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World Health Organization (WHO)

Regional Office for Africa
Noncommunicable Diseases (NCD) Cluster
Cit du Djou, P.O. Box 06
Brazzaville, Republic of Congo
http://www.afro.who.int/en/oral-health/publications.html

Depositphotos.com

The WHO Regional Office for Africa

acknowledges the financial support provided
for this project by Hilfsaktion Noma e.V.

OMS/Julie Pudlowski

1. promoting affordable
fluoride toothpaste
(AFT) to prevent
dental caries
2. oral urgent treatment
(OUT) aimed at
relieving oral pain
and providing
emergency treatment
3. atraumatic restorative
treatment (ART) to
treat existing dental
caries and prevent
further decay

1. creating health-enabling
facilities and environment
2. integrating oral health
education into school curricula
3. organizing a daily group
teeth-brushing session with
fluoride toothpaste
4. establishing participatory
monitoring arrangements
that include parents and
the community

S upport empowerment of communities to

increase control over their health!

1. c reating local
partnerships
2. disseminating
information
about oral health
promotion and
health literacy
3. training firstcontact community
health workers
4. conducting noma
awareness campaigns

Promoting oralhealth
in Africa

How can you prevent noncommunicable diseases

including oral diseases?
Brush your teeth
twice a day using
fluoride toothpaste!
Go for oral checkups
regularly, even if your
teeth appear to be
all right!

OMS/Julie Pudlowski

OMS/Julie Pudlowski

Christopher Holmgren

3 key components of the

Basic Package of Oral
Care (BPOC):

 revent oral diseases

P
in the school setting!

OMS/Julie Pudlowski

 rovide essential interventions at

P
primaryhealth care level!

Bridge2Aid

OMS/Julie Pudlowski

Open and examine

the mouth of your
child regularly!

Avoid snacking
between meals and
foods containing high
amounts of free sugars,
salt and fats!

Stay active and eat a

balanced diet!

Protect our childrens smiles!

Eat 5 fruits and

vegetables per day!
Promote the school
setting and workplace
as smoke- and
alcoholfree environments!
Wear a helmet when
riding a motorcycle and
use the seat-belt when
travelling in a vehicle!

Oral diseases, a challenge in the fight against

noncommunicable diseases (NCD)

1. dental caries
2. periodontal (gum) diseases
3. oral cancers
4. noma
5. oral manifestations of HIV
and AIDS
6. oro-facial trauma
7. cleft lip and palate

It is estimated that
90% of these diseases
remain untreated
because of lack of
resources and staff!

Hilfsaktion Noma e.V.

OMS/Julie Pudlowski

OMS/Christopher Black

In the WHO African

region, 7 priority oral
diseases represent the
largest proportion of the
oral disease burden on
the population:
The pain and discomfort
associated with these diseases
make concentrating difficult
and cause people to miss
school and work. They can
lead to social isolation and
reduced income.

Most common noncommunicable diseases share

many risk factors with oral diseases.

Universit de Nairobi

Noma is a preventable disease

that can be treated, and is not
communicable from one person
to another!

Among the oral diseases,

noma is a severe type of
gangrenous stomatitis
that destroys the mouth
and face. It affects
mainly children below
the age of 6 who suffer
from malnutrition
and live in extreme
poverty. In the absence
of treatment, up to 90%
of patients die from
this disease.

Bridge2Aid

Oral diseases are among

the most common
and preventable NCDs
worldwide and affect
all human beings,
regardless of age.
They may cause pain,
disfigurement and
even death.

Universit de Nairobi

Oral health is
integral to general
health. Oral health is
fundamental to the
ability to breathe,
eat, swallow, speak
oreven smile!

As with the major

NCDs, the majority of
interventions needed to
address most daytoday
oral health needs are
proven, affordable,
and feasible in the
places where people live
and can be carried out by
a first line health worker
under the supervision of
an oral health specialist.

A strong national oral

health policy is essential!

Organisation mondiale de la Sant (OMS)

Bureau rgional pour lAfrique
Groupe Organique des Maladies non transmissibles (MNT)
Cit Djou Bote postale 06
Brazzaville, Rpublique du Congo
http://www.afro.who.int/fr/sante-bucco-dentaire/publications.html

Depositphotos.com

Le Bureau rgional de lOMS pour lAfrique

remercie la Fondation Hilfsaktion Noma e.V.
pour le soutien financier apport ce projet

OMS/Julie Pudlowski

1. la promotion de
dentifrices au fluor
abordables (DFA)
en prvention des
caries dentaires
2. les soins durgence
en sant buccodentaire, pour soulager
la douleur et
traiter lurgence
3. le traitement
restaurateur
atraumatique (TRA),
pour traiter les caries
dentaires existantes et
prvenir la formation
de nouvelles caries

1. la cration dun

environnement et la mise
en place dinstallations
favorables la sant
2. linclusion de lducation la
sant bucco-dentaire dans les
programmes scolaires
3. un brossage quotidien
des dents en groupe avec
undentifrice au fluor
4. u
 n suivi participatif
mobilisant les parents et
lacommunaut

Aider lautonomisation des communauts pour

quelles prennent elles-mmes soin de leur sant !

