FEATURE. Oh Canada! Summer Issue

Size: px
Start display at page:

Download "FEATURE. Oh Canada! Summer Issue"

Transcription

1 Oh Canada! Summer Issue This article is sponsored by Johnson & Johnson Inc. The accuracy, completeness, and usefulness of the content are the sole responsibility of the author and do not necessarily represent the official views of Johnson & Johnson Inc. Thinking About Our Thinking About Oral Rinsing: The Third Essential Component to Home Care (Part 1) By Joanna Asadoorian, RDH, PhD joanna.asadoorian@umanitoba.ca INTRODUCTION Dental hygienists know that client oral home care is critical for achieving and maintaining a healthy oral cavity. Beyond a healthy periodontium, oral health has far-reaching benefits including a positive association with systemic health. 1,2 It is clear that plaque biofilm is the major etiological factor for gingivitis, periodontitis and caries, and the primary aspect linking oral and systemic inflammation. 3,4 When biofilm matures due to suboptimal oral home care, its composition changes and includes more pathogenic bacteria. 3 These latter colonizers, sometimes referred to as red complex bacteria, contain anaerobic and erosive species that evade the immune and lymphatic systems and can kill immune cells. 3 The mature biofilm migrates subgingivally and becomes less accessible to oral hygiene efforts, thereby increasing potential for severe disease. SCIENCE Most people are well aware of the need for oral home care and perform well with toothbrushing. While most clients know they should floss, they may not fully appreciate the objective of cleaning interdentally with floss or other means. Flossing compliance remains poor with only about 10% to 30% of the population reporting doing so. 5,6 This situation is likely due to multiple factors including the cumbersome nature of the task. Dental hygienists recognize that even those who do floss do so with less than optimal technique, thereby diminishing the benefits. Because most individuals do not achieve ideal oral hygiene through mechanical means alone, scientific groups recommend augmenting routines with oral chemotherapeutics. 7 It has been demonstrated that 65% to 75% of oral surfaces remain colonized by pathogenic microorganisms after brushing and flossing. 8 While toothbrushing and interdental cleansing are indispensable, therapeutic oral rinses are recommended as the third critical component for oral care because they reach virtually everywhere in the oral cavity in about thirty seconds. 9,10 Oral rinses cause cell death, inhibit microbial reproduction, and hinder metabolism 9 and, in so doing, reduce biofilm, delay reformation, and reduce inflammation. 7 Highly rigorous trials conducted using American Dental Association (ADA) guidelines (Box 1) demonstrate the efficacy of specific rinse formulations in providing an additive benefit to mechanical cleansing From the literature, there are currently three antiseptic agents that have demonstrated therapeutic benefits: chlorhexidine gluconate (CHG), essential oil (EO) and cetylpyridinium chloride (CPC). Box 1. ADA guidelines for clinical trials of chemotherapeutic mouthrinses 24 ADA acceptance program for chemotherapeutic mouthrinses: 2 independent placebo-controlled studies, minimum 6 months demonstrate statistical significance in plaque and gingivitis reductions vs. control minimum of 15% gingivitis reductions in at least 1 study; average 20% across 2 studies Systematic reviews, the highest level of evidence, have evaluated the clinical relevance of these key formulations, measuring plaque and inflammation reductions compared to placebo controls over six months, and have demonstrated that CHG and EO mouthrinses provide significant reductions. Studies of CPC rinses were less conclusive as they used different formulations Data from an earlier study, 11 showing the adjunctive benefit of an EO rinse (Listerine ) to daily mechanical methods on plaque and gingivitis recently underwent a post-hoc site-wise analysis in which the health of each gingival site, marginal and interproximal, was evaluated at six months. The site was considered healthy if the score was 0 or 1 on the MGI scale. 18 Strikingly, even the gingival health of proximal sites dramatically improved when the EO mouthrinse augmented toothbrushing and flossing (Box 2).

2 10 Oh Canada! Summer Issue This article is sponsored by Johnson & Johnson Inc. Maxillary Marginal Sites 6 months Box 2. Marginal and interproximal gingival health following toothbrushing, flossing, and therapeutic EO mouthrinse use Healthy Site (% of subjects) Gingival site Brushing Alone Brushing + Floss Brush + Floss + LISTERINE Reprinted with permission of Johnson & Johnson Healthcare Products, Division of McNeil-PPC, Inc. McNeil-PPC, Inc Post-Hoc Analysis of the Sharma et al Study Healthy Site (% of subjects) Maxillary Proximal Sites 6 months Gingival site Brushing Alone Brushing + Floss Brush + Floss + LISTERINE Reprinted with permission of Johnson & Johnson Healthcare Products, Division of McNeil-PPC, Inc. Post-Hoc Analysis of the Sharma et al Study McNeil-PPC, Inc INCORPORATING THERAPEUTIC RINSES INTO PRACTICE The research is compelling in demonstrating that therapeutic rinses, such as EO and CHG, are safe and beneficial in reducing both plaque and gingival inflammation over and above toothbrushing and flossing alone. In addition, comparable inflammation reductions are shown with over-the-counter EO mouthrinse and CHG prescription rinse, with the former being free of the unacceptable side effects of the latter, like dental staining. Despite the solid body of evidence, dental hygienists do not routinely recommend the incorporation of a therapeutic oral rinse to their clients. Market research estimates current use of an essential oil mouthrinse to be approximately 20% of the population. 19 More concerning is information indicating that dental hygienists recommend a therapeutic oral rinse to 3 of 10 clients in comparison to 9 of 10 who recommend flossing. 19 There is clearly a gap between the evidence and dental hygiene practice. One of the main problems afflicting health research is its failure to be integrated into practice. The broad field of knowledge translation has emerged to address this tendency, and most evidence suggests that health care providers are aware of current research but are prevented from applying it to practice by ambiguous influences. 20 This phenomenon occurs in what is sometimes referred to as the knowledge translation black box (Box 3), which is the unobservable cognitive space between knowledge acquisition and application to one s practice. 21 Much

