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Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

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Page 1: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Helping To Heal

Understanding How Pediatric Dentists

Can Impact Oral Health Poverty

Page 2: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty
Page 3: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Helping to Heal: Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Outline

I. ObjectivesI. IntroductionII. What is poverty?III. Why is poverty a challenge for public health

and for the profession of dental medicine? IV. Problem Analysis: Oral Health V. The Pediatric Dentist definedVI. AAPD Mission & Vision

Page 4: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

VII. The Business Rational A Fee Schedule Comparison

VII. The Moral Rational a. The Oral Health Crisis in the Classroom b. Signs & Symptoms

c. A Cycle of Pain: Consequences of untreated tooth decay d. From Maryland to Mississippi and Abroad e. A BOY’S SILENT PLEA STIRS

CHANGE IN MARYLANDf. GIRL STARVES AFTER TEETH

PULLEDVIII. Socially-sensitive Practice Management KnowledgeXI. Conclusion: Looking toward the future

Page 5: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Objectives

  

• Inform and update oral health care professionals about poverty.

• Describe the challenges poverty represents for public health and for health professionals.

• Provide socially-sensitive practice management knowledge.

Page 6: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

This Miniclinic presentation emphasizes the moral rationale for pediatric dentists to take the lead and empower the profession of dental medicine and help to relieve the oral health poverty that exists among millions of children. Participants will gain invaluable, socially-sensitive practice management knowledge. This presentation will better enable dental professionals to provide the much needed restorative treatment for children who live day after day with the overwhelming suffering of untreated tooth decay.

Put a feather in your cap!

Introduction

Page 7: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

What is poverty?

The United Nations defines poverty as a human condition characterized by the sustained or chronic deprivation of the resources, capabilities, choices, security and power necessary for the enjoyment of an adequate standard of living and other civil, cultural, economic, political and social rights.

Page 8: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Why is poverty a challenge for public health and for the profession of dental medicine?

There is considerable evidence that low socioeconomic status and poverty constitute the main determinants of poor health in industrialized societies. The poorer people are, the more they are at risk of developing diseases, and ultimately, of dying prematurely.

Page 9: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Problem Analysis: Oral Health

Societal/ Policy Level/ Tertiary Precursors

Family/ Institutional Level/ Secondary Precursors

Individual Level/ Primary Precursors

Oral Health

Pain and suffering, potential for poor nutrition, cosmetic disfigurement, lowered self-esteem, potential for chronic infection including periodontal disease, and ultimate increased treatment costs.

Cultural/Ethnic Issues Poverty

Low Medicaid Reimbursement Rates Lack of fluoridation in water systems

Lack of Medical Provider training about oral health

Candy and Soda Pop in Schools

Lack of training of allied health providers to address oral health issues

Lack of education concerning oral health issues

Lack of Nutrition Knowledge

Lack of Insurance

Lack of Providers that take Medicaid

Lack of SpecialtyTreatment Resources

“They’re Only Baby Teeth” Medicaid Reimbursement Lack of Transportation

Lack of Fluoride rinse campaign in schools

Lack of Parental Education concerning the importance of oral health care

Parent may have transmitted bacteria to child that could cause early childhood caries

Fear of Dentistry

Unmanageable behavior in dental office

Poor Oral Hygiene

Poor Nutrition

Targeted Indicator :

Consequences:

Page 10: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Why poverty is a challenge for the profession of dental medicine?

• Dental caries is the single most common chronic

• Childhood disease 5 times more common than asthma

• Over 50 percent of 5 - 9 year old children have at least

• One cavity or filling, and that proportion increases to 78

• Percent among 17year olds

• Unintentional and intentional injuries commonly affect

• Craniofacial tissues

• Poor children suffer twice as much dental carries as their more affluent peers, and their disease

is more likely to be untreated

• For each child without medical insurance, there are at least 2.6 children without dental insurance

• Uninsured children are 2.5 times less likely than insured children to receive dental care

Page 11: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The Pediatric Dentist defined

Pediatric dentists are the pediatricians of dentistry,

exclusively trained to address the unique oral health

needs of children. The specialized education in child

psychology, growth and development, management

of oral-facial trauma, sedation and general

anesthesia places us at the forefront of leading the

charge in providing equal access to dental care for

all children.

