Each February, the DentaQuest Foundation is pleased to join the Massachusetts Legislative Oral Health Caucus, Health Care for All, and other key partners at the Massachusetts State House in a special recognition event. The Oral Health Heroes Ceremony highlights the “Watch Your Mouth” oral health awareness campaign in Massachusetts, and celebrates Oral Health Heroes in the Commonwealth. This year marks our 5th Annual Oral Health Heroes celebration. As Master of Ceremonies, I had the honor of recognizing several individuals in the Massachusetts state legislature and in our communities for outstanding leadership in improving the oral health of Massachusetts’ residents.
This year’s legislative honorees are Senator Steven Panagiotakos and Representative Ellen Story. Senator Panagiotakos, while serving in a leadership role as Chair of the Senate Committee on Ways and Means, was instrumental in preserving dental benefits for adults on MassHealth (Medicaid) in the FY2010 budget. Representative Story has consistently stood up for oral health, signing on to many oral health bills and testifying at many hearings at the State House – all to promote oral health.
We also honored Hugh Silk, M.D., and Herlivi Linares, D.D.S. two members of our medical and dental community for their significant leadership in oral health. Dr. Silk is a family physician at Hahnemann Family Health Center in Worcester. He has been a longtime advocate for addressing oral health during well child visits, and has worked to include oral health in the education of residents.
Dr. Herlivi Linares, Associate Dental Director of Lynn Community Health Center’s Dental Services, provides crucial oral health services to her community which includes many low-income adults covered by Medicaid or the Commonwealth Care subsidized program.
Congratulations to all the 2010 Massachusetts Oral Health Heroes. I look forward to our continued work together as a community to bring Massachusetts residents greater access to oral health services and set an example for other states.
Blog post by Ralph Fuccillo, President, DentaQuest Foundation.
Welcome to the online blog for DentaQuest, a leader in oral health, committed to improving oral health through access, innovation and affordability. Through open and ongoing conversation, we hope to provide you with expert advice and information on best practices in dental care.
Thursday, February 25, 2010
Tuesday, February 23, 2010
Let’s talk about the oral health of America’s children
Today, the Pew Center on the States released The Cost of Delay: State Dental Policies Fail One in Five Children, a study of how the 50 states are responding to the needs for prevention services and access to dental care for America’s children. The DentaQuest Foundation, with the W. K. Kellogg Foundation, provided support for the development of this report to increase awareness of the important things states can do to ensure good oral health for children.
There are an estimated 17 million (i.e. one in five) children who go without dental care each year, according to the report. Children from low-income households suffer the most— they are twice as likely to have untreated decay as their more affluent peers and are a fifth less likely to receive care.
Fortunately, unlike many health problems, the challenge of ensuring children’s dental health is one that can be overcome. With education, prevention services and access to care—dental disease is nearly 100% preventable. Investing in healthy kids early on pays off throughout their lives. The negative effects of untreated dental disease start early, impacting a child’s learning, speech, nutrition and success in education. Later in life, untreated disease impacts an individual’s ability to get and keep work and maintain good personal health.
In 2003, the U. S. Surgeon General challenged America’s health leaders to educate the general public and policy makers about the need for good oral health and to identify and replicate effective programs that will improve the oral health of Americans. The Pew report highlights proven efforts that are working in these key areas:
The DentaQuest Foundation hopes the data in this 50 state report will become a baseline upon which each state can build and move forward. I am hopeful that over the next few years we will see great progress in how we as a nation respond to the oral health needs of our children.
Guest post by Ralph Fuccillo, President, DentaQuest Foundation.
There are an estimated 17 million (i.e. one in five) children who go without dental care each year, according to the report. Children from low-income households suffer the most— they are twice as likely to have untreated decay as their more affluent peers and are a fifth less likely to receive care.
Fortunately, unlike many health problems, the challenge of ensuring children’s dental health is one that can be overcome. With education, prevention services and access to care—dental disease is nearly 100% preventable. Investing in healthy kids early on pays off throughout their lives. The negative effects of untreated dental disease start early, impacting a child’s learning, speech, nutrition and success in education. Later in life, untreated disease impacts an individual’s ability to get and keep work and maintain good personal health.
