Summary
Samenvatting Preventie
- Course
- Institution
dit is een samenvatting voor het vak preventieve en maatschappelijke aspecten van prof DECLERCK
[Show more]
Seller
Follow
VV1THK
Content preview
InhoudsopgavePreven&eve en maatschappelijke aspecten:................................................................................................... 5
Hfdst 1: Inleiding........................................................................................................................................... 5
1: Het begrip gezondheid.....................................................................................................................................5
2: Mondgezondheid en algemene gezondheid.....................................................................................................5
2.1: Mondaandoeningen als basis van pijn en comfortverlies.........................................................................5
2.2: Impact tandbederf bij jonge kinderen......................................................................................................5
2.3: Infectueuze verwikkelingen.......................................................................................................................5
2.4: Mondpathologie en systemaCsche aandoeningen...................................................................................5
3: Vaak voorkomende mondaandoeningen.........................................................................................................6
3.1: Tandbederf = cariFs...................................................................................................................................6
3.2: GingiviCs en parodonCCs..........................................................................................................................8
3.3: Tanderosie.................................................................................................................................................8
3.4: Andere.......................................................................................................................................................8
4: Mens en gezondheid.........................................................................................................................................8
5: Niveaus binnen prevenBe.................................................................................................................................8
Primaire prevenCe............................................................................................................................................8
Secundaire prevenCe........................................................................................................................................8
TerCaire prevenCe............................................................................................................................................8
Primaire primaire prevenCe.............................................................................................................................8
Hfdst 2: Epidemiologie – basisprincipes.......................................................................................................... 9
1: Wat is epidemiologie?......................................................................................................................................9
1.1: Voorbeeld..................................................................................................................................................9
2: Epidemiologisch onderzoek............................................................................................................................10
2.1: Cross-secConeel <-> longitudinaal..........................................................................................................10
2.2: ProspecCef <-> retrospecCef...................................................................................................................10
2.3: DescripCef <-> analyCsch........................................................................................................................11
3: Vaak gebruikte termen...................................................................................................................................12
4: Causaliteit en risico.........................................................................................................................................13
4.1: Causaliteit................................................................................................................................................13
4.2: Risicofactoren..........................................................................................................................................13
4.3: Risico-indicatoren...................................................................................................................................13
4.4: Risico markers..........................................................................................................................................13
5: Aandoening of gevolgen meten?....................................................................................................................13
6: Determinanten van (mond)aandoeningen.....................................................................................................14
Hfdst 3: Epidemiologie van mondaandoeningen........................................................................................... 15
1: Epidemiologische aspecten van tandbederf...................................................................................................15
1.1: Maten voor meten en weergeven tandbederf........................................................................................15
1.2: Uitdagingen bij epidemiologisch onderzoek...........................................................................................17
1.3: StandaardisaCe van methodologie.........................................................................................................17
1.4: Voorkomen van tandbederf....................................................................................................................18
1.5: EvoluCes in voorkomen tandbederf........................................................................................................18
1.6: GeograYsch..............................................................................................................................................18
2: Epidemiologische aspecten tandvleesaandoeningen.....................................................................................19
2.1: Maten voor meten en weergeven van tandvleesaandoeningen............................................................19
2.2: Voorkomen van tandvleesaandoening....................................................................................................20
3: Epidemiologische aspecten erosieve tandschade..........................................................................................20
, Maten voor meten en weergeven van erosieve tandschade.........................................................................20
4: Epidemiologische aspecten van trauma.........................................................................................................20
5: Ongelijkheid in mondgezondheid...................................................................................................................21
5.1: PolarisaCefenomeen...............................................................................................................................21
5.2: Kansengroepen........................................................................................................................................21
5.3: Personen met beperkingen.....................................................................................................................21
5.4: kwetsbare ouderen.................................................................................................................................22
Hfdst 4: Dentale bioElm en speeksel............................................................................................................ 23
1: Dentale bioQlm: een boeiende materie..........................................................................................................23
1.1: Wat is bioYlm?.........................................................................................................................................23
1.2: Hoe ontstaat de dentale bioYlm?............................................................................................................23
1.3: Wat is het nut van de dentale bioYlm?...................................................................................................24
1.4: Rol van dentale bioYlm in mondaandoeningen......................................................................................24
2: Speeksel: een boeiende materie.....................................................................................................................25
2.1: Speeksel en speekselklieren....................................................................................................................25
2.2: Samenstelling en funcCes.......................................................................................................................25
2.3: Speekselparameters bepalen..................................................................................................................27
