Abstract
Total well-being cannot be achieved without good oral health. The condition and function of oral tissues and structures affect physical condition, appearance, ability to speak and chew, and inter-personal relations. Although oral diseases are extremely prevalent, they are often overlooked or underestimated. These disorders create a major public burden of pain and suffering, cost of treatment, and days lost from work or school. Only slightly more than half the US population visits a dentist during a year’s time.1 Nonetheless, private expenditures for dental care in 1985 exceeded $21 billion,2 and dental expenditures from all sources were $29.6 billion in 1986.3
The progressive reduction in caries incidence attributable to fluoridation is a modern triumph of preventive dentistry and public health. Dr. Greene and his colleagues analyze the effectiveness of different methods of providing adequate amounts of fluoride. They define the complementary roles of occlusal sealants, dietary modification, oral hygiene, and dental visits. It appears that a combination of personal and professional hygiene can prevent the onset and progress of periodontal disease. The prevention of malocclusion, oral trauma, and oral cancer due to smokeless tobacco is also subjected to critical appraisal.
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References
National Center for Health Statistics. Current Estimates from the National Health Interview Survey, United States, 1986. Series 10, No. 164. Washington: GPO, 1987, 10.
US Department of Commerce. Survey of Current Business. Washington: GPO, 1985.
Health Care Financing Administration. Health Care Financing Review, Vol 8. Washington: GPO, 1987.
Granath L, McHugh WD (eds). Systematized Prevention of Oral Disease: Theory and Practice. Boca Raton, Fla: CRC Press, 1986.
Murray JJ (ed). The Prevention of Oral Disease. New York: Oxford University Press, 1983.
Striffler DF, Young WD, Burt BA. Dentistry, Dental Practice, and the Community, 3rd ed. Philadelphia: Saunders, 1983.
Fritz ME, Rundle DG. Dental disease. In Amler RW, Dull HB (eds). Closing the Gap: The Burden of Unnecessary Illness. New York: Oxford University Press, 1987, 55–64.
Dunning JM. Principles of Dental Public Health. Cambridge, Mass: Harvard University Press, 1986, 409–414.
Newbrun E (ed). Fluorides and Dental Caries, 3rd ed. Springfield, 111: Thomas, 1986.
Moore WJ, Corbett ME. Dental caries experience in man: historical, anthropological, and cultural diet caries relationships: the English experience. In Rowe NH (ed). Proceedings of a Symposium on Diet, Nutrition, and Dental Caries. Ann Arbor: University of Michigan, 1978, 3–19.
Moller IJ. Impact of oral diseases across cultures. Int Dent J 1976; 26:353–68.
The Prevalence of Dental Caries in United States Children, 1979–80: The National Dental Caries Prevalence Survey. NIH Publication No. 82–2245. Bethesda, Md: National Institute of Dental Research, 1981.
National Institute of Dental Research. Survey shows dramatic decline in tooth decay among US children. NIDR Research News, June 21, 1988.
Newbrun E. Cariology, 2ded. Baltimore: Williams & Wilkins, 1983.
McKay FS. Mottled enamel: fundamental problem in dentistry. Dent Cosmos 1925; 67:847.
Dean HT. Epidemiological studies in the United States. In Moulton FR (ed). Dental Caries and Fluoride. Publ No. 19. Washington: American Association for the Advancement of Science, 1942.
Bell RM, Klein SP, Bohannan HM, et al. Results of Baseline Dental Exams in the National Preventive Dentistry Demonstration Program. Publ No. R-2862-RWJ. Santa Monica, Calif: Rand Corp., 1982, 31.
Brunelle JA, Miller AJ, Smith JI. DMFS in US children with and without lifelong exposure to water fluoridation. J Dent Res 1983;62 (sp iss): 203, abst 302.
De Leifde B, Herbison GP. Prevalence of developmental defects of enamel and dental caries in New Zealand children receiving differing fluoride supplementation. Community Dent Oral Epidemiol 1985; 13:164–67.
