Linking Dental with Medical: The Role of the Dental Professional Carl L. Stoel, DDS, MSBA Senior Dental Consultant BCBSM A...
Linking Dental with Medical: The Role of the Dental Professional <ul><li>Agenda </li></ul><ul><ul><li>Making the Link to O...
Connecting Oral Health to Overall Health Medical BCBSM Dental Health plans make the link
Connecting Oral Health to Overall Health <ul><li>“ You’re not healthy without good oral health.” </li></ul><ul><li>Dr. C. ...
Terminology and Definitions <ul><li>You may understand but your customers may not: </li></ul><ul><li>12 percent of the adu...
Terminology and Definitions <ul><li>Medical </li></ul><ul><li>Diabetes </li></ul><ul><li>Hypertension </li></ul><ul><li>Is...
Terminology and Definitions <ul><li>Gingivitis </li></ul><ul><li>Inflammation of gingival tissue without loss of connectiv...
Other Medical-Dental Disease Links   <ul><li>Oral cancer </li></ul><ul><li>Radiation and chemotherapy - osteoradionecrosis...
Other Medical-Dental Disease Links <ul><li>HIV </li></ul><ul><li>Lichen planus </li></ul><ul><li>Gingival infiltration in ...
Dental Care History and Trivia
History of Dental Care <ul><li>2600 BC - Death of Hesy-Re, an Egyptian scribe, often called the  </li></ul><ul><li>first “...
Making the Link to Overall Health
Dental Care – For a Lifetime <ul><li>Dental care starts early </li></ul><ul><li>1 st  exam 1-3 years old </li></ul><ul><li...
  Dental Care – For a Lifetime <ul><li>Adding Value </li></ul><ul><li>Middle and later years  </li></ul><ul><ul><li>Effect...
Making the Link Dentistry – The Forefront of Overall Health <ul><li>Patients visit the dentist more frequently than  </li>...
Making the Link Dentistry – The Forefront of Overall Health <ul><li>Dental exams and health questionnaire can help </li></...
Making the Link to Overall Health:  Diabetes <ul><li>What is the annual direct cost of diabetes in the U.S.? </li></ul><ul...
Making the Link to Overall Health: Diabetes <ul><li>Centers for Disease Control data for the year  2002  shows direct cost...
Making the Link to Overall Health: Diabetes <ul><li>Periodontal disease worsens diabetes – bacteria released into the bloo...
Making the Link to Overall Health: Heart Disease <ul><li>What is the percentage of deaths in the U.S. due to heart disease...
Making the Link to Overall Health: Heart Disease <ul><li>Heart disease accounts for  29 percent  of deaths in the United S...
Making the Link to Overall Health: Heart Disease <ul><li>Bacteria found in the plaque of the arterial walls include many o...
Making the Link to Overall Health: Low Birth Weight Babies <ul><li>What is the average cost of a preterm birth? </li></ul>...
Making the Link to Overall Health: Low Birth-Weight Babies <ul><li>CDC calculates the average cost of a preterm birth at  ...
<ul><li>Hormonal fluctuations can lead to gingivitis and periodontal disease </li></ul><ul><li>Bacteria of periodontal dis...
Making the Link to Overall Health: Oral Cancer <ul><li>How many people are diagnosed with oral cancer in the U.S. each yea...
Making the Link to Overall Health: Oral Cancer <ul><li>According to the CDC, 30,000 people in the U.S. are diagnosed with ...
Making the Link to Overall Health: Oral Cancer <ul><li>Early detection of oral cancer enables less invasive treatment, hig...
Making the Link to Overall Health: Oral Cancer <ul><li>Some health plans cover dental oral brush biopsy, an early detectio...
Making the Link to Overall Health: Oral Piercing   <ul><li>Oral piercing involving the tongue, lips, cheeks, uvula or a co...
Roles and Responsibilities: Health Plans <ul><li>Innovative plan designs </li></ul><ul><li>Use of evidence-based dentistry...
Roles and Responsibilities: Health Plans <ul><li>Education to promote awareness among: </li></ul><ul><ul><li>Dentists </li...
Roles and Responsibilities: BCBSM <ul><li>Collaborating with University of Michigan School of Dentistry on research projec...
