The Public's Oral Health: The Gaps Between What we Know and What we Practice

Health for All by the Year 2000 is a theme developed in 1979 by the World Health Organization. The theme includes oral health and is being promoted throughout the world. The advances in dental research make it possible to improve oral health and, concomitantly, general health. With the appropriate use of science-based, preventive regimens, dental caries and periodontal diseases can be prevented or controlled. Further, major risk factors for oral and lip cancer are known; thus, it is possible to reduce the incidence of these diseases. Available technologies, however, are useful only when they are used by appropriate user groups as recommended. The gaps between what is known about preventing oral diseases and what is practiced are often extensive. This presentation explores differences between scientific knowledge about risk factors for oral diseases and preventive regimens and procedures, public and professional knowledge and practices, and professional support for improved oral health through the application of primary preventive procedures, often referred to as "science transfer". Barriers to the adoption of preventive regimens and practices are discussed. Strategies using health education and health promotion for narrowing these gaps are presented.

[1]  L W Ripa,et al.  A half-century of community water fluoridation in the United States: review and commentary. , 2008, Journal of public health dentistry.

[2]  H. Gift,et al.  Public knowledge of prevention of dental disease. , 1994, Public health reports.

[3]  K. Atchison,et al.  The standard of care: an ethical responsibility of public health dentistry. , 1993, Journal of public health dentistry.

[4]  E. J. Mertz-Fairhurst Guest Editorial: Pit-and-Fissure Sealants: A Global Lack of Science Transfer? , 1992, Journal of dental research.

[5]  S. Lusk Health promotion planning: An educational and environmental approach: Lawrence W. Green and Marshall W. Kreuter Mayfield Publishing, Mountain View, California, 2nd edn. , 1992 .

[6]  R. Heidel Healthy People 2000: National Health Promotion and Disease Prevention Objectives. , 1991 .

[7]  R. Genco,et al.  The Trust and the Agenda: Science Transfer , 1991 .

[8]  R. M. Johnson,et al.  Utilization of preventive dental practices by graduates of one U.S. dental school. , 1991, Journal of dental education.

[9]  L. Ripa A critique of topical fluoride methods (dentifrices, mouthrinses, operator-, and self-applied gels) in an era of decreased caries and increased fluorosis prevalence. , 1991, Journal of public health dentistry.

[10]  Sokol Dj Informed consent in dentistry. , 1989 .

[11]  W. Gild Informed Consent To Review , 1989, Anesthesia and analgesia.

[12]  Horowitz Am,et al.  Insurance reimbursement for sealants in 1986: report of a survey. , 1987 .

[13]  A. Bandura Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[14]  A. Horowitz A Symposium on the New Fight for Fluorides: Part II: Reaction Paper , 1985 .

[15]  Ripa Lw The current status of pit and fissure sealants. A review. , 1985 .

[16]  H. W. O’Neill Opinion study comparing attitudes about dental health. , 1984, Journal of the American Dental Association.

[17]  M. Terris Newer Perspectives on the Health of Canadians: Beyond the Lalonde Report. The Rosenstadt Lecture , 1984, Journal of public health policy.

[18]  P. Frazier Use of sealants: societal and professional factors. , 1984, Journal of dental education.

[19]  L. Ripa Teaching occlusal sealant therapy to dental students Department of Children's Dentistry, State University of New York at Stony Brook. , 1983, Journal of public health dentistry.

[20]  A. Horowitz,et al.  Issues in the widespread adoption of pit-and-fissure sealants. , 1982, Journal of public health dentistry.

[21]  H Labelle,et al.  A new perspective on the health of Canadians. , 1976, AARN news letter.

[22]  J. Murray Fluorides and dental caries , 1973 .

[23]  W. O. Young FLUORIDES AND DENTAL CARIES IN IDANO , 1956 .

[24]  P. Nourjah,et al.  U.S. adult knowledge of risk factors and signs of oral cancers: 1990. , 1995, Journal of the American Dental Association.

[25]  Core public health functions and state efforts to improve oral health--United States, 1993. , 1994, MMWR. Morbidity and mortality weekly report.

[26]  J. Murray Efficacy of Preventive Agents for Dental Caries , 1993 .

[27]  Healthy people 2000: national health promotion and disease prevention objectives and healthy schools. , 1991, The Journal of school health.

[28]  Global strategy for health for all by the year 2000. Second report on monitoring progress in implementing strategies for health for all. , 1989, World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales.

[29]  D. J. Sokol Informed consent in dentistry. , 1989, Journal of dental practice administration : JDPA : official publication of American Academy of Dental Practice Administration, Organization of Teachers of Dental Practice Administration, American Academy of Dental Group Practice.

[30]  C. Backinger,et al.  1985 NHIS findings on public knowledge and attitudes about oral diseases and preventive measures. , 1987, Public health reports.

[31]  L. Ripa The current status of pit and fissure sealants. A review. , 1985, Journal.

[32]  ROBERT W. Johnson,et al.  Healthy people. , 1985, Canadian journal of public health = Revue canadienne de sante publique.

[33]  Promoting health/preventing disease: Public health service implementation plans for attaining the objectives for the nation. , 1983, Public health reports.