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Bright Futures in Practice: Oral Health

Bright Futures in Practice: Oral Health. What Is Bright Futures?. Bright Futures is A vision A philosophy A set of expert guidelines A practical developmental approach to providing health supervision. Bright Futures Guidelines.

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Bright Futures in Practice: Oral Health

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  1. Bright Futures in Practice: Oral Health

  2. What Is Bright Futures? Bright Futures is • A vision • A philosophy • A set of expert guidelines • A practical developmental approach to providing health supervision

  3. Bright Futures Guidelines The first edition of the Bright Futures guidelines was published in 1994. A second edition was published in 2000.

  4. Bright Futures in Practice Series • Oral Health • Nutrition • Physical Activity (forthcoming) • Mental Health (forthcoming) • Children with Special Health Care Needs (forthcoming)

  5. Bright Futures in Practice: Oral Health Manual Emphasis: • Coordinate services between dental professionals and health professionals • Assess risk factors and protective factors • Measure oral health outcomes • Make oral health care accessible • Provide early intervention

  6. ...Bright Futures in Practice:Oral Health Manual • Designed for healthprofessionals, this guideprovides: • An overview of preventive oral health supervision for children andadolescents from birthto age 21 • Risk assessment • A model for appropriateoutcome measures.

  7. ….Bright Futures in Practice:Oral Health Manual • Introduces the concepts ofindividualized, cost-effective risk assessment • Emphasizes the contributionand partnership of dentalprofessionals, other healthprofessionals, and families inoral health supervision. • Stresses the importanceof early oral healthintervention for children.

  8. Bright Futures Focus - One Question • What do children and families need to prevent disease and promote health? • Family is focus forhealth supervision. • Dental professionals alsohave a larger role in theirpreventive care partnership with families.

  9. Four Innovations in Oral Health Supervision • Contributions of Dental and Nondental Professionals in Oral Health Provision • Early Intervention • Risk Assessment • Oral HealthOutcomes

  10. How Bright Futures in Practice: Oral Health is Organized • Section I – Oral Health Supervision Guidelines • Section II – Risk Assessment • Section II – Measuring Outcomes • Section IV – Making Oral Health Supervision Accessible • Section V – Essentials ofOral Health

  11. Section I:Five Developmental Periods • Prenatal • Infancy • Early Childhood • Middle Childhood • Adolescence

  12. Section II: Risk Assessment • Dental Caries • Periodontal Disease • Malocclusion • Injury

  13. Section III: Measuring Outcomes Must be: • Comprehensible • Attainable • Measurable

  14. Section IV: Making Oral Health Supervision Accessible • Financial Concerns • Cultural Differences • Special Health CareNeeds • Fear of Discomfort/Infections

  15. Section V:Essentials of Oral Health • To provide background on key points concerning oral conditions/diseases.

  16. To Use Effectively: • Tailor to the individual needs of the children and the community. Dental OfficeWoodlawn Elementary SchoolCarroll County School Division, Va.

  17. ...To Use Effectively: • Recognize the Culture • Competing HealthConcerns • Health Behavior • Social Conditions

  18. ResourcesDental Services Dental services are provided in the multiple localities to pre-school and school age children who meet eligibility requirements.

  19. ...ResourcesFluoride Mouthrinse Program Children "Swish and Spit" for one minute once a week in a school fluoride mouthrinse program in Goochland, Virginia.

  20. ...ResourcesHealth Education A public health hygienist teaches children about their"first trip to the dentist."

  21. ...ResourcesMaterials • http://www.vahealth.org/teeth • Brochures Developed by VDH: • Dental Sealant "Seal Away Tooth Decay" • Baby Bottle Tooth Decay "Baby's First Step to Healthy Teeth" • School Fluoride MouthrinseProgram "Swish Away Decay" • Why Floss? • Tips for Healthy Smiles: Prevention/Care/Education(Public Health Dentistry in VA)

  22. ...ResourcesNational Maternal and Child Oral Health Resource Center • http://www.mchoralhealth.org/ • Publications • Fact Sheets • Resource Materials • Practice and Policy Guidelines • Conference Proceedings

  23. Oral Health in America • “Silent Epidemic” Oral Health in America:A Report of the Surgeon GeneralMay 2000 www.surgeongeneral.gov/library/oralhealth/ David Satcher, M.D., Ph.D.Assistant Secretary for Health and Surgeon GeneralOffice of Public Health and Science

  24. Dental Caries (Tooth Decay) • The Single Most CommonChronic ChildhoodDisease • 5 Times More Common Than Asthma • 7 Time More Common Than Hay Fever

  25. Children and Oral Health • This preventable health problem begins early: • 17% of children aged 2-4 years have already had decay. • By the age of 8, approximately 52% of children have experienced decay • By the age of 17, dental decay affects 78% of children. *Centers for Disease Control and Prevention

  26. ...Children and Oral Health • Studies by VDH show that 45% of children ages 5 to 18 have dental decay. • Children on free or reduced lunch have higher disease rates. • Only 38% of children have their filling needs met. *VDH Studies 1950-1998

  27. Oral Cancer • Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur. • Preventing high risk behaviors • Cigarette, cigar or pipe smoking • Use of smokeless tobacco • Excessive use of alcohol *Centers for Disease Control and Prevention

  28. Virginia Oral Health Profile • Dental Visits • 71.9% of the population visited the dentist or dental clinic within the past year. • Teeth Cleaning • 73.1% of the population had their teeth cleaned by a dentist or dental hygienist within the past year. • Complete Tooth Loss • 28.5% of the population 65+ have lost all of their teeth. • Fluoridation Status • 72.1% of the population on public water systems is receiving fluoridated water.

  29. Dental Disease Trends • In 1993 • Children 5 to 17: • 632,000 school days were lost. • Adults > 18: • 3.6 million Work Days were lost. • *National Center for Health Statistics

  30. ...Dental Disease Trends • The rate of progression of diseases has slowed. • The substantial risk for new dental decay may extend beyond early adolescence.

  31. ...Dental Disease TrendsNew Studies New studies indicate that periodontal disease may be linked with: • Cardiovascular Disease • Diabetes • Premature Births

  32. Manpower Dentist to Population Ratio: • 1 general dentist to 2,536 people. • 43 out of 136 cities and counties were identifiedas having less than dentist per 5,000 people. *Item 311-Report of Availability of Dental Services in Virginia

  33. Gaps in Access to Care • Children with or without dental insurance and non provider • Special Populations • Elderly/Nursing Home • Head Start • Disabled • Adult Indigent

  34. Bright Futures: Oral Health No matter how many brushes or paints that we use…each canvas will be different.

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