In 2003, the U. S. Surgeon General challenged America’s health leaders to educate the general public and policy makers about the need for good oral health and to identify and replicate effective programs that will improve the oral health of Americans. The Pew report highlights proven efforts that are working in these key areas:
- Preventing dental problems in the first place
- Ensuring children have access to dental care
- Tracking progress in each state when it comes to children’s dental health.
The DentaQuest Foundation hopes the data in this 50 state report will become a baseline upon which each state can build and move forward. I am hopeful that over the next few years we will see great progress in how we as a nation respond to the oral health needs of our children.
Guest post by Ralph Fuccillo, President, DentaQuest Foundation.
Tuesday, February 16, 2010
Healthy Moms; Healthy Children
You might have seen this news item recently: a 35-year old woman, who had gingivitis (gum disease) delivered a stillborn baby at 39 weeks of pregnancy. (Full term is 40 weeks.)
Gingivitis (tender, swollen gums that bleed easily) among pregnant women is not uncommon because of their high hormone levels. Usually, the condition reverses after the pregnancy is over.
Dentists check all of their patients for signs of gingivitis. The cause of this infection is bacteria. Usually, with good patient education, regular check ups and cleanings at the dentist, and an emphasis on daily brushing and flossing, the disease can be controlled. However, if your dentist recommends further treatment the best time is before you get pregnant.
Back to the woman who delivered the stillborn baby. An autopsy revealed that a bacterial infection was the cause of death. And the type of bacteria --- was one commonly found in the mouth.
What is going on? A research team at the Case Western Reserve University’s dental school may have the answer to why some women go into early labor or deliver early. Using DNA technology, Dr. Yiping Han and the team in the department of periodontics found previously undetected bacteria from the mouth in the amniotic fluid of women who went into preterm labor. Read more about this at http://blog.case.edu/case-news/2010/01/22/oralbacteriamombaby.
How does bacteria usually found in the mouth make it to the placenta? One thought is that the bacteria enter the bloodstream when the gums bleed. Bleeding gums, a symptom of gingivitis, create an easy path for bacteria released by brushing or flossing to get into the bloodstream.
Normally, the body’s immune system can fight off low levels of oral bacteria in the blood. However, pregnant women are more vulnerable to infections. And, there aren’t many immune cells in the placenta to stop bacteria from multiplying once they get in.
The lesson from this story is that women need to take care of their oral health because it impacts them and their children.
Pregnancy gingivitis is pretty common. Ideally, women should have their teeth examined and cleaned before they become pregnant, and then they should take extra care to brush and floss during pregnancy. Once their babies start to get first teeth, mothers should be sure to make taking care of teeth a part of the child’s daily routine. That is the first step to having a healthy smile today and to keeping mom and baby’s smiles healthy for life.
Guest Blog Post by Dr. Linda Vidone, Associate Dental Director for DentaQuest. Dr. Vidone is a practicing periodontist.
Gingivitis (tender, swollen gums that bleed easily) among pregnant women is not uncommon because of their high hormone levels. Usually, the condition reverses after the pregnancy is over.
Dentists check all of their patients for signs of gingivitis. The cause of this infection is bacteria. Usually, with good patient education, regular check ups and cleanings at the dentist, and an emphasis on daily brushing and flossing, the disease can be controlled. However, if your dentist recommends further treatment the best time is before you get pregnant.
Back to the woman who delivered the stillborn baby. An autopsy revealed that a bacterial infection was the cause of death. And the type of bacteria --- was one commonly found in the mouth.
What is going on? A research team at the Case Western Reserve University’s dental school may have the answer to why some women go into early labor or deliver early. Using DNA technology, Dr. Yiping Han and the team in the department of periodontics found previously undetected bacteria from the mouth in the amniotic fluid of women who went into preterm labor. Read more about this at http://blog.case.edu/case-news/2010/01/22/oralbacteriamombaby.
How does bacteria usually found in the mouth make it to the placenta? One thought is that the bacteria enter the bloodstream when the gums bleed. Bleeding gums, a symptom of gingivitis, create an easy path for bacteria released by brushing or flossing to get into the bloodstream.
Normally, the body’s immune system can fight off low levels of oral bacteria in the blood. However, pregnant women are more vulnerable to infections. And, there aren’t many immune cells in the placenta to stop bacteria from multiplying once they get in.
The lesson from this story is that women need to take care of their oral health because it impacts them and their children.
