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Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
Linking Oral Health to Long Term Care
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Linking Oral Health to Long Term Care

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  • 1. Linking Oral Health to Long Term Care Presented by Dental Directions Program Coordinators: Tami Wanless R.D.H., Med. & Marilyn Craig R.D.H.
  • 2.  
  • 3. Illinois State Dental Society (ISDS) <ul><li>ISDS has obtained a series of grants from: </li></ul><ul><ul><li>The Illinois Department of </li></ul></ul><ul><ul><li>Public Health (IDPH) </li></ul></ul><ul><ul><li>The grant funds educational </li></ul></ul><ul><ul><li>programs to the staff at </li></ul></ul><ul><ul><li>long-term care facilities. </li></ul></ul><ul><li>ISDS Grant from IDPH </li></ul><ul><ul><li>First 3 year grant in October 2001-2004 </li></ul></ul><ul><ul><li>Second 3 year grant October 2004-2007 </li></ul></ul><ul><ul><li>Third 3 year grant October 2007-2010 </li></ul></ul>
  • 4. Who Manages Dental Directions <ul><li>Greg Johnson </li></ul><ul><li>Director of Professional Services (ISDS) </li></ul><ul><li>Tami Wanless, R.D.H, MEd. </li></ul><ul><li>Program Coordinator </li></ul><ul><li>Regions managed include Counties of Cook, Lake &amp; DuPage. </li></ul><ul><li>Marilyn Craig, R.D.H. </li></ul><ul><li>Program Coordinator </li></ul><ul><li>For Downstate Regions </li></ul>
  • 5. Where do the funds come from? <ul><li>The grant funds for the program come from the departments civil monetary penalty fund </li></ul><ul><li>The fund receives all of the fines that are levied against long term care facilities </li></ul>
  • 6. In Compliance with Administrative Code <ul><li>All grant dollars must be used to develop programs that benefit long-term care facility residents (see handout from Joint Committee on Administrative Rules) </li></ul><ul><li>The ISDS program was the 1 st program to receive a grant from the fund </li></ul>
  • 7. Goals of Dental Directions <ul><li>Improve the oral health of long-term care residents by educating the daily care-giver facility staff about basic information on proper daily oral health care needs. </li></ul><ul><li>Establish local oral health professionals expertise &amp; technical assistance for LTC facilities regarding the ongoing oral health care needs of residents </li></ul>
  • 8. Dental Directions Results &amp; Predictions* 400* 2009-2010 350* 2008-2009 300* 2007-2008 195 2006-2007 176 2005-2006 146 2004-2005 Number of Facilities Educated Year
  • 9. Presentations <ul><li>In cooperation with the Illinois Department of Public health, facilities can receive 1 hour of training from Dental Directions educators at no charge </li></ul><ul><li>Local dental health teams can support one or multiple facilities by providing information and/or care to staff &amp; residents </li></ul>
  • 10. In-service/ Educational Overview <ul><li>General information of each facility is reviewed with director of nursing for accuracy plus dental information shared </li></ul><ul><li>Pre &amp; Post test given to minimum of 10 </li></ul><ul><li>staff members </li></ul><ul><li>Informative video discussing oral care &amp; cancer detection </li></ul><ul><li>Samples &amp; literature provided </li></ul>
  • 11. Prevalent Chronic Diseases Associated with Aging <ul><li>Periodontal disease </li></ul><ul><li>Oral Cancer </li></ul><ul><li>Diabetes </li></ul>
  • 12. Periodontal Disease An estimated 80% of American adults currently have some form of the disease <ul><ul><ul><li>Gingivitis </li></ul></ul></ul><ul><ul><ul><li>Pain Free-asymptomatic </li></ul></ul></ul><ul><ul><ul><li>Bacteria growing on teeth (plaque &amp; tartar) cause infection </li></ul></ul></ul><ul><ul><ul><li>Gums become red, swollen and bleed easily </li></ul></ul></ul><ul><ul><ul><li>Can be reversed with daily brushing &amp; flossing </li></ul></ul></ul><ul><ul><ul><li>Does NOT include bone loss </li></ul></ul></ul><ul><li>Periodontitis </li></ul><ul><li>Pain free -asymptomatic </li></ul><ul><li>Gums pull away from teeth and form pockets that are infected </li></ul><ul><li>Bacterial toxins and body&apos;s enzymes fighting the infection break down bone that hold teeth in place </li></ul><ul><li>Bad breath, bleeding gums, exudate, mobile teeth, loss of teeth and bone </li></ul>
  • 13. What a facility will learn about Periodontal Disease
  • 14. Periodontal Disease Risk Factors <ul><li>Smoking (Vasoconstrictor-masks disease) </li></ul><ul><li>Hormonal changes in women </li></ul><ul><li>Diabetes (higher risk for infection) </li></ul>
  • 15. <ul><li>Medications (Antidepressants, heart meds) </li></ul><ul><li>Illnesses: AIDS, cancer </li></ul><ul><li>Genetic Susceptibility </li></ul><ul><li>Stress </li></ul>