2.4: Speeksel en mondaandoeningen............................................................................................................28
Hfdst 5: Voeding en mondgezondheid.......................................................................................................... 29
1: Algemene principes van gezonde voeding.....................................................................................................29
1.1: Voeding en gezondheid...........................................................................................................................29
1.2: De acCeve voedingsdriehoek..................................................................................................................29
2: Impact van voeding op mondgezondheid – algemene eUecten.....................................................................29
2.1: Algemene e^ecten..................................................................................................................................29
2.2: Lokale e^ecten........................................................................................................................................29
3: Impact van voeding op mondgezondheid – tandbederf.................................................................................30
3.1: Rol van suiker: invloed op fysicochemie van bioYlm...............................................................................30
3.2: Rol van suiker: type van suiker................................................................................................................30
3.3: Rol van suiker: hoeveelheid suiker..........................................................................................................30
3.4: Andere factoren.......................................................................................................................................30
3.5: Cariogeen vermogen van voeding bepalen.............................................................................................31
4: Impact van voeding op mondgezondheid – erosie.........................................................................................31
4.1: Rol van zuren...........................................................................................................................................31
5: Impact van voeding op mondgezondheid – mondcarcinomen......................................................................32
5.1: Rol van alcohol........................................................................................................................................32
5.2: Andere factoren.................................................................................Fout! Bladwijzer niet gedeEnieerd.
6: Voedingsgerelateerde problemen met repercussies op mondgezondheid....................................................32
6.2 Algemene aandoeningen.........................................................................................................................32
6.3 Eetstoornissen..........................................................................................................................................32
6.4 SpeciYeke aandachtsgroepen...................................................................................................................32
Hfdst 6: Preven&eve maatregelen bioElmcontrole........................................................................................ 33
1: IntroducBe......................................................................................................................................................33
2: Mechanische plaquecontrole – zelfzorgtechnieken........................................................................................33
2.1: Tandenborstel..........................................................................................................................................33
2.2: Interdentale reinigingsmiddelen.............................................................................................................34
2.3: Tongschraper...........................................................................................................................................34
2.4: Monddouche...........................................................................................................................................34
2.5: Tandpasta................................................................................................................................................34
6.3: Mechanische plaquecontrole – professionele zorg.................................................................................37
6.4: Chemische plaquecontrole......................................................................................................................38
,Hfdst 7: Preven&eve maatregelen: Ouoride.................................................................................................. 40
IntroducBe..........................................................................................................................................................40
1: Fluoride...........................................................................................................................................................40
2: Bronnen van Yuoride......................................................................................................................................40
Vaste voeding.................................................................................................................................................40
Drank..............................................................................................................................................................40
3: Fluoride en het menselijk organisme..............................................................................................................41
AbsorpCe van buoride....................................................................................................................................41
DistribuCe van buoride...................................................................................................................................41
Fluoride in weke weefsels..............................................................................................................................41
Fluoride in botweefsel....................................................................................................................................41
Fluoride in tandweefsel – glazuur..................................................................................................................41
Fluoride in tandweefsel – denCne..................................................................................................................41
Fluoride in tandweefsel – cementum.............................................................................................................41
ExcreCe van buoride.......................................................................................................................................41
4: Toxiciteit van Yuoride.....................................................................................................................................42
Chronische toxiciteit.......................................................................................................................................42
Acute toxiciteit...............................................................................................................................................43
5: Werkingsmechanisme van Yuoride................................................................................................................44
Inbouw van F in tandweefsels (glazuur).........................................................................................................44
Invloed van F op bioYlmbacteriFn..................................................................................................................44
InterferenCe van F met bioYlmgebeuren.......................................................................................................44
6: Cari\sprevenBef vermogen van Yuoride........................................................................................................44
InteracCe met bioYlmmechanisme................................................................................................................44
Waarom dan zo lang systemische toediening?..............................................................................................44
Hoog geconcentreerde F-preparaten?...........................................................................................................44
7: Toepassingsvormen in de prevenBe van cari\s..............................................................................................45
Systemische toepassingen..............................................................................................................................45
Lokale toepassingen.......................................................................................................................................45
7: Fluoride-advies...............................................................................................................................................46
Hfdst 8: Preven&eve maatregelen – voeding................................................................................................. 46