3 This article is sponsored by Johnson & Johnson Inc. Oh Canada! Summer Issue Box 3. translation process* translation - black box generation dissemination acquisition Deliberation and decision making application (in)action *Adapted with permission from Asadoorian J. Exploring dental hygiene clinical decision making a mixed methods study of potential organizational explanations: Phase I. Can J Dent Hyg. 2012;46(4):208. theorizing is occurring about the forces at play in the knowledge translation black box, mostly surrounding practice barriers and how to traverse them. If most dental hygienists are aware of the benefits of incorporating therapeutic oral rinse into home care routines, then one must consider the potential explanations for its failure to be more widely applied to practice. For example, dental hygienists may: not be aware of the adjunctive benefits of oral rinsing over and above toothbrushing and flossing; be concerned that clients will discontinue mechanical cleansing efforts, such as they are, if an EO oral rinse is recommended; lack the time or confidence to explain research on therapeutic oral rinses to clients; need to convince an employer and peers before making changes to practice; be worried about convincing clients to add rinsing to their routines; remain skeptical, despite the research, because of long-held biases against the efficacy and safety of therapeutic oral rinses; be generally apathetic surrounding practice changes. client care as well as ways of overcoming such barriers. Health care providers often feel defensive when hearing information contradicting their own practice behaviours because it threatens their self-concept about competency. 22 Because a cognitive dissonance is created, practitioners find ways to mentally discount conflicting information and maintain positive self-perceptions, 22 such as disbelieving the credibility of the research(er), thinking it irrelevant or simply not thinking about it all. What is important for the dental hygienist to consider is that feeling an internal dissonance is actually a sign potentially to improve one s practice rather than an indication that one is performing suboptimally. Dental hygienists can borrow from the Japanese Continuous Quality Improvement approach known as Kaizen loosely meaning good change which characterizes such moments as emotional pearls triggering reflection on practice, and making positive changes. 23 While this metacognitive perspective on practise change is complex, it offers some interesting insights into changing behaviour and improving performance for those dental hygienists who choose simply to think more about practice thinking. The next phase is to apply changes to practice, by understanding and using innovative techniques to counsel clients and encourage their positive health behaviour changes. This will be the focus of Part II of this paper to be published in the next issue of Oh Canada!. Click to view references for this article As competent dental hygienists, it is vital to be mindful of practice beliefs and biases and think about what might be preventing the implementation of current knowledge into

4 22 Oh Canada! Fall Issue This article is sponsored by Johnson & Johnson Inc. The accuracy, completeness, and usefulness of the content are the sole responsibility of the author and do not necessarily represent the official views of Johnson & Johnson Inc. Thinking About Our Thinking About Oral Rinsing: The Third Essential Component to Home Care (Part 2) by Joanna Asadoorian, RDH, PhD joanna.asadoorian@umanitoba.ca In Thinking about Oral Rinsing (Part 1 of this paper), the additive benefit of therapeutic oral rinsing to mechanical cleansing for reducing plaque and gingival inflammation was outlined with particular attention to over-the-counter essential oil (EO) mouth rinse (LISTERINE ). 1 It was highlighted that dental hygienists often fail to recommend therapeutic oral rinses as a third essential component for home care routines, with only 3 of 10 clients receiving such a recommendation compared to 9 of 10 clients who receive flossing instruction. 1,2 Part 1 aimed to make dental hygienists aware of the science and to explore their thinking about implementing the evidence into practice. Now, with this clear outlook, it s time to take action! Dental hygienists, like most health care providers, are challenged by clients inability to adopt various healthy behaviours, including flossing, and stop unhealthy ones, like smoking. This paper will introduce dental hygienists to some new thinking and techniques to better facilitate their clients adoption of new healthy behaviours like therapeutic oral rinsing. Box 1. Four steps for facilitating behaviour change 6 Change based relationship Getting to the behaviour Change the behaviour Sustaining the behaviour Shared decision making Motivational interviewing Change talk Readiness assessment: Ready, not ready, ambivalent Traffic light assessment Setting SMART goals Behaviour modification Identify barriers Sustain change through self-efficacy and managing streses Educate and support Health care providers know that there is no magic bullet for changing human behaviour. However, a better approach than trying to coerce clients into complying with recommendations is to adopt health behaviour counselling techniques based in behavioural psychological theory specifically adapted for clinicians. 3-5 Patients often avoid health care providers or tune them out because of perceived judgement; dental hygienists may do better with clients by suspending judgements and recognizing that healthy behaviours are actually abnormal! Typically, unhealthy behaviour is easier, more pleasurable, and has more short-term benefits. 6 For clients who desire a healthy oral cavity, dental hygienists need to find a way to stimulate their clients inner motivation to embrace healthy behaviour and transcend the ease and pleasure of unhealthy behaviour. Helping clients to become motivated about oral rinsing is different from inspiring them. Hearing about a mother of three running a full marathon is inspiring but does little to incite sustained personal change. Conversely, motivation is intrinsic, encourages independence, and is sustainable. 6 While most practitioners realize that one cannot motivate someone else, dental hygienists are in a strong position to induce clients to talk about healthy behaviours and facilitate change. For successful facilitation, four steps have been identified: develop a change-based relationship, get to the behaviour, change the behaviour and, lastly, sustain the behaviour (Box 1). 3,6 The first step is something that many dental hygienists may believe they already have accomplished: a supportive relationship with clients. Dental hygienists have relatively long and frequent appointments with clients and enjoy a pleasant association with them. However, a friendly relationship is different from a change-based one. The latter is needed to effectively facilitate client motivation for incorporating new healthy behaviour, like rinsing with a therapeutic mouthwash, into their daily routines. 6 Health care providers aiming to help clients adopt healthier habits need to ensure that they have a neutral power relationship with clients, meaning that both clinician and client have important and active roles and will share in decision making. 6,7 This is where motivational interviewing