Roles and Responsibilities: BCBSM <ul><li>Coupons for </li></ul><ul><ul><li>Extra free cleaning to medical and dental memb...
Roles and Responsibilities: Physician <ul><li>Be aware of link between oral disease and systemic diseases including diabet...
Roles and Responsibilities: Dental Professional <ul><li>Dentist can detect 120 disease symptoms in the mouth </li></ul><ul...
Roles and Responsibilities: Dental Professional <ul><li>Periodontal risk assessment </li></ul><ul><ul><li>Educate patients...
Roles and Responsibilities: Dental Professional <ul><li>Influence your patients’ oral health to improve their overall heal...
Roles and Responsibilities: Dental Professional <ul><li>At-risk patients need to be motivated </li></ul><ul><ul><li>BCBSM ...
Roles and Responsibilities: Dental Professional <ul><li>Intervention is key </li></ul><ul><li>Referrals to periodontal spe...
Roles and Responsibilities: Dental Professional <ul><li>Insurance carriers have stepped up to the plate. Now it’s the dent...
Connecting Oral Health to Overall Health Medical BCBSM Dental Dental professionals can make the link!
For Additional Information cdc.gov content.nejm oralhealthamerica.org deltadental.com ada.org jada.ada.org allaboutvision....
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Linking Dental with Medical: The Role of the Dental Professional

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  • Let’s quickly review the agenda. Read Slide. We’ll have two ten minute breaks today. If you have questions, please let me know during the program instead of waiting until the end. If we are going to cover a particular area later in the section, I may mention that.
  • In the health care industry we’ve seen an increase in Diabetes and Heart Disease as our population ages. We are hearing more and more about Osteoporosis, and even seeing Vitamins for Macular Degeneration. These conditions are serious. There are a number of conditions related to dental health and vision care that can affect these conditions and vice versa. We’ve developed a CE course to educate agents on the correlation between dental health and medical health. We will enlighten you on the correlation between vision health and medical health as well. I would like to introduce our Subject Matter Expert from Dentemax, please welcome (Name and Title). We have several objectives today not only to educate you about the links to medical health, but also the following: The importance of awareness and education regarding various types of conditions. Conditions and care through a member’s lifetime. How costly some conditions can be. How health plans in general play a part, not only in treatment but in awareness and education for prevention. What dental and vision plans are – soup to nuts approach - classes of services, benefits and provider networks etc. Emerging products, Industry information and retention statistics. Hopefully, by the end of today you will think of Vision Benefits as well as Dental Benefits as integral to health care delivery.
  • This quote kind of says it all. Today we’ll delve deeper into how the two are connected.
  • We’re going to discuss terms and meanings in a few sections or areas of the program today. Some of you may already these terms some of you may learn them during the program. Did you know? According to the National Assessment of Adult Literacy (NAAL) estimates that only 12% of the adult population is proficient at understanding health information. The rest of the population has difficulty in understanding the language that doctors, hospitals and insurers use with them. You as agents have a higher literacy with all health related information but your customers may not. Source: New England Journal Of Medicine, http://content.nejm.org/cgi/content
  • These are the medical terms we are going to cover throughout the program.
  • We’re going to cover a few dental terms and identify what they are. Gingiva is defined as Soft tissues overlying the crowns of unerupted teeth and encircling the necks of those that have erupted (ADA.org). The ADA website defines Periodontal disease as an Inflammatory process of the gingival tissues and or membrane of the teeth, resulting in abnormally deep gingival sulcus, possibly producing periodontal pockets and loss of supporting alveolar bone.
  • Let’s discuss the history of Dental Care and gain some insight through some Dental Care Trivia.
  • Read Slide
  • Dentists can even assist in recommending or providing mouthguards for children who play instruments During the formative years dentists exams help to identify malocculsions or the need for braces and can refer patients for the next level of care.
