Oral Health in America: A Report of the Surgeon General

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  • In Report: Fig. 4.14
  • Will be used as handout [hidden for presentation]
  • Oral Health in America: A Report of the Surgeon General

    1. 1. Oral Health in America: A Report of the Surgeon General
    2. 2. THE CHARGE <ul><li>Define , describe , and evaluate the interaction between oral health and general health and well being, through the life span in the context of changes in society </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    3. 3. REPORT ORGANIZATION <ul><li>What is oral health? </li></ul><ul><li>What is the status of oral health in America? </li></ul><ul><li>What is the relationship between oral health and general health and well-being? </li></ul><ul><li>How is oral health promoted and maintained and how are oral diseases prevented? </li></ul><ul><li>What are the needs and opportunities to enhance oral health? </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    4. 4. <ul><li>More than 51 million school hours are lost each year to dental-related illness. Poor children suffer nearly 12 times more restricted-activity days than children from higher-income families </li></ul>Children  Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    5. 5. <ul><li>For each child without medical insurance, there are at least 2.6 children without dental insurance </li></ul> <ul><li>Uninsured children are 2.5 times less likely than insured children to receive dental care </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    6. 6. <ul><li>Cleft lip/palate, one of the most common birth defects, is estimated to affect 1 out of 600 live births for whites and 1 out of 1,850 live births for African Americans </li></ul> Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    7. 7. <ul><li>Dental caries (tooth decay) is the single most common chronic childhood disease--5 times more common than asthma and 7 times more common than hay fever </li></ul><ul><li>Poor children suffer twice as much dental caries as their more affluent peers, and their disease is more likely to be untreated </li></ul> Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    8. 8. <ul><li>Over 50 percent of 5- to 9-year-old children have at least one cavity or filling, and that proportion increases to 78 percent among 17-year-olds </li></ul><ul><li>Tobacco-related oral lesions are prevalent in adolescents who currently use smokeless (spit) tobacco </li></ul><ul><li>Unintentional and intentional injuries commonly affect craniofacial tissues </li></ul> Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    9. 9. Adults & Older Adults  <ul><li>For every adult 19 years or older without medical insurance, there are three without dental insurance </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    10. 10. <ul><li>Severe periodontal disease (measured as 6 millimeters of periodontal attachment loss) affects about 14 percent of adults aged 45 to 54 </li></ul><ul><li>Twenty-three percent of 65- to 74-year-olds have severe periodontal disease </li></ul><ul><li>About 30 percent of adults 65 years and older are edentulous, compared to 46 percent 20 years ago </li></ul> Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    11. 11. <ul><li>Oral and pharyngeal cancers are diagnosed in about 30,000 Americans annually; 8,000 die from these diseases each year </li></ul>Oral and Pharyngeal Cancer Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    12. 12. Males have higher incidence rates of oral and pharyngeal cancers than females Black White Asian & Pacific Islander American Indian & Alaskan native Hispanic* Note: Age adjusted to the 1970 U.S. standard *Data unavailable for Hispanic females Source: Adapted from Wingo et al., 1999; SEER Program, 1990-96, Ries et al 1999 Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    13. 13. REPORT ORGANIZATION <ul><li>What is oral health? </li></ul><ul><li>What is the status of oral health in America? </li></ul><ul><li>What is the relationship between oral health and general health and well-being? </li></ul><ul><li>How is oral health promoted and maintained and how are oral diseases prevented? </li></ul><ul><li>What are the needs and opportunities to enhance oral health? </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    14. 14. THEMES <ul><li>Oral health includes healthy teeth, but means much more </li></ul><ul><li>You cannot be healthy without oral health </li></ul><ul><li>Safe and effective disease prevention measures exist that everyone can adopt to improve oral health and prevent disease </li></ul><ul><li>Risk factors common to many diseases and conditions, such as tobacco and alcohol use and poor dietary practices, also affect craniofacial health </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    15. 