Friday, April 29, 2011
However, backstage, away from the public debate about the new law, a quiet revolution is underway to help the 59 million Americans who go without medical care and the 100 million who have not had dental care this year, get the care they desperately need.
It’s not the individual mandate or the state health exchanges. It’s the most significant investment in primary care you’ve probably never heard of—an $11 billion commitment to community health centers and $15 billion to prevention programs. It may sound like small potatoes compared to the estimated total cost of healthcare reform--$940 billion over 10 years--but the impact will be significant, especially for those who need it the most.
These funds, reopened for debate by Congress, would double the capacity of community health centers (CHCs) from serving 20 million people a year to 40 million. As the only access point for care besides the emergency room, CHCs provide critical prenatal care, behavioral health services, primary and specialty care for 1 out of 7 uninsured individuals. By 2015, with new capacity, CHCs will serve 1 out 3 uninsured.
Healthcare reform requires that CHCs offer oral health services. This means as many as 17 million children will get to see a dentist, some for the first time ever. Currently, these children are significantly underserved because they can’t access to care to prevent tooth decay and, once they have decay, to get timely treatment.
There’s a reason why former U.S. Surgeon General David Satcher declared childhood tooth decay a “silent epidemic”. 6.5 million children have untreated dental disease, the majority of whom are from low-income households. Half of these children are estimated to go to school with mouth pain—as children who cannot eat properly or pay attention in class and do well in school.
For infants 3 years old and younger, this can mean a mouth full of diseased baby teeth that can only be treated through surgical intervention. This is followed by a life time of being at greater risk for tooth decay, because the corrosive bacteria that cause tooth decay have colonized their mouths in greater proportion.
Tooth decay not only disrupts development and educational attainment, it can also turn deadly. The 2007 death of a 14-year-old Maryland boy is a tragic reminder of how one ‘simple’ toothache can develop into an unchecked infection that can quickly spread to the brain. His death could have been prevented with a timely dental care, but, at the time, oral health services were difficult to find for families on Medicaid.
From our work as president of a foundation focused solely on oral health and as a lifelong practicing dentist in both a private practice and a community health center, we see evidence every day of how oral health disparities in underserved communities are every bit as cruel as violence, inadequate housing, or poorly performing schools.
Fortunately, dental disease is nearly 100% preventable with education, regular check-ups for prevention, and treatment. That is why we’re committing DentaQuest Foundation resources to supporting and strengthening the community care safety net for oral health. We want to make sure that greater numbers of health centers will be prepared to provide effective, high-quality oral health services to children and families. The DentaQuest Institute and its Safety Net Solutions program are joining us to make sure that happens.
It may take decades before the impact of this investment in community health centers is fully appreciated. That’s okay. Today we are thinking about the millions of children who will have greater opportunity in life because of accessible health care.
Blog post by Ralph Fuccillo and Dr. Mark Doherty.
Ralph Fuccillo is President of the DentaQuest Foundation.
Dr. Mark Doherty is Executive Director of the DentaQuest Institute. Its Safety Net Solutions Program is helping community health center dental programs become more efficient, effective and financially stable.
Friday, April 22, 2011
That made me wonder, what does good oral health mean to you?
I really would like to know.
Friday, April 15, 2011
The Commonwealth Fund’s researchers took a number of objective measures for good health -- such as access to prevention and treatment, the potential to lead a healthy life (defined as factors such as low prevalence of specific health problems, low obesity, and lack of habits and behaviors that impact health, such as smoking) and socio-demographic dimensions (such as income and where you live) -- and looked at how each of these measures impact the others. The result is a very interesting and comprehensive picture of elements that contribute to children's health in each state.
We’re pleased that this report includes preventive dental care and the absence of dental problems as measures of access to prevention and treatment and a factor in healthy lives. The Report concludes that the high rate of poor yet preventable dental health outcomes among children in many states points to the need to improve preventive dental health care.