5 Oh Canada! Fall Issue (MI), a widely recommended communication technique used to strengthen motivation for positive change, can be helpful. 3,8 While MI can be intimidating to use because of its complexity, dental hygienists can concentrate on its general principles, including asking open-ended questions, expressing empathy, being curious, working with ambivalence, and rolling with resistance, which together result in crucially important change talk. 3,6,8,9 When there is a change-based relationship between the dental hygienist and client, the potential exists to get to the behaviour you are targeting with your client, such as using an EO mouth rinse. Getting to the behaviour involves assessing clients health beliefs and readiness to make a change. 6 Recognize that only about 20% of clients will come to dental hygiene appointments ready to change. 6 While some clients will ask about incorporating an oral rinse, most will be ambivalent or won t be thinking about it at all, likely because they believe they are doing enough by toothbrushing. Ambivalence is normal: it means the client sees the benefits to something but also recognizes the negative aspects of changing. 6,8 For example, your client may say, I d really like to do a better job cleaning my teeth, but I m just so busy, I don t have the time. These are not excuses; they are valid perceptions about the benefit versus the cost of changing behaviour. Everyone experiences ambivalence it s no different from wanting to get up early to go to the gym but also wanting to sleep in an extra hour. To reduce gingival inflammation and improve oral health, an unquestionable opportunity exists in recommending a therapeutic oral rinse to clients. Because oral rinsing is simple to do, dental hygienists can readily show clients that the cost-side is minor. However, to clearly demonstrate the benefits, the dental hygienist needs to educate clients about the prevalence of plaque associated gingival disease so that they recognize their susceptibility and the potential consequences. Such education will likely convince the client that the cost is very much worth the benefit! Then, it is a matter of strategizing with the client about how best to tolerate the cost, such that it is, and persist through it. Box 2.Traffic light assessment 3,6 No to all or most questions Mix of yes and no answers Yes to all; little/no doubt While various methods are available to determine if a client is ready to change, 8 dental hygienists can incorporate a simple traffic light assessment (Box 2) and establish if the client is ready for, ambivalent towards or not even thinking about change. 6 The Behaviour Change Institute, an interdisciplinary group of clinician researchers who have developed behaviour change counselling strategies for nonpsychologists, suggests asking four questions for assessing readiness that may be helpful for the dental hygienist (Box 3). 3 Having assessed readiness, the dental hygienist can respond with the appropriate action: dive right into the change, expand on readiness by exploring client s health beliefs and reasons for changing versus not changing or, at least, demonstrate understanding and try to keep the conversation going.even if it needs to continue at the next appointment. 3,6 When the client is ready to make a change and try therapeutic oral rinsing, the dental hygienist can use her or his behaviour change skills to modify the behaviour. Making a change involves an explicit goal: something specific, measurable, achievable, relevant, and timely sometimes referred to as a SMART goal. 3,6 Most importantly, the dental hygienist should ensure that the goal is small and achievable and that the client s expectations for desired outcomes are realistically aligned with the behavioural goal. While adding EO mouth rinse to one s continued...

6 24 Oh Canada! Fall Issue Thinking about our thinking about oral rinsing... cont d 1. Is not thoroughly cleaning your mouth/teeth a problem for you? 2. Does not thoroughly cleaning your mouth/teeth cause you any distress? 3. Are you interested in more thoroughly cleaning your mouth/teeth? 4. Are you ready to do something to more thoroughly clean your teeth/ mouth now? Box 3. Assessing client readiness 3,6 daily routine is not nearly as complex as other health behaviour changes, the principles are the same, and will still require discussion about reinforcing the behaviour and consideration of potential obstacles and how they will be circumvented. The final step, and perhaps most difficult, is to sustain behaviours, which is largely accomplished through managing emotions. 3,6 While this is a very challenging component of some health behaviour changes, like healthy eating and smoking cessation, incorporating oral rinsing is likely much less emotionally charged. However, this stage does require the clients to have the sustained confidence to take control of their behaviour and believe that they can make an impact on their oral health. The dental hygienist provides continuous education, support, and empathy. Dental hygienists, like other health care providers, have traditionally been trained to approach client behaviour change in a prescriptive manner, where the clinician is the knowledge provider and the client readily adheres to instruction. 9 People s ongoing struggle to make improvements to their health behaviours demonstrates, however, that this approach has been unsuccessful. Using the theory and techniques presented here provides the dental hygienist with a starting point for introducing an EO mouth rinse to clients oral health routine and also likely for many other important behaviour changes recommended to clients. References 1. Asadoorian J. Thinking about thinking about oral rinsing: The third essential component to home care. Oh Canada! 2014;Summer: Johnson & Johnson Healthcare Products DoM-P, Inc Vallis M. Behaviour change counselling: How do I know if I m doing it well? Can J Diabetes. 2013;37:9. 4. DiMatteo MR, Haskard-Zolnierek KB and Martin LR. Improving patient adherence: a three factor model to guide practice. Health Psychology Review. 2012;6(1): Michie S, Johnston M. Theories and techniques of behaviour change: Developing a cumulative science of behaviour change. Health Psychology Review. 2012;6(1):6. 6. Vallis M. Surrendering to succeed: Accepting the challenges. Presentation to the Manitoba Psychological Society, Winnipeg, Manitoba. 7. Cutica I, McVie G and Pravettoni G. Personalized medicine: The cognitive side of patients. Eur J Internal Medicine. 2014:4. 8. Ramseier CA, Suvan JE. Health behavior change in the dental practice. Ames, Iowa: Wiley-Blackwell; p. 9. Bray KK, Catley D, Voelker MA, Liston R and Williams KB. Motivational interviewing in dental hygiene education: Curriculum modification and evaluation. J Dent Educ. 2013;77(12):8.

Introduction. A New Approach to Stimulate Positive Behavioural Change CURRENT BURDEN OF ORAL DISEASE. Goals and Objectives

Introduction. A New Approach to Stimulate Positive Behavioural Change CURRENT BURDEN OF ORAL DISEASE. Goals and Objectives A New Approach to Stimulate Positive Behavioural Change Joanna Asadoorian RDH, PhD September 24 th, 2016 Goals and Objectives By the end of the session, you will be able to 1. Describe client need for

More information

BASIC VOLUME. Elements of Drug Dependence Treatment

BASIC VOLUME. Elements of Drug Dependence Treatment BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when

More information

Disclosure. What s this all about? From wrestling to dancing with patients: Motivational Interviewing in 10 minutes

Disclosure. What s this all about? From wrestling to dancing with patients: Motivational Interviewing in 10 minutes From wrestling to dancing with patients: Motivational Interviewing in 10 minutes Delwyn Catley, Ph.D. Professor Department of Psychology University of Missouri Kansas City Disclosure I have no relevant

More information

Chapter 14 Outline. Chapter 14: Hygiene-Related Oral Disorders. Dental Caries. Dental Caries. Prevention. Hygiene-Related Oral Disorders

Chapter 14 Outline. Chapter 14: Hygiene-Related Oral Disorders. Dental Caries. Dental Caries. Prevention. Hygiene-Related Oral Disorders Chapter 14 Outline Chapter 14: Hygiene-Related Oral Disorders Hygiene-Related Oral Disorders Dental caries Prevention Gingivitis Prevention Tooth hypersensitivity Pathophysiology Treatment 2 Hygiene-Related