Driscoll WS, Heifetz SB, Horowitz KS, et al. Prevalence of dental caries and dental fluorosis in areas with negligible, optimal, and above-optimal fluoride concentrations in drinking water. J Am Dent Assoc 1986; 113:29–33.
Hunter PBV. The prevalence of caries in 8- and 9-year-old New Zealand children. NZ Dent J 1985; 81:23–25.
Katz RV, Jensen ME, Meskin LH. Dental caries prevalence in a community of schoolchildren: fluoridated vs. non-fluoridated. J Dent Res 1983; 62(sp iss):202, abst 296.
O’Mullane D, Clarkson J, Holland T, et al. Children’s Dental Health in Ireland. Dublin: Stationery Office, 1984, 39.
Horowitz HS, Heifetz SB, Law FE. Effect of school water fluoridation on dental caries: final results in Elk Lake, Pa, after 12 years. J Am Dent Assoc 1972; 84:832–838.
Centers for Disease Control. Fluoridation Census, 1985. Washington:GPO 1988.
Driscoll WS. The use of fluoride tablets for the prevention of dental caries. In Forrester DJ, Schulz EM Jr (eds). International Workshop on Fluorides and Dental Caries Reductions. Baltimore: University of Maryland School of Dentistry, 1974, 25–93.
Driscoll WS, Heifitz SB, Korts DC. Effects of chewable fluoride tablets on dental caries in school children: results after six years of use. J Am Dent Assoc 1978; 97:820–824.
Council on Dental Therapeutics. Accepted Dental Therapeutics, 40th ed. 40. Chicago: American Dental Association, 1984, 399–402.
Carlos JP. Fluoride mouthrinses. In Shy Wei (ed). Clinical Uses of Fluorides. Philadelphia: Lea & Febiger, 1985, 75–82.
Heifetz SB, Meyers RJ, Kingman A. A comparison of the anticaries effectiveness of daily and weekly rinsing with sodium-fluoride: final results after three years. Pediatr Dent 1982; 4:300–303.
Driscoll WS, Swango PA, Horowitz AM, et al. Caries-preventive effects of daily and weekly fluoride mouthrinsing in a fluoridated community: final results after 30 months. J Am Dent Assoc 1982; 105:1010–13.
Stookey GH. Are all fluoride dentifrices the same? In Wei Shy (ed). Clinical Uses of Fluoride. Philadelphia: Lea & Febiger, 1985, 105–31.
Lu KH, Ruhlman CD, Chung KL, et al. A three-year clinical comparison of a sodium monofluoro- phosphate dentifrice with sodium fluoride dentifrices on dental caries in children. J Dent Child 1987; 54:241–44.
Mellberg JM, Ripa LW. Fluoride dentifrices. In Mellberg JM, Ripa LW (eds). Fluoride in Preventive Dentistry: Theory and Clinical Application. Chicago: Quintessence, 1983; 215–41.
Ripa LW. Professionally (operator) applied topical fluoride therapy: a critique. Clin Prev Dent 1982; 4:3–10.
Brudevold T, Naujoks R. Caries-preventive fluoride treatment of the individual: progress in caries prevention. Caries Res 1978; 12 (suppl l):52–64.
Wei Shy. The potential benefits to be derived from topical fluorides in fluoridated communities. In Forrester DJ, Schulz EM Jr (eds). International Workshop on Fluorides and Dental Caries Reduction. Baltimore: University of Maryland School of Dentistry, 1974, 178–258.
Horowitz HS. A review of systemic and topical fluorides for the prevention of dental caries. Community Dent Oral Epidemiol 1973; 1:104–14.
Horowitz AM. Preventing Tooth Decay: A Guide for Implementing Self-applied Fluoride in School Settings. Bethesda, Md: National Institute of Dental Research, 1981.
Ripa LW. The current status of pit and fissure sealants: a review. Can Dent Assoc J 1985; 5:367–80.
Mertz-Fairhurst EJ, Fairhurst CW, Williams JE, et al. A comparative clinical study of two pit and fissure sealants: 7-year results in Augusta, Ga. J Am Dent Assoc 1984; 109:252–55.
