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Dental blitz the three week campaign of the aacap dental team at doomadgee- reed
1. DENTAL BLITZ: THE THREE WEEK
CAMPAIGN OF THE AACAP DENTAL TEAM
AT DOOMADGEE
AUSTRALIAN MILITARY MEDICAL ASSOCATION
JOINT HEALTH COMMAND SYMPOSIUM Oct 2010
BARRY REED
Royal Australian Army Dental Corps
Australian Army Reserve
Oral & Maxillofacial Surgeon:
~ 1st Health Support Battalion
Senior Specialist Oral & Maxillofacial
Surgeon
~ John Hunter Hospital, Newcastle
Lecturer (part-time)
School of Medicine
University of Newcastle, Australia
This lecture reflects my personal professional opinion
1st HSB
C.O: LTCOL L Sinclair
8. E DENTAL PROBLEM - DECAY
âą Many thousands of fillings and
âthe dental enemyâ = decay
9. resulting in pain and infection
âą Periodontal disease
was a further result
of a lack of
10. The dental problem
pprox. six decayed teeth per person in
500 persons (364 schoolchildren)
hree to four week stay by Army dental
am
overnment dentist visits â 3 days every 3
onths, no dentures provided
12. R reduce the scale of the problem by
ducing the problem of decay in future
with preventive health measures:
Targeted population strategies (two)
Whole population strategy
dental campaign objective:
13. First: establish CREDIBILITY with the
ommunity to enable implementation of
these preventive health strategies
By providing practical help:
**RELIEF OF PAIN**
**Dentures provided â Unique service -
~ Importance of deploying dental technician
o AACAP
dental campaign planning:
14. Difficult teeth removal & specialist
consultations
~ Oral & Maxillofacial Surgeon
Rapport with children
~ hygienist for oral health education at school
ablish CREDIBILITY with the community
to enable implementation of these
preventive health strategies
15. deployment communication: establish the
port of permanent local health providers &
Community
E-DEPLOYMENT communication with the visiting local
ior govt dentist, school principal & hospital matron to
n approval for our planned preventive health strategies
olving the govt dentist to continue programs long term
port the govt dentist by providing practical training in
cialised oral surgery at Mt Isa Base Hospital on last day
16. fter arrival, communication with female
ders and attending the local town council
eeting to outline and obtain community
pproval for dental plans
ommunication: establish the support of
permanent local health providers &
Community
17. e âdental blitzâ team
JOR Catherine Prineas
entist
na Rodway ~ hygienist
l Webster ~ technician
nor Gray ~ assistant
PT Barry Reed ~ oral
maxillofacial surgeon
ier: one dentist
tractions & fillings)
22. Effectiveness of fluoride
othpaste school based program
Reduction in decay rate of up to 50 - 60%
âIn fact, fluoride toothpastes may be more
effective than fluoridated drinking waterâ
from: Fluoride in Dentistry, 2nd edition,
editors: O. Fejerskov, J. Ekstrand & B.Burt
mportantly, fluoride toothpastes have an
significant ADDITIVE effect in decay reduction
23. ablish teacher and schoolchild enthusiasm &
pport by Colgate Oral Care donation of
RIGHT SMILES, BRIGHT FUTURESâ oral health
ucation teacher kits for every school class
. preliminary school based oral hygiene
education
24. RAL B donation of 16 school bag packs as
izes for classroom tooth drawing competitions
. preliminary school based oral hygiene
education
25. ractical education in solving the
decay problem using fluoride
toothpaste once per week
26. esources for school based oral hygiene
education
olgate Oral Care donation of 300
othbrushes, 300 fluoride toothpaste tubes
tooth models for BRUSH-IN PROJECT
27. Donation of QLD Health Dept INDIGENOUS
oral health & nutrition education flip charts
sources for school based oral hygiene
education
31. nvolving and tutoring the teaching staff
Printing and distribution of a USA University fluoride
oothpaste weekly school class program supervised by
eaching staff modified for the Australian situation
33. Long term solutions
going funding of project:
MY Donation of 7,200 TOOTHBRUSHES & 1,100
UORIDE TOOTHPASTES ($9,000 donation)
ure Aboriginal health funding grants and/or Qld
vernment health funding
34. More solutions
âą 2. WATER FLUORIDATION
âą Benefits both children and
ADULTS
âą Decay reduction of approx.
