Community Dental Health Capstone Project

Date: May 15th 2016

 Project

#1

Project

#2

Project

#3

Oak Hill Elementary 2nd

Graders. Leader Cevinah Chotard
Sunshine Group Home for the
Elderly. Co-leaders Cambria Curran &
Melody Ferzacca
Life Skills Education Program
Ages 19-21. Leader Dusty Lawellin

Project Leader: Cevinah Chotard

Group Description: The group consisted of
second graders that attend Oak Hill School
Presentation description: We started with a
guesing game on how much sugar was in a
pepsi, then discussed sugars effect on teeth
and proper home care techniques
Location: Eugene Or

Oak Hill 2nd grade presentation

Ran by Cevinah Chotard

With help from Dusty, Cambria and Melody
Lesson Plan Title: Sugar Shock the effects of sugar on the incidence of caries
and overall oral health

Group to Teach: 2nd graders at Oak Hill School

General Goal(s): Talk about how a cavity occurs. What are the stages?
Normal dentition, demineralized teeth and cavities. Do a survey of the class
prior to opening the board. What is their favorite drink and how often do
they drink it? Have a list of common sugar quantities and show the board
with the amount of sugar per drink. Then show the anatomy of a tooth
enamel, dentin, pulp and cementum. How do they prevent cavities?

Specific Objectives:
Show how much sugar is in common drinks.
Teach about healthy enamel, demineralized enamel and cavities.
Show how a cavity occurs.
What are the health effects of poor oral health on the rest of the
body?
Educate on how to prevent cavities.
Show tell do proper home care technique.

Required Materials: Sugar Shock Table Clinic, healthy drink choices

pyramid handouts, chart of common drinks and their sugar
contents, tooth-brushes, tooth-paste and floss.

Step-by-step

Procedures for your Presentation:

2 min: Intro game and survey.
2 min: Show how much sugar is in common drinks.
4 min: Teach about healthy enamel, demineralized enamel and
cavities.
3 min: Show how a cavity occurs.
2 min: What are the health effects of poor oral health on the
rest of the body?
2 min: Educate on how to prevent cavities.
5 min: Show, tell and do proper home care technique.
15 min: Questions?

Name_______________
What

Date____________

kind of drinks do you consume besides water?

How

often do you drink beverages that are not water?

How

often do you brush your teeth?

How

often do you floss?

80%

Children that brush that

drink milk = 10
Children that drink juice= 5

70%

67%

60%
50%

Children that tea with milk=

1
Children that that drinks
chocolate milk= 1

The Survey

Types of Drinks

38%

40%

Column1
Column2

30%

20%
8%

10%

8%

0%
Drink
Milk

Drink
Juice

Tea &
Milk

Choc
Milk

Results As % of 13

Children that drink

beverages other than water
once a day= 4

Children that drink

beverages other the water
twice a day= 6
Children that drink
beverages other the water
twice a week= 3

The Survey

How often child drinks beverages that are

not water
50%

46%

45%
40%
35%

31%

30%
25%

23%

20%
15%
10%
5%

0%
Once a day Twice a day Twice a week

Results As % of 13

Chart Title
70%

Children that brush once a day= 5

60%

Children that brush twice a day= 8

50%
40%
30%
20%
10%

0%
Once a day Twice a day
Brushing Frequency

The Survey

Results As % of 13

How often do you floss?

Children that floss once a day= 2

35%

Children that floss two times a day= 2

Children that floss two times a week=

4

30%
25%

Children that floss once a month= 1

Children that floss two times a year= 1

23%

20%
15%

31%

15%

15%

10%

8%

8%

5%
0%

Children that never floss= 3

1 x day 2 x day 2 x week

1x
2 x year
month

Series 1

The Survey

Results As % of 13

never

The children were very

receptive to the
presentation. They
were so excited to
brush their teeth in a
sulcular fashion that
they went outside and
all brushed their teeth
after we left.

The presentation was

short and sweet. The
students learned a lot.
If I were to do it again I
would have spent a
little more time with
each student to watch
their proper brushing
and flossing technique
after disclosing.

Presentation given to five completely edentulous

elderly patients living in a private foster home as
well as two caregivers.
Co-leaders: Cambria Curran & Melody Ferzacca
with help of Dusty Lawellin and Cevinah Chotard
Location: Sunshine Group Home for the Elderly in
Albany, OR
Denture care was discussed in detail. Oral lesions
and variations from normal were discussed using
pictures. Information was given and demonstrated
on how to perform an IO/EO examination after
denture removal.