Mertz-Fairhurst EJ. Current status of sealant retention and caries prevention. J Dent Educ 1984; 48 (suppl):18–26.
Simonsen RJ. Retention and effectiveness of a single application of white sealant after 10 years. J Am Dent Assoc 1987; 115:31–36.
Sealant Task Force. Preventing Pit and Fissure Caries: A Guide to Sealant Use. Boston: Department of Public Health, 1986.
Gustafsson BE, Quensel CE, Lanke LS, et al. The Vipeholm dental caries study: the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for 5 years. Acta Odontol Scand 1954; 11:232–364.
Harris R. Biology of the children of Hopewood House, Bowral, Australia. IV. Observations of dental caries experience extending over five years (1957–1961). J Dent Res 1963; 42:1387–98.
Burt BA, Eklund SA, Morgan KJ, et al. The Effect of Diet on the Development of Dental Caries. Final Report, Contract DE-22438. Bethesda, Md: National Institute of Dental Research, 1987.
Rugg-Gunn AJ, Hackett AF, Appleton DR, et al. Relationship between dietary habits and caries increments assessed over two years in 405 English adolescent schoolchildren. Arch Oral Biol 1984; 29:983–92.
Loesche WJ. Nutrition and dental decay in infants. Am J Clin Nutr 1985; 41:423–35.
Ripa LW. Nursing habits and dental decay in infants: “nursing bottle caries.” J Dent Child 1978; 45:274–75.
Andlaw RJ. Oral hygiene and dental caries: a review. Int Dent J 1978; 28:1–6.
Axelsson P, Lindhe J. The effect of a preventive programme on dental plaque, gingivitis and caries in school children: results after one and two years. J Clin Periodontol 1974; 1:126–38.
Axelsson P, Lindhe J. Effect of fluoride on gingivitis and dental caries in a preventive program based on plaque control. Community Dent Oral Epidemiol 1975; 3:156–60.
Axelsson P, Lindhe J, Waseby J. The effect of various plaque control measures on gingivitis and caries in school children. Community Dent Oral Epidemiol 1976; 4:232–39.
Agerback N, De Paola PF, Brudevold F. Effects of professional toothcleaning every third week on gin-givitis and dental caries in children. Community Dent Oral Epidemiol 1978; 6:40–41.
Ashley FP, Sainsbury RH. The effect of a school-based plaque control programme on caries and gingivitis. Br Dent J 1981; 150:41–45.
Badersten A, Egelberg J, Koch G. Effect of monthly prophylaxis on caries and gingivitis in schoolchildren. Community Dent Oral Epidemiol 1975; 3:1–4.
Hamp SE, Lindhe J, Fornell LA, et al. Effect of a field program based on systematic plaque control on caries and gingivitis in schoolchildren after 3 years. Community Dent Oral Epidemiol 1978; 6:17–23.
Sheiham A. Is there a scientific basis for six-monthly dental examinations? Lancet 1977; 2:442–44.
National Institute of Dental Research. Oral Health of United States Adults: The National Survey of Oral Health in US Employed Adults and Seniors, 1985-86. NIH Publ No. 87-2868. Bethesda, Md: 1987.
Kornman KS. The role of supragingival plaque in the prevention and treatment of periodontal diseases. J Periodont Res 1986; 16 (suppl):5–22.
Loe H, Theilade E, Jensen SE. Experimental gingivitis in man. J Periodontol 1965; 36:177–87.
Saxe SR, Greene JC, Bohannan HM, et al. Oral debris, calculus and periodontal disease in the beagle dog. Periodontics 1967; 5:217–25.
Lindhe J, Hamp SE, Loe H. Plaque-induced periodontal disease in beagle dogs. J Periodont Res 1975; 10:243–55.
Slots J, Bragd L, Wikstrom M, et al. The occurrence of Actinobacillus actinomycetemcomitans, Bacteroides gingivalis and Bacteroides intermedins in destructive periodontal disease in adults. J Clin Periodontol 1986; 13:570–77.