1. la cration de
partenariats locaux
2. la diffusion
dinformation sur
la promotion de la
sant bucco-dentaire
3. la formation
des agents de
sant communautaire
4. la sensibilisation
au noma

Promouvoir la sant
bucco-dentaire
en Afrique

Comment prvenir les maladies non transmissibles

dont les affections buccodentaires ?
Se brosser les dents avec
un dentifrice au fluor
deux fois par jour !
Faire contrler sa
bouche et ses dents
rgulirement,
mme sans
problmeapparent !

OMS/Julie Pudlowski

OMS/Julie Pudlowski

Christopher Holmgren

3 composantes
essentielles du Paquet
Minimum dActivits
Bucco-Dentaires
(PMABD) :

 rvenir les affections orales en

P
milieuscolaire !

OMS/Julie Pudlowski

 ffrir des interventions essentielles au niveau

O
des soins de sant primaires !

Bridge2Aid

OMS/Julie Pudlowski

Ouvrir et examiner la
bouche de votre enfant
rgulirement !

viter le grignotage entre

les repas ainsi que les
aliments et les boissons
riches en sucre, en sel et
en matires grasses !

Protgeons le sourire
de nos enfants !

Rester actif et avoir une

alimentationquilibre !
Consommer 5 fruits et
lgumes par jour !
Faire de lcole et du lieu
de travail, desespaces
sans tabac et sans alcool !
Porter un casque sur les
deux roues et attacher sa
ceinture en voiture !
Les affections bucco-dentaires, un dfi dans
la lutte contre les maladies non transmissibles
(MNT)

 Universit de Nairobi

Les principales maladies non transmissibles ont de

nombreux facteurs de risque en commun avec les
maladies bucco-dentaires.

Dans la Rgion africaine

de lOMS, 7 maladies
buccodentaires font peser
le plus lourd tribut sur
lapopulation :
1. Les caries dentaires
2. les maladies parodontales
(de la gencive)
3. les cancers de la bouche
etde la gorge
4. le noma
5. les manifestations
buccales du VIH et du sida
6. les traumatismes
maxillofaciaux
7. les fentes labiales
et palatines

On estime que 90%

de ces affections ne
sont pas traites,
faute de moyens et de
personnels !

Parmi les pathologies

bucco-dentaires, le noma
est une forme grave de
stomatite gangreneuse,
destructrice de la bouche
et du visage.
Il touche principalement
les enfants de moins
de 6ans souffrant
de malnutrition et
vivant dans lextrme
pauvret. En labsence de
traitement, jusqu90%
des patients meurent des
suites de cettemaladie.

Bridge2Aid

Hilfsaktion Noma e.V.

La douleur et la gne associes

ces affections entranent des
troubles de la concentration
et labsentisme scolaire
et professionnel.
Elles peuvent conduire
lisolement social et laperte
de revenus.

Le noma est une maladie

vitable, qui peut tre traite et
qui nest pas contagieuse !

Universit de Nairobi

Les maladies
buccodentaires
comptent parmi les
MNT vitables les plus
courantes travers
lemonde et touchent
tous les tres humains
quel que soit lge.
Elles peuvent provoquer
des douleurs et une
dfiguration et savrer,
dans certainscas, fatales.

OMS/Julie Pudlowski

OMS/Christopher Black

La sant bucco-dentaire
est une composante
essentielle de la
santgnrale.
Elle est fondamentale
pour respirer, manger,
avaler, parler et
mme sourire !

Comme pour les

principales MNT,
la majorit des
interventions requises
pour satisfaire les
besoins en matire de
sant buccodentaire
sont bien tablies,
abordables et ralisables
o vivent les populations
par un personnel de
premire ligne supervis
par un spcialiste en
sant bucco-dentaire.

Une politique nationale

de sant bucco-dentaire
forte est indispensable !

Organizao Mundial da Sade (OMS)

Escritrio Regional para a frica
Grupo Orgnico das Doenas no Transmissveis (DNT)
Cit du Djou, Caixa Postal 06
Brazzaville, Repblica do Congo
http://www.afro.who.int/en/oral-health/publications.html

Depositphotos.com

O Escritrio Regional da OMS para a frica

agradece Fundao Hilfsaktion Noma e.V.
pelo apoio financeiro a este projecto.

