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A History of. Dental Public Health in North Carolina
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A History of. Dental Public Health in North Carolina

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  • 1. A History of Dental Public Health in North Carolina Jean Spratt, DDS, MPH John Pendill, DDS July 16, 2008 2008 NC Statewide Dental Public Health Conference
  • 2. Early 1800s
    • Anyone could
    • provide dental
    • care
    • Dentistry
    • a “trade”
  • 3. Early 1800s
    • Period of
    • the traveling dentist
    • Dentistry working to become a profession
  • 4. 1820 - 1845
    • 1839 - Dr. Chapin A. Harris founded the first dental school, Baltimore College of Dental Surgery
    • 1842 - Dr. W. R. Scott, first graduate of a dental school to practice in North Carolina
  • 5. 1856
    • The North
    • Carolina
    • Dental
    • Society
    • organized
  • 6. 1877
    • North Carolina Board of Health established
    • 50 county boards of health established by 1879
  • 7. 1879
    • North Carolina State Legislature passed:
    • “An Act to Regulate the Practice of Dentistry and to Protect the People Against Quackery in Relation Thereto in the State of North Carolina, and Providing Penalties for the Violation of the Same”
  • 8. 1896
    • Dr. J. M. Parker
    • recommended
    • appointing dentists
    • to examine the
    • mouths of all
    • North Carolina
    • school children
  • 9. 1910
    • Dr. J. C. Watkins recommended a permanent committee on oral health
    • to educate all people in North Carolina
    • Oral Hygiene Committee
    • established
  • 10. 1912
    • Oral Hygiene Committee educating students in Gastonia
    • Dentists examine elementary students in Wilmington
    • Raleigh Women’s Club endorses dental inspections in the schools
    • Dr. R. M. Squires of Wake Forest recognizes value of education
  • 11. 1912
    • “And we dentists…may yet find our greatest calling by acting in the humble role of teacher for our patients, our friends, and our neighbors who are in such dire need of our instruction”
    • Dr. R. M Squires
  • 12. 1914
    • 17 NC schools providing “at least some” dental education
    • Some of these schools providing dental care for underprivileged children
  • 13. 1918
    • Dr. George M. Cooper presents “Preventive Dentistry” for NC Dental Society
    • Society endorses dental prevention program in the schools
  • 14. 1918
    • Six dentists hired by Dr. Cooper
    • to begin providing a
    • coordinated dental care
    • program
    • North Carolina first state board to have a dental program
    NASH COUNTY
  • 15. 1919
    • Dr. E. J. Tucker first dentist on the North Carolina State Board of Health
  • 16. 1921
    • Dr. J. C. Johnson appointed Supervisor of Oral Hygiene to oversee the dental program:
      • Relief of pain and suffering
      • Education
  • 17. 1929
    • Dr. Ernest Branch succeeded Dr. Johnson as the Supervisor of Oral Hygiene
      • Believed in education
      • Worked for local:
        • Interest
        • Participation
        • Financial Support
  • 18. 1931
    • Dr. Branch
    • appointed
    • Director of
    • the new
    • North Carolina
    • Division of Oral
    • Health
  • 19. 1931
      • 4 full-time
      • and 12
      • part-time
      • dentists
      • Each spent
      • 3 months in
      • a county
  • 20. 1934
    • Volunteer dentists did Mouth Health Survey
      • 54.3% children had never
      • had dental treatment
      • 85% of these same
      • children needed dental
      • care
  • 21. 1935
    • “ Little Jack” puppet show hits the road across NC
    • “ The Goodest Story”
  • 22. 1935
  • 23. 1936
    • Institute of Public
    • Health Dentistry
    • established in
    • Chapel Hill to train
    • dentists working
    • in public health
  • 24. 1949
    • Charlotte becomes first city in North Carolina to fluoridate its water
  • 25. 1950
    • UNC School of
    • Dentistry established
    • in Chapel Hill
  • 26. 1959
    • Dr. Ernest A. Pearson, Jr.
    • succeeded Dr. Branch as
    • North Carolina State
    • Dental Director
  • 27.  
  • 28. 1960-1963
    • Drs. John T. Fulton and
    • John T. Hughes – organized
    • first comprehensive dental
    • survey in the nation:
    • Natural History of Dental Diseases
    • First trained Health Educator,
    • Becky Bowden, was hired
  • 29. 1969
    • The North Carolina Citizens Committee for Dental Health was established to help expand community water fluoridation
    • Fluoridators placed
    • in rural schools
  • 30. 1971
    • Role played by plaque in
    • dental disease identified
    • Task Force for Community Preventive Dental Health established by the North Carolina Dental Society
  • 31. 1972
    • Division of Oral Health hired first four dental hygienists to teach preventive dental health in the counties
    • First fluoride
    • mouthrinse
    • program started
    • in Robeson County
  • 32. 1973
    • 10 year plan
      • 25% reduction in dental caries in the population 20 years of age and under
      • 40% reduction in dental caries in the population 10 years of age and under
      • 15% reduction in periodontal disease in the population 20 years of age and under
  • 33. 1974
    • Teachers Guide to a
    • Preventive Dental Health
    • Program in NC distributed
    • Dental Public Health
    • providing teacher
    • workshops across the
    • state
  • 34. 1976
    • Kellogg Foundation funded the 2 nd statewide comprehensive dental survey in NC
  • 35. 1979
    • Dr. George Dudney
    • succeeded Dr. Pearson
    • as Chief of the North
    • Carolina Dental Health
    • Section
  • 36. 1980
    • The Framework for
    • Dental Education
    • Published and
    • Distributed
  • 37. 1985
    • Kate B. Reynolds Healthcare Trust funded the 3 rd statewide dental survey in NC
  • 38. 1989
    • Dr. C. Jean Spratt
    • succeeded Dr.
