A Textbook of Public Health Dentistry CM Marya
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1A Textbook of Public Health Dentistry2
3A Textbook of Public Health Dentistry
CM Marya BDS MDS Professor and Head Department of Public Health Dentistry Sudha Rustagi College of Dental Sciences and Research Faridabad, Haryana, India
4Published by
Jaypee Brothers Medical Publishers (P) Ltd
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4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
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A Textbook of Public Health Dentistry
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2011
Typeset at JPBMP typesetting unit
Printed at
My mother Veena Marya for making me what I am today,
My father Prof Dr RK Marya, a continuous motivational force in my life.
My wife Vandana for her constant encouragement and support.
My children for making life worthwhile.
—CM Marya6
7Contributors 9Preface
This textbook is designed for undergraduate and postgraduate students in dentistry as well as health professionals with an interest in understanding and promoting oral health within communities. Although Public Health Dentistry is concerned with oral health of the population rather than dental needs of an individual patient, the ultimate beneficiary of public health programs is an individual.
As expected in a book of Public Health Dentistry, epidemiology, etiology, and preventive measures in context of dental caries, periodontal diseases and oral cancer have been discussed in detail. Extensive coverage has been given to the role of fluoride in the prevention of dental caries. The principal diseases of the mouth such as caries, periodontal disease and oral cancer are lifestyle dependent. A sound public health program can provide effective measures.
Some of the topics have been contributed by highly experienced colleagues from other dental colleges, bringing greater depth to the subject. The contribution of some chapters such as epidemiology, statistics, and nutrition, by senior teachers in Faculties of Medicine, Malaysia is gratefully acknowledged.
Forensic dentistry, Occupational hazards, Ergonomics in dentistry and Financial aspects of dental health practice are attracting greater attention these days. These topics have been included in this book.
The book incorporates the latest syllabus. The study of Public Health Dentistry also involves an appreciation of aspects of several disciplines including sociology, psychology and health-related behavior, health economics, health promotion and health service organizational methods in preventive dentistry. All these topics have been given adequate attention.
This textbook deliberately takes a broader international perspective of the dental preventive measures. Optimal solutions of health service provision are often hard one and one can often benefit from experiences in other countries.
An important aspect of this book is the large number of illustrations, mostly in color, as well as tables. Must-know information has been highlighted in a large number of boxes.
CM Marya
My teacher and guide Dr BR Ashok Kumar is the base of my academic career in Public Health Dentistry, who has always inspired me in becoming a good academician.
I would like to express my sincere thanks to all the contributors Dr RK Marya, Dr KA Narayan and Dr Abdul Rashid Khan, Dr Anil Ankola, Dr Avinash J, Dr Swaroop Savanur, Dr Sadanand Kulkarni, Dr Anil Gupta, Dr Bhavna Gupta, Dr Manik Razdan, Dr Gurkeerat Singh, Dr Rakesh Dhankar, Dr Vandana Dahiya.
I thank all my colleagues and postgraduate students of Department of Public Health Dentistry at Sudha Rustagi College of Dental Sciences and Research, Faridabad for their invaluable help in compiling this book. A special thanks to Dr Vartika Kathuria, Dr Nidhi Pruthi, Dr Sonal Dhingra and Dr Shekhar Grover for helping me in checking and rechecking the manuscript of this book. I would also like to thank World Health Organization for allowing me to use their world map on dental caries prevalence.
I greatly appreciate Dr Sanjay Tewari, Dean and Principal, Dental College, Pt BD Sharma University of Health Sciences, Rohtak and Dr KR Indushekar, Director, PG Studies, Sudha Rustagi Dental College, Faridabad for their encouraging words and support in this work.
I would like to thank my friends and colleagues Dr Vishal Juneja, Dr Hind P Bhatia, Dr Ashwani Pruthi, Dr Ashish Gupta, Dr Baiju, Dr Navin A Ingle, Dr Suhas Kulkarni and Dr Pradeep Tangade for their support.
I would like to thank my Chairman Mr Dharamvir Gupta and Mr Deepak Gupta, Secretary, Wing Cdr Dr Niraj Rampal VSM, Principal, Sudha Rustagi College of Dental Sciences and Research, Faridabad for providing me with a congenial environment to compile this book.
My sincere thanks to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director Publishing), Mr KK Raman (Production Manager), Mr Rajesh, and Mr Radhey Shyam of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi and their team for their cooperation in the publication of this book.