1: Voedingsanamnese........................................................................................................................................47
2: AlternaBeven voor suiker................................................................................................................................47
2.1: Suikervervangers.....................................................................................................................................47
2.2: Zoetsto^en (steeds niet-cariogeen)........................................................................................................48
3: ProtecBeve factoren.......................................................................................................................................50
3.1 Zuivel........................................................................................................................................................50
3.2: ProbioCca................................................................................................................................................50
4: Kauwgom en mondgezondheid......................................................................................................................50
Suikerhoudende kauwgom.............................................................................................................................50
Suikervrije kauwgom......................................................................................................................................50
5: Mondgezond voedingsadvies.........................................................................................................................50
Hfdst 9: Andere preven&eve mogelijkheden................................................................................................. 51
1: Verzegeling/sealing en kunstharsinQltraBe....................................................................................................51
Verzegeling of sealing.....................................................................................................................................51
InYltraCe.........................................................................................................................................................51
2: Beperken/vermijden blootstelling tabak........................................................................................................52
Impact op algemene gezondheid...................................................................................................................52
Impact op mondgezondheid..........................................................................................................................52
Directe en indirecte blootstelling...................................................................................................................52
, Rol van de tandarts.........................................................................................................................................52
Techniek van rookstopbegeleiding.................................................................................................................52
(Inter)naConale iniCaCeven...........................................................................................................................53
Hfdst 10: Individueel aangepaste strategie................................................................................................... 54
1: Risico inschaden.............................................................................................................................................54
Belang van een goede anamnese.............................................................Fout! Bladwijzer niet gedeEnieerd.
Wat leert ons het klinische onderzoek?....................................................Fout! Bladwijzer niet gedeEnieerd.
Speekselonderzoek...................................................................................Fout! Bladwijzer niet gedeEnieerd.
Risico classiYcaCe......................................................................................Fout! Bladwijzer niet gedeEnieerd.
2: PrevenBeve strategie......................................................................................................................................58
3: Individuele prevenBeve aanpak: concreet voorbeeld: adolescenten.............................................................58
Impact op mondgezondheid..........................................................................................................................58
Hfdst 11: Maatschappelijke mondzorg.......................................................................................................... 60
1: Volksgezondheid.............................................................................................................................................60
Public health...................................................................................................................................................60
Opdrachten.....................................................................................................................................................60
EssenCe...........................................................................................................................................................60
2: Mondgezondheid............................................................................................................................................61
Maatschappelijke tandheelkunde in BelgiF...................................................................................................61
3: Methodieken...................................................................................................................................................61
Mondgezondheid in kaart brengen = Assessment.........................................................................................61
Ontwikkeling van een mondgezondheidsbeleid = policy development.........................................................61
OrganisaCe van mondzorg..............................................................................................................................61
Hfdst 12: Mondzorg in kaart brengen........................................................................................................... 62
Mogelijke bronnen en methoden van informaCeverzameling......................................................................62
Kwaliteitsparameters......................................................................................................................................62
Ethische aspecten...........................................................................................................................................62
2: Rol van de WereldgezondheidsorganisaBe....................................................................................................63
WHO Oral Health Program.............................................................................................................................63
Basis Oral Health Surveys...............................................................................................................................63
3: Mondgezondheid in Belgi\.............................................................................................................................63
Projecten in speciYeke doelgroepen..............................................................................................................63
DataregistraCe Belgische bevolking (OHDRES)..............................................................................................63
Hfdst 13: Organisa&e van mondzorg............................................................................................................. 70
1: Zorgverleners..................................................................................................................................................70
Historiek van de tandarts...............................................................................................................................70
2: Financiering van (mond)zorg..........................................................................................................................72
OrganisaCe in BelgiF.......................................................................................................................................72
Andere modellen............................................................................................................................................74
3: Planning van zorgaanbod...............................................................................................................................75
Aanbod van zorgverleners (tandartsen).........................................................................................................75
Planning van het zorgaanbod.........................................................................................................................75
ToelaCngsexamen als tool voor instroombeperking.................................Fout! Bladwijzer niet gedeEnieerd.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller VV1THK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.59. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53068 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now