 Lesson Plan Title: Maintaining Oral Health

as We Age
Group to Teach: Geriatric population

General Goal(s): Proper denture care, signs

and symptoms of oral diseases, systemic
diseases effects on oral health and vice
versa, proper homecare, nutritional habits
focusing on sugar content in drinks,
professional dental care

 Dentures should be taken out every day(night) for approx. 8

hrs. Dentures should be cleaned daily using denture cleaner,
never regular toothpaste, using a brush to scrub off any
debris. Soaked in cool water not hot. If dentures are not fitting
correctly or are causing any irritation, take them to a dentist
to be evaluated and corrected if needed.
Caregivers or geriatric persons themselves if able should
perform oral screenings to look for any white or red lesions
that persist or grow. May or may not be painful, if no pain,
does not mean there is no problem. Look for any build-up on
any natural teeth that may be in the mouth.

Uncontrolled diabetes can increase risk of

periodontal disease and caries. Poor oral health can
increase risk for heart disease and pneumonia.
If patient has natural teeth, brush twice daily and
use an interproximal aid. Geriatric patients may
need assistance from a caregiver. Electric
toothbrushes are best.
Sip water or use Biotene mouth-rinse or xylitol
products to help alleviate dry mouth.

If patient has dentures, after removal, the gums

should be cleaned using a wet cloth or soft
toothbrush. May swish with alcohol free
mouthrinse after meals.

It is best to limit drink choices to water,

unsweetened tea, and white milk for lessened
sugar content. Even if the patient has dentures,
increased sugar intake can cause plaque to thrive
on the dentures themselves. High sugar intake
increases risk for caries on natural teeth.

 Professional dental care should be sought out every 3-6

months for a geriatric patient with natural teeth
depending on their individual needs.
Patients who have dentures should still receive
professional dental care periodically to perform thorough
oral examinations and screenings and to check denture
fit and comfortability.
If there is hard debris on dentures, do not try to remove
it using sharp objects, take it to a dental professional and
allow them to remove the debris so that scratches are not
created in the dentures.

Sugar Shock Board created by Dusty and Cevinah

ENDS Geriatric Oral Health PPT
Pre-test and post-test
Goodie bags containing denture cleaner, denture
brushes, and denture adhesive.

Start out the presentation by asking our

pre-test questions
Begin the powerpoint, the powerpoint takes
about 30-45 minutes to go through
Ask if there are any questions
Ask our post-test questions
Give the participants their goodie bags

Image obtained from ENDS ppt

Candidiasis under where

denture would lie

Example of cancerous
lesion on the lateral
border of the tongue

Images obtained from ENDS

ppt.

 Instead of handing out written questionnaires, we simply

asked questions before the presentation and afterwards to
test the participants knowledge and habits.
The first question we asked was whether or not the patients
had their own natural teeth, full upper and lower dentures,
or a mix. This allowed us to be able to focus the information
we presented to them as well as asking the appropriate
questions.
All of the residents had full upper and lower dentures and
did their oral care by themselves.

 How often should you take out your dentures?

Pre answer: Everyday
Post answer: Every night
How often should you clean your dentures?
Pre: Everyday
Post: Everyday
What should you clean your dentures with?
Pre: Some soaked their dentures in Polident, some
just rinsed them off, some used regular toothpaste
Post: Polident

 What temperature of water should you use to clean your

dentures?
Pre: Hot
Post: Cool
Should you clean your gums or examine your gums?
Pre: One woman answered yes. No one else thought it was
necessary.
Post: Yes when I take my dentures out
Are regular dental visits necessary?
Pre: No
Post: No

The residents and the two caregivers that were

present were very surprised by a lot of the information
that we shared with them. They were unaware that
self-exams should be performed either by self or
caregiver daily upon denture removal to make sure
that there were no irritations or irregularities and had
never seen most of the dental diseases (such as
candidiasis) and irregularities that we showed them.
They were also very shocked that dentures should be
cleaned in cool water to prevent damage to them; they
thought hot water would better remove the debris off
of their dentures.

 It was good to hear that the residents and caregivers

knew it was important to take dentures out daily and to
clean them daily.
Although they acknowledged that we informed them that
regular dental visits were important every few years even
when the person has no natural teeth, many of them still
stated they would only go to the dentist if they were
experiencing a problem with their dentures.
I feel the residents and care givers learned a lot from us
and that our presentation was effective in educating
them on how to preserve the life of their dentures and
how to look for and prevent dental diseases.

