National oral health policy

NOHP

formulated by dental
council of India
Through the inputs of two
national workshops organized in
Delhi and Mysore in 1991 and
1994 respectively
Recommends public health
dentists to be appointed at
primary and community health
centres.(1985)

Need for a national oral

health policy
A.
B.
C.
D.

E.

Increasing prevalence and

severity of dental diseases
Dentist-population ratio
Crippling nature of oral diseases
Impelling economic reasons for
early recognition and prevention
of oral diseases
Prevention of oral diseases

INTEGRATION OF ORAL
HEALTH SERVICES
The

health services in rural areas

are being administered through
community health centres
/primary health centres

Levels

Recommendatio
Integration ofns
oral health services

into the existing

healtinfrastructure
1.VILLAGE
HEALTH
GUIDE ,
ANGANWADI
WORKER

2.SUBCENTR MULTIPURPOSE
E
HEALTH
WORKERS
3.PRIMARY
DENTAL SURGEON,
HEALTH CENTRE HEALTH ASSISTANT

4.COMMUNIT
Y HEALTH

DENTAL
SURGEONS,CHAIRSIDE
ASSISTANTS,DENTAL

ORAL HEALTH
SERVICES
DISTRICT-

4 DENTAL SPECIALISTS WITH

POSTGRADUATE QUALIFICATIONS
3 dental hygienist,2 dental technicians ,
one health assistant
CHIEF DENTAL OFFICER
ONE PROGRAMME OFFICER
STATE LEVEL- 9 dental specialist
surgeons4 dental hygienist,3dental
technician,12 health assistant.
Dental colleges , undergraduate and
postgraduate level , referral cases.

Central

level-additional director
general oral health
National oral health commission

Plan of extending oral

healthcare
PLAN FOR RURAL INDIA
The minimum oral health care can be
delivered to the population through
Multipurpose workers
Health assistants
Health guides
School teachers

FOCAL KEY PERSONS-for delivery

of primary preventive strategies at
periphery and village level.
Trained by dentists in the various
oral health care strategies
And the dentists should be trained
for conducting such programmes

IMPLEMENTATION PLAN
PREVENTIVE PACKAGE
2. METHODOLOGY OF INSTITUTION
PRIMARY PREVENTION
3. TRAINING OF TRAINERS
1.

Preventive package
50-60%

ORAL DISESASES prevented

Early detection and primary
prevention
COMPRISES OF
A. ORAL HEALTH EDUCATION
B. PLAQUE CONTROL
C. CHEMOPROPHYLACTIC AND
THERAPEUTIC AGENTS
D. DIETARY COUNSELLING

1-Oral health education

Impart oral health education to
Various groups of the community
The education programmes should
be a part of other health education
programmes (family planning, eye
care, health care)
1. Lectures imparted-audio visual
aids
2. Held at regular intervals
3. With maximum participation of

A)

Oral cancer
B) Infant dental care
C) Geriatric dental care
D) Dentofacial injuries due to
accident

a) Oral cancer
Cautioned

about the ulcers

Referred to a dentist
Educate on betel leaves , pan ,
pan masala
Individuals with such habitsregular checkups

b) Infant dental care

a) INFORMATION on importance of
nutrition
well balanced diet for pregnant
women for the healthy body with
healthy teeth and gums
b) Pregnant mothers tetracycline
c) Baby mouths

d)

clean gum pads

e)soft tooth brush
f)chewing even beforee teeth
erupt
g)take care of decidous/milk
teeth

c) Geriatric dental care

People

must be told->>poor oral

health/periodontal disease is not
age related
Edentulous elderly->>dentures
Edentulous patients->>clean
their ridges
Care of denture

d) Dentofacial injuries due to

accident
Involves

intersectional
cooperation in the promotion of
safety rules for
a) Helmets
b) Mouthguards
c) Seat belts
d) Trauma units

2-Plaque control
Proper

cleaning of teeth to
remove plaque

3- Chemicoprophylactic and
therapeutic agents
Use

of flouride

4-Dietary counselling
Sugar

fermented by bacteria->>>acid
Reduce sugar food stuffs
Avoid snacks in b/w meals
Avoid retentive sugars
Hidden sugar
Total diet exposures-5times a day
Statutory warning on sugarsnacks>>eating sweets leads to decay of
teeth

Methodology of instituting
primary prevention
A)

Knowledge about the

use,benefits and mode of action
of fluorides.
Practical knowledge>>preparation, use of daily
mouth rinse
Topical application , every
6months
B) Educated about plaque ,
demonstrated , disclosing ,

C)

Handling of dental
emergencies-> dental auxillaries
should be trained

D)

Diagnosis of oral cancer

National training
centre
Calibrate

the trainers
->>dentists from various states
and union territories
Assigned the duty of training the
various health teams ,posted at
the CHC/PHC in their respective
states

Mobile dental clinics

Services

rendered to the rural

masses at their doorsteps
Remote and inaccessible areas
3-4 at each district level
2 dental chair and units each
with
Micromotor,ultrasonic scalers
3 dental surgeons,1 dental
technician,3 chairside assistants

dental surgeons-restorative
and curative work
And one should devote time on
the primary prevention of dental
diseases
Lectures, discussions using
audiovisual aids
Motivate and educate

Oral health care in urban

areas
a)

Involvement and reorientation of

dentists->>>2month refresher
courses , implementation of
primary protection

b)

Implementation of primary
preventive package through the
dentists school health schemes
in different urban areas

c) Involvement , education, and

motivation of the teachers in the
various colleges >>>delivery of
primary preventive package to
school/college going adults and
children

d) Exploration and involvement of

other voluntary and health

UTILISATION OF MASS MEDIA

SHORT

2-3 MINUTE FILMS

Projected on television at peak
hours
With clearly defined messages on
the prevention

REORIENTATION OF DENTAL
EDUCATION IN INDIA
Reorient

dental education
programmes in the various
colleges
Two dentists given training>>responsible for conducting
reorientation programmes in their
own colleges.
Department of education and
social welfare->>involved to

OUTLINE OF PLAN OF ACTION

ACTIVITIES

WITHIN THE SOLE

RESPONSIBILITY OF MINISTRY OF
HEALTH-GOVERNMENT OF INDIA

>>

Government to take
adequate steps
One standarized tooth brush,one
fluoride tooth paste,10mg
sodium fluoride tablets.
Remove all taxes

B)

Oral health care chapter3rd,7th,9th class

C) Dental treatment->>low
income groups , dental services ,
insurance to workers
D) No sales tax on equipments
and materials .. private practices
E) Regular posting of dental
students
F) Post of additional director
general health services