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Improving children’s oral health in populations at risk saskatchewan ministry of health

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November 3rd 2010

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Improving children’s oral health in populations at risk saskatchewan ministry of health

  1. 1. Saskatchewan Ministry of Health Improving Children’s Oral Health in Populations at Risk Saskatoon Oral Health Coalition November 3, 2010 POPULATION HEALTH BRANCH POPULATION HEALTH BRANCH
  2. 2. Building a Healthier Saskatchewan Sooner, Safer, Smarter: A Plan to Transform the Surgical Patient Experience 4 year plan is based on 5 objectives: POPULATION HEALTH BRANCH
  3. 3. Building a Healthier Saskatchewan Objectives: • Shorter waits for surgical care • A better experience for patients and families • Safe, high quality care • Support for good health • Patient centred providers. POPULATION HEALTH BRANCH
  4. 4. Building a Healthier Saskatchewan Support for Good Health • • • • Tobacco Strategy Healthy Weights Injury Prevention Oral Health Initiative for Populations at Risk. POPULATION HEALTH BRANCH
  5. 5. BUILDING A HEALTHIER SASKATCHEWAN • Oral health is increasingly recognized as an important component in overall health and wellbeing. • Yet Early Childhood Tooth Decay remains the #1 chronic childhood disease in Canada. POPULATION HEALTH BRANCH
  6. 6. BUILDING A HEALTHIER SASKATCHEWAN • Each year approximately 1,800 children under the age of five undergo dental surgery under general anaesthetic – more frequently than any other cause. • Hundreds more are placed on long waiting lists for as long as 12-18 months. • 43% of all paediatric surgeries under GA for children under 6, were dentally related POPULATION HEALTH BRANCH
  7. 7. Building a Healthier Saskatchewan • PHB focus will be on upstream interventions related to improving oral health through prevention and education. • Involves exploring opportunities for collaboration with various partners who share our interest in reducing dental decay in young children. POPULATION HEALTH BRANCH
  8. 8. Building a Healthier Saskatchewan • While great strides have been made in reducing the high prevalence of dental disease certain segments of the population are left behind – primarily people with low socioeconomic status, Aboriginal Populations, recent immigrants and vulnerable populations. POPULATION HEALTH BRANCH
  9. 9. Building a Healthier Saskatchewan Canadian Oral Health Strategy Guidelines for 2010 • By age 6, 50% of children have never experienced tooth decay and no more than 20% have unmet dental needs. • In Saskatchewan 41% have never experienced tooth decay and 27% have unmet dental needs. POPULATION HEALTH BRANCH
  10. 10. Building a Healthier Saskatchewan Goal: To reduce dental decay and contribute to the healthy development of at risk mothers, infants and preschool age children. POPULATION HEALTH BRANCH
  11. 11. Building a Healthier Saskatchewan • Project Charter completed • Consultations underway • Researching Best Practice Guidelines and resources from other provinces etc. POPULATION HEALTH BRANCH
  12. 12. Building a Healthier Saskatchewan Consultations and opportunities for collaboration planned with: • Health Canada – COHI Programs • Regional Health Authorities – Dental Health Educators and other public health staff • Dental community – dentists, dental therapists, dental hygienists, dental assistants. • NITHA, FNIH POPULATION HEALTH BRANCH
  13. 13. Building a Healthier Saskatchewan Focus will be on preventing dental disease through: • early screening and referral of disadvantaged moms and children. • Enhanced preventive services. POPULATION HEALTH BRANCH
  14. 14. Building a Healthier Saskatchewan POPULATION HEALTH BRANCH
  15. 15. POPULATION HEALTH BRANCH
  16. 16. Building a Healthier Saskatchewan Early Childhood Tooth Decay (ECTD) • Caused by a bacterial infection • About 27% of children by age 6 have unmet dental treatment needs in Saskatchewan • About 10-15% have ECTD; particularly prevalent in at risk populations. POPULATION HEALTH BRANCH
  17. 17. Why Are Children’s First Teeth So Important ? • • • • Eating Speaking Smiling Positioning of permanent teeth • Self-Esteem • Improved overall health POPULATION HEALTH BRANCH
  18. 18. Building a Healthier Saskatchewan • Major causes of ECTD – Poor oral hygiene habits – Putting your baby to bed with a bottle and staying on the bottle past age one – Drinking from a bottle or training cup all day – Snacking too often on sweet foods and drinks – Lack of access to dental care and prevention. POPULATION HEALTH BRANCH
  19. 19. Early Childhood Tooth Decay ECTD POPULATION HEALTH BRANCH 19
  20. 20. Building a Healthier Saskatchewan • Impact on health – – – – – – – Pain and infection Failure to thrive Poor nutrition Affects speech, ability to concentrate, sleep Self esteem and willingness to smile Spacing and alignment of permanent teeth Leads to poor oral health as an adult. POPULATION HEALTH BRANCH
  21. 21. Building a Healthier Saskatchewan • Extensive dental treatment on very young children can be challenging for dental practitioners. • Often treatment involves a trip to the hospital for general anaesthetic POPULATION HEALTH BRANCH
  22. 22. General Anaesthetics in Saskatchewan POPULATION HEALTH BRANCH 22
  23. 23. Building a Healthier Saskatchewan Treatment of Choice POPULATION HEALTH BRANCH
  24. 24. Building a Healthier Saskatchewan • The good news is ….. Tooth decay is preventable Working with parents and children at a young age can help create a lifetime of healthy teeth POPULATION HEALTH BRANCH
  25. 25. Building a Healthier Saskatchewan Preventive Services could include: • Screening & risk assessment (prenatal and ages 0-2) • Education and counselling • Fluoride Varnish treatments • Support related to access to care • Promotion of community water fluoridation POPULATION HEALTH BRANCH
  26. 26. Building a Healthier Saskatchewan Potential Resource Needs • • • • Fluoride varnish supplies Train the trainer resources Education resources Prevention & Promotion resource development POPULATION HEALTH BRANCH
  27. 27. Start brushing early …. POPULATION HEALTH BRANCH 27
  28. 28. Building a Healthier Saskatchewan “Lift the Lip” POPULATION HEALTH BRANCH
  29. 29. Brushing can be fun or a challenge! POPULATION HEALTH BRANCH 29
  30. 30. Fluoride Varnish Application POPULATION HEALTH BRANCH 30
  31. 31. Making Healthy Eating Choices Easier • Food choices are influenced by knowledge, tradition & social circumstances, availability and cost. POPULATION HEALTH BRANCH
  32. 32. Eating Nutritional Foods can be Fun! POPULATION HEALTH BRANCH 32
  33. 33. TEAMWORK Teamwork POPULATION HEALTH BRANCH
  34. 34. Developing Happy / Healthy Children POPULATION HEALTH BRANCH 34
  35. 35. Happy Children Make Happy Parents! POPULATION HEALTH BRANCH 35
  36. 36. The Balance of  Good Health Healthy Mouth Healthy Body POPULATION HEALTH BRANCH
  37. 37. Building a Healthier Saskatchewan One smile at a time. POPULATION HEALTH BRANCH
  38. 38. POPULATION HEALTH BRANCH 38
  39. 39. Building a Healthier Saskatchean Questions? POPULATION HEALTH BRANCH

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