Better access to oral health services can reduce tooth decay and lead to a better quality of life for children, as well as reduce financial and societal costs. The Commonwealth Fund found that almost one third of children did not see a dentist for a preventive visit in the bottom-ranked state and more than 10 percent did not have a dental check-up in the top-ranked state. Want to know who they are? Click the link on the report title and check out the report!
Dental disease is nearly 100% preventable when people have access to information about keeping their mouths healthy and access to dental services. Public education, expansion of access to dental care, and integration of oral health into routine well-child care are smart ways to do this.
It works best when FAMILIES are able get the services they need to maintain their oral health since parents need dental care themselves for their own good health AND so they can be a good example for their children. The U.S. Department of Health and Human Services Healthy People 2010 goals recommend that children have at least 1 dental visit annually. And the American Dental Association says that you can start this at the age of 1 or when the first tooth erupts.
So, check out the data for your state. And then let me ask you -- is an annual visit to the dentist something that you do for yourself and for your children?
Tuesday, April 12, 2011
This is the 12th time the Association of State and Territorial Dental Directors (ASTDD), the American Association of Public Health Dentistry (AAPHD) along with the Centers for Disease Control and Prevention (CDC) have brought the national public oral health community together to highlight the many areas where public health systems can converge toward achieving “optimal oral health” for America’s citizens. As a leader in the national conversation about improving oral health for Americans, DentaQuest is playing a visible role.
The ASTDD board invited the leadership of the DentaQuest institute and the DentaQuest Foundation to its annual Board meeting to update them on the significant investments we have planned for 2011.
In the 1st general session of the conference, Mark Doherty, DDM, MPH, Executive Director of the DentaQuest Institute, Ralph Fuccillo, President of the DentaQuest Foundation and Marcia Brand, PhD, the Deputy Administrator of HRSA, walked participants through “Strategies for Achieving and Maximizing Return on Investment in Oral Health.” ARRA and the Affordable Care Act have made significant investments in the health safety net. Oral health programs will benefit. With good planning, this once in a lifetime investment can lead to increased access, improved oral health outcomes, and financial sustainability and potential partnership with private foundations to extend the dollars available for oral health expansion. DentaQuest Institute Director of Practice Improvement, Dr. Jay Anderson is representing the Institute on an ASTDD- and ADA-sponsored panel discussion on working in community health centers. The American Association of Medical Colleges Advisory Group on Oral Health Curricula is discussing adoption of the Smiles for Life online oral health training for health care clinicians.
The DentaQuest Institute is featuring information on Safety Net Solutions technical assistance services throughout the conference at its booth.
The DentaQuest Foundation and Institute look forward to these national events for the opportunity they provide us to connect with dental public health leaders from across the United States. It makes us better at the work we do with our partners in supporting effective approaches to preventing and caring for oral disease.
Blog post by Dr. Michael Monopoli, Director Policy and Programs, DentaQuest Foundation and Brian Souza, Managing Director DentaQuest Foundation and DentaQuest Institute, reporting from NOHC.
Friday, April 8, 2011
- Smokeless tobacco contains higher quantities of nicotine than most cigarettes. And it increases the likelihood that the person using it will become a smoker.1
- It shocked me to learn that according to the Academy of General Dentistry (AGD) 4% of boys in middle school and 20% of high school boys use smokeless tobacco. Half of them will likely develop pre-cancerous white patches in their mouths. ·
- Smokeless tobacco products, just like cigarettes, contain at least 28 cancer-causing chemicals. And the sugar that is often added to enhance the flavor increases the risk for tooth decay.2 ·
- Smokeless tobacco is known to cause cancers of the mouth, lip, tongue and pancreas. Users may also be at risk for cancer of the voice box, esophagus, colon and bladder, if they swallow toxins in the juice.2
April isn’t just the time that baseball comes back in full swing; it’s also Oral Cancer Awareness Month. That makes this a great time to remind you that oral cancer affects males and females, adults and kids. And even if you are not a smoker, make sure your dentist does an oral cancer exam [pulls and twists your tongue] at every visit.
Please share these facts with the teens and youth in your life. And I’d be curious to know what they think about smokeless tobacco and keeping it out of baseball? Check out the facts: