Overview: Pediatric Oral Health

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Overview Pediatric Oral Health

• Burton L. Edelstein DDS MPH Childrens Dental
  Health Project

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Claim

• Parents Report
• More Unmet Dental Need
• than Any Other
• Health Care Need
• for their Children

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Problem Statement

• Oral Concerns Are
• Prevalent
• Significant
• Consequential
• Oral Health Is Sentinel to MCH

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NHIS
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NHIS

• Dental Unmet Need is 1
• 3.3 Times gt Medical
• 4.4 Times gt Eyeglass
• 4.8 Times gt Rx

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NHIS

• One-in-18 Children With Dental Need
• Substantiation
• Urban Institute, Survey of Americas Families
• one-in-13 Children

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NHIS - CSHCN Unmet Need

• Insured
• Medical 2.2
• Dental 6.2
• Mental 0.9
• Eye, RX 3.1

• Uninsured
• 10.5
• 23.9
• 3.4
• 12.3

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NHANES III

• Tooth Decay Most Prevalent Chronic Disease of
  Children
• 5 Times More Common than Asthma

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NHANES - HP 2000
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Oral Health Issues

• Caries
• Most Common Chronic Disease
• Cleft Lip/Palate
• 4th Leading Birth Defect
• Trauma Abuse
• 75 Involve Face, Head, Neck

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Oral Health Issues

• Tobacco
• Smoking
• Smokeless
• Dental Arch - Facial G D
• Orthodontics
• Compromising Malocclusions

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Dental is Sentinel

• Unmet Need
• Coverage
• Enrollment
• Access
• Disparities
• Safety Net

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Dental CSHCN

• Workforce Capacity
• Coverage
• Rampant Dental Disease
• Lack of Priority
• Compromised Medical Care

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Dental Families

• Biology
• Caries is Infectious Transmissible -- from
  Mothers!
• Behavior
• Dental Pain Changes Childrens Behavior
  Performance

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MCH Pyramid

• Infrastructure
• Population Based Services
• Dental
• Enabling Services
• Direct Health Care

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Federal Activities

• Healthy People 2000/2010
• Goal Statement
• Surgeon Generals Activities
• Report, Oral Health in America
• Workshop/Conference
• Departmental Initiatives

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DHHS

• HRSA-HCFA Oral Health Initiative
• MCHB - HS - WIC Project
• NIH - HRSA Disparity Grants
• HCFA-HRSA Medicaid Grants
• Secretarys Initiative

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AMCHP Publication

• Putting Teeth in Childrens Oral Health Policy
  Programs
• the State of Childrens Oral Health Role of
  State Title V Programs
• AMCHP December 1999

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