Menu Expand
Community Oral Health Practice for the Dental Hygienist - E-Book

Community Oral Health Practice for the Dental Hygienist - E-Book

Christine French Beatty

(2016)

Additional Information

Book Details

Abstract

Community Oral Health Practice for the Dental Hygienist, 4th Edition, helps you acquire the skills to improve the oral health of people throughout various communities and build a successful career in the public health sector. Now in full color, this edition contains key updates on Healthy People 2020, the Affordable Care Act, health literacy, access to care, and more. Test-taking strategies, cases, and application exercises, as well as practice quizzes online, provide a wealth of opportunities for classroom and board exam preparation.

  • Comprehensive, cutting-edge content delivers everything you need to know to succeed in community dental hygiene practice.
  • Trusted editor Christine Beatty draws on decades of teaching, practicing, and writing on community oral health to make this complex content approachable for those new to public health.
  • Chapter on test-taking strategies helps you confidently prepare for the community oral health portion of the National Board Dental Hygiene Examination (NBDHE).
  • Expanded Community cases on the companion Evolve website test your ability to apply your knowledge to common scenarios you may encounter as a dental hygienist.
  • Up-to-date information on national initiatives such as Healthy People 2020 and the Surgeon General’s report details the goals and guidelines of various government programs.
  • Dental hygienist mini-profiles provide real-world perspectives to help you prepare for a career in public health.
  • Applying Your Knowledge sections suggest ways your can begin improving oral health in your community.
  • Guiding principles, learning objectives, vocabulary terms, and chapter summaries help you study more efficiently.
  • NEW! Content updates include Healthy People 2020 ,health literacy, teledentistry, the Affordable Care Act, oral health workforce models, access to care, interprofessional practice, and more. 
  • NEW! Full-color design highlights key concepts within each chapter. 
  • NEW! Art program delivers more photos to help drive home key concepts.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Community Oral Health Practice for the Dental Hygienist i
Copyright Page iv
Dedication v
Contributors vii
Reviewers ix
Preface xi
Acknowledgments xiii
Table Of Contents xv
1 People’s Health 1
Objectives 1
Opening Statements: What Is Public Health? 1
Health, Public Health, and Dental Public Health 1
Public Health/Private Practice 2
The Public Health Problem and the Public Health Solution 2
Public Health Problem 2
Public Health Solution 3
Oral Disease as a Public Health Problem 4
Role of Government in Public Health 4
Government Agencies 4
National Oral Health Initiatives 4
Core Functions and Essential Services of Public Health 7
Future of Dental Public Health 9
What Needs to Be Done 9
Going in the Right Direction 10
Common Goals 12
Summary 12
Applying Your Knowledge 13
Dental Hygiene Competencies 13
Health Promotion and Disease Prevention 13
HP.1 13
HP.4 13
Community Involvement 13
CM.1 13
CM.7 13
Community Case 13
References 14
Additional Resources 17
2 Careers in Public Health for the Dental Hygienist 18
Objectives 18
Opening Statements: Career Possibilities 18
Community Oral Health Practice as a Career 18
Future Trends for Dental Hygienists in Public Health 19
Potential of the Dental Hygienist to Address the Access to Oral Health Care Problem 19
Alternative Practice Settings 20
Supervision and Reimbursement Regulatory Changes 20
Alternative Workforce Models 22
Midlevel Provider 22
Dental Therapist 26
Alaska. 26
Minnesota. 26
Maine. 26
Advanced Dental Hygiene Practitioner 27
Midlevel Oral Health Practitioner 27
Community Dental Health Coordinator 28
Interprofessional Collaborative Practice 28
Disconnect of Oral Health Care and Overall Health Care 29
Future of Interprofessional Collaborative Practice in Oral Health Care 29
Careers in Public Health 30
Clinician 31
Educator 33
Dental Hygiene Faculty 33
Oral Health Educator 33
Corporate Educator 33
Advocate 34
Researcher 35