15. MAJOR MESSAGES <ul><li>Oral health is essential to the general health and well-being of all Americans and can be achieved </li></ul><ul><li>However, not all Americans are able to take that message to heart </li></ul><ul><li>In spite of safe and effective means of maintaining oral health many experience needless pain and suffering, devastating complications, and financial and social costs that significantly diminish the quality of life </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    16. 16. <ul><li>Actions at all levels of society, from individuals and neighborhoods to the nation as a whole, are required to maintain the health and well-being of Americans already enjoying good oral health and to address the gaps in oral health status of others </li></ul><ul><li>A coordinated effort can overcome the educational, environmental, social, health systems, and financial barriers that have created vulnerable populations whose oral health is at risk </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    17. 17. 8 MAJOR FINDINGS <ul><li>Oral diseases and disorders in and of themselves affect health and well-being throughout life </li></ul><ul><ul><li>Range from birth defects to chronic disabling conditions and cancer </li></ul></ul><ul><ul><li>Interfere with vital functions </li></ul></ul><ul><ul><li>Cause other health problems </li></ul></ul><ul><ul><li>Undermine social interaction, self-esteem </li></ul></ul><ul><ul><li>Incur fiscal and social costs </li></ul></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    18. 18. <ul><li>The mouth reflects general health and well-being </li></ul><ul><ul><li>Diagnostic role </li></ul></ul><ul><ul><li>Portal, as well as a barrier, for infections </li></ul></ul><ul><ul><li>Saliva, buccal cells and other oral components have additional diagnostic potential </li></ul></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    19. 19. <ul><li>Oral diseases and conditions are associated with other health problems </li></ul><ul><ul><ul><ul><li>Diabetes </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Heart disease </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Adverse pregnancy outcomes </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Respiratory infections </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Osteoporosis </li></ul></ul></ul></ul><ul><ul><ul><ul><li>HIV infection </li></ul></ul></ul></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    20. 20. <ul><li>Lifestyle behaviors that affect general health, such as tobacco use, excessive alcohol use and poor dietary choices, affect oral and craniofacial health as well </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    21. 21. <ul><li>There are safe and effective measures to prevent the most common dental diseases—dental caries and periodontal diseases </li></ul><ul><ul><li>Community water fluoridation </li></ul></ul><ul><ul><li>Other fluoride measures and dental sealants </li></ul></ul><ul><ul><li>Personal oral hygiene and use of a fluoride dentifrice </li></ul></ul><ul><ul><li>Cessation/prevention of tobacco use </li></ul></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    22. 22. <ul><li>There are profound and consequential oral health disparities within the American population </li></ul><ul><ul><li>Disparities relate to income, age, gender, race/ethnicity </li></ul></ul><ul><ul><li>Disparities due to lack of information or access to preventive measures </li></ul></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    23. 23. <ul><li>More information is needed to improve America’s oral health and eliminate disparities </li></ul><ul><li>Scientific research is key to further reduction in the burden of disease and disorders that affect the face, mouth and teeth </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    24. 24. A FRAMEWORK FOR ACTION <ul><li>To eliminate health disparities and improve quality of life for all Americans, the report calls for the development of a National Oral Health Plan , that includes collaborations among individuals, health care providers, communities, and policy-makers </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    25. 25. PLAN COMPONENTS <ul><li>Change perceptions regarding oral health and disease so that oral health becomes an accepted/understood component of general health </li></ul><ul><li>Remove known barriers that stand between people and oral health services </li></ul><ul><li>Use public-private partnerships to improve the oral health of those who suffer disproportionately </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    26. 26. <ul><li>Accelerate building the science and evidence base and apply science effectively to improve oral health </li></ul><ul><li>Build effective health infrastructure that meets the oral health needs of all Americans and integrates oral health effectively into overall health </li></ul>Oral Health in America: A Report of the Surgeon General ~ DHHS 2000