More information

VOLUME B. Elements of Psychological Treatment

VOLUME B. Elements of Psychological Treatment VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills

More information

Linking Research to Clinical Practice

Linking Research to Clinical Practice Prevention of Root Caries Denise M. Bowen, RDH, MS Linking Research to Clinical Practice The purpose of Linking Research to Clinical Practice is to present evidence based information to clinical dental

More information

The inhibitory effects of different mouthwash brands on the zone of inhibition of. Micrococcus luteus and Escherichia coli

The inhibitory effects of different mouthwash brands on the zone of inhibition of. Micrococcus luteus and Escherichia coli The inhibitory effects of different mouthwash brands on the zone of inhibition of Micrococcus luteus and Escherichia coli George Kendros Bio 2290 Section 001 TM Gray 2013 04 10 Abstract The use of mouthwash

More information

1. Before starting the second session, quickly examine total on short form BDI; note

1. Before starting the second session, quickly examine total on short form BDI; note SESSION #2: 10 1. Before starting the second session, quickly examine total on short form BDI; note increase or decrease. Recall that rating a core complaint was discussed earlier. For the purpose of continuity,

More information

MOTIVATIONAL INTERVIEWING

MOTIVATIONAL INTERVIEWING MOTIVATIONAL INTERVIEWING Facilitating Behaviour Change Dr Kate Hall MCCLP MAPS Senior Lecturer in Addiction and Mental Health School of Psychology, Faculty of Health, Deakin University. Lead, Treatment

More information

ORAL PHYSIOTHERAPY. Dr. Hend M. Alharbi, BDS,MSc 2015

ORAL PHYSIOTHERAPY. Dr. Hend M. Alharbi, BDS,MSc 2015 ORAL PHYSIOTHERAPY Dr. Hend M. Alharbi, BDS,MSc 2015 HOME CARE ORAL HYGIENE ORAL PHYSIOTHERAPY PERSONAL ORAL HYGIENE PERSONAL PLAQUE CONTROL All terms to describe methods used by the patient to remove

More information

Inspiring and Supporting Behavior Change

Inspiring and Supporting Behavior Change Inspiring and Supporting Behavior Change A Food, Nutrition, and Health Professional s Counseling Guide Second Edition Cecilia Sauter, MS, RD, CDE, FAADE Ann Constance, MA, RD, CDE, FAADE Contents Foreword...vii

More information

Good oral hygiene today

Good oral hygiene today Dental essentials Good oral hygiene today Healthy teeth and gums for life You know, there s nothing like the fresh, clean feeling in your mouth after you ve brushed and flossed your teeth to make you feel

More information

Probiotics & oral health. in our soil, air, water and food. They even live in and on us, colonizing in various parts

Probiotics & oral health. in our soil, air, water and food. They even live in and on us, colonizing in various parts PerioConnect Champlain Periodontal s patient newsletter Welcome to our newsletter! This is the second publication of our biannual newsletter. Please enjoy some oral health information and updates about

More information

HEALTHY SMILE, HAPPY LIFE

HEALTHY SMILE, HAPPY LIFE Flyers HEALTHY SMILE, HAPPY LIFE Oral health is part of being well, and the foundation for a healthy and active lifestyle. When our mouths, gums or teeth aren t healthy, our bodies may be more susceptible

More information

1 PERIODONTIUM: THE TOOTH SUPPORTING STRUCTURES 1 2 MICROSCOPIC ANATOMY OF THE PERIODONTIUM 21

1 PERIODONTIUM: THE TOOTH SUPPORTING STRUCTURES 1 2 MICROSCOPIC ANATOMY OF THE PERIODONTIUM 21 Contributors xiii Preface for Course Instructors xv Acknowledgments xviii PART 1: THE PERIODONTIUM IN HEALTH 1 PERIODONTIUM: THE TOOTH SUPPORTING STRUCTURES 1 Tissues of the periodontium 3 Nerve supply,

More information

Recommendations for non-dental health professionals

Recommendations for non-dental health professionals TOOTH DECAY AND GUM DISEASE Recommendations for non-dental health professionals Highlights of Perio Workshop 2016 on the Boundaries Between Dental Caries and Periodontal Diseases - jointly organised by

More information

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on

More information

PERINATAL CARE AND ORAL HEALTH

PERINATAL CARE AND ORAL HEALTH PERINATAL CARE AND ORAL HEALTH Lakshmi Mallavarapu, DDS Terry Reilly Health Services Boise, Idaho CE objectives Recognize the necessity of Oral Care during Perinatal Period Examine and assess teeth and

More information

When Teeth Go Bad How nurse advice can help reduce recurrences of dental disease. Callum Blair BVMS MRCVS

When Teeth Go Bad How nurse advice can help reduce recurrences of dental disease. Callum Blair BVMS MRCVS When Teeth Go Bad How nurse advice can help reduce recurrences of dental disease Callum Blair BVMS MRCVS Dental disease is a common condition affecting cats and dogs. An often quoted statistic is that

More information

Bacterial Plaque and Its Relation to Dental Diseases. As a hygienist it is important to stress the importance of good oral hygiene and

Bacterial Plaque and Its Relation to Dental Diseases. As a hygienist it is important to stress the importance of good oral hygiene and Melissa Rudzinski Preventive Dentistry Shaunda Clark November 2013 Bacterial Plaque and Its Relation to Dental Diseases As a hygienist it is important to stress the importance of good oral hygiene and

More information

Feature Articles. Sponsored by:

Feature Articles. Sponsored by: Feature Articles 2018 Sponsored by: Oral healthcare for seniors Today s seniors can expect to keep most, if not all, of their teeth as they age thanks to healthier lifestyles and advances in oral and medical

More information

Lesson 1: Making and Continuing Change: A Personal Investment

Lesson 1: Making and Continuing Change: A Personal Investment Lesson 1: Making and Continuing Change: A Personal Investment Introduction This lesson is a review of the learning that took place in Grade 11 Active Healthy Lifestyles. Students spend some time reviewing

More information

Course #:

Course #: Welcome to Lesson 7: Indicators of Problems of the Dental Health for Individuals with Disabilities webcast series. Please adjust your computer volume so that it is at a comfortable listening level for