Administrator/Manager 35
Summary 45
Applying Your Knowledge 46
Dental Hygiene Competencies 46
Core Competencies 46
C.8 46
Health Promotion and Disease Prevention 46
HP.1 46
Community Involvement 46
CM.3 46
CM.4 46
CM.7 46
Professional Growth and Development 46
PGD.1 46
PGD.3 46
Community Case 46
References 47
Additional Resources 49
3 Assessment for Community Oral Health Program Planning 50
Objectives 50
Opening Statement: Example of a Community Profile 50
Public Health Practice 51
Professional Preparation of the Public Health Workforce 51
Public Health Preparation of the Oral Health Workforce 52
Collaboration in Public Health Practice 52
Assessment: a Core Public Health Function 53
Roles of Public Health Professionals in Assessment 53
Overview of Epidemiology: Population-Based Study of Health 54
Epidemiologic Triangle 54
Host Factors 54
Agent Factors 56
Environmental Factors 56
Uses of Epidemiology 56
Changing Perspectives of Health 56
Determinants of Health 57
Social Determinants of Health 58
Determinants of Health in Relation to Oral Health 58
The Community Health Program Planning Process 59
Assessment of Oral Health in Communities 61
Step 1: Identify Partners and Form an Advisory Committee 62
Describing the community. 63
Step 2: Conduct a Self-Assessment to Determine Goals and Resources 63
Step 3: Plan the Needs Assessment 64
Collecting existing data from secondary sources. 64
Types of data. 64
Step 4: Collect Data 65
Determining the necessity of primary data collection. 65
Planning and collecting primary data. 65
Step 5: Organize and Analyze the Data 66
Step 6: Utilize Data for Program Planning, Advocacy, and Education 66
Prioritizing the issues. 66
Reporting the findings of the community oral health assessment. 67
Program planning, advocacy, and education. 67
Step 7: Evaluate the Needs Assessment 68
Next Steps: Developing and Implementing an Improvement Plan 68
Summary 69
Applying Your Knowledge 69
Dental Hygiene Competencies 70
Health Promotion and Disease Prevention 70
HP.4 70
HP.5 70
Community Involvement 70
CM.1 70
CM.6 70
Community Case 70
References 70
Additional Resources 72
4 Measuring Oral Health Status and Progress 73
Objectives 73
Opening Statement: Healthy People 2020 Leading Health Indicators (LHI) and Targets 73
Health Assessment: Essential in Monitoring Community Health 74
Healthy People 74
Healthy People 2020 History and Development 74
Healthy People 2020 Framework 75
Focus on Eliminating Health Disparities and Promoting Health Equity 76
National Health Objectives 76
National Oral Health Objectives 78
Oral Health Surveillance Systems 79
Basic Screening Survey 80
National Oral Health Surveillance System 81
Measuring Oral Health and Its Determinants in Populations 83
Types of Measurements 84
Measurements of Dental Caries 84
Coronal Dental Caries 85
Early childhood caries. 86
Root Surface Caries 86
Future Directions for Assessing Dental Caries 86
Measurement of Oral Health Treatment Needs 86
Measurement of Dental Sealants 87
Measurement of Periodontal Disease 88
Gingivitis 88
Periodontitis 88
Future directions for assessing periodontal disease. 89
Measurement of Tooth Loss 90
Measurement of Oral and Pharyngeal Cancer 90
Use of Tobacco in Relation to Oral and Pharyngeal Cancer 91
Measurement of Other Oral and Craniofacial Diseases, Conditions, and Injuries 92
Craniofacial Anomalies 92
Malocclusion 93
Dry Mouth 93
Denture Use 93
Orofacial Injuries and Tooth Trauma 93
Orofacial Pain and Temporomandibular Disorders 93
Tooth Wear and Erosion 93
Measurement of Dental Fluorosis 93
Measurement of Access to Water Fluoridation 94
Measurement of Access to the Oral Healthcare System 95
Measurement of Oral Health–Related Quality of Life 96
Health-Related Quality of Life 96
Oral Health–Related Quality of Life 97
Future Directions for Assessing Oral Health–Related Quality of Life 98
Measurement of Infrastructure, Capacity, and Resources 98
Future Considerations for Oral Health Surveillance 99
Summary 100
Applying Your Knowledge 100
Dental Hygiene Competencies 100
Health Promotion and Disease Prevention 100
HP.4 100
HP.5 100
Community Involvement 100
CM.1 100
CM.6 100
Community Case 101
References 101
Additional Resources 103
5 Population Health 104
