Student Open Book Assignment AY 2019/20 Assignment Details (Please read the instructions below carefully) Assignment Title Dental Public Health, Community and Preventive Dentistry including relevant Ethics and Law Final Assignment Descriptor BDS IV - 4 Assignment Date 29.06.2020 Word Count Range 1500-2000 Submission Date 16.07.2020 Maximum Marks 80 Topic Planning and Professionalism for a Low Income Country: a dental public health perspective You have just been appointed as Chief Dental Officer for a low-income country of seven million people called NeverLand. This country of Neverland has a very young population. Almost half (45%) of the population is aged 15 years of age and under. There is a simple but comprehensive educational system where all children can attend a local school from the age of six up to 15 years of age. An international university has been supporting your country and recently conducted a national survey of school childrens' oral health. You have been presented with survey data which show that 90% of children have dental caries at ICCMS score 2 and above (caries in enamel or worse): 60% have ICCMS 3 and above and 20% have ICCMs 5 and above. Between 10% and 15% of children across all ages report experiencing pain from their teeth in the past three months. Children enter school at six years of age with an average of three teeth affected by dental caries (range 0-12) Disease levels increase with age and then fall during the transition from a primary to a secondary permanent dentition, but rise again so that on leaving school 15-year- old children have an average of four teeth affected by decay (DT 4) and overall a mean caries of DMFT-5. No children have received fillings Task The water supply comes from local sources and is not fluoridated. Toothbrushes are increasingly being used; however, toothpaste is not always available outside of the capital city Dental services are limited with only 20 dentists located in the capital city, where about 20% of the population is based, paying occasional visits to rural areas using one mobile dental caravan to provide care. The country has a medical school but there is no dental education. All the dentists in the country have trained abroad. Dental nurses are trained on the job and there are no other dental care professionals (dental auxiliaries) in the country, The country does have trained community health workers who are based across the country including rural areas who promote health and help people to access care. Finally, the country has just established a registration council for health professionals and want to develop guidance on professionalism for dentists. They have asked you for advice on what aspects of professionalism other countries expect from their dentists Your submission is to address the following questions headings: Questions/Headings Marks Marks 10 30 Questions/Headings Oral Health Needs: Q1/H1 Summarise the needs in Country and identify what other information you would like to collect, justifying why, so that you can plan for the whole population. Health Promotion Action Plan: What is your plan of action to promote oral health across the child population in a whole population approach? Please outline your plan in Q2/H2 line with the 'five action areas of the Ottawa Charter (WHO, 1986). (25 marks) In doing so, very briefly (5 marks) please outline what other health workers you would collaborate with in promoting oral health and why. Accessible Dental Care: What plans will you put in place to ensure that accessible dental services are available for the whole population using Penchansky & Thomas's Q3/H3 (1981) dimensions of access (5As). (15 marks) Please also outline your plan to developing and using the oral and dental workforce to meet the needs of the population. (5 marks) Professionalism: List 10 important aspects of professionalism for the dental profession Q4/14 which you will recommend to the new registration body for dentists. Please provide one practical example for each of the ten points. 20 20