More information

Need a New Dentist? How to Choose a Dentist Using 10 Simple Questions

Need a New Dentist? How to Choose a Dentist Using 10 Simple Questions Need a New Dentist? How to Choose a Dentist Using 10 Simple Questions Re: Special Report How to Choose a Dentist Using 10 Simple Questions Dear Friend, Although we all know proper dental care is vital

More information

19/03/2018. Objectives

19/03/2018. Objectives Target group 10 to 14 years old Aims This presentation has been designed to provide those viewing it with information on how to maintain a good Oral Health Objectives At the end, the viewer will be able

More information

Studies have long shown that adding fluoride

Studies have long shown that adding fluoride WELCOME Is Fluoride in Drinking Water Bad for You? Studies have long shown that adding fluoride to drinking water has helped prevent tooth decay in children and adults. Now, a recent study out of Australia

More information

Complete Mouth Care System Stimulate natural repair with Dr. Ellie's Complete Mouth Care System

Complete Mouth Care System Stimulate natural repair with Dr. Ellie's Complete Mouth Care System ELLIE PHILLIPS DDS Complete Mouth Care System It only takes 5 minutes, twice a day, to protect your smile and improve your oral health. Stimulate natural repair with Dr. Ellie's Complete Mouth Care System»

More information

Strategies for Incorporating Antimicrobial Mouthrinses into Daily Oral Care

Strategies for Incorporating Antimicrobial Mouthrinses into Daily Oral Care Source: Journal of Dental Hygiene, Vol. 81, No. 5, October 2007 Strategies for Incorporating Antimicrobial Mouthrinses into Daily Oral Care Joanna Asadoorian, RDH, MSc Joanna Asadoorian, RDH, MSc, is an

More information

Slide

Slide Slide 2 13.7.2010 Slide 6 13.7.2010 Slide 7 13.7.2010 Slide 14 13.7.2010 Conflict within an individual is the simultaneous arousal of two or more incompatible motives. To understand the dynamics

More information

Motivational Interviewing Enhancing Motivation to Change Strategies

Motivational Interviewing Enhancing Motivation to Change Strategies Motivational Interviewing Enhancing Motivation to Change Strategies Learning Objectives At the end of the session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods

More information

Periodontal Maintenance

Periodontal Maintenance Periodontal Maintenance Friday, February 20, 2015 1:06 PM Periodontal disease control always begins with patient education - Plaque control, diet, smoking cessation, impact that systemic health has on

More information

Interviewing, or MI. Bear in mind that this is an introductory training. As

Interviewing, or MI. Bear in mind that this is an introductory training. As Motivational Interviewing Module 2 Slide Transcript Slide 1 In this module, you will be introduced to the basics of Motivational Interviewing, or MI. Bear in mind that this is an introductory training.

More information

Effect of temperature change of 0.2% chlorhexidine rinse on matured human plaque: an in vivo study.

Effect of temperature change of 0.2% chlorhexidine rinse on matured human plaque: an in vivo study. ISSN: 2278 0211 (Online) Effect of temperature change of 0.2% chlorhexidine rinse on matured human plaque: an in vivo study. Dr. Yashika Jain Senior Lecturer, Institution: SGT Dental College & Hospital,

More information

Table of Contents Introductory Letter From Dr. Hani AlSaleh NUMBER 1: Do They Provide An Enjoyable Experience?... 3

Table of Contents Introductory Letter From Dr. Hani AlSaleh NUMBER 1: Do They Provide An Enjoyable Experience?... 3 T A B L E O F C O N T E N T S TABLE OF CONTENTS Table of Contents... 1 Introductory Letter From Dr. Hani AlSaleh... 2 NUMBER 1: Do They Provide An Enjoyable Experience?... 3 NUMBER 2: Do They Have A State-of-the-Art

More information

Mouth Health. Quiz. To protect your toothbrush from harmful germs, you should: Leave it out in the open air. Store it in a closed container

Mouth Health. Quiz. To protect your toothbrush from harmful germs, you should: Leave it out in the open air. Store it in a closed container Mouth Health Quiz Add up your points at the end to see how mouth health smart you are! If you answer a question correctly, you get 2 points. If you answer it incorrectly, you get one point. To protect

More information

Using Motivational Interviewing

Using Motivational Interviewing Using Motivational Interviewing to Support Providers & Consumers Jon Diggs, LPC Psychotherapist T2SEnterprises, LLC jon@t2senterprises.com @jdiggslpc About the Presenter Worked in HIV Prevention for 10

More information

Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?

Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and

More information

Cognitive Impairment and Oral Health

Cognitive Impairment and Oral Health Geriatric Lectures Series: Cognitive Impairment and Oral Health Dr. Leo Marchini, DDS, MSD, PhD Department of Preventive and Community Dentistry University of Iowa College of Dentistry and Dental Clinics

More information

Objectives. David Hodgins, University of Calgary. The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout

Objectives. David Hodgins, University of Calgary. The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout David Hodgins, University of Calgary 2015-05-20 The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout David Hodgins www.addiction.ucalgary.ca Midwest Conference on Problem

More information

Keeping Your Teeth in Mind. A guide for people experiencing psychosis and those who care for them

Keeping Your Teeth in Mind. A guide for people experiencing psychosis and those who care for them Right from the Start Keeping Your Teeth in Mind A guide for people experiencing psychosis and those who care for them Looking after your teeth might not be a priority if you are dealing with psychosis.

More information

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR Motivational Interviewing in Healthcare Presented by: Christy Dauner, OTR The Spirit of MI Create an atmosphere of acceptance, trust, compassion and respect Find something you like or respect about every

More information

Choosing Life: empowerment, Action, Results! CLEAR Menu Sessions. Adherence 1: Understanding My Medications and Adherence

Choosing Life: empowerment, Action, Results! CLEAR Menu Sessions. Adherence 1: Understanding My Medications and Adherence Choosing Life: empowerment, Action, Results! CLEAR Menu Sessions Adherence 1: Understanding My Medications and Adherence This page intentionally left blank. Understanding My Medications and Adherence Session

More information

Chapter 3-Attitude Change - Objectives. Chapter 3 Outline -Attitude Change

Chapter 3-Attitude Change - Objectives. Chapter 3 Outline -Attitude Change Chapter 3-Attitude Change - Objectives 1) An understanding of how both internal mental processes and external influences lead to attitude change 2) An understanding of when and how behavior which is inconsistent

More information

Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH

Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH EALTH SAY THINK MOUTH THINK HEALTH Your mouth is a mirror to your body A healthy mouth and a healthy body go

More information

Why Tobacco Cessation?

