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Oral health in America : a report of the Surgeon General.

Author: United States. Public Health Service. Office of the Surgeon General.; National Institute of Dental and Craniofacial Research (U.S.)
Publisher: Rockville, Md. : Dept. of Health and Human Services, U.S. Public Health Service, 2000.
Series: NIH publication, no. 00-4713.
Edition/Format:   eBook : Document : National government publication : English
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Additional Physical Format: Print version:
Oral health in America.
Rockville, Md. : U.S. Public Health Service, Dept. of Health and Human Services, 2000
(DLC) 00328855
(OCoLC)45500229
Material Type: Document, Government publication, National government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: United States. Public Health Service. Office of the Surgeon General.; National Institute of Dental and Craniofacial Research (U.S.)
OCLC Number: 46437050
Notes: Title from title screen.
"National Institutes of Health, National Institute of Dental and Craniofacial Research."
"September 2000."
Reproduction Notes: Electronic reproduction. [S.l.] : HathiTrust Digital Library, 2010. MiAaHDL
Description: 1 online resource.
Details: Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
Contents: Executive summary --
The challenge --
The charge --
The science base for the report --
Organization of the report --
Part 1 : What is oral health? --
part 2 : What is the status of oral health in America? --
part 3 : What is the relationship between oral health and general health and well-being --
Part 4 : How is oral health promoted and maintained and how are oral diseases prevented --
Part 5 : What are the needs and opportunities to enhance oral health? --
Major findings --
A framework for action --
Conclusion --
References --
Project team --
pt. 1. What is oral health? --
ch. 1. The meaning of oral health --
The challenge --
The charge --
The science base for the report --
Organization of the report --
What is oral health? --
What is the relationship between oral health and general health and well-being? --
How is oral health promoted and maintained and how are oral diseases prevented? --
What are the needs and opportunities to enhance oral health? --
A call to action --
ch. 2. The craniofacial complex --
Contact and communication --
Taste and smell--
Touch, temperature, and pain --
Speech --
The oral cavity --
The oral mucosa --
The teeth --
The salivary glands --
The immune system --
Craniofacial origins --
Early development --
Genetic controls --
The aging of craniofacial tissues --
The teeth--
The jaws --
The oral mucosa --
Sensory and motor functioning --
The salivary glands --
Findings --
References. pt. 2. What is the status of oral health in America? --
ch. 3. Diseases and disorders --
Dental and periodontal infections --
Dental caries --
Periodontal diseases --
Selected mucosal infections and conditions --
Oral candidiasis --
Herpes simplex virus infections --
Recurrent aphthous ulcers --
Oral and pharyngeal cancers and precancerous lesions--
Heightening the risk --
Prevention and management --
Developmental disorders --
Craniofacial anomalies caused by altered branchial arch morphogenesis --
Cranial bone and dental anomalies --
Craniofacial defects secondary to other developmental disorders --
Craniofacial manifestations of single-gene defects --
Injury --
Sports --
Falls --
Motor vehicle collisions --
Violence --
Selected chronic and disabling conditions --
Sjögren's syndrome --
Acute and chronic oral-facial pain --
Temporomandibular disorders --
A mirror, a model, and a better understanding of disease and disorders --
Findings --
References. ch. 4. The magnitude of the problem --
Who has what diseases and conditions? --
Dental caries, periodontal diseases, and tooth loss --
Oral and pharyngeal cancers and precancerous lesions --
Selected mucosal infections and diseases --
Developmental disorders --
Injury --
Chronic and disabling conditions --
What is the burden of disease in selected populations? Challenges and opportunities --
Racial and ethnic minorities --
Women's health --
Individuals with disabilities --
Utilization of professional care : what do we know about the relationship of oral health and use of dental services? --
Dental care utilization --
Variation by sex, race/ethnicity, income, and insurance --
Variation by oral health status --
Reasons for nonutilization --
Unmet needs --
Outcomes of appropriate levels of access and utilization : an example. pt. 3. What is the relationship between oral health and general health and well-being? --
ch. 5. Linkages with general health --
The mouth and face as a mirror of health and disease --