OMS/Julie Pudlowski

1. a promoo de
dentfricos baratos
com flor (DBF)
para a preveno das
cries dentrias
2. os cuidados de
emergncia em
sade bucodentria,
para aliviar a dor e
prestar um tratamento
de emergncia
3. o tratamento
restaurador
atraumtico (TRA),
para tratar as cries
dentrias existentes e
prevenir a formao de
novas cries

OMS/Julie Pudlowski

OMS/Julie Pudlowski

Christopher Holmgren

Os trs componentes
essenciais do pacote
mnimo de actividades
bucodentrias
(PMABD) so:

 revenir as afeces buco-dentrias no

P
meio escolar!

1. a criao de um ambiente e de
instalaes favorveis sade
2. a incluso da educao em
sade buco-dentria nos
programas escolares
3. uma escovagem diria em
grupo dos dentes com um
dentfrico com flor
4. um acompanhamento
participativo mobilizador dos
pais e da comunidade

Ajudar autonomizao das comunidades para

que eles possam tomar conta da sua prpria sade!

1. a criao de
parcerias locais
2. a difuso de
informao sobre
a promoo da
sade buco-dentria
3. a formao
de agentes de
sade comunitria
4. a sensibilizao para
o noma

Promover a sade
buco-dentria
em frica
OMS/Julie Pudlowski

 isponibilizar intervenes essenciais ao nvel

D
dos cuidados de sade primrios!

Bridge2Aid

OMS/Julie Pudlowski

Abra e examine a
boca da sua criana
regularmente!

Como prevenir as doenas no transmissveis e as

afeces buco-dentrias?
Escovar os dentes com
um dentfrico com flor
duas vezes por dia!

Manter-se activo e
fazer uma alimentao
equilibrada!

Fazer um controlo
regular a boca e
dos dentes, mesmo
se no houver
problemas aparentes!

Consumir cinco pores

de frutas e legumes
por dia!

Evitar comer entre as

refeies e os alimentos
e bebidas com alto
teor de acar, sal e de
matrias gordas!

Protejamos o sorriso
das nossas crianas!

Fazer da escola e do local

de trabalho espaos sem
tabaco e sem lcool!
Usar capacete quando se
deslocar em duas rodas e
usar o cinto de segurana
no carro!

As afeces buco-dentrias so um desafio

a ultrapassar no quadro da luta contra as
doenasnotransmissveis (DNT)

1. as cries dentrias
2. as doenas periodontais
(das gengivas)
3. os cancros da boca e
da garganta
4. o noma
5. as manifestaes bucais do
VIH e da SIDA
6. os traumatismos maxilofaciais
7. as fendas labiopalatinas

Estima-se que 90%

destas afeces no
sejam tratadas devido
falta de meios e de
recursos humanos!

Hilfsaktion Noma e.V.

OMS/Julie Pudlowski

OMS/Christopher Black

Na Regio Africana da
OMS, so 7 as doenas
bucodentrias que mais
afectam as populaes:

A dor e o desconforto
associados a estas afeces
esto na origem dos problemas
de falta de concentrao
e absentismo escolar e
profissional, podendo tambm
conduzir ao isolamento social e
perda de rendimentos.

As principais doenas no transmissveis tm

muitos factores de risco em comum com as
afeces buco-dentrias.

Universit de Nairobi

O noma uma doena evitvel,

que pode ser tratada e que no
contagiosa!

Entre as patologias
bucodentrias,
o noma uma forma
grave de estomatite
gangrenosa, que destri
a boca e a face. Afecta
principalmente as
crianas com menos de
seis anos de idade que
sofrem de desnutrio
e vivem na pobreza
extrema. Na ausncia
de tratamento,
at 90% dos doentes
morrem no seguimento
desta doena.

Bridge2Aid

As doenas
bucodentrias figuram
entre as DNT evitveis
mais comuns em todo
o mundo e afectam
pessoas de todas as
idades. Estas doenas
podem provocar dores
e uma desfigurao,
podendo tornar-se
fatais em alguns casos.

Universit de Nairobi

A sade bucodentria
um componente
essencial da sade
em geral, sendo
fundamental para
se respirar, comer,
engolir, falar e
mesmo sorrir!

Como para as
principaisDNT, a maioria
das intervenes
para satisfazer as
necessidades em matria
de sade buco-dentria
bem conhecida,
comportvel e realizvel
nos locais onde vivem
as populaes por um
profissional de primeira
linha supervisionado
por um especialista em
sade buco-dentria.

A existncia de uma poltica

slida de sade bucodentria
indispensvel!