  • According to University of Michigan “Dentistry tips for older adults” and Jonathan Ship, associate professor of dentistry- older adults need to change their habits even if they’ve had good teeth their entire life. Gum tissues tend to recede with age, exposing more tooth surface and larger areas between the teeth. Additionally, the exposed area of the root is covered with what is known as Cementum, it’s a mineralized material that’s less resistant to decay than tooth enamel. Older folks are the population who gets the most joint replacement surgery and according to Jed Jacobson, associate professor of dentistry good hygiene is a must in order for that surgery to be a success. “The Major failure in joint replacement is infection. This happens when bacteria travel to the site of the replacement from other parts of the body (including the mouth. In addition to practicing good oral hygiene prior to and for two years after the surgery Jacobson also indicates that some dentists advise their joint replacement surgery patients to take antibiotics before certain procedures such as having a tooth pulled or oral surgery. We all know that some medications can bring on side effects even making the taste in our mouth “different”. Some 450 – 600 medications including many commonly prescribed drugs have oral side effects. These range from Dry Mouth to irritation of the mouth and even enhanced gum disease. Dentists encourage patients to discuss medications and provide alternative ways of finding relief from recommending sugarless gum, sugarless candy dissolve or even artificial saliva products. Source: John Gobetti Professor of Dentistry (umich.edu). When designing the BCN Advantage Individual plan BCN added dental exam/cleaning one time per year and a set of bite wing x-rays every two years
  • Many call Dentistry the Forefront of overall health. Afterall, most patients visit their dentist more often (twice a year) than their family physician. Health questionnaires and dental exams frequently uncover a wide variety of conditions as well as assist in assessing overall health.
  • We’ve discussed some specific terms relative to dental care and mentioned that Dentists are at the forefront of health. A visit to a dentist can help uncover the following: Read Slide Raise your hands if you have your blood pressure taken at the Dentist? The dentist? Yes! It’s a fairly new practice being adapted because of a study at the University of Michigan. According to the Professor (Title) it’s a tremendous public service to do this as public health screening. Here’s how it came about: A study of dental patients conducted in 1994 by a Dental Student at the University of Michigan has led to wide spread practice of blood pressure monitoring at Dental Offices. We all know that for some of us going to the dentist is a stressful event and can elevate our blood pressure for a short amount of time. If our dentist knew our normal BP and found an abnormally high BP then they could notify the patient and they could do something about it. My dentist identified story after story of the usual cases found: mouth cancer but also the not so common… A patient comes in complaining of jaw and tooth pain from the previous night– off to the emergency room – the patient is having a heart attack or even a stroke.
  • Need Notes on this
  • Check for updated stats on CDC 2002 seems old.
  • Need Notes on this
  • Need Notes on this
  • Need Notes on this
  • Need Notes on this
  • Need Notes on This
  • Need notes on this
  • Need Notes on this
  • Read Slide
  • NOTE: BCBSM Dental Plans will cover Oral Brush Biopsy – Get Date
  • Many have seen piercing become popular and now common place as a way of self expression and body art. Read slide. Additionally, the National Institute of Health has identified piercing as a possible vector for bloodborne hepatitis (b,c, d and g) transmission. (Source NIH).
  • We believe that awareness and education are key. Read Slide
  • We provide some mailings and incentives like coupons to some of our members where the need for dental care is extraordinary. We want to provide dental coverage to those that lose employer sponsored plans so we are developing individual type plans.
  • In the health care industry we’ve seen an increase in Diabetes and Heart Disease as our population ages. We are hearing more and more about Osteoporosis, and even seeing Vitamins for Macular Degeneration. These conditions are serious. There are a number of conditions related to dental health and vision care that can affect these conditions and vice versa. We’ve developed a CE course to educate agents on the correlation between dental health and medical health. We will enlighten you on the correlation between vision health and medical health as well. I would like to introduce our Subject Matter Expert from Dentemax, please welcome (Name and Title). We have several objectives today not only to educate you about the links to medical health, but also the following: The importance of awareness and education regarding various types of conditions. Conditions and care through a member’s lifetime. How costly some conditions can be. How health plans in general play a part, not only in treatment but in awareness and education for prevention. What dental and vision plans are – soup to nuts approach - classes of services, benefits and provider networks etc. Emerging products, Industry information and retention statistics. Hopefully, by the end of today you will think of Vision Benefits as well as Dental Benefits as integral to health care delivery.
  • Refer to handout for resource information.
  • Are there any questions?