  • 16. Stain &amp; Tartar
  • 17. Active Periodontal Disease with bone loss
  • 18. Treatment for Periodontal disease <ul><li>Main goal is to control the infection and remove contributing factors: </li></ul><ul><li>bacteria, plaque, smoking </li></ul><ul><li>Increase homecare: brushing, flossing antimicrobial mouth rinses, gum stimulation </li></ul><ul><li>Professional intervention- deep cleaning, root planing, periodontal debridement </li></ul><ul><li>Medications: </li></ul><ul><li>doxycycline,chlorhexidine </li></ul><ul><li>Surgery </li></ul>
  • 19. Daily Oral Care Can Reduce Bacteria and Disease
  • 20. Oral Cancer <ul><li>Each year in the USA about 29,000 people are diagnosed with Oral cancer </li></ul><ul><li>Approximately 7,000 deaths a year from oral cancer </li></ul><ul><li>6 th most common cancer in men and the 14 th most common in women – affects twice as many men as women </li></ul><ul><li>Can spread quickly </li></ul><ul><li>Most often occurs in people over 40 </li></ul>
  • 21. &nbsp;
  • 22. &nbsp;
  • 23. Signs &amp; Symptoms <ul><li>A sore, irritation </li></ul><ul><li>lump or thick patch in your mouth, lip, or throat </li></ul>
  • 24. Oral Cancer Signs &amp; Symptoms <ul><li>A white or red patch in your mouth </li></ul><ul><li>A feeling that something is caught in your throat </li></ul><ul><li>Difficulty chewing or swallowing </li></ul>
  • 25. Oral Caner Signs &amp; Symptoms <ul><li>Difficulty moving your jaw or tongue </li></ul><ul><li>Numbness in your tongue </li></ul>
  • 26. &nbsp;
  • 27. Early Detection = better success <ul><li>An oral cancer examination can detect early signs of cancer </li></ul><ul><li>Exams are painless and quick </li></ul><ul><li>Refer to the US dept of health and human services poster provided and post so all staff can view and learn </li></ul>
  • 28. Diabetes <ul><li>Patients with diabetes suffer from periodontal disease (PD)more than patients who do not have diabetes </li></ul><ul><li>High blood glucose increases bacterial growth, leading to PD </li></ul><ul><li>Immune system is compromised </li></ul><ul><li>Slower healing post PD treatment </li></ul>
  • 29. Age related oral changes -Dentures <ul><li>Dentures should be left out at least 3 hours a day or over night </li></ul><ul><li>Bone reduction from trauma of denture pressure </li></ul><ul><li>Common oral lesions from dentures </li></ul>
  • 30. Denture facts <ul><li>Proper fitting denture should never require adhesives </li></ul><ul><li>Dentures should be professionally cleaned frequently by ultrasonic procedure </li></ul><ul><li>Denture patients should see </li></ul><ul><li>a dentist once a year </li></ul>
  • 31. Age Related Oral Changes <ul><li>Decrease in Saliva – in health a person produces 3 liters of saliva a day as you age, your saliva production gradually decreases. </li></ul><ul><li>Saliva naturally self cleanses your mouth and helps remove bacteria </li></ul>
  • 32. Xerostomia <ul><li>Dry mouth due to lack of saliva </li></ul><ul><li>Can cause difficulties in tasting, chewing, swallowing &amp; speaking </li></ul><ul><li>Increases your chance of developing decay </li></ul><ul><li>Can be caused by certain medications </li></ul>
  • 33. Symptoms of Xerostomia <ul><li>Sticky dry feeling in oral cavity </li></ul><ul><li>Trouble chewing, swallowing and speaking </li></ul><ul><li>Burning feeling in mouth </li></ul><ul><li>Mouth sores </li></ul><ul><li>Sensitive teeth to temperature </li></ul>
  • 34. Causes of Xerostomia <ul><li>Side effects of medications (400 – HBP &amp; diabetes) </li></ul><ul><li>Diseases: Sjogrens Syndrome,HIV/AIDS &amp; diabetes </li></ul><ul><li>Radiation: Salivary glands can be damaged if exposed </li></ul><ul><li>Chemotherapy:Drugs used to treat cancer can make saliva thicker </li></ul>
  • 35. Treatment for Xerostomia <ul><li>Reduce all alcohol mouth rinses and replace with fluoride rinse (ACT) </li></ul><ul><li>Use saliva substitutes NOT candy! </li></ul><ul><li>Sip water frequently </li></ul><ul><li>Avoid caffeine </li></ul><ul><li>Chew sugarless gum </li></ul><ul><li>with Xylitol </li></ul>
  • 36. &nbsp;
  • 37. Dental Directions Welcomes requests for Annual Inservices <ul><li>Feel free to contact: </li></ul><ul><li>Tami Wanless </li></ul><ul><li>847-924-4084 </li></ul><ul><li>[email_address] for </li></ul><ul><li>Chicago land </li></ul><ul><li>&amp; Western Suburbs </li></ul>
  • 38. Dental Directions Contact Information <ul><li>Marilyn Craig, RDH </li></ul><ul><li>217-735-3308 </li></ul><ul><li>[email_address] </li></ul><ul><li>Downstate Regions </li></ul>
  • 39. Questions?

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