Improving children’s oral health in populations at risk saskatchewan ministry of health

POPULATION HEALTH BRANCH

Saskatchewan Ministry of Health


Improving Children’s Oral Health in Populations at Risk

Saskatoon Oral Health CoalitionMay 11, 2011

Presenter

Presentation Notes


Building a Healthier Saskatchewan

• Provide an update on the oral health initiative

• Provide additional baseline information

• Provide an overview of the strategy

• Seek feedback from you on the strategy’s action statements and initial priorities

Presenter

Presentation Notes


BUILDING A HEALTHIER SASKATCHEWAN

•• Each year approximately 1,800 children Each year approximately 1,800 children under the age of five undergo dental surgery under the age of five undergo dental surgery under general anaesthetic under general anaesthetic –– more frequently more frequently than any other cause.than any other cause.

•• About 1,600 more are placed on long About 1,600 more are placed on long waiting lists for as long as 12waiting lists for as long as 12--18 months.18 months.

•• 43% of all paediatric surgeries under GA for 43% of all paediatric surgeries under GA for children under 6, were dentally related. children under 6, were dentally related.


Mild Tooth Decay


Severe Early Childhood Tooth Decay



Targets for the initiative include at risk:

Pre/Postnal Mothers

Children age 0-2

Children age 3-5

Healthy Public Policy & Strengthening Community Action & Capacity



• The strategy includes action statements related to:

Education Prevention Services Resource Development Training



Percentage of dental anaesthesia claims processed in Saskatchewan from 2006 to 2009 by age group

0%

10%

20%

30%

40%

50%

60%

2006/07 2007/08 2008/09 2009/10

Fiscal year

Perc

enta

ge o

f den

tal c

laim

s

1 - 45 - 910+Series4



Number of children in Saskatchewan under six years of age receiving dental care under anaesthesia from 2005 to 2009

0

400

800

1200

1600

2000

Year

Num

ber o

f Chi

ldre

n

Children in SK 1497 1413 1757 1771 1791

2005 2006 2007 2008 2009



Number of clients wating for dental surgery as of September 30th 2010 and number of clients who had already been waiting for more than 18 months prior

to September 2010 by age group

740

564

1622

8742 77

0

300

600

900

1200

1500

1800

1 - 5 6 - 10 11+

Age group (years)

Num

ber

of c

lient

s

Wating in SaskWait >18 months



Children Under 6 years of Age Undergoing General Anaesthesia for Dental Work In Saskatchewan by Regional Health Authority of Physician and Residence of Child, 2009 - 2010

0

200

400

600

800

1000

1200

Sun C

ountr

y

Five H

ills

Cypres

s Reg

ina Q

u'App

elle

Sunris

e

Saska

toon

Heartla

nd

Kelsey T

rail

Prince

Albe

rt Parkl

and

Prairie

Nort

h

Mamaw

etan C

hurch

ill Rive

rKee

watin Y

atthé

Athabas

ca

Regional Health Authority

Num

ber o

f Chi

ldre

n

PhysicianChildren Reside



Percentage Distribution of Anaesthetized Children across Regional Health Authorities in Saskatchewan, 2010

0

5

10

15

20

25

Athabasc

a

Cypress

Five H

ills

Heartla

nd

Kelsey T

rail

Keewatin

Yatt

héMamaw

etan Church

illPrin

ce Albert

Prairie N

orth

Regina

Qu'A

ppelle

Sun Countr

y

Sunrise

Saskato

on


Perc

enta

ge o

f Chi

ldre

n


Building a Healthier SaskatchewanCrude Rate of Children under Six Years of Age who received Dental Anaesthesia in Saskatchewan by Regional Health Authority, 2010

0

5

10

15

20

Athabas

ca

Cypre

ss

Five H

illsHeart

land

Kelsey T

rail

Keewati

n Yatt

hé

Mamaw

etan C

hurch

illPrin

ce A

lbert

Prairie

Nort

h

Regina Q

u'Appe

lleSun

Cou

ntry

Sunris

eSas

katoo

n SK


Perc

enta

ge o

f Chi

ldre

n


Building a Healthier SaskatchewanComparing the percentage of registerd First Nations and Non First Nations under six years

of age undergoing anaesthesia for dental care by RHA of physician, 2008 to 2010

0

10

20

30

40

50

60

70

Five Hills Prairie North ReginaQu'Appelle

Sun Country Saskatchewan

Physician RHA

Perc

enta

ge

% Non- FNs% FNs



• $40 million in additional funding for the Saskatchewan Surgical Initiative this year

• “Sooner, Safer, Smarter” surgical care through improved access to key health services

• The goal is to see more patients receive surgery sooner.

• From March 2010, the number of patients waiting more than 12 months declined by 12% and the number waiting more than 18 months has dropped by 26%.


Building a Healthier SaskatchewanOther initiatives underway through the Surgical

Initiative include funding to support:• an additional 1400 dental procedures through

the Surgery Centre of Saskatoon in the Saskatoon Health Region

• an additional 60-70 procedures, including a second dental surgery suite in Prairie North

• an additional 130 dental surgeries through 3 new itinerant dental surgeons in the Kelsey Trail Health Region

• expansion of services through the Omni Centre in Regina Qu’Appelle Health Region



• PHB focus will be on upstream interventions related to improving oral health through prevention and education.

• Involves exploring opportunities for collaboration with various partners who share our interest in reducing dental decay in young children.



Goal:To reduce dental decay and contribute to the healthy development of at risk mothers, infants and preschool age children.



Next steps……• Seeking your input into the strategies

identified from the stakeholder consultations.

• Asking for your help in prioritizing the long list of action statements.

• Looking for potential roles for all of our partners in moving this initiative forward.



20

One smile at a time.



Saskatchewan HealthPopulation Health Branch Contact Information:

[email protected] (787-0293)

[email protected] (425-8521)

mailto:[email protected]

mailto:[email protected]

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Improving children’s oral health in populations at risk saskatchewan ministry of health