Prevention and oral health education in dental practice settings
Prevention is a core element of the practice of dentistry in the 21st century. Of course the provision of evidence based dental treatment and surgical intervention are the main clinical roles for dentists, but, as health professionals, prevention is also a key responsibility (Department of Health 2012 ; Petersen 2009 ; Steele et al. 2009). Adopting a preventive orientation is relevant to all aspects of clinical care, from diagnosis and treatment planning to referral and monitoring procedures. Dentists and their team members have an important role in helping their patients prevent, control, and manage their oral health. Prevention is important for all patients, but support needs to be tailored to the needs and circumstances of each individual. It is also essential that any preventive advice and support is informed by scientific evidence to ensure maximum benefit is gained. Effectiveness reviews of preventive interventions have shown that many are ineffective and may increase oral health inequalities unless they are supported by broader health promotion interventions (Watt and Marinho 2005; Yehavloa and Satur 2009). Prevention in clinical settings therefore needs to be part of a more comprehensive oral health promotion strategy that addresses the underlying causes of dental disease through public health action, as well as helping patients and their families prevent oral diseases and maintain good oral health through self-care practices. Health education is defined as any educational activity that aims to achieve a health-related goal (WHO 1984). Activity can be directed at individuals, groups, or even populations. There are three main domains of learning (see also Chapter 9 ): . . . ● Cognitive: understanding factual knowledge (for example, knowledge that eating sugary snacks is linked to the development of dental decay). . . . . . . ● Affective: emotions, feelings, and beliefs associated with health (for example, belief that baby teeth are not important). . . . . . . ● Behavioural: skills development (for example, skills required to effectively floss teeth). . . . How do knowledge, attitudes, and behaviours relate to each other? For most people, in most instances, the relationship is complex, dynamic, and very personal; very rarely is it linear.