Why Tobacco Cessation? Tobacco Cessation in Community Settings Introduction Hello and welcome to the Learning and Action Network event, Reaching Those in Need of Tobacco Cessation in Community Settings: Research, Recommendations

More information

What is Motivational Interviewing?

What is Motivational Interviewing? What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental

More information

Periodontal (Gum) Disease

Periodontal (Gum) Disease Periodontal (Gum) Disease If you have been told you have periodontal (gum) disease, you re not alone. An estimated 80 percent of American adults currently have some form of the disease. Periodontal diseases

More information

CATALYSTS DRIVING SUCCESSFUL DECISIONS IN LIFE SCIENCES QUALITATIVE RESEARCH THROUGH A BEHAVIORAL ECONOMIC LENS

CATALYSTS DRIVING SUCCESSFUL DECISIONS IN LIFE SCIENCES QUALITATIVE RESEARCH THROUGH A BEHAVIORAL ECONOMIC LENS CATALYSTS DRIVING SUCCESSFUL DECISIONS IN LIFE SCIENCES QUALITATIVE RESEARCH THROUGH A BEHAVIORAL ECONOMIC LENS JEANETTE HODGSON & SARAH SMITH DECEMBER 2017 QUALITATIVE RESEARCH THROUGH A BEHAVIORAL ECONOMIC

More information

Dental Policy. Subject: Prophylaxis Guideline #: Publish Date: 03/15/2018 Status: Revised Last Review Date: 02/06/2018

Dental Policy. Subject: Prophylaxis Guideline #: Publish Date: 03/15/2018 Status: Revised Last Review Date: 02/06/2018 Dental Policy Subject: Prophylaxis Guideline #: 01-101 Publish Date: 03/15/2018 Status: Revised Last Review Date: 02/06/2018 Description This document addresses the procedure of dental prophylaxis for

More information

Whatever you think you can do or believe you can do, begin it. Action has magic, grace and power in it. - Goethe

Whatever you think you can do or believe you can do, begin it. Action has magic, grace and power in it. - Goethe Page 1 Action vs. Delay Whatever you think you can do or believe you can do, begin it. Action has magic, grace and power in it. - Goethe Action or the very act of "getting into motion" is extremely powerful

More information

Have you been diag nosed with PERIODONTAL DISEASE

Have you been diag nosed with PERIODONTAL DISEASE Have you been diag nosed with PERIODONTAL DISEASE What you need to know about Periodontal Disease? Periodontal disease (also called gum disease) is a chronic, bacterial infection of the gums that can destroy

More information

TTI Personal Talent Skills Inventory Coaching Report

TTI Personal Talent Skills Inventory Coaching Report TTI Personal Talent Skills Inventory Coaching Report "He who knows others is learned. He who knows himself is wise." Lao Tse Mason Roberts District Manager YMCA 8-1-2008 Copyright 2003-2008. Performance

More information

THE LIVING STRESS FREE STRESS MODEL

THE LIVING STRESS FREE STRESS MODEL http://livingstressfree.org/ THE LIVING STRESS FREE STRESS MODEL LIVING STRESS FREE EBOOK LIBRARY Louis and Marilyn Guadagnino MEDICAL DISCLAIMER The Materials are provided for informational and educational

More information

Product Information Clinpro Prophy Powder 4 Bottles à 100 g

Product Information Clinpro Prophy Powder 4 Bottles à 100 g Ordering Information Item No. Product Information 671 Clinpro Prophy Powder 4 Bottles à 1 g Clinpro Prophy Powder 12613 Clinpro Prophy Paste 2 à 2 g Cherry Fine 12657 Clinpro Prophy Paste 2 à 2 g Mint

More information

ORAL HYGIENE SESSION 2

ORAL HYGIENE SESSION 2 ORAL HYGIENE SESSION 2 BSCS_flipchart_session2.indd 1 dental FLOSS Floss is a special string used to clean between your teeth. This is a very hard space to get clean Floss can get to small spaces your

More information

#1065 Effect of an Essential Oil Herbal Mouthwash on Oral Malodor

#1065 Effect of an Essential Oil Herbal Mouthwash on Oral Malodor #1065 Effect of an Essential Oil Herbal Mouthwash on Oral Malodor H. Malmström DDS, Rita Cacciato RDH, Michael Yunker DDS, YF. Ren DDS, PhD, MPH, Eastman Department of Dentistry, Division of General Dentistry,

More information

What is Motivational Interviewing?

What is Motivational Interviewing? What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental

More information

Periodontal. Disease. Don t wait until it hurts. ADA Healthy Smile Tips

Periodontal. Disease. Don t wait until it hurts. ADA Healthy Smile Tips This brochure covers: the causes of gum disease the stages of gum disease how gum disease is diagnosed and treated how to keep your mouth healthy after treatment PERIODONTAL Periodontal ADA Healthy Smile

More information

Many common oral health problems are related

Many common oral health problems are related Many common oral health problems are related HOW CAN AFFECT MY ORAL HEALTH? Plaque is a colorless film of bacteria that naturally forms on the hard surface of teeth. If plaque is not removed, it can cause

More information

Motivational Interviewing for Family Planning Providers. Motivational Interviewing. Disclosure

Motivational Interviewing for Family Planning Providers. Motivational Interviewing. Disclosure for Family Planning Providers Developed By: Disclosure I I have no real or perceived vested interests that relate to this presentation nor do I have any relationships with pharmaceutical companies, biomedical

More information

Physical Activity. Image 1

Physical Activity. Image 1 Physical Activity Acknowledgements: This protocol and associated curriculum materials were developed with support by Grant Numbers P60 MD000538 (NIH National Institute for Minority Health and Health Disparities),

More information

Dental Health for Individuals with Disabilities Lesson 2: Importance of Taking Care of Your Mouth

Dental Health for Individuals with Disabilities Lesson 2: Importance of Taking Care of Your Mouth Welcome to Lesson 2: Importance of of the Dental Health for Individuals with Disabilities webcast series. Please adjust your computer volume so that it s at a comfortable listening level for you. 1 In

