‘Action for Dental Health’ in Congress

While we all paid close attention to health care in the Senate last week, the House Energy and Commerce Committee made a critical, yet mostly overlooked step to advance oral health for at-risk populations.

On July 27^th, the Committee unanimously passed HR 2422, or the Action for Dental Health Act of 2017. This bill calls for Congress to authorize additional oral health promotion and disease prevention programs to help at-risk populations struggling to obtain appropriate oral health care.

The bill points out that more than 181 million Americans will not see a dentist, but almost half of people ages 30 and older have some form of gum disease and nearly a quarter of children under age 5 already have cavities. 

As we at DentaQuest well know, caries is the most prevalent chronicdisease among children and can be prevented. What’s more, we see time and again that Americans of all ages are in desperate need of access to oral health care - Missions of Mercy like the one in Wise County, Va., is a great example. Both the Washington Post and The New York Times covered the July event, for which thousands of people come from miles away and lineup for hours and even days just to get access to dental and other services.

If this new legislation passes through Congress, the Centers for Disease Control and Prevention will award grants and collaborate with states, counties, public officials, or other stakeholders to implement a variety of initiatives.

These activities could include oral health programs that:

·         more broadly use portable/mobile dental equipment;

·         facilitate the establishment of dental homes;

·         eliminate geographic, language, cultural, or other barriers to care;

·         reduce the use of emergency departments for dental conditions; and

·         provide dental care to nursing home residents.

It is exciting to see bipartisan support for dental care initiatives that have tremendous impacts on the oral and overall health of patients. This type of work will drastically improve the health of Americans. And it has the ability to address the estimated $2.6 billion in free care that dentists currently deliver, as well as the nearly $2.1 billion spent on dental cases in hospital emergency departments – 80 percent of which could be treated in a dental office for roughly $4 million total, according to the bill.

Bipartisanship like this must continue and we urge legislators to make oral health a critical component of any health reform legislation that passes through this Congress. 

A [Dental] Wake Up Call for Baby Boomers

Guest Post by Dr. Michael Monopoli, DentaQuest Foundation Director of Policy and Programs

The baby boom generation has consistently enjoyed better health and better oral health than any previous generation. Thanks to community water fluoridation, fluoride toothpastes and having dental insurance as part of employer-sponsored health plans, this generation is the first where a majority will keep and maintain their natural teeth over their entire lifetime.

This is wonderful news, and the facts support it. CDC data shows that over the past decade, the number of adults missing all their natural teeth has declined from 31 percent to 25 percent for those aged 60 years and older. And more good news: Seventy percent of adults at or above the poverty level said they visited a dentist in the past 12 months (CDC Fact Sheet). This is a generation that cares about and values its good oral health.

But there’s a serious dental wake-up call on the horizon for this first wave of boomer retirees. Even with largely good oral health, today’s retiring adults are realizing they will have to plan to pay largely out of pocket for dental care to maintain their oral health beyond their working years.

Many have all of their teeth and received routine dental care through their lives. They are now struggling with the realization that Medicare generally doesn’t cover routine dental procedures, such as cleanings or fillings. Medicaid, the jointly-funded Federal-State health insurance program for low-income people, funds dental care for low income and disabled elderly in a few states, but reimbursements are low. Most dental plans that cover the necessary services to maintain good oral health are based on employment and these dental benefits are lost with retirement. Retirees now have to figure out how they can continue the level of dental care they enjoyed through their working lives, and will need to balance these expenses along with other important needs like food, housing, and the rest.

And to add insult to injury, over the past decade, the value of retirement funds and IRAs has been shrinking with the ups and downs of the economy. Some retirees are facing the fact that their retirement funds may no longer support the lifestyle they were used to or hoped for – including good preventive health services.

It’s not a comfortable feeling to have to decide what dental care you are willing to pay for in order to have good oral health -- especially when we know good oral health is an integral part of overall health.

This is one of the issues that was discussed by the new U.S. National Oral Health Alliance, leaders from dentistry, medicine, dental education and the dental industry, health advocates, policy makers and philanthropy at their first leadership colloquium in 2011. Without access to oral health care and prevention, our nation’s most vulnerable families are at high risk. Many middle class elders will begin to face dental issues that our nation’s most vulnerable families have faced for many years. Hopefully, this larger group will change the conversation.

Report from the Field: National Oral Health Conference, 2011

If you’re involved in public health dental care, are a health researcher, dental educator, legislator, public health official, Medicaid/CHIP dental program staff or consultant, or provide dental care at a community health center, chances are, you are in Pittsburgh, PA this week (April 11-13) at the National Oral Health Conference.

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.