  • Linking Dental with Medical: The Role of the Dental Professional

    1. 1. Linking Dental with Medical: The Role of the Dental Professional Carl L. Stoel, DDS, MSBA Senior Dental Consultant BCBSM American Association of Dental Office Managers October 27, 2007
    2. 2. Linking Dental with Medical: The Role of the Dental Professional <ul><li>Agenda </li></ul><ul><ul><li>Making the Link to Overall Health </li></ul></ul><ul><ul><li>Roles and Responsibilities: </li></ul></ul><ul><ul><ul><li>Health Plans </li></ul></ul></ul><ul><ul><ul><li>BCBSM </li></ul></ul></ul><ul><ul><ul><li>Physician </li></ul></ul></ul><ul><ul><ul><li>Dental Professional </li></ul></ul></ul>
    3. 3. Connecting Oral Health to Overall Health Medical BCBSM Dental Health plans make the link
    4. 4. Connecting Oral Health to Overall Health <ul><li>“ You’re not healthy without good oral health.” </li></ul><ul><li>Dr. C. Everett Koop </li></ul><ul><li>Former U.S. Surgeon General Chairman, Oral Health 2000 </li></ul>
    5. 5. Terminology and Definitions <ul><li>You may understand but your customers may not: </li></ul><ul><li>12 percent of the adult population can’t understand health information that doctors, hospitals and insurers use </li></ul>
    6. 6. Terminology and Definitions <ul><li>Medical </li></ul><ul><li>Diabetes </li></ul><ul><li>Hypertension </li></ul><ul><li>Ischemic Heart Disease </li></ul><ul><li>Low Birth Weight </li></ul><ul><li>Osteoporosis </li></ul>
    7. 7. Terminology and Definitions <ul><li>Gingivitis </li></ul><ul><li>Inflammation of gingival tissue without loss of connective tissue </li></ul><ul><li>Periodontal disease </li></ul><ul><li>Bacteria and toxins that invade tissues around the tooth </li></ul><ul><li>Causes gum inflammation </li></ul><ul><li>Brings about tooth loss </li></ul><ul><li>Bacteria and toxins enter blood stream and invade other areas of the body </li></ul><ul><li>34% of people over 30 years old have periodontal disease </li></ul>Frequent teeth cleanings and complex periodontal services reduce the incidence of periodontal disease
    8. 8. Other Medical-Dental Disease Links <ul><li>Oral cancer </li></ul><ul><li>Radiation and chemotherapy - osteoradionecrosis </li></ul><ul><li>Pulmonary disease (aspiration pneumonia) </li></ul><ul><li>Stroke </li></ul><ul><li>Heart valve replacement </li></ul><ul><li>Joint replacement </li></ul><ul><li>Post cancer surgery complications </li></ul><ul><li>Pancreatic cancer in men </li></ul><ul><li>Medications and xerostomia </li></ul><ul><li>Auto-immune diseases </li></ul>
    9. 9. Other Medical-Dental Disease Links <ul><li>HIV </li></ul><ul><li>Lichen planus </li></ul><ul><li>Gingival infiltration in acute myelogenous leukemia </li></ul><ul><li>Bulimia </li></ul><ul><li>Bisphosphonate-related osteonecrosis </li></ul><ul><li>Chronic kidney failure/renal insufficiency </li></ul><ul><li>Sjogren’s syndrome </li></ul>
    10. 10. Dental Care History and Trivia
    11. 11. History of Dental Care <ul><li>2600 BC - Death of Hesy-Re, an Egyptian scribe, often called the </li></ul><ul><li>first “dentist” </li></ul><ul><ul><li>An inscription on his tomb includes the title, “the greatest of those who deal with teeth, and of physicians.”  This is the earliest known reference to a person identified as a dental practitioner. </li></ul></ul><ul><li>500 to 1000 AD - During the early Middle Ages in Europe, medicine, surgery, and dentistry are generally practiced by monks, the most educated people of the period </li></ul><ul><li>Source: ada.org </li></ul>
    12. 12. Making the Link to Overall Health
    13. 13. Dental Care – For a Lifetime <ul><li>Dental care starts early </li></ul><ul><li>1 st exam 1-3 years old </li></ul><ul><li>Counseling with caregiver </li></ul><ul><li>Cavity prevention – fluoride rinse and/or fluoride varnish </li></ul><ul><li>Preventive twice-yearly cleanings </li></ul>