Objectives 104
Opening Statement: The Burden of Oral Diseases in the United States 104
Part One: Oral Health Status and Trends 104
Global Burden of Oral Diseases 104
Oral Health in the United States 105
Burden of Oral Diseases in the United States 108
Social Impact of Oral Diseases 109
Status and Trends of Specific Oral Conditions in the U.S. 109
Dental Caries 109
Children and Adolescents 109
Young and Older Adults 110
Community Preventive Services 110
Dental Sealants 110
Community Water Fluoridation 112
Periodontal Diseases 113
Tooth Loss 113
Oral and Pharyngeal Cancer 113
Other Oral Conditions 115
Cleft Lip and Cleft Palate 115
Malocclusion 116
Craniofacial Injuries 116
Dental Fluorosis 116
Part Two: Access to Oral HealthCare and Dental Public Health Systems 117
Access to the Oral Healthcare System 117
Barriers to Dental Care 118
Regular Dental Visits and Use of Oral Health Services 118
Unmet Dental Needs 119
Dental Care Financing in the U.S. 119
Expenditures 120
Dental Insurance Coverage: Children and Adolescents 120
Dental Coverage: Younger and Older Adults 122
Publicly Funded Health Insurance Programs 122
Medicaid. 123
Children’s Health Insurance Program (CHIP). 123
Medicare. 123
Future Considerations for Financing Dental Care 123
Oral Health Workforce 124
Supply of Oral Health Professionals 124
Educating Future Oral Health Professionals 125
Distribution of Dental Professionals 126
Population Trends and Future Dental Workforce 127
Teledentistry: Improving Population Health Through Technology 128
History of Teledentistry. 128
Successful Examples of Teledentistry. 128
Dental Public Health Programs 128
Status and Trends 129
Public Health Infrastructure and Capacity 129
Current Status: Structure and Funding 131
Community-Based Health Centers 132
Dental Public Health Program Performance 132
Future Directions 133
Summary 134
Applying Your Knowledge 134
Dental Hygiene Competencies 134
Health Promotion and Disease Prevention 134
HP.4 134
Community Involvement 134
CM.1 134
CM.4 134
CM.5 134
CM.6 134
Community Case 134
References 136
6 Oral Health Programs in the Community 142
Objectives 142
Opening Statements 142
Improving Oral Health in the Community 142
National, State, and Local Programs: Role of the Health Department 143
National Level 143
State Level 143
Role of Essential Public Health Services to Promote Oral Health 144
Role of Oral Health Coalitions 144
Local Level 145
Christian Community Action 145
Dental Health Arlington 145
Local Coalitions 146
Program Planning Process 146
Identifying the Primary Health Issues 146
Developing a Measurable Process and Outcome Objectives to Assess Progress in Addressing the Health Issue 148
Goals 148
Objectives 148
Selecting and Planning Effective Health Interventions to Help Achieve the Objectives 150
Implementing the Selected Interventions 150
Evaluating the Selected Interventions Based on the Objectives and Using the Information to Improve the Program 151
Primary Prevention Programs: Fluorides, Sealants, Oral Health Education 152
Community Water Fluoridation 152
Effectiveness of Water Fluoridation 152
Mechanisms of Action of Fluoride 153
Fluoridated Communities 153
Cost of Water Fluoridation 154
Optimal Level of Fluoride 154
Example of a Community Water Fluoridation Program 154
Antifluoridationists 155
Other Fluoride Programs 156
Fluoride Varnish 156
Fluoride Mouthrinse Programs 157
Dietary Fluoride Supplements 157
Prevention of Fluorosis 158
Dental Sealants 158
Oral Health Education 159
Developing an Oral Health Presentation 160
School-Based Oral Health Programs 160
Head Start 162
Head Start Program Description 163
Health Services 164
Oral Health Services 164
Dental Hygienists Working with Head Start 165
Secondary and Tertiary Oral Health Prevention Programs 165
Dental Treatment 165
The Dental Home for Children 166
Oral Health Services for Older Adults 167
Financing Programs 168
Federal Initiatives 168
Block Grants 168
Women, Infants, and Children’s (WIC) Program 169
Children’s Health Insurance Program (CHIP) 169
Medicaid 169
Administration for Children and Families (ACF) 169
Federally Qualified Health Centers 169
Volunteer Dental Services Programs 170
Summary 170
Applying Your Knowledge 170
Dental Hygiene Competencies 170