    • Dudney as Chief of
    • the North Carolina
    • Dental Health
    • Section
  • 39. 1990
    • Stopped providing surgical/restorative clinical services to become 100% preventive program
  • 40. 1992
    • Developed a series of traveling dental health education exhibits
  • 41. 1994
    • Five Part sealant initiative
      • School based sealant projects
      • Sealant Exhibits
      • Media Campaign
      • Public-Private sealant projects
      • “ Ask Us About Sealants” campaign
    • Discontinue school water fluoridators
  • 42. 1995
    • Standardized assessment technique developed
  • 43. 1996
    • Dr. Steven J. Cline
    • succeeded Dr. Spratt
    • as Chief of the
    • North Carolina
    • Dental Health Section
  • 44. 1998
    • Dental Public Health 80 th Anniversary: “Seal the State in ’98”
      • A statewide sealant initiative
      • Community based sealant projects conducted in every county in North Carolina
  • 45. 1999
    • “Smart Smiles” became
    • “Into the Mouths of Babes”
      • Pediatricians:
        • Screen for dental disease
        • Apply fluoride varnish
        • Educate parents about dental disease
  • 46. 2000
    • Dr. Rick G. Mumford
    • succeeded Dr. Cline
    • as Chief of the North
    • Carolina Dental
    • Health Section
  • 47. 2002
    • Discontinue the fluoride mouthrinse program in the schools
    • Focus on sealants and community water fluoridation
  • 48. 2003
    • The Centers for Disease Control & Prevention funded the 4 th statewide dental survey in NC
  • 49. 2005
    • Dr. Rebecca S. King
    • succeeded Dr. Mumford
    • as Chief of the North
    • Carolina Oral Health
    • Section
  • 50. 2005
    • “Into the Mouths of Babes” became a part of the North Carolina Oral Health Section program
  • 51. 2006
    • Developed Early Head
    • Start Oral Health
    • Curriculum
    • Reestablish fluoride
    • mouthrinse program
    • in the schools
  • 52. 2007
    • Carolina Dental Home
    • Effort to develop a more
    • comprehensive system of
    • dental care for very young
    • children at high risk for
    • dental disease
    • Grant funded by Health Resources and Services Administration
  • 53. 2008
    • PORRT
    • P riority O ral R isk
    • A ssessment and
    • R eferral T ool
    • Goal is to develop a risk assessment tool to
    • assist medical providers with dental referrals.
  • 54. Summary
    • Developed to help meet the need for dental care
    • Began as a surgical, restorative treatment program
    • Progress followed and adjustments made as a result of scientific investigations
    • Over time became 100% prevention program
  • 55. Trends in Dental Caries (DMFT) in 12-17-Year-Old Children
  • 56. F
  • 57.  
  • 58.  
  • 59.  
  • 60.  
  • 61.  
  • 62.  
  • 63. 1912
    • “There is nothing that moves the heart and at the same time excites righteous indignation so much as the patient suffering of a child under the agonizing pains of toothache while the ignorant parent carelessly says, ‘It is only a toothache’.”
    • Dr. R. M. Squires
  • 64. 1912
    • “…the reason for this unhappy plight, neglect; and the reason for neglect; ignorance. …ignorance could be remedied only through faithful and earnest ministrations of teaching.”
    • Dr. R. M. Squires
  • 65. 1827
    • Dr. John Harris, M.D. offered training to those entering medical college
  • 66. 1918
    • Dr. George M. Cooper, M.D. – Director of Medical Inspections of Schools of the State Board of Health
    • North Carolina first state board to include dentistry
    • Six dentists hired to begin providing a coordinated dental care program
  • 67. 1975
    • North Carolina General
    • Assembly approved monies
    • to hire more staff to work
    • in the field
    • Continued to develop
    • teacher training materials
  • 68. 1950
    • UNC School of
    • Dentistry established
    • in Chapel Hill
    • Matching federal grant monies used to hire more dentists for the Division of Oral Health
  • 69. 1977
    • North Carolina General Assembly approved monies to hire more staff to work in the field
  • 70. 1986
    • North Carolina General Assembly approved monies to hire more staff to work in the field
  • 71.  
  • 72. 1912
    • Dentists educating about need for
    • healthy mouth
    • Press not interested
    • Many schools not interested
    • Public skeptical
  • 73. 1936
    • Institute of Public
    • Health Dentistry
    • established in
    • Chapel Hill to train
    • dentists working
    • in public health