    14. 14. Dental Care – For a Lifetime <ul><li>Adding Value </li></ul><ul><li>Middle and later years </li></ul><ul><ul><li>Effects of systemic disease treatment on oral health </li></ul></ul><ul><ul><li>Effects of medications on oral health </li></ul></ul><ul><ul><li>Identifying risks associated with oral health as one ages </li></ul></ul><ul><li>Some Medicare HMO plans are recognizing the link and adding basic dental benefits to their plans </li></ul>
    15. 15. Making the Link Dentistry – The Forefront of Overall Health <ul><li>Patients visit the dentist more frequently than </li></ul><ul><li>their regular physician. </li></ul>
    16. 16. Making the Link Dentistry – The Forefront of Overall Health <ul><li>Dental exams and health questionnaire can help </li></ul><ul><ul><li>Assess overall health </li></ul></ul><ul><ul><li>Uncover hypertension </li></ul></ul><ul><ul><li>Uncover cardiovascular disease </li></ul></ul><ul><ul><li>Detect oral cancer - accounts for 2% to 4% of cancers in the U.S. </li></ul></ul><ul><ul><li>Diagnose and treat periodontal (gum) disease - 80 percent of adults will have some form of periodontal disease </li></ul></ul><ul><li>This leads to overall better health </li></ul><ul><li>Source: cdc.gov </li></ul>
    17. 17. Making the Link to Overall Health: Diabetes <ul><li>What is the annual direct cost of diabetes in the U.S.? </li></ul><ul><li>$500 million </li></ul><ul><li>$1.8 billion </li></ul><ul><li>$27 billion </li></ul><ul><li>$92 billion </li></ul>
    18. 18. Making the Link to Overall Health: Diabetes <ul><li>Centers for Disease Control data for the year 2002 shows direct costs of $92 billion , and total costs of $132 billion </li></ul><ul><li>BCBSM ( a large health plan ) data indicates average annual costs of $8,600 per member </li></ul><ul><li>Affects 7 percent of the U.S. population </li></ul><ul><li>Source: cdc.gov </li></ul>
    19. 19. Making the Link to Overall Health: Diabetes <ul><li>Periodontal disease worsens diabetes – bacteria released into the blood stream contributes to the inflammatory process </li></ul><ul><li>Diabetes worsens periodontal disease – weakening of connective tissue structure affects gums </li></ul>
    20. 20. Making the Link to Overall Health: Heart Disease <ul><li>What is the percentage of deaths in the U.S. due to heart disease? </li></ul><ul><li>15 percent </li></ul><ul><li>19 percent </li></ul><ul><li>26 percent </li></ul><ul><li>29 percent </li></ul>
    21. 21. Making the Link to Overall Health: Heart Disease <ul><li>Heart disease accounts for 29 percent of deaths in the United States </li></ul><ul><li>BCBSM data shows average annual cost of ischemic heart disease of $10,500 per member </li></ul><ul><li>CDC projects cost of heart disease in the U.S. at $393 billion </li></ul><ul><li>Source: cdc.gov </li></ul>
    22. 22. Making the Link to Overall Health: Heart Disease <ul><li>Bacteria found in the plaque of the arterial walls include many of the same types found in the periodontal pockets </li></ul><ul><li>Bacteria creates an inflammation that causes plaque build-up in the small arteries of the heart, restricting blood flow to the heart muscle, which can lead to a heart attack </li></ul><ul><li>Source: cdc.gov </li></ul>
    23. 23. Making the Link to Overall Health: Low Birth Weight Babies <ul><li>What is the average cost of a preterm birth? </li></ul><ul><ul><li>A) $5,000 </li></ul></ul><ul><ul><li>B) $7,500 </li></ul></ul><ul><ul><li>C) $9,000 </li></ul></ul><ul><ul><li>D) $10,500 </li></ul></ul>
    24. 24. Making the Link to Overall Health: Low Birth-Weight Babies <ul><li>CDC calculates the average cost of a preterm birth at $10,500 </li></ul><ul><li>Overall medical costs exceed $5 billion </li></ul><ul><li>In 2000, 11.6 percent of infants were born preterm in the U.S. </li></ul><ul><li>Source: cdc.gov </li></ul>
