Put More Bite Into Health Promotion

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Put More Bite Into Health Promotion

• Overview

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Bite is

• A joint effort between
• USACHPPM-USA DENCOM
• to revitalize health promotion in the
• Army Dental Care System

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Vision

• Put more dental into health promotion and put
  more health promotion into the dental care
  system.
• MG Patrick Sculley

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Partnerships

• USACHPPM- USA DENCOM
• MEDDAC-DENTAC
• TMC-DC

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Bite puts more DENTAL intohealth promotion
through patient-oriented initiatives for

• Sealants
• Mouthguards
• Lip and oral cancer
• Nursing bottle tooth decay

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Bite puts more HEALTH PROMOTION in the dental
care system through dental clinic-based, patient
oriented initiatives for

• Skin cancer
• Tobacco intervention
• Nutrition
• Blood pressure screening and referral
  AND

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Bite puts more HEALTH PROMOTION in the dental
care system through dental clinic-based, patient
oriented initiatives for

• Put Prevention Into Practice
• Bite
• is the dental component of
• PPIP

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Bite puts more HEALTH PROMOTION in the dental
care system through provider-oriented initiatives
for

• Ergonomics
• Stress management

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Guidelines Followed in Developing Bite

• Be mindful of provider curative workload
• Be mindful of need for provider buy-in
• Craft a well-focused, narrow, doable, politically
  acceptable agenda
• Make initiatives evidence based
• Literature Review Research

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• Rationale for
• Patient-oriented
• Health Promotion Initiatives

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Why Sealants

• High need in military populations
• Potential to greatly reduce future operative
  workload

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Why Sealants

• Guidelines changed to say all teeth at same
  degree of risk, age is no longer a factor
• C.G. Academy study - w/in 4 years, 1/3 of sound
  dentition decayed

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• Why
• Tobacco Intervention

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Tobacco Kills

• over
• 400,000
• people each year . . .

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Tobacco Kills

• more people than heroin, cocaine, alcohol, AIDS,
  fires, homicides, suicides and automobile
  accidents
• COMBINED

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Tobacco Kills

• the equivalent of TWO fully-packed jumbo jets
  colliding every day and leaving
• NO SURVIVORS

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Why Tobacco Intervention

• Active duty compared to recruits
• Limited to enlisted only with lt 5 years service
• Standardized for age, sex, and race
• Cross-sectional design no causation
• (TSOHS)

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Put More Bite Into Health Promotion

• Tobacco cessation advisement by dentists to their
  patients

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• American Dental Association
• has recommended tobacco
• education for patients
• since 1964

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Dental Utilization Years Since last Dental
Visit Active Duty Military vs. Civilian (whites
and blacks only)
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Tobacco Cessation Advisement
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Why Oral Cancer

• 30,000 cases in U.S. annually
• 8,000 deaths in U.S. annually
• 90 occur in individuals gt45 y.o.
• Risk factors
• Tobacco
• Sun Exposure
• Alcohol
• Diet

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Why Oral Cancer

• Tobacco alcohol account for 75 of all oral
  cancers
• Smokers 2-18x greater risk
• Heavy drinkers who smoke gt 1 pack cigarettes/day
  24x greater risk
• Military population has high exposure to oral
  cancer risk factors

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Why Skin Cancer

• 800,000 news cases annually
• Incidence of skin cancer has dramatically
  increased over past few decades
• Everybody is susceptible
• Military is high risk occupation for skin cancer

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Lifetime Risk of Malignant MelanomaRigel, et al.
J. Am. Acad. Derm. 17(6)1050-1053, 1987
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Why Mouthguards

• Military population is highly athletic
• Am. Academy for Sports Dentistry recommends MGs
  for 40 sports
• During any sports season, athletes have a 10
  chance of sustaining an injury to the face or
  mouth

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Why Mouthguards

• High School Football Injuries to mouth and face
• 50 prior to 1962
• 1.4 today
• Impact of official game rules mandating use of
  mouthguards

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• Your Role in
• Bite

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Medical-Dental

• PARTNER ! ! !
• Partner
• Partner
• Partner
• Partner
• Partner
• Partner
• Partner

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ADCS Vision

• The Armys dental care system of choice, focused
  on readiness,
• health promotion
• and exceeding our customers expectations.

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Medical-Dental Partnerships

• Who is your
• Dental
• Point of Contact ?

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Dental POC

• DENTAC Headquarters
• Dental Fitness Officer
• Community Health Dental Hygienist
• Clinical Dentist

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Disseminate patient Fact Sheets on dental health
promotion topics

• Sealant / Mouthguards (Adult)
• Whats Your Dental IQ?
• Sealant (Children) / Nursing Bottle Tooth
  Decay

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Disseminate patient Fact Sheets on dental health
promotion topics

• Skin Cancer
• How Sun-Smart Are You?
• Minimize Your Skin Cancer Risk / Selecting a
  Sunscreen
• Lip Cancer / Oral Cancer

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Partner your services with DENTACs

• Nutrition counseling
• Smoking cessation counseling
• Dermatology
• Health fairs
• Wellness /or Fitness Centers

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• Tell your clients about Bite
• Refer clients who could benefit from Bite
  services

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How to implement your role in Bite

• Fact Sheets
• Camera Ready Art (CRA)
• Color coding
• Establish partnerships with your local dental
  units

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Points of Contact

• Pamila T. Richter, USA DENCOM DSN 471-8241
• MAJ Mark Piotrowski, USACHPPM DSN 584-7390

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• Questions ?