Tanner ACR, Haffer C, Bratthall GT, et al. A study of the bacteria associated with advancing periodontitis in man. J Clin Periodontol 1979; 6:278–307.
Kornman KS. The role of antimicrobials in the prevention and treatment of periodontal disease. In Perspectives on Oral Antimicrobial Therapeutics. Littleton, Mass: PSG Publishing Co, 1987, 37–46.
Suomi JD, Greene JC, Vermillion JR, et al. The effect of controlled oral hygiene procedures on the progression of periodontal disease in adults: results after third and final year. J Periodontol 1971; 42:152–60.
Horowitz AM, Suomi JD, Peterson JK, et al. Effects of supervised daily dental plaque removal by children after 3 years. Community Dent Oral Epidemiol 1980; 8:171–76.
Lang NP, Cumming BR, Loe H. Toothbrushing frequency as it is related to plaque development and gingival health. J Periodontol 1973; 44:398–405.
Loe H, Kleinman DV. Dental Plaque Control Measures and Oral Hygiene Practices: Proceedings of a State-of-the Science Workshop. Washington: IRL Press, 1986.
Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults: results after 6 years. J Clin Periodontol 1981; 8:239–48.
Knowles JW, Burgett FG, Nissle RR, et al. Results of periodontal treatment related to pocket depth and attachment level: eight years. J Periodontol 1979; 50:225–33.
Lindhe J, Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health: a longitudinal study of periodontal therapy in cases of advanced disease. J Clin Periodontol 1975; 2:67–84.
Ramfjord SP, Knowles JW, Nissle RR et al. Results following three modalities of periodontal therapy. J Periodontol 1975; 46:522–26.
Rosling B, Nyman S, Lindhe J, et al. The healing potential of the periodontal tissues following different techniques of periodontal surgery in plaque-free dentitions: a two year clinical study. J Clin Periodontol 1976; 3:233–45.
Loe H, Schiott CR. The effect of mouthrinses and topical application of chlorhexidine on the develop-ment of dental plaque and gingivitis in man. J Periodont Res 1970; 5:79–83.
Lang NP, Hotz HG, Geering UP et al. Effects of supervised chlorhexidine mouthrinses in children: a longitudinal clinical trial. J Periodont Res 1982; 17:101–11.
Hitchcock HP. Preventive orthodontics. In Finn SB (ed). Clinical Pedodontics, 4th ed. Philadelphia: Saunders, 1973.
Kelly JE, Sanchez M, Van Kirk L. An Assessment of the Occlusion of Teeth of Children. DHEW Publ No. (HRA) 74–1612. Washington: National Center for Health Statistics, 1973.
Kelly JE, Harvey C. Assessment of the teeth of youths 12-17 years. DHEW Publ No. (HRA) 77-1644. Washington: National Center for Health Statistics, 1977.
Lundstrom A. Aetiology and prevention of malocclusion. In Lundstrom A (ed). Introduction to Orthodontics. New York: McGraw-Hill, 1960.
McDonald RE, Henner DK, Avery DR. Managing space problems. In McDonald RE, Avery D (eds). Dentistry for the Child and Adolescent, 4th ed. St. Louis: Mosby, 1987, 721–760.
Profitt WR, Fields HW, Ackerman JL, et al. The etiology of orthodontic problems. In Profitt WR, Fields HW (eds). Contemporary Orthodontics. St. Louis: Mosby, 1986.
Linder-Aaronson S. Nasorespiratory function and craniofacial growth. In McNamara JA Jr (ed). Naso-respiratory Function and Craniofacial Growth. Craniofacial Growth Series, Monograph 9. Ann Arbor: University of Michigan, 1979, 121–47.
Bushey RS. Adenoid obstruction of the nasopharynx. In McNamara JA Jr (ed). Nasorespiratory Function and Craniofacial Growth. Craniofacial Growth Series, Monograph 9. Ann Arbor: University of Michigan, 1979, 199–232.
Vargervik K, Harvold ER Experiments on the interaction between orofacial function and morphology. Ear Nose Throat J 1987; 66:201–8.