Pregnancy gingivitis is pretty common. Ideally, women should have their teeth examined and cleaned before they become pregnant, and then they should take extra care to brush and floss during pregnancy. Once their babies start to get first teeth, mothers should be sure to make taking care of teeth a part of the child’s daily routine. That is the first step to having a healthy smile today and to keeping mom and baby’s smiles healthy for life.
Guest Blog Post by Dr. Linda Vidone, Associate Dental Director for DentaQuest. Dr. Vidone is a practicing periodontist.
Friday, January 29, 2010
Washington’s Unseen Oral Health Debate
President Obama’s state of the union address the other night sent a clear message that the health care reform debate will continue in some form. Whatever happens, lawmakers should not overlook what happens above the neck—the importance that oral health plays in an individual’s overall health.
The good news is that today, more than 174 million Americans have dental coverage, and 97 percent of that is provided by stand-alone and dedicated dental insurance companies. Dental insurance companies have a singular focus that has resulted in affordable coverage—the average individual plan is around $30 a month—with an emphasis on preventive services like sealants and fluoride treatments.
The old adage—“if it ain’t broke, don’t fix it”—should apply here. The system works. Yet there are proposals in Congress that would force up to 50 million children to switch dental coverage from a stand-alone plan to one administered by a medical insurer (like HMOs). This overlooks the benefit of stand-alone plans and would put Americans’ oral health needs at risk.
Congress should move forward to overhaul our health care system, but we shouldn’t attempt to ‘fix’ what already works in providing Americans high quality oral health care.
Guest Blog Post by Fay Donohue, President and CEO of DentaQuest
The good news is that today, more than 174 million Americans have dental coverage, and 97 percent of that is provided by stand-alone and dedicated dental insurance companies. Dental insurance companies have a singular focus that has resulted in affordable coverage—the average individual plan is around $30 a month—with an emphasis on preventive services like sealants and fluoride treatments.
The old adage—“if it ain’t broke, don’t fix it”—should apply here. The system works. Yet there are proposals in Congress that would force up to 50 million children to switch dental coverage from a stand-alone plan to one administered by a medical insurer (like HMOs). This overlooks the benefit of stand-alone plans and would put Americans’ oral health needs at risk.
Congress should move forward to overhaul our health care system, but we shouldn’t attempt to ‘fix’ what already works in providing Americans high quality oral health care.
Guest Blog Post by Fay Donohue, President and CEO of DentaQuest
Wednesday, January 13, 2010
Predictions Can Come True in Dentistry
I see lots of predictions at this time of year and it is interesting to see how close they are to reality.
In dentistry, new predictive tools that indicate whether a person will get cavities are very close. New technology is helping dentists move from treating disease, that is waiting for a cavity to form and repairing the tooth, to emphasizing prevention and wellness -- by determining which individuals are at greater risk for cavities and showing them simple interventions that may save them from getting dental disease.
Researchers have perfected a technique called ATP-bioluminescence that measures the energy source for the cavity-causing bacteria in an individual’s mouth. And interestingly, the results are as accurate --and possibly even more accurate -- than sending mouth swabs to a lab for analysis. The energy source is called ATP.
A hand-held test is now available for use in the dentist’s office that measures the amount of ATP in the cavity-causing bacteria of a patient’s mouth with an instrument about the size of a television remote control. As part of a routine exam, the dental hygienist simply takes a swab sample from the patient’s teeth and in fifteen seconds, the device analyzes the energy in the bad bacteria. Counts below 1,500 are seen as “good” and those reaching 10,000 are “bad”.
Bad does not mean that you are doomed to a mouthful of cavities. But it will alert your dentist that intervention is needed. The first step may be to reduce the acidity in your mouth, and therefore reduce the energy available to feed the cavity-causing bacteria. Your dentist may suggest brushing with baking soda toothpastes or using specially formulated mouth rinses which reduce acid levels and help reduce or eliminate cavities for you.
Dentists also strongly recommend the use of prescription fluoride gels and rinses which help small cavities heal themselves. Another good idea is to use products (like chewing gum) sweetened with xylitol instead of sugar because xylitol has been shown to reduce the risk of forming new cavities.
ATP-bioluminescence looks promising. It will be interesting to hear what dental offices think about this new technology as way to help patients prevent dental disease.