50% in both adult & child
dentitions
âą Decay reduction of up to 70%
in adult teeth
âą Root decay reduced by up to
40% in elderly
second phase of dental campaign:
35. WATER FLUORIDATION
APPROACH
aison â with state fluoridation
oject officer ( for long term
mmunity support)
T water analysis - Army
rvey - community decay rate
ucation campaign â produce
stomised fluoride fact sheets
eetings â with Community elders
36. ext targeted population strategy:
ose at significant risk of MORBIDITY &
EATH FROM DENTAL DISEASE
rheumatic heart disease patients
Another targeted solution
third phase of dental campaign:
37. RHEUMATIC HEART DISEASE
reated dental disease can be
dly for rheumatic heart disease
ents
ER 50 PERSONS âYOUNG &
D â AT RISK (monthly bicillin
ctions)
T OF A POPULATION OF
PROX. 1500
NTIFY BY HOSPITAL RECORDS
D HELPFUL STAFF
MMUNITY WORKERS PROVIDED
ANSPORT
UCATE & TREAT ATTENDEES
38. urther training & support for Qld Govt
visiting dentists to Doomadgee
providing practical training in specialised oral
gery by visiting Mt Isa Base Hospital for the
t day:
al surgery operations in the operating theatre
h senior dental officer Dr Rachel Seadon
orning)
ining in oral medicine/pathology and oral
fourth phase of dental campaign:
39. e results of the AACAP âdental blitzâ
by the end of 2007
QUEENSLAND DEPT OF HEALTH planners &
ngineers have visited Doomadgee community
lders & leaders to PROGRESS WATER
LUORIDATION PROJECT
T ISA based GOVT SENIOR DENTIST
lanning to REPLICATE AACAP school based
uoride toothpaste brush in project at
ORNINGTON ISLAND COMMUNITY later in
40. SCHOOL PRINCIPAL AT DAJARRA
Birdsville track region) already instituted
fluoride toothpaste school program after
earning of army dental program at
Doomadgee
Paediatric dentistry university professors at
Sydney University requested AACAP dental
program information to consider promoting
similar CIVILIAN DENTAL PROGRAMS in
e results of the AACAP âdental blitzâ
by the end of 2007
41. Long term results: by 2010
ater fluoridation to commence next year for the
oomadgee community
ueensland Govt dental clinic at Mt. Isa provides
gular resupply of fluoride toothpastes and
othbrushes to continue the Doomadgee school
sed fluoride program
eaching other communities:
ornington Island community continues their
hool based fluoride toothpaste program
43. Discussion
CAP as a training exercise for dental teams for
manitarian work on overseas deployments
g. remote areas of Pacific island nations
olomons
nviting remote area state govt civilian dentists
he introductory ADF dental officer initial
urse for the clinical components of the course
Pushing the envelopeâ ~ dental disease in
hanistan = pain and suffering
44. ushing the envelopeâ: reduce pain and suffering
curity issue = no Aust Army dental clinic for local
ilians possible
ale of the problem:
ere are only 3 dentists per 100,000 persons in
ghanistan
e tooth decay rate is very high being 3.4 decayed teeth
r child 3 to 4 years old and
decayed teeth per adult in 1991
scussion: Dental disease in Afghanistan
45. ussion: Reducing dental disease in Afghanistan
sibilities:
othing
dequate civilian capacity is not available, military forces fill the
(COIN Manual p.55)
ep programs small. This makes them cheap, sustainable, low-key
and tailored to local conditionsâ (COIN Manual p.300)
ain the local Afghan soldier medics in simple pain relief dentistry
g their soldiers as patients in a clinic within the base trade training
re. (overcomes the security issue)
d a Dental âDMTFâ rotation to train Afghan medics,
ate simple instruments)
ese Army medics can then use acquired dental skills later in their
an careers (âwinning hearts and mindsâ)
50. Dental & maxillofacial task force
(DMTF) deployment
r training local Afghan army medics, dental
re for Australian soldiers and trauma care
ne dental team of four members:
entist ~ three month rotation
al & maxillofacial surgeon ~ spring & summer
ghtingâ seasons ~ six week rotation
ental assistant/technician