    25. 25. <ul><li>Hormonal fluctuations can lead to gingivitis and periodontal disease </li></ul><ul><li>Bacteria of periodontal disease is also found in amniotic fluid and placenta </li></ul><ul><li>Mothers with periodontal disease tend to deliver premature babies </li></ul><ul><li>Source: cdc.gov </li></ul>Making the Link to Overall Health: Low Birth-Weight Babies
    26. 26. Making the Link to Overall Health: Oral Cancer <ul><li>How many people are diagnosed with oral cancer in the U.S. each year? </li></ul><ul><ul><ul><li>A) 15,000 </li></ul></ul></ul><ul><ul><ul><li>B) 20,000 </li></ul></ul></ul><ul><ul><ul><li>C) 25,000 </li></ul></ul></ul><ul><ul><ul><li>D) 30,000 </li></ul></ul></ul>
    27. 27. Making the Link to Overall Health: Oral Cancer <ul><li>According to the CDC, 30,000 people in the U.S. are diagnosed with oral cancer every year </li></ul><ul><li>Oral and pharyngeal cancer account for 2% to 4% of cancers diagnosed in the U.S. </li></ul><ul><li>Oral cancer occurs twice as often in males as females </li></ul><ul><li>Tobacco users have a high incidence of oral cancer </li></ul><ul><li>Source: cdc.gov </li></ul>
    28. 28. Making the Link to Overall Health: Oral Cancer <ul><li>Early detection of oral cancer enables less invasive treatment, higher survival rate </li></ul><ul><ul><li>Early stage survival rate is 80% </li></ul></ul><ul><ul><li>Late stage five-year survival rate is 20% </li></ul></ul><ul><ul><li>Source: cdc.gov </li></ul></ul>
    29. 29. Making the Link to Overall Health: Oral Cancer <ul><li>Some health plans cover dental oral brush biopsy, an early detection tool </li></ul><ul><li>Some plans like BCBSM offer smoking cessation programs to members and have developed specific tools to help medical providers discuss tobacco with at-risk patients </li></ul>
    30. 30. Making the Link to Overall Health: Oral Piercing <ul><li>Oral piercing involving the tongue, lips, cheeks, uvula or a combination of sites implicated in adverse oral systemic conditions </li></ul><ul><li>Following piercing certain symptoms are common </li></ul><ul><ul><li>Pain and swelling </li></ul></ul><ul><ul><li>Infection </li></ul></ul><ul><ul><li>Increased salivary flow </li></ul></ul><ul><ul><li>Injuries to the gum tissue </li></ul></ul><ul><li>Additional risks </li></ul><ul><ul><li>Obstructed airway due to pronounced edema </li></ul></ul><ul><ul><li>Aspiration of jewelry </li></ul></ul><ul><ul><li>Source: ada.org </li></ul></ul>
    31. 31. Roles and Responsibilities: Health Plans <ul><li>Innovative plan designs </li></ul><ul><li>Use of evidence-based dentistry guidelines </li></ul><ul><li>Additional benefits for at-risk patients </li></ul><ul><li>Work with societies to encourage dentists to donate their time to free clinics </li></ul>
    32. 32. Roles and Responsibilities: Health Plans <ul><li>Education to promote awareness among: </li></ul><ul><ul><li>Dentists </li></ul></ul><ul><ul><li>Physicians </li></ul></ul><ul><ul><li>Professional societies </li></ul></ul><ul><ul><li>Plan members </li></ul></ul><ul><ul><li>General public </li></ul></ul>
    33. 33. Roles and Responsibilities: BCBSM <ul><li>Collaborating with University of Michigan School of Dentistry on research project to demonstrate and quantify medical savings of good oral care in diabetic patients </li></ul><ul><li>Donating $1 million in grants in 2007 to 32 free health care clinics that provide low-or-no-cost health or dental care to more than 78,000 uninsured people </li></ul><ul><li>Incorporating preventive dental services into some medical plans </li></ul><ul><li>Offering individual products so members who lose group coverage can continue dental care </li></ul>