I am always on the look out for details about new technological advancements in dentistry, especially those which promise to help patients and their dentists prevent disease. There is currently some very innovative research underway that may lead to surprising health outcomes. I’ll be bringing them to your attention as I learn more about them.
For now, you can see how the ATP bioluminescence meter works at: http://www.carifree.com/media/CariFree_Demo.html.
In dentistry, new predictive tools that indicate whether a person will get cavities are very close. New technology is helping dentists move from treating disease, that is waiting for a cavity to form and repairing the tooth, to emphasizing prevention and wellness -- by determining which individuals are at greater risk for cavities and showing them simple interventions that may save them from getting dental disease.
Researchers have perfected a technique called ATP-bioluminescence that measures the energy source for the cavity-causing bacteria in an individual’s mouth. And interestingly, the results are as accurate --and possibly even more accurate -- than sending mouth swabs to a lab for analysis. The energy source is called ATP.
A hand-held test is now available for use in the dentist’s office that measures the amount of ATP in the cavity-causing bacteria of a patient’s mouth with an instrument about the size of a television remote control. As part of a routine exam, the dental hygienist simply takes a swab sample from the patient’s teeth and in fifteen seconds, the device analyzes the energy in the bad bacteria. Counts below 1,500 are seen as “good” and those reaching 10,000 are “bad”.
Bad does not mean that you are doomed to a mouthful of cavities. But it will alert your dentist that intervention is needed. The first step may be to reduce the acidity in your mouth, and therefore reduce the energy available to feed the cavity-causing bacteria. Your dentist may suggest brushing with baking soda toothpastes or using specially formulated mouth rinses which reduce acid levels and help reduce or eliminate cavities for you.
Dentists also strongly recommend the use of prescription fluoride gels and rinses which help small cavities heal themselves. Another good idea is to use products (like chewing gum) sweetened with xylitol instead of sugar because xylitol has been shown to reduce the risk of forming new cavities.
ATP-bioluminescence looks promising. It will be interesting to hear what dental offices think about this new technology as way to help patients prevent dental disease.
I am always on the look out for details about new technological advancements in dentistry, especially those which promise to help patients and their dentists prevent disease. There is currently some very innovative research underway that may lead to surprising health outcomes. I’ll be bringing them to your attention as I learn more about them.
For now, you can see how the ATP bioluminescence meter works at: http://www.carifree.com/media/CariFree_Demo.html.
Friday, December 18, 2009
A Resolution to Smile About
The many family and social gatherings between Thanksgiving and New Year’s Day are trying times for your waistline … and for your teeth.
Americans consume roughly 675 million pounds of turkey on Thanksgiving Day. Billions of candy canes are eaten each holiday season and each person puts away an estimated 12 pounds of premium chocolates. Almost all of our favorite holiday treats are filled sugar that could all take a serious toll on your teeth.
And it’s not just the food. Americans drank enough last year for every person to have had 7 bottles of liquor, 12 bottles of wine, and 230 cans of beer. If you don't make good decisions about what you are eating and drinking, or properly clean your teeth afterward, you could end up with tooth decay, gum disease and possible tooth loss.
With this in mind, I want to share some oral health tips that will help keep your smile intact this holiday season and into the next:
If you drink wine, choose red over white. White wine is more acidic than red wine and it contains more sugar, making it more harmful for your teeth in the long run. Researchers say contact with white wine erodes the tooth’s protective enamel - making teeth more sensitive to cold, hot and sweet food.
Regardless of the color of the wine, rinse your mouth with water before brushing your teeth. Brushing immediately after consuming wine, a very acidic beverage, may damage the tooth's structure. Give your mouth’s saliva time to re-mineralize the tooth structure and neutralize possible damage. So wait, and then rinse with water before brushing.
If you choose to drink spirits or liquor, the opposite is true. Opt for lighter or clear liquids to avoid higher sugar content. Also, be aware of the sugar content of your favorite mixers. And as with the wine, rinse your mouth with water after you drink and before you brush your teeth.
Eat some cheese. The mouth naturally becomes more acidic after eating to aid digestion. Cheese keeps the mouth less acidic and therefore healthier for teeth. Cheese also coats the teeth with calcium and prevents demineralization. (And consider this -- chewing sugarless gum increases saliva, which helps clear food from tooth crevices and replaces essential minerals on teeth. We recommend gum with the sweetener Xylitol which is a natural cavity fighter.)
