Risk increases with the number of medications taken.
Nederfors, et. al, 1997
Dry Mouth – Side Effects & Photos 11. Root Decay 12. Cracks on Corners of Lips 13. Dry, Painful Tongue 14. Possible Fungal Infection Tongue
Dry Mouth Prevention and Remedies
Saliva substitutes (Biotene, Orajel, etc…)
Increase water intake
Avoid alcohol (including in mouthwash), tobacco, sugary drinks
Plant-derived sugar alcohol.
Sugar alcohols - reduce tooth decay interferes with the production of acids.
Xylitol the most effective sugar alcohol at reducing tooth decay.
Washington Dental Service Foundation
Non-Profit Corporate Foundation
Mission: to eliminate oral disease for all
All people should have an equal opportunity to be healthy.
We strive to end racial, ethnic and income disparities as barriers to oral health.
We make a positive impact on people’s lives by influencing environments that affect oral health over the long-term.
We are creative, innovative, adaptive and take calculated risks.
We are outcomes-driven.
We value teamwork, integrity, trust, diversity and shared purpose in our work internally and externally.
Public values the importance of oral health; understands the mechanics and link to overall health; demands services and is motivated to conduct good oral health behaviors and nutrition habits
Policy/decision-makers buy-in to the importance of oral health and establish policies that support:
Prevention of oral disease
Access to services
Good oral health behaviors
Financial system provides incentives for and eliminates barriers to serving the underserved; all patients have coverage for care. Biology People routinely assess and manage their risk for oral disease based on their individual biology Physical Environment The physical environment promotes good oral health: WA residents drink fluoridated water, healthy snacks are available in schools and work places Social Environment Social norms define behaviors and policies that promote oral health as an essential element of overall health as the accepted and expected standard Eliminating oral disease in order to improve overall health Adequate pool of providers , which contains the appropriate balance of disciplines (including medical professionals) , offers oral health services efficiently in easily–accessible and geographically distributed settings. Community systems and services facilitate access to care for everyone in their local community Personal Behavior People regularly and effectively practice oral self-care and avoid practices that increase their risk for oral disease Science-based best practices for prevention and treatment are understood and implemented by health professionals . Science continually advances in the understanding of the biology of oral disease . Culturally competent and diverse workforce increases the comfort and quality of care for all populations and participates in efforts to improve oral health at the community level Determinants of Oral Health Access to Quality Healthcare People access oral health care including preventive and restorative services Conditions for Success WDSF Mission The Theory of Change for Eliminating Oral Disease
WDSF Role Identify and drive strategic changes in systems to improve oral health
Seniors’ Dental Access Pilot Project
Seniors Dental Access Pilot
Goal: Improve oral and overall health of seniors through increased access to preventive and restorative dental care in medical and dental settings.
Medicaid-insured adults age 55 and up
3-Year Pilot project
July 09 – June 2010: systems, training, provider recruitment
July 2010 – June 2012: Medicaid payments
Pilot Sites Clark County- Clark County Health Department Southeast Region- Southeast WA Aging and LTC Whatcom Snohomish Okanogan Chelan Douglas Franklin Benton Yakima Lewis Thurston Island Mason Spokane Whitman Columbia Garfield King Skagit Stevens Klickitat Skamania Cowlitz Wahkiakum Kittitas Grant Pierce Clark Ferry Pend Oreille Lincoln Adams Walla Walla Asotin Clallam Jefferson Grays Harbor Pacific San Juan Kitsap
Partners WASHINGTON SENIOR CITIZENS’ LOBBY ELDERCARE ALLIANCE University of Washington School of Dentistry
How it will work
Based on Access to Baby and Child Dentistry model
Links with other chronic disease management programs
WDSF funds local coordinating agencies to conduct patient outreach and provider recruitment
UW School of Dentistry offers training events for dental and medical providers
Medicaid provides enhanced rates to dentists and payments to physicians for oral health services
Track utilization rates and study improvements in health for patients with diabetes
Dental utilization rates - are more seniors accessing care in dental setting?
Preventive oral health services - does improved network lead to more preventive screening and services in medical and dental settings?
Attracting participating providers - are more dental and medical providers serving Medicaid-insured seniors?
Medical and dental costs – will increased dental care for this population that is at risk for chronic diseases reduce medical costs associated with those diseases?
Curriculum developed in 2004,pilot-tested by PRN, certified by DSHS to qualify for 10 hour c.e. rolled-out to caregiver training agencies
Goal is to engage caregivers in oral health and teach skills for improving oral health of clients/family members