Meredith GM. The airway and dentofacial development. Ear Nose Throat J 1987; 66:7–16.
Vig PS. Respiration, nasal airway, and orthodontics: a review of current clinical concepts in research. In Johnston LE (ed). New Vistas in Orthodontics. Philadelphia: Lea & Febiger, 1985, 76–102.
Castaldi CR. Injuries to teeth. In Vinger P, Hoerman E (eds). Sports Injuries: The Unthwarted Epidemic, 2nd ed. Littleton, Mass: PSG Publishing Co, 1986.
Huelke DF, Compton CP Facial injuries in automobile crashes. J Oral Maxillofac Surg 1983; 41:241–44.
National Highway Traffic Safety Administration. Progress and Assessment Report on the National Safety Belt Usage Program. Washington: GPO, 1983.
Robertson LS. Estimates of motor vehicle seat belt effectiveness and use: implications for occupant crash protection. Am J Public Health 1976; 66:859–64.
Pye G, Waters GA. Effects of seat belt legislation on injuries in road traffic accidents in Nottingham. Br Med J 1984; 288:756–57.
Steele RJC, Little K. Effect of seat-belt legislation. Lancet 1983; 2:341.
Going RE, Loeman RE, Chan MS. Mouthguard materials: their physical and mechanical properties. J Am Dent Assoc 1974; 89:132–38.
Heinz WD. Mouth protectors: A progress report. J Am Dent Assoc 1968; 77:632–36.
Bureau of Health Education and Audiovisual Services, Council on Dental Materials, Instruments and Equipment. Mouth protectors and sports team dentists. J Am Dent Assoc 1984; 109:84–87.
Rothman K, Keller A. The effect of joint exposure to alcohol and tobacco on risk of cancer of the mouth and pharynx. J Chron Dis 1972; 25:711–16.
American Cancer Society. Cancer Facts and Figures 1989. New York: 1989, 8.
The Health Consequences of Using Smokeless Tobacco: A Report of the Advisory Committee to the Surgeon General. DHHS Publication No. (NIH) 86-2874. Bethesda, Md: US Department of Health and Human Services, Public Health Service, 1986.
National Institutes of Health. Consensus Development Conference Statement: Health Implications of Smokeless Tobacco Use, vol. 6, no. 1. Bethesda, Md: 1986.
US Department of Health and Human Services, Office of the Inspector General, Office of Analysis and Inspections. Youth Use of Smokeless Tobacco: More Than a Pinch of Trouble. Dallas: 1986.
Jones RB. Smokeless tobacco: a challenge for the 80s. J Wis Dent Assoc 1985; 10:717–21.
Marty PJ, McDermott RJ, Williams T. Patterns of smokeless tobacco use in a population of high school students. Am J Public Health 1986; 76:193–95.
Smokeless tobacco use in rural Alaska. MMWR 1987; 36:140–43.
International Agency for Research on Cancer. Evaluation of the Carcinogenic Risk of Chemicals to Humans: Tobacco Habits Other Than Smoking; Betel-Quid and Areca-Nut Chewing; and Some Related Nitrosamines. Monograph 37. Lyon, France: World Health Organization, 1985.
Winn DM, Blot WJ, Shy CM, et al. Snuff dipping and oral cancer among women in the southern United States. N Engl J Med 1981; 304:745–49.
Greer RO Jr, Poulson TC. Oral tissue alterations associated with the use of smokeless tobacco by teenagers. Oral Surg 1983; 56:275–84.
US Department of Health and Human Services, Center for Devices and Radiological Health. The Selection of Patients for X-Ray Examinations: Dental Radiographic Examinations. DHHS Publication No. FDA 88-8273. Washington: GPO, 1987.
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Greene, J.C., Louie, R., Wycoff, S.J. (1990). Preventive Dentistry. In: Goldbloom, R.B., Lawrence, R.S. (eds) Preventing Disease. Frontiers of Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3280-3_25
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DOI: https://doi.org/10.1007/978-1-4612-3280-3_25
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