Consume candy in moderation – sugar free if possible. If you are choosing between a candy cane and a piece of chocolate, go with the chocolate. Sticky candies are less likely to wash out from between your teeth with saliva and therefore get more time in contact with your teeth. (This is also true for fruit cake.) Also, avoid biting directly down on hard candies to avoid fracturing a tooth.
Resolve to floss at least once a day this next year. If you are already a flosser, good for you. If you aren’t, or are only flossing sparingly, make a resolution to add this to your family’s daily routine. To get you started, most dentists give you a free trial size to ease you into this great lifelong habit.
No matter how exhausted you may be from hosting your family or attending your fifth party in a row, remember to brush your teeth before you go to bed. If all the acid from the food you ate gets 8 hours to fester in your mouth, it can do a lot of damage that you could have been prevented with 2 minutes and a toothbrush. Do the same in the morning --keep in mind plaque builds up even if you haven't eaten anything for 8 hours.
Good dental habits throughout the holidays – and year round – will help make for a happier New Year. As you make plans for 2010, I hope you all will resolve to be better to your teeth because that’s something we can all smile about.
Guest Blog Post by Dr. Linda Vidone, Associate Dental Director for DentaQuest
Americans consume roughly 675 million pounds of turkey on Thanksgiving Day. Billions of candy canes are eaten each holiday season and each person puts away an estimated 12 pounds of premium chocolates. Almost all of our favorite holiday treats are filled sugar that could all take a serious toll on your teeth.
And it’s not just the food. Americans drank enough last year for every person to have had 7 bottles of liquor, 12 bottles of wine, and 230 cans of beer. If you don't make good decisions about what you are eating and drinking, or properly clean your teeth afterward, you could end up with tooth decay, gum disease and possible tooth loss.
With this in mind, I want to share some oral health tips that will help keep your smile intact this holiday season and into the next:
If you drink wine, choose red over white. White wine is more acidic than red wine and it contains more sugar, making it more harmful for your teeth in the long run. Researchers say contact with white wine erodes the tooth’s protective enamel - making teeth more sensitive to cold, hot and sweet food.
Regardless of the color of the wine, rinse your mouth with water before brushing your teeth. Brushing immediately after consuming wine, a very acidic beverage, may damage the tooth's structure. Give your mouth’s saliva time to re-mineralize the tooth structure and neutralize possible damage. So wait, and then rinse with water before brushing.
If you choose to drink spirits or liquor, the opposite is true. Opt for lighter or clear liquids to avoid higher sugar content. Also, be aware of the sugar content of your favorite mixers. And as with the wine, rinse your mouth with water after you drink and before you brush your teeth.
Eat some cheese. The mouth naturally becomes more acidic after eating to aid digestion. Cheese keeps the mouth less acidic and therefore healthier for teeth. Cheese also coats the teeth with calcium and prevents demineralization. (And consider this -- chewing sugarless gum increases saliva, which helps clear food from tooth crevices and replaces essential minerals on teeth. We recommend gum with the sweetener Xylitol which is a natural cavity fighter.)
Consume candy in moderation – sugar free if possible. If you are choosing between a candy cane and a piece of chocolate, go with the chocolate. Sticky candies are less likely to wash out from between your teeth with saliva and therefore get more time in contact with your teeth. (This is also true for fruit cake.) Also, avoid biting directly down on hard candies to avoid fracturing a tooth.
Resolve to floss at least once a day this next year. If you are already a flosser, good for you. If you aren’t, or are only flossing sparingly, make a resolution to add this to your family’s daily routine. To get you started, most dentists give you a free trial size to ease you into this great lifelong habit.
No matter how exhausted you may be from hosting your family or attending your fifth party in a row, remember to brush your teeth before you go to bed. If all the acid from the food you ate gets 8 hours to fester in your mouth, it can do a lot of damage that you could have been prevented with 2 minutes and a toothbrush. Do the same in the morning --keep in mind plaque builds up even if you haven't eaten anything for 8 hours.
Good dental habits throughout the holidays – and year round – will help make for a happier New Year. As you make plans for 2010, I hope you all will resolve to be better to your teeth because that’s something we can all smile about.