    27. 27. SGROH website www.nidcr.nih.gov/sgr/oralhealth.htm
    28. 28. ACTIONS ARE BEING TAKEN BY: <ul><li>American Dental Education Association </li></ul><ul><li>Oral Health America </li></ul><ul><li>American Association of Women Dentists </li></ul><ul><li>American Dental Trade Association </li></ul><ul><li>National Governor's Association </li></ul><ul><li>Dental Manufacturers of America </li></ul><ul><li>Advocacy and community groups </li></ul><ul><li>American Academy of General Dentistry </li></ul><ul><li>Proctor and Gamble </li></ul>
    29. 29. … and… <ul><li>Partnership for Prevention </li></ul><ul><li>Colgate Palmolive </li></ul><ul><li>Grantmakers in Health </li></ul><ul><li>America College of Dentists </li></ul><ul><li>Friends of the Surgeon General’s Report on Oral Health </li></ul><ul><li>National Association of Dental Plans </li></ul><ul><li>National Dental Association </li></ul><ul><li>Hispanic Dental Association </li></ul><ul><li>And Several States </li></ul>
    30. 30. NATIONAL PLAN FOR ORAL HEALTH
    31. 31. GOALS STRATEGIES TARGETS PLAYERS NATIONAL ACTION PLAN FOR ORAL HEALTH
    32. 32. GOALS <ul><li>Eliminate Oral Health Disparities </li></ul><ul><li>Increase Quality of Life </li></ul>
    33. 33. TARGETS <ul><ul><ul><ul><li>NATIONAL </li></ul></ul></ul></ul><ul><ul><ul><ul><li>STATE </li></ul></ul></ul></ul><ul><ul><ul><ul><li>LOCAL </li></ul></ul></ul></ul>
    34. 34. PLAYERS <ul><li>Federal agencies </li></ul><ul><li>State organizations </li></ul><ul><li>Grant makers </li></ul><ul><li>Business </li></ul><ul><li>Professions </li></ul><ul><li>Academics </li></ul><ul><li>Researchers </li></ul><ul><li>Public </li></ul>
    35. 35. STRATEGIES <ul><li>Change perceptions of oral health </li></ul><ul><li>Remove known barriers that stand between people and oral health services </li></ul><ul><li>Use public-private partnerships to improve the oral health of those who suffer disproportionately from oral diseases </li></ul><ul><li>Accelerate building and application of science </li></ul><ul><li>Build effective health infrastructure </li></ul>
    36. 36. <ul><li>Change perceptions of oral health regarding oral health and disease so that oral health becomes an accepted and understood component of general health </li></ul><ul><ul><ul><li>Change public perceptions </li></ul></ul></ul><ul><ul><ul><li>Change policy-makers’ perceptions </li></ul></ul></ul><ul><ul><ul><li>Change health providers’ perceptions </li></ul></ul></ul>
    37. 37. <ul><li>Remove known barriers that stand between people and oral health services </li></ul><ul><ul><ul><li>Increase insurance coverage </li></ul></ul></ul><ul><ul><ul><li>Increase reimbursement for services </li></ul></ul></ul><ul><ul><ul><li>Prepare workforce to address needs of individuals with disabilities </li></ul></ul></ul><ul><ul><ul><li>Enhance knowledge, attitudes and behaviors of the public towards oral health </li></ul></ul></ul><ul><ul><ul><li>Assess distribution and supply of providers </li></ul></ul></ul>
    38. 38. <ul><li>Use public-private partnerships to improve the oral health of those who suffer disproportionately from oral diseases </li></ul><ul><ul><ul><li>Promote trans-, multi-, inter-disciplinary efforts </li></ul></ul></ul><ul><ul><ul><li>Build alliances to address common risk factors </li></ul></ul></ul><ul><ul><ul><li>Take advantage of existing initiatives </li></ul></ul></ul>
    39. 39. <ul><li>Accelerate building the science and evidence base and apply science effectively to improve oral health </li></ul><ul><ul><ul><li>Support clinical trials, health services research, demonstration programs, etc. </li></ul></ul></ul><ul><ul><ul><li>Develop risk assessment and management approaches, diagnostic measures, etc. </li></ul></ul></ul><ul><ul><ul><li>Promote adoption of research findings into practice </li></ul></ul></ul>
    40. 40. <ul><li>Build an effective health infrastructure that meets the oral health needs of all Americans and integrates oral health effectively into overall health </li></ul><ul><ul><ul><li>Focus on public health infrastructure </li></ul></ul></ul><ul><ul><ul><li>Increase diversity of workforce </li></ul></ul></ul><ul><ul><ul><li>Recruit and retain faculty and researchers </li></ul></ul></ul>
    41. 41. Broad-based Public/Private Partnership <ul><li>National Oral Health Plan – Creating a Shared Vision </li></ul>
    42. 42. A National Oral Health Plan Can Be Developed <ul><li>What can you do? </li></ul><ul><li>What can your organization(s) do? </li></ul>
    43. 43. USE THE MOMENTUM AND SEIZE THE MOMENT

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