this
presentation today. I hope with this new
information that each one of you feel more
confident in caring for your child’s oral health
needs. Does anyone have any questions for
Lacey or I?”
Nutrition Information
Pre-Questionnaire: 12 Participants (Parents)
1. How many times a day do you actually help your child brush their teeth?
 9 - Twice a day
 3 - Once a day
2. Do you feel like you properly know how to brush their teeth?
 8 - said yes
 4 - said no
3. How many times a day do you floss your child’s teeth?
 4 - said yes, they do floss 1-2 times a day
 8 - said no they don’t floss
4. Do you feel like you properly know how to floss your child’s teeth?
 3 - said yes
 9 - said no
5. How many times a year does your child visit the dentist?
 1 - said 3 times a year
 8 - said 2 times a year
 3 - said 1 time a year
 Index and Survey Information
Post-Questionnaire:
1. Do you feel more confident after this presentation with knowing how to properly care for
your child’s teeth?
12 – said yes
0 – said no
2. Do you feel like you learned something new with this presentation?
10 – said yes
2 – said that they had already knew things
3. If yes to question 2, What did you learn?
- 5 parents reported that they learned how important it was to floss their child’s teeth
- 5 parents reported that they learned how to properly brush their child’s teeth
- 3 parents reported that they learned about acid attack and cavity prevention
- 3 parents reported that they learned how to properly lay their child back into their
dentist lap when they go visit the dentist with younger kids
Some of the feedback was:
“How to have my kid adapted and to be comfortable when visiting the dentist”
“Laying your child to look at the inner side of the teeth for cavities”
“How many mins we should wash our teeth”
“How to protect my kids from decay by keeping their teeth healthy”
 DMFT Index

7
Kids 7
13

45
Adults 25
24

0 5 10 15 20 25 30 35 40 45 50

Filled Missing Decay

 CPI on Adults

0 5 10 15 20 25 30

Number of Teeth
 Veronica Hopwood, Wellness Coordinator for Pullman
Regional Hospital
 Your students had a great professional demeanor—it gave community members
confidence in their work and knowledge. They had a great appearance, communication
and attitude when it came to interacting with community members.
 The presentation of the resources used for the event was great—I appreciated that they
set a table with all the resources they were recommending for maintaining a good oral
health.
 Integration of power point presentation and the other little white board with info about
healthy foods for your teeth and body, bad food for teeth and body and good food for
body but bad for teeth was great for parents to have a visual and an idea of the amount
of sugar in some drinks and how that correlates with oral health problems.
 The interactive presentation for the little ones was a fantastic idea to help children learn
about oral health and support parents’ efforts—the resources that were brought were
very engaging.
 I can’t thank you and your students enough for the willingness to do multiple
presentations.
 Your preparedness for handling the screening and the way in which students managed
the info gathered from the screening –I felt your students tried to provide as much
privacy and confidentiality as possible. I did not hear anyone talking about any
community member’s oral health screening –that was great.
 We were well prepared and had good
audience participation and response. The
coordinators were very pleased.
 For the screenings it would have been
smoother if we had a schedule of when
people were to arrive instead of trickling in
throughout the morning.
 If we were to do the presentation again we
would make a schedule of activities and when
to arrive.
 Leaders: Mikala Briceno and Lacey Sumpter
 Location: Life Choices Center
 General Goals
◦ Provide dental education to the staff about oral
health care for pregnant women and their babies.
Stress the importance about oral health related to
tooth development during pregnancy.
 Group to Teach:
◦ Executive director of life choices, Receptionist, and
Nurse
▪ Gave pre-test
▪ Educated how your dental health may affect your baby during pregnancy
▪ Provided information about proper babies nutrition
▪ Babies oral health before the first tooth eruption
▪ Scheduling the child’s first dentist 6 months after the first tooth erupts or
by 12 months of age
▪ Never put anything sweet on a babies pacifier
▪ Wipe the babies mouth out with the clean moist towel
▪ Discussed acid attach in relation to caries
▪ Discussed where common childhood caries are
▪ Discussed risk factors for early childhood caries
▪ Discussed transmission of bacteria from the primary care giver to the
child
▪ Homecare based on different age groups
▪ Demonstrated knee to knee technique
▪ Demonstrated proper brushing and flossing techniques
▪ Gave pamphlets, brochures, toothbrushes for different ages,
▪ Gave post test
• Rethink Your Drink Sugar Poster
• Pre and Post Test
• Roo the Kangaroo Puppet
• Power Point Handouts
• Four Different Types of Brochures
• Demonstration typodont and toothbrush
• Floss
• Toothbrushes
 Introduction:
“Hi, my name is Mikala and I am a LCSC dental
hygiene student. These are my fellow classmates,
Alex, Nichole, Lacey, and Carmen. Today we are
going to discuss the importance of child oral health
from prenatal to toddler age. Here is a handout of
the power point and we will begin to go over it with
you.”
 Step by Step Procedures of Presentation:
◦ Handed out pre-questionnaire and power point
presentation
◦ Discussed power point presentation with our
audience
◦ Showed the nutrition visual aid poster
◦ Demonstrated how to properly brush
◦ Demonstrated how to properly floss
◦ Demonstrated knee to knee technique
◦ Gave post-questionnaire
◦ Answered any questions
 Conclusion:
“I want to thank you for listening to our
presentation. I hope that this information was
resourceful for you when instructing
pregnant women on the importance of child
oral health both prenatal and toddler age. Do
you have any questions?”
Visual Aids
Visual Aids
We discussed We also
how much discussed
sugar are in contact time
different drinks. of an acid
We educated attack. We
how 4 grams is educated how
equal to one its better to
sugar cube. drink with a
meal instead
of sipping on
a drink all day.
 Survey Information
Three Participants
Pre Test

1. Do you feel confident providing future mothers about oral health?

• All three said yes

2. How often do future mothers request information about dental care?

• All three said none

3. Can a babies oral health be affect before birth?

• All three said yes

4. Can the germs that cause cavities be transmitted from mother to baby?
• One said yes
• Two were not sure
 Survey Information
Post Test
1. Do you feel confident providing future mothers about oral health?
• Two said more than before
• One said yes

2. List one thing you learned from this prestation that you will be able to use in
the future?
• “can pass information to mothers”
• “germs can be transferred from mom to baby”
• “to be cavity free by third trimester”

3. Can a babies oral health be affect before birth?

• All three said yes

4. Can the germs that cause cavities be transmitted from mother to baby?
• All three said yes
• They asked us where to get the brochures that
we brought because they wanted to get some
to give to mothers
• They wanted us to come back and present to
the mothers
• They loved our information and thought it was
very important
• They said we could volunteer to come back
any time
 Self-Evaluation
-We wished we could have gathered a bigger
audience and presented to the mothers

-As far as supplies and presentation delivery we were

very organized and good their
Photos from Life Choices
Pregnancy Center