More information

Clinical UM Guideline

Clinical UM Guideline Clinical UM Guideline Subject: Clinical Policy on Dental Prophylaxis Guideline #: 01-101 Current Effective Date: 03/24/2017 Status: New Last Review Date: 02/08/2017 Description This document addresses

More information

Introduction to Motivational Interviewing in NAS Interventions

Introduction to Motivational Interviewing in NAS Interventions Introduction to Motivational Interviewing in NAS Interventions Daniel Raymond Tanagra M. Melgarejo Workshop Overview 1 Training Objectives By the end of this session you will be able to: Describe the fundamental

More information

Find Decay. Features. on any surface... Restorations! even around

Find Decay. Features. on any surface... Restorations! even around by Quantum Dental Technologies Toronto ON, Canada 866 993.9910 x109 Find Decay on any surface... even around Restorations! Features DETECTS TOOTH DECAY along the margins of restorations, including amalgam

More information

In 1980, a new term entered our vocabulary: Attention deficit disorder. It

In 1980, a new term entered our vocabulary: Attention deficit disorder. It In This Chapter Chapter 1 AD/HD Basics Recognizing symptoms of attention deficit/hyperactivity disorder Understanding the origins of AD/HD Viewing AD/HD diagnosis and treatment Coping with AD/HD in your

More information

S.A.F.E.T.Y. TM Profile for Joe Bloggs. Joe Bloggs. Apr / 13

S.A.F.E.T.Y. TM Profile for Joe Bloggs. Joe Bloggs. Apr / 13 Joe Bloggs Apr 14 2016 1 / 13 About the Academy of Brain-based Leadership (ABL) At ABL we consolidate world-leading, thinking, education & products to facilitate change. Serving as a translator, we evaluate

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Barbara M. Miller, RN, CEC Robin Seabury, MS WVU School of Nursing And Finally What Do You Want To Leave With Today? Change Remember, change is much larger than behavior.

More information

Peninsula Dental Social Enterprise (PDSE)

Peninsula Dental Social Enterprise (PDSE) Peninsula Dental Social Enterprise (PDSE) Adult 16+ years Oral Health Promotion - individually tailored optimal daily oral care Version 3.0 Date approved: October 2016 Approved by: The Board Review due:

More information

PM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach. Franze de la Calle Antoinette Schoenthaler

PM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach. Franze de la Calle Antoinette Schoenthaler PM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach Franze de la Calle Antoinette Schoenthaler Webinar Housekeeping Please keep your phone on mute when not

More information

The 5 Things You Can Do Right Now to Get Ready to Quit Smoking

The 5 Things You Can Do Right Now to Get Ready to Quit Smoking The 5 Things You Can Do Right Now to Get Ready to Quit Smoking By Charles Westover Founder of Advanced Laser Solutions Copyright 2012 What you do before you quit smoking is equally as important as what

More information

Mentors, Coaches and the Empowerment Factor Why Functional Fluency is Important

Mentors, Coaches and the Empowerment Factor Why Functional Fluency is Important Mentors, Coaches and the Empowerment Factor Why Functional Fluency is Important Susannah Temple PhD January 2009 Introduction Mentors and coaches support and inspire people to succeed in their endeavours.

More information

Compassion Resilience. Sue McKenzie WISE and Rogers InHealth

Compassion Resilience. Sue McKenzie WISE and Rogers InHealth Compassion Resilience Sue McKenzie WISE and Rogers InHealth Goals 1. Analyze foundational beliefs about behavior 2. Explore experience of compassion fatigue (individual and team) 3. Learn skills of compassion

More information

Compassion Resilience

Compassion Resilience Compassion Resilience Sue McKenzie WISE and Rogers InHealth Why do we do what we do? How do we do what we do well? How do we let go of what we cannot do? How do we do well with others on a daily (consistent)

More information

Joslin Diabetes Center Primary Care Congress for Cardiometabolic Health 2013 Dental and Cardiovascular Diseases: Are They Intertwined?

Joslin Diabetes Center Primary Care Congress for Cardiometabolic Health 2013 Dental and Cardiovascular Diseases: Are They Intertwined? Diabetes, CVD and Periodontal Disease -Mouth, the black hole in the medical universe William Hsu, MD Medical Director for Asian Clinic Joslin Diabetes Center Assistant Professor of Medicine Harvard Medical

More information

Heeding the Call and Committing to Periodontal Therapy

Heeding the Call and Committing to Periodontal Therapy Heeding the Call and Committing to Periodontal Therapy By: Colleen Rutledge, RDH Lynne H. Slim, RDH, BSDH, MSDH According to current trends it is projected that there will not be enough dentists to care

More information

Pacific Problem Gambling A Motivational Approach. ABACUS Counselling, Training and Supervision Ltd

Pacific Problem Gambling A Motivational Approach. ABACUS Counselling, Training and Supervision Ltd Pacific Problem Gambling A Motivational Approach ABACUS Counselling, Training and Supervision Ltd 1 Pacific People Affected by PG Consider each of the following statements extracted from an AOD paper (Robinson

More information

Patient had no significant findings in medical history. Her vital signs were 130/99, pulse 93.

Patient had no significant findings in medical history. Her vital signs were 130/99, pulse 93. Julia Collins Den 1200 Journal #4 1. Demographics Patient is J.S. age 29, Heavy/II 2. Assessment Patient had no significant findings in medical history. Her vital signs were 130/99, pulse 93. Patient does

More information

A Guide to Understanding Self-Injury

A Guide to Understanding Self-Injury A Guide to Understanding Self-Injury for Those Who Self-Injure What is Non-Suicidal Self-Injury? Non-Suicidal Self-Injury (NSSI), also referred to as self-injury or self-harm, is the deliberate and direct

More information

COVER MONTANA MOTIVATIONAL INTERVIEWING- Gina Pate-Terry, LCSW, LAC,

COVER MONTANA MOTIVATIONAL INTERVIEWING- Gina Pate-Terry, LCSW, LAC, COVER MONTANA MOTIVATIONAL INTERVIEWING- Gina Pate-Terry, LCSW, LAC, gpateterry@mtpca.org MOTIVATIONAL INTERVIEWING It is an openness to a way of thinking and working that is collaborative rather than

More information

Good oral hygiene is a must for Canada s seniors

Good oral hygiene is a must for Canada s seniors Good oral hygiene is a must for Canada s seniors Thanks to healthier lifestyles, as well as advances in oral and medical care, Canadians can expect to keep most, if not all of their natural teeth as they