Core Competencies 170
C.3 170
C.8 170
Health Promotion and Disease Prevention 170
HP.1 170
Community Involvement 171
CM.1 171
CM.2 171
CM.3 171
CM.4 171
CM.5 171
CM.6 171
CM.7 171
Community Case 171
References 171
Additional Resources 175
7 Applied Research 177
Objectives 177
Opening Statement: Questions in Research 177
Using Research to Answer Questions 178
Evidence-Based Decision Making 178
Ranking of Evidence for Evidence-Based Decision Making (EBDM) 179
Primary, secondary, and tertiary literature. 180
Primary literature. 180
Secondary literature. 180
Tertiary literature. 180
The Scientific Method and Development of a Research Question 180
Formulating a Research Question 180
Development of a Hypothesis 181
General Methods of Research 182
Qualitative Research 182
Quantitative Research 182
Mixed-Methods Research 183
Research Designs 183
Observational Research 183
Experimental Research 185
Pretest-Posttest Design 185
Repeated Measures Design 185
Crossover Design 185
Split-Plot (Split-Mouth) Design 185
Factorial Design 186
Quasi-Experimental Research 186
Research Methodology 186
Population and Sampling 187
Population 187
Sampling 187
Study Groups 187
Experimental and Control Groups in the Experimental Approach 187
Cases and Controls in Observational Studies 188
Variables 189
Blinding (Masking) 189
Length of Study 189
Collecting Data 189
Ethical Conduct of Research 190
Communication of Research Results 190
Presentation of the Data and Data Analysis 191
Data 191
Statistics 192
Descriptive Statistics 192
Measures of central tendency. 192
Measures of dispersion. 193
Correlation. 194
Percentiles. 196
Displaying the Data 196
Frequency distribution tables. 196
Graphs. 196
Bar graph. 196
Histogram. 196
Frequency polygon. 196
Time series graph. 197
Scattergram. 197
Pie chart. 197
Inferential Statistics 198
Parametric inferential statistics. 199
t-test. 199
Analysis of variance. 200
Nonparametric inferential statistics. 200
Confidence intervals. 200
Determining Statistical Significance 200
Power analysis. 201
p values. 201
The statistical conclusion. 201
Analysis of the Literature 201
Selection of Literature 202
Selecting a Journal 202
Authors 202
Date of Publication 202
Other Sources of Literature 203
Evaluation of the Selected Literature 204
Components of a Primary Research Report 204
Abstract 205
Introduction 205
Methods and Materials 205
Results 205
Discussion 205
Clinical significance versus statistical significance. 206
Summary 206
Applying Your Knowledge 206
Dental Hygiene Competencies 207
Core Competencies 207
C.4 207
C.7 207
Community Involvement 207
CM.1 207
CM.6 207
Community Case 207
References 208
Additional Resources 209
8 Health Promotion and Health Communication 210
Objectives 210
Opening Statements: Challenges to Promoting Oral Health 210
Health Promotion 210
Health Promotion Theories 211
Intrapersonal Level 212
Stages of Change Theory (Transtheoretical Model). 212
Oral health example. 212
Health Belief Model. 212
9 Social Responsibility 228
Objectives 228
Opening Statements: Status and Future of Health Care 228
A System in Crisis 228
Social Responsibility and Professional Ethics 229
Social Responsibility 229
Professional Ethics 229
Health Care: a Privilege or a Right? 230
Health Care as a Privilege 230
Health Care as a Right 231
Government Role in Healthcare Delivery 231
Policy Development 232
Demand Versus Resources 233
Patient Responsibility and Patient Confidentiality 233
Health Care: a Comprehensive Approach 234
Strengthening the Current Dental Care Delivery System 234
Transforming to an Oral Health Interprofessional Workforce Model 234
Leadership 235
The Role of Communication in Leadership 235
Use of Social Media for Health Risk Communication 235
Domestic Violence 237
Summary 238
Applying Your Knowledge 238
Dental Hygiene Competencies 238
Core Competencies 238
C.1 238
C.8 238
C.10 238
Health Promotion and Disease Prevention 239
HP.1 239
Community Involvement 239
CM.4 239
CM.7 239
Community Case 239
References 240
Additional Resources 242
10 Cultural Competence 243
Objectives 243
Opening Statements: The Role of Culture in the Status and Future of Oral Health 243
Today’s Evolving Diverse Population 243
Oral Health Disparities of a Diverse Population 244