    34. 34. Roles and Responsibilities: BCBSM <ul><li>Coupons for </li></ul><ul><ul><li>Extra free cleaning to medical and dental members who suffer from diabetes or ischemic heart disease </li></ul></ul><ul><ul><li>Extra free cleaning for medical and dental members who are pregnant—doctors and nurse-midwives give coupon to patient at time of diagnosis </li></ul></ul><ul><ul><li>“ Quit the Nic” smoking cessation program participants </li></ul></ul><ul><li>“ Happy Birthday” mailer to parents of 3-year-olds to encourage regular dental care </li></ul>
    35. 35. Roles and Responsibilities: Physician <ul><li>Be aware of link between oral disease and systemic diseases including diabetes, heart disease, and pregnancy complications </li></ul><ul><li>Ask patients if they are seeing a dentist regularly </li></ul><ul><li>Observe oral soft and hard tissues </li></ul><ul><li>Work with dentist to manage co-morbidity associated with systemic inflammation and oral periodontal disease </li></ul><ul><li>Make appropriate referrals </li></ul>
    36. 36. Roles and Responsibilities: Dental Professional <ul><li>Dentist can detect 120 disease symptoms in the mouth </li></ul><ul><ul><li>Early detection of systemic diseases and recognition of oral manifestations </li></ul></ul><ul><ul><li>Often first to identify a systemic health problem based on what they see in the patient’s mouth </li></ul></ul><ul><ul><li>Oral evaluation and diagnosis </li></ul></ul>
    37. 37. Roles and Responsibilities: Dental Professional <ul><li>Periodontal risk assessment </li></ul><ul><ul><li>Educate patients about link between periodontal disease and systemic diseases </li></ul></ul><ul><ul><li>Periodontal scaling and root planing </li></ul></ul><ul><ul><li>Periodontal maintenance </li></ul></ul><ul><ul><li>Antimicrobial therapy </li></ul></ul><ul><ul><li>More frequent prophylaxis </li></ul></ul>
    38. 38. Roles and Responsibilities: Dental Professional <ul><li>Influence your patients’ oral health to improve their overall health </li></ul><ul><ul><li>Get patients into the chair for preventive and periodontal services </li></ul></ul><ul><ul><li>Identify patients that have medical conditions which may require more frequent preventive visits </li></ul></ul><ul><ul><li>Get patients back for treatment </li></ul></ul><ul><ul><li>Reactivate patients </li></ul></ul>
    39. 39. Roles and Responsibilities: Dental Professional <ul><li>At-risk patients need to be motivated </li></ul><ul><ul><li>BCBSM group project </li></ul></ul><ul><ul><li>Patient awards and incentives </li></ul></ul><ul><li>Recognize the risk status of the patient </li></ul><ul><li>Educate the patient </li></ul><ul><li>Provide counseling </li></ul><ul><li>Distribute brochures and information </li></ul>
    40. 40. Roles and Responsibilities: Dental Professional <ul><li>Intervention is key </li></ul><ul><li>Referrals to periodontal specialists </li></ul><ul><li>Referrals to physicians </li></ul><ul><li>Develop relationships with physician colleagues </li></ul>
    41. 41. Roles and Responsibilities: Dental Professional <ul><li>Insurance carriers have stepped up to the plate. Now it’s the dental professional’s turn. </li></ul><ul><ul><li>Embrace the new information </li></ul></ul><ul><ul><li>Stay on top of patient recalls </li></ul></ul><ul><ul><li>Fill your appointment books </li></ul></ul><ul><ul><li>Use your people skills to influence patients </li></ul></ul><ul><ul><ul><li>Improved oral and overall health = better quality of life </li></ul></ul></ul><ul><ul><ul><li>Better oral health could reduce overall health care cost </li></ul></ul></ul>
    42. 42. Connecting Oral Health to Overall Health Medical BCBSM Dental Dental professionals can make the link!
    43. 43. For Additional Information cdc.gov content.nejm oralhealthamerica.org deltadental.com ada.org jada.ada.org allaboutvision.com oral-cancer.org kff.org healthdecisions.org ebri.org vsp.com nei.nih.gov/health deltadental.com aaopt.org aoa.org preventblindness.org benefitselling.com socsci.uci.edu diabetes.org BlueHealthConnection.com
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