Project Leader: Dusty Lawellin in collaboration with Cambria,

Cevinah, and Melody
Group Description: The Life Skills Education Program serves
moderately, severely, and profoundly disabled students from
kindergarten through age 21. Students aged 19 to 21 are served in
"Transition Classrooms" located in community facilities. This is the
group we presented to. Group members included students with
autism, trisomy 21, vision and hearing impairment, and other
intellectual learning disabilities.
Presentation description: Sugar Shock lesson plan dealing with
common drinks that are consumed, the amount of sugar in
them, and the affects of that sugar on the oral environment.
Location: Transition Class A 1717 City View, Eugene, OR
Host: Cindy Evans, cevans@lesd.k12.or.us

Lesson Plan Title: Sugar Shock the effects of sugar on the

incidence of caries and overall oral health
Group to Teach: Life Skills Education Program Transition
Class ages 19-21 and their care givers.
General Goals: Talk to the group prior to starting presentation. Ask
how often they brush. Do they brush in the morning? Do they brush
at night? How often do they floss? Do they have someone help them
with their oral hygiene? Show the board with the amount of sugar
per drink. Ask the students which drink they think is the best choice
for them to drink. Then show the anatomy of tooth enamel. Talk
about healthy enamel, demineralized enamel, and cavities. Talk
about how a cavity occurs. Explain how they can prevent cavities.
Explain how a healthy mouth influences a healthy body.


1.
2.
3.
4.
5.
6.

Specific Objectives:
Show how much sugar is in common drinks.
Teach about healthy enamel, demineralized
enamel and cavities.
Explain how a cavity occurs.
Explain what the health effects of poor oral
health are on the rest of the body?
Educate on how to prevent cavities.
Show tell do proper home care technique.

Required Materials: Sugar Shock Table Clinic, additional

handout about the amount of sugar in other drinks not on the
board, tooth-brushes, tooth-paste and floss, dental puppets
and extra tooth brushes to show, tell, and do proper brushing
techniques with the students.
Introduction: Start by introducing team members and then
take a quick survey with the students to see how often they
are brushing? When during the day are they brushing? Do
they use floss? Do they have someone help them with their
oral hygiene care?

Step-by-step Procedures for your Presentation:

1.2 4 min: Allow visually impaired students to feel Sugar Shock

board before seating the rest of the students so they can feel the
amount of sugar for each drink and to feel the types of enamel
for health, demineralized, and cavities.
2.4 min: Take class survey. Have students raise hands to show
response
3.4 min: Go over the drink choices and tell them out loud the
grams of sugar in each drink

Step-by-step Procedures for the Presentation cont.:

4. 3 min: Show how a cavity occurs.

5. 2 min: What are the health effects of poor oral health on the
rest of the body?
6. 2 min: Educate on how to prevent cavities.
7. 5 min: Show, tell, and do proper home care technique using
dental puppets and tooth brushes.
8. 10 min: Questions?

Sugar Shock Board

Effects on the body

Healthy Enamel

Demineralized Enamel

Enamel with Cavities

Additional Drink Sugar

Content

How many brush in the

morning? 16
How many brush in the
evening? 19
How many floss daily?
11
How many have help
with hygiene routine?
1
Response out of 26 total

80%
73%

70%
61%

60%
50%
42%

40%

Total % Out of 26
Attendies

30%
20%
10%
4%

0%
AM

PM

Floss

Needs

Brush

Brush

Daily

Help

The presentation was well

received by both the
students and the caregivers. So much so that the
program coordinator asked
if we would consider letting
them borrow the Sugar
Shock board to display with
other classes and if we
would come back next year.
We promised to tell next
years CDH group about
them

Praise from
administration

Student - Thank You!

Thank You!
Student - I love my
new tooth-brush
Caregiver I dont
think I will be drinking
Gatorade anytime
again soon

Comments from
students and caregivers

Having

the board with the

different examples of enamel
was a great resource for the
visually impaired student to
make the connection between
healthy, demineralized, and
cavity.
The puppets were an excellent
means of connecting with the
students that had not otherwise
participated.

What went well

Considering the abilities of

some of the students it would
be advisable to bring floss
holders to the next group like
this to help the caregivers with
flossing. Many students were
high functioning but there
were a few and their caregivers who would have
benefited from additional OHI
tools and instruction.

What we could change