Considering Culture 245
What Is Culture? 246
Why Consider Culture? 246
Effect of Culture on Health and Health-Related Factors 246
Cultural Competence 246
Community and Organizational Cultural Competence 247
Culturally and Linguistically Appropriate Services (CLAS) 248
Developing Cultural Competence 249
Cultural Competence Education Model 249
Purnell Model for Cultural Competence 249
Cultural Competence Continuum 249
Culturally Competent Patient Care 251
Effective Cross-Cultural Communication 251
Models of Communication for Cross-Cultural Encounters 253
Written Communications 254
Patient-Centered Care 255
Health Literacy 256
Summary 259
Applying Your Knowledge 259
Dental Hygiene Competencies 259
Core Competencies (C) 259
C.6 259
C.9 259
C.11 259
C.12 259
Health Promotion and Disease Prevention (HP) 259
HP.2 259
Community Case 260
References 260
Additional Resources 263
Books 263
11 Service-Learning 264
Objectives 264
Opening Statements: Highlights of Service-Learning Research in Higher Education: Dental Hygiene Student Comments 264
Introduction 265
Service-Learning as Experiential Learning 265
Experiential Learning 265
A Dental Hygiene Example of Experiential Learning 266
Authenticity of Experiential Learning 267
Service-Learning 268
Stages of Service-Learning 269
Distinguishing Characteristics of Service-Learning 269
Collaboration 270
Mutual Objective Formation 270
Orientation 271
Preparation 271
Reflection 272
Evaluation 272
Benefits of Service-Learning for Interprofessional Collaboration 272
Evolution from Traditional to Collaborative Experiential Learning in Dental Hygiene Curricula 272
Interprofessional Collaborative Practice 274
Interprofessional Collaborative Practice and Service-Learning 274
Interprofessional Strategies in Service-Learning 274
Interprofessional models. 275
Risk Management in Service-Learning 275
Service-Learning to Reinforce Dental Public Health Learning 276
Public Health Resources 276
Learning Opportunities 277
Summary 278
Applying Your Knowledge 278
Set A. Data Resources Exercises 278
Set B. Service-Learning Objectives Exercises 278
Set C: Service-Learning Lesson Plan Development Exercises 281
Dental Hygiene Competencies 283
Core Competencies 283
C.3 283
C.8 283
C.10 283
C.12 283
C.13 283
Health Promotion and Disease Prevention 283
HP.1 283
Community Involvement 283
CM.1 283
CM.2 283
CM.3 283
CM.6 283
CM.7 283
Professional Growth and Development 283
PGD.1 283
PGD.3 283
Community Case 283
References 284
Additional Resources 285
12 Test-Taking Strategies and Community Cases 286
Objectives 286
Overview of the NBDHE 286
NBDHE Question Formats 286
Answering Community Case Questions (Testlets) 289
Application of Critical Thinking: Sample Community Oral Health Practice Testlets 289
Testlet No. 1 289
Testlet No. 2 290
Testlet No. 3 290
Testlet No. 4 291
Testlet No. 5 291
Answers and Rationales 292
Testlet No. 1 292
Testlet No. 2 293
Testlet No. 3 293
Testlet No. 4 293
Testlet No. 5 294
References 294
Appendix A Additional Websites for Community Resources 295
Appendix B Dental Hygiene Competencies 296
Competency Domains 296
Competencies for the Dental Hygiene Profession 296
Core Competencies (C) 296
Health Promotion and Disease Prevention (HP) 297
Community Involvement (CM) 297
Patient Care (PC) 297
Assessment 297
Dental Hygiene Diagnosis 297
Planning 297
Implementation 297
Evaluation 297
Professional Growth and Development (PGD) 297
Appendix C Community Partnerships for Oral Health 298
Appendix C-1 Potential Community Partners 298
Appendix C-2 Oral Health Coalition Framework 301
Appendix D Resources for Community Health Assessment 302
Appendix D-1 Examples of Government Resources for Health Data 302
Appendix D-2 Summary of Data Collection Methods 303
Appendix D-3 Examples of Information for a Community Health Assessment 305
Appendix D-4 Examples of Primary Data Collection Tasks 306
Appendix E Selected Oral Conditions and Factors Influencing Oral Health That Can Be Assessed in Oral Health Surveys 307
Appendix F Common Dental Indexes 310
Bibliography 313
Glossary 314
Index 322
A 322
B 322
C 323
D 324
E 325
F 326
G 326
H 326
I 327
J 327
K 327
L 327
M 327
N 328
O 328
P 329
Q 330
R 330
S 331
T 332
U 332
V 332
W 332