OPEN WIDE

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(No Transcript)
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A Public Health Perspective on Oral Diseases
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Warning

• The following material contains
• disturbing pictures of the mouths
• of Ontario residents.
• Viewer discretion is advised.

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Private vs. Public
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How is Dentistry aPublic Health Issue?
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Other Professionals Expenditure by Source of
Finance and Type Canada, 2004 ( Billions)
Canadian Institute for Health Information,
National Expenditure Trends, 1975-2006
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Canadian Institute for Health Information,
National Expenditure Trends, 1975-2006
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Recent Research

• Sick Kids Study
• Academic Performance
• UK Study
• Inflammatory Responses

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CariesAn Infectious Disease

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How are the bacteria which cause dental decay
transmitted?
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1st Dental VisitIdeally by 1st Birthday
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Why are dental problems more likely to be seen in
socially deprived populations?
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• Biological
• Mothers dental health affects child
• Psychological
• Health beliefs
• Feeling that life is beyond control
• Depression and other factors
• Learned behaviours
• Environmental / lifestyle

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Dental Neglecta critical issue in the larger
child abuse/neglect spectrum
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Neglect of Childs Basic Physical Needs

• Extremely or Moderate Neglectful Conditions
  Personal Hygiene Examples
• Child emits strong mouth odour
• Teeth encrusted with green or brown matter

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Caregiver Response to Childs Physical Health

• A child is in need of protection when
• Inadequate caregiver response to the childs
  physical health care means the caregiver either
  deliberately does not provide or refuses to
  provide or is unavailable or unable to provide
  consent to required medical treatment to cure,
  prevent, or alleviate the childs . . . dental
  problem. An inadequate caregiver response would
  also include those caregivers who consent to the
  treatment but who do not follow through and take
  the actions necessary to provide the treatment.

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Detection and prevention of dental neglect are
essential components in the overall care and
protection of children.
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Review of Current Government Programs

• What is available for your client?
• How to get through the maze.

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In Your Practice

• Consider what you can do to make your practice
  more accessible.

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In Your Community

• Help to raise
• awareness that dental
• disease is still a real
• problem in Ontario.

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In Your Community

• Support projects
• that help to
• decrease poverty
• in Ontario.

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In Your Province

• Lobby the decision
• makers to support
• (and improve)
• programs that
• address dental
• needs in Ontario.

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Its not just OHI!

• Oral health promotion demands more than
  instruction to individuals. It requires changes
  in the physical or social environment in which
  families live, play and study.
• -R.G. Watt, S.S. Fuller in BDJ 1861999

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Everyone Deserves a Pain-Free Smile
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• Portions of this presentation were adapted from
• The State of Connecticut Department of Public
  Health (with permission)
• The work of Dr. B. Carol Janik, Acting Chief,
  Division of Dentistry, Childrens Hospital of
  Eastern Ontario (with Permission) .
• Various photos (used with permission) are from
• Crest www.dentalcare.com
• The Public Health Agency of Canada
• The following Ontario Public Health Agencies
  Brant, Halton, Middlesex-London, Oxford, York
  Region
• Material may not be altered without permission
  from the Ontario Association of Public Health
  Dentistry.