Page 12: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Pediatric Dental Practices are High Patient Volume Practices that are Prevention-Oriented·        Pediatric dentists and orthodontists have 2-3 times as many scheduled visits per week as do general dentists

or other specialists.·        The three most common pediatric dentistry procedures are prophylaxis, fluoride treatment, and a periodic oral

evaluation

Pediatric Dentistry Volume of Patients Treated and Services Rendered

104 107

50

144138

80

0

20

40

60

80

100

120

140

160

Solo PediatricDentists

Non-soloPediatricDentists

GeneralDentists

Patients/Week(Excluding HygieneVisits)

Patients/Week(Including Hygiene Visits

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Pediatric dentists report the highest percentage of patients insured through public assistance, among all dentists

% of Patients w/Public Assistance

18.1%

6.9%5.6%

3.2% 2.7%1.4% 1.3%

Pedia

tric

Dentis

t

Ora

l and

maxillofa

cia

l

surg

eon

Genera

l

dentis

t

Ort

hodontis

t

Endodontis

t

Periodontis

t

Pro

sth

odontis

t

Updated, September 2007

Page 14: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The percentage of public assistance patients in a practice.ADA 2007 Survey of Dental Fees

Updated, September 2007

Page 15: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The AAPD Mission

The mission of the AAPD is to advocate policies, guidelines and programs that promote optimal oral health and oral health care for children. The AAPD serves and represents its membership in the areas of professional development and governmental and legislative activities. It is a liaison to other health care groups and the public.

Page 16: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The vision of the AAPD is optimal health and care for infants, children, adolescents and persons with special health care needs. The AAPD is the leader in representing the oral health interests of children. The pediatric dentist is a recognized primary oral health care provider and resource for specialty referral.

The AAPD Vision

Page 17: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The Business Rationale A Fee Schedule Comparison: Private Pay versus Medicaid

Maryland Illinois California Medicaid vs. BCBS Medicaid vs. MetLife Medicaid vs. Aetna___

ConsultationInitial ExaminationEmergency ExaminationProphylaxisFluoride TreatmentPulpotomyPulpectomyStainless Steel CrownResin CrownResin RestorationsAmalgam RestorationExtraction

Page 18: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

The Moral Rationale

Signs

&

Symptoms

The Faces of the Oral Health Crisis in the

Classroom

From

Maryland

To

Mississippi

A Cycle of Pain: Consequences of untreated tooth decay.

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Signs & Symptoms

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The Faces of the Oral Health Crisis in the Classroom

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Deamonte Driver, Prince George’s County, MD – January, 2007- Age 12

Alexander Collander, Bil0xi, MS – March, 2007 – Age 6

Diamond Brownridge - Chicago, IL - November, 2006 -Age 5

Sophie Waller, Truro, England - December, 2005 - Age 8

From Maryland to Mississippiand Abroad

Page 22: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

A BOY’S SILENT PLEA STIRS CHANGE IN MARYLANDPEDIATRIC DENTISTRY TODAY

March 2009 Volume XLV.Number 2

Deamonte Driver, sitting next to his mother, Alyce, shows the scars from incisions for his brain surgery.

Photo Credit: By Linda Davidson -- The Washington PostRelated Article: For Want of a Dentist, page B01

                                                

                                          

Page 23: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

British Girl Starves After Teeth Pulled CBS News – London, February 10, 2009

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A Cycle of Pain: Consequences of untreated tooth decay

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Could society have caused this end result because of untreated tooth decay?

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Socially-sensitive Practice Management Knowledge

Community

Outreach

Outreach

to

Professionals

Outreach

to

Schools

Outreach to

Government

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Community Outreach

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Outreach Professionals

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Outreach To Schools

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Outreach To Schools

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Outreach To Government

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Conclusion: Looking toward the future

• Fighting poverty has been justified for reasons ranging from human rights and social justice to economic, political and even religious concerns.

• Oral health professions and their members must embark on the national movement toward poverty reduction and contribute to alleviating its consequences.

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Efforts must aim to:

1) improve relationships with underserved members of society

2) develop strategies for positive and effective interactions 3) improve access to dental services for poor populations

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Pediatric Dentists Can Make The Difference

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Thank you for beinga pediatric dentist

that cares enough to help make a difference!

Page 36: Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

Special Thanks to:American Academy of Pediatric DentistryDr. George Acs, Department of Dentistry, Children's National Medical Center Dr. Burton Edelstein, Executive Director, Children's Dental Health ProjectMs. Aqsaa Chaudhry, Franklin Senior High SchoolDr. Caswell A.Evans, Project Director, Oral Health In America: A Report of the Surgeon General

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The End