Guest Blog Post by Dr. Linda Vidone, Associate Dental Director for DentaQuest
Friday, December 11, 2009
Dental Care as an Essential Benefit
When times are tough and people tighten their belts and family budgets, visits to doctors and dentists often get cut. Even relatively small co-pays can be justification to skip a check-up, renew a prescription, get an annual dental cleaning, or even get a small cavity filled. Unfortunately, ignoring routine care can have serious consequences.
Many States are facing budget challenges as well. As legislatures work to close shortfalls in state budgets, dental benefits provided through Medicaid are being cut or eliminated. This year, California, Hawaii, Massachusetts, Michigan, North Carolina, and Washington have considered funding cuts to, or elimination of, dental benefits. The numbers are significant –California stands to save about $614 million per year. Massachusetts hoped to save $60 million a year, but a recent upturn in revenue has put proposed cuts on hold. That is positive news for Massachusetts because the impact of the proposed cuts would have been staggering. The Massachusetts Medicaid program provides dental services to more than 1 million of the state's low-income seniors, chronically ill, and people with disabilities. That is almost one in ten of the state's neediest residents.
There's a great misconception that dental care is not one of the essential types of health care that people need. Not true. Dental care is critical to everyone’s good health and wellbeing. According to the U.S. Department of Health and Human Services and the American Dietetic Association, a variety of medical conditions – such as diabetes, heart disease, HIV, and complications of pregnancy—have been associated with poor oral health.
When states are forced to make cuts in Medicaid-sponsored dental programs, there are consequences. One is an increase in the numbers of patients with illnesses that could have easily been prevented. Fixing a chipped tooth right away, or filling a cavity when it is small is simpler, less painful, and less costly than waiting for the issue to escalate to a larger, more complicated dental infection. A second consequence is an increase in emergency room and other triage costs -- which taxpayers ultimately pay for -- as patients desperate to relieve mouth pain are left with no other options for care. When an individual visits the emergency room because of mouth pain, the pain may be addressed, but the cause of the problem is often not treated. This leaves the patient vulnerable to more severe problems, which ultimately become more costly to treat.
These are facts. Dental disease is nearly 100% preventable. Dental benefits help people get the care they need in good times and in tough times. Making sure dental care is an essential benefit in state Medicaid programs makes good sense.
Guest Blog Post by Steve Pollock, President of DentaQuest Government Business
Many States are facing budget challenges as well. As legislatures work to close shortfalls in state budgets, dental benefits provided through Medicaid are being cut or eliminated. This year, California, Hawaii, Massachusetts, Michigan, North Carolina, and Washington have considered funding cuts to, or elimination of, dental benefits. The numbers are significant –California stands to save about $614 million per year. Massachusetts hoped to save $60 million a year, but a recent upturn in revenue has put proposed cuts on hold. That is positive news for Massachusetts because the impact of the proposed cuts would have been staggering. The Massachusetts Medicaid program provides dental services to more than 1 million of the state's low-income seniors, chronically ill, and people with disabilities. That is almost one in ten of the state's neediest residents.
There's a great misconception that dental care is not one of the essential types of health care that people need. Not true. Dental care is critical to everyone’s good health and wellbeing. According to the U.S. Department of Health and Human Services and the American Dietetic Association, a variety of medical conditions – such as diabetes, heart disease, HIV, and complications of pregnancy—have been associated with poor oral health.
When states are forced to make cuts in Medicaid-sponsored dental programs, there are consequences. One is an increase in the numbers of patients with illnesses that could have easily been prevented. Fixing a chipped tooth right away, or filling a cavity when it is small is simpler, less painful, and less costly than waiting for the issue to escalate to a larger, more complicated dental infection. A second consequence is an increase in emergency room and other triage costs -- which taxpayers ultimately pay for -- as patients desperate to relieve mouth pain are left with no other options for care. When an individual visits the emergency room because of mouth pain, the pain may be addressed, but the cause of the problem is often not treated. This leaves the patient vulnerable to more severe problems, which ultimately become more costly to treat.
These are facts. Dental disease is nearly 100% preventable. Dental benefits help people get the care they need in good times and in tough times. Making sure dental care is an essential benefit in state Medicaid programs makes good sense.
Guest Blog Post by Steve Pollock, President of DentaQuest Government Business
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