Physical signs and symptoms of disease and risk factors --
Oral manifestations of HIV infection and of osteoporosis --
Oral-fluid-based diagnostics : the example of saliva --
Conclusion --
The mouth as a portal of entry for infection --
Oral infections and bacteremia --
Oral infections as a result of therapy --
Infective endocarditis --
Oral infections and respiratory disease --
Oral transmission of infections --
Conclusion --
Associations among oral infections and diabetes, heart disease/stroke, and adverse pregnancy outcomes --
The periodontal disease-diabetes connection --
The oral infection-heart disease and stroke connection --
Periodontal disease and adverse pregnancy outcomes --
Conclusion --
Implications of the linkages --
Findings --
References --
ch. 6. Effects on well-being and quality of life --
The cultural context --
Cultural models --
Combining perspectives --
Oral-health-related quality of life dimensions --
Functional dimensions --
Psychosocial dimensions --
Indirect economic costs --
Ratings of oral health --
Global ratings --
Satisfaction ratings --
Oral-health-related quality of life measures --
Heightened expectations --
Findings --
References. pt. 4. How is oral health promoted and maintained and how are oral diseases prevented? --
ch. 7. Community and other approaches to promote oral health and prevent oral disease --
Weighing the evidence that interventions work --
Prevention and control of dental caries --
Fluoride --
Fluoridation of drinking water --
School water fluoridation --
Dietary fluoride supplements --
Fluoride mouth rinses --
Fluoride varnishes --
Dental sealants --
Prevention and control of periodontal diseases --
Community programs to prevent gingivitis --
Prevention of periodontitis --
Summary --
Prevention and control of oral and pharyngeal cancers --
Community-based interventions --
Early diagnosis or oral and pharyngeal cancers --
Summary --
Prevention and control of craniofacial birth defects --
Summary --
Prevention and control of intentional and unintentional injury --
Craniofacial injuries --
Summary : prevention of craniofacial injuries --
Oral health promotion and disease prevention knowledge and practices --
Dental caries prevention --
Periodontal disease prevention --
Oral cancer prevention and early detection --
Summary --
Building upon success --
Findings --
References. ch. 8. Personal and provider approaches to oral health --
Individual responsibility : personal approaches to oral health --
Daily hygiene and dental caries prevention --
Healthy lifestyles --
Care seeking --
Provider-based care --
Risk assessment --
Diagnostic tests --
Oral health assessment --
Changing approaches to selected diseases and conditions --
Chronic craniofacial pain and sensorimotor conditions --
Temporomandibular disorders --
Mucosal and autoimmune diseases --
Factors affecting future health care practices --
Evidence-based practice --
Clinical practice guidelines --
Science and technology contributions --
Broadening the base for the provision or oral health care --
Findings --
References --
ch. 9. Provision of oral health care --
Components of professional care --
The dental component --
The medical component --
The public health component --
Areas of overlap --
Expenditures for oral health care --
Financing and reimbursement --
Insurance --
The changing market --
Federal and state programs --
Factors affecting the capacity to meet oral health needs --
Numbers of dental personnel --
Sex and racial-ethnic composition of dental personnel --
Student indebtedness and its effects --
Personnel needs for faculty and clinical research --
Curriculum needs --
Taking care of those most in need --
Twenty-first century challenges : what lies ahead? --
Findings --
References. pt. 5. What are the needs and opportunities to enhance oral health? --
ch. 10. Factors affecting oral health over the life span --
Health in the context of society --
Historical models --
Contemporary models --
Changing vulnerabilities throughout life --
Children --
Adolescents and young adults --
Midlife adults --
Older Americans --
Achieving oral health throughout life --
Findings --
References --
ch. 11. Facing the future --
The past and present as prologue --
The pioneers --
Vital statistics --
Health improvement --
Diversity of diseases and patients --
Transforming treatments --
Transforming health professional education --
Transforming health care --
Oral health --
not yet for all --
Hope from science and technology --
A framework for oral health --
References --
ch. 12. A call to action --
Major findings --
A framework for action --
Conclusion --
Index.
Series Title: NIH publication, no. 00-4713.

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