More information

Wellbeing at Work NZ managing resilience in the workplace symposium. Dr Anne Messervy Dr Aaron Jarden 12 th September, 2016

Wellbeing at Work NZ managing resilience in the workplace symposium. Dr Anne Messervy Dr Aaron Jarden 12 th September, 2016 Wellbeing at Work NZ managing resilience in the workplace symposium Dr Anne Messervy Dr Aaron Jarden 12 th September, 2016 Geelong Breathing Breath One. Take a deep breath in through your nose and fill

More information

Coaching Patients If I could choose just one thing

Coaching Patients If I could choose just one thing Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia Health Heart and Vascular Wellness Program Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia

More information

swed dent j 2011; 35: jensen et al

swed dent j 2011; 35: jensen et al swed dent j 2011; 35: 203-213 jensen et al swedish dental journal vol. 35 issue 4 2011 203 swed dent j 2011; 35: 203-213 jensen et al 204 swedish dental journal vol. 35 issue 4 2011 fluoride toothpaste-knowledge,

More information

The Counselor s Role in Medication-Assisted Recovery. Challenges, Tools and Tips. Gary Blanchard, MA, LADC1. Workshop Objectives

The Counselor s Role in Medication-Assisted Recovery. Challenges, Tools and Tips. Gary Blanchard, MA, LADC1. Workshop Objectives Workshop Objectives The Counselor s Role in Medication-Assisted Recovery Challenges, Tools and Tips Gary Blanchard, MA, LADC1 Recognize the challenges related to medicationassisted recovery. Identify how

More information

PERIODONTAL. Periodontal Disease. Don t wait until it hurts SAMPLE

PERIODONTAL. Periodontal Disease. Don t wait until it hurts SAMPLE PERIODONTAL Periodontal Disease Don t wait until it hurts Periodontal disease is also known as gum disease Periodontal (perry-o-don-tal) Disease is an infection and inflammation that affects the tissues

More information

Going to the Dentist. Expressing Obligation and Necessity

Going to the Dentist. Expressing Obligation and Necessity Going to the Dentist Expressing Obligation and Necessity 9:30am - 9:45am Ice Breaker What was the best thing that happened this last week? What was the worst thing that happened this last week? Every six

More information

Understanding Your Coding Feedback

Understanding Your Coding Feedback Understanding Your Coding Feedback With specific feedback about your sessions, you can choose whether or how to change your performance to make your interviews more consistent with the spirit and methods

More information

ORAL HYGIENE SESSION 2

ORAL HYGIENE SESSION 2 ORAL HYGIENE SESSION 2 BSCS_flipchart_session2.indd 1 dental FLOSS Floss is a special string used to clean between your teeth. This is a very hard space to get clean Floss can get to small spaces your

More information

NEDC e-bulletin. Issue 19 February 2014

NEDC e-bulletin. Issue 19 February 2014 NEDC e-bulletin Issue 19 February 2014 Introduction Welcome to the February edition of the NEDC e-bulletin. This month we are highlighting issues of relevance to athletes, coaches and other sport and fitness

More information

Being an Effective Coachee :

Being an Effective Coachee : : Things to Act on When Working with a Personal Coach By Roelf Woldring WCI Press / Transformation Partners 21 st Century Staffing Innovators www.21cstaffing.com Elora, Ontario, Canada N0B 1S0 Copyright,

More information

Professional Development Hours Log- Fall 2015 Date Event/ Speaker/ Topic Hours Summary

Professional Development Hours Log- Fall 2015 Date Event/ Speaker/ Topic Hours Summary Professional Development Hours Log- Fall 205 9/26/5 Event: Continuing Education Speaker: Stacey D. Quo, DDS, MS Topic: Sleep Disordered Breathing, Myofunctional Therapy and the Role of the RDH 4 This topic

More information

WOMEN AND DIABETES: UNDERSTANDING DIFFERENCES TO MAKE A DIFFERENCE

WOMEN AND DIABETES: UNDERSTANDING DIFFERENCES TO MAKE A DIFFERENCE WHITE PAPER WOMEN AND DIABETES: UNDERSTANDING DIFFERENCES TO MAKE A DIFFERENCE By ANDI KRAVITZ WEISS, MPH Behaviorist Regardless of race, age, gender, ethnicity or any other demographic factor, no group

More information

Understanding the True Realities of Influencing. What do you need to do in order to be Influential?

Understanding the True Realities of Influencing. What do you need to do in order to be Influential? Understanding the True Realities of Influencing. What do you need to do in order to be Influential? Background and why Influencing is increasingly important? At Oakwood Learning we have carried out our

More information

Overview. Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care. Nursing home participant benefits

Overview. Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care. Nursing home participant benefits Improving Oklahoma Nursing Home Resident Outcomes through Person-Centered Oral Care Maggie Oehlke, RDH Quality Improvement Consultant Maggie.Oehlke@tmf.org Overview Poor oral health, particularly for those

More information

The London Centre for Implant and Aesthetic Dentistry. Information sheet : Gum disease (Gingivitis and Periodontitis)

The London Centre for Implant and Aesthetic Dentistry. Information sheet : Gum disease (Gingivitis and Periodontitis) Information sheet : Gum disease (Gingivitis and Periodontitis) (2016a. This information sheet contains general information and must be read in conjunction with your personalised treatment plan for specific

More information

Oral Health Education

Oral Health Education e C ity Fre v a K I DS Oral Health Education for Pregnant Women, Children Birth through Age Five, and Their Families TM A Quick Reference for Home Visitors TM Cavity Free K I DS Cavity Free Kids Oral Health

More information

PATIENT HEALTH HISTORY

PATIENT HEALTH HISTORY PATIENT HEALTH HISTORY Your name Your regular dentist is Ever been a patient here before? YES NO Today's date Your physician is Your current age (Check all that apply) Have you ever had an adverse reaction

More information

Character Word of the Month

Character Word of the Month Character Word of the Month August September Excellence: The state of excelling and doing more than expected Positive Attitude: A feeling or way of thinking that affects a person's behavior October Responsibility:

More information

Fighting Gum Disease: A Special Report

Fighting Gum Disease: A Special Report Fighting Gum Disease: A Special Report Note: Nothing in this book should be construed as advice. Though I have made every attempt to make sure the information is correct and accurate, I cannot guarantee

More information