2011-2013 community dental report - oxford county health/dental/2011... · roughly one third of...

DENTAL REPORT2011-2013

Oxford County Dental Report | July 2013

2011-2013 Oral Health Programs

Healthy Smiles Ontario (HSO)

No Dental Insurance?No problem.

The Healthy Smiles Ontario (HSO) program, launched October 1, 2010 by the Government of Ontario, provides financial assistance to those in need to cover a full range of preventive services, including check-ups, xrays, cleanings, sealants, fluoride treatment, fillings, removals and root canals. As of June 2013, there are 218 clients enrolled in the HSO program.

HSO enrollment has increased throughout 2013. The increase enrollment is a result of various promotional activities that took place between September 2011 and June 2013 including a public awareness campaign geared towards residents who might qualify for the HSO program.

Roughly one third of Oxford County residents don’t have a dental plan. For some, it can be a struggle to pay for even basic dental care. Oxford County Public Health has services that can help.Community Dental Services offers programs for children and adults who don’t have dental insurance or a dentist.

Since opening in 2010, Community Dental Services has seen a significant increase in clinic visits and an overall understanding of what services are provided.

Community Dental Services has helped 2,348 families receive preventative dental treatment since 2010.

WHAT DOES IT COST TO HAVE YOUR TEETH CLEANED?

If you don’t have dental insurance or a dentist, there is:

• NO COST for children 17 and under

• NO COST to adults if family net income is less than $20,000

• A $35 charge for adults whose family net income is more than $20,000

Oxford County Dental Report | November 2013


2011-2013 Oral Health Programs

School dental screeningsGetting off to the best start

Children in Need of Treatment (CINOT)

Each year, Public Health dental hygienists visit 42 Oxford County schools and since the clinic’s opening, have screened 13,951 school children between kindergarten and grade eight every year for cavities or other oral health issues.

The CINOT program provides financial assistance to children aged 17 and under, to cover treatment for those requiring urgent dental care and whose families cannot pay for this type of care.

The CINOT program helped 943 children get the dental care they needed at an average cost of $555 per child.

Screening results2011-20128,085 students screened

2012-20135,866 students screened

Urgent tooth decay 6.51% 3.66%Non-urgent tooth decay 2.04% 4.21%Preventative services 4.17% 16.48%Children requiring treatment 12.72% 24.36%

GLOSSARY

Decay: Tooth decay, which is also called a dental cavity, is the breakdown of the tooth structure.

Urgent decay (known as CUC): Refers to a child who presents with decay and is dentally eligible for the CINOT program.

Non-urgent decay: Refers to a child who presents with decay and is not dentally eligible for the CINOT program.

Sealant: Pit and fissure sealants are plastic coatings placed on the deep grooves and pits of teeth to help prevent cavities.

Scaling:Professional cleaning, or scaling, involves the removal of tartar.

Fluoride: Topical fluoride is put on teeth to make them stronger and prevent decay.

(Left: CINOT poster from the Ministry of Health and Long-Term care)



2011-2013 Oral Health School Screening Report

Child care centre screenings

Tooth decay is the second most common cause of schoolabsenteeismandisfivetimesmorecommonthan asthma in children. - Ontario Dental Association

UNDERSTANDING ELIGIBILITY GUIDELINES

Students eligible for inclusion in the school screening program are identified based on the number of students found (previous year) with dental decay in the selected grades that are screened.

This information determines the screening intensity level of each school.

Research indicates that oral health status in grade 2 is a good reflection of overall oral health in the school population. At that point, students are 7 years old with a mixed dentition of both primary and permanent teeth.

Schools are classified as low, medium and high risk for dental caries (decay). When >9.5% of grade 2 students have 2 or more areas of decay, the risk level of the school is medium. The grades screened are JK, SK, 2,4,6, and 8.

Schools with a rate of decay >14% are considered high risk and students in all grades are offered the dental screening. Children who are identified with urgent dental problems are rescreened the following year to confirm that treatment has been done.

In 2012, the dental health team visited six Oxford County subsidy child care centres and screened 196 children in Woodstock, Beachville, Ingersoll and Tillsonburg.

The goal for 2014 is to reach another three child care centres to provide dental screening for children.

Child care centre screening results 2012/2013Urgent tooth decay 12Non-urgent tooth decay 2Habit-related (pacifiers, thumb sucking etc.) 5Brushing education (for parents) 17



2011-2013 Oral Health School Screening Report

Amish school visits

Oral Health program activities

It only takes 2 minutes, twice a day to help maintain a healthy mouth!

Public Health dental hygienists offer free dental screening to infants and preschoolers. Children are screened for cavities and signs of tooth decay, while parents were given education about healthy tooth development, tips on oral hygiene, injury prevention and the use of sippy cups, soothers etc. A topical fluoride varnish application was offered at no cost if needed. A take-home Baby Oral Health Kit was given to parents including a teething ring, baby toothbrush and dental health information booklet. 104 babies have had a baby oral health assessment.

Care for children

Oxford County Public Health offers oral health education to school-age children and youth and basic and emergency dental care to children in need, through support from the Government of Ontario.

Future goals

Improve oral health promotion and education among children in their early years.

Increase oral health community screenings.

Enhance oral health preventative service clinics.

To reduce surgical treatment in young children.

The dental staff visited all Oxford County Amish schools to provide dental screenings during the months of September/October, 2011 and is currently visiting schools in 2013. All students received a oral health screening by a Registered Dental Hygienist. All students also received a new toothbrush to take home. If a child was found to be in need of urgent treatment, the dental hygienist went to their home to discuss

treatment with the parents. The program was well received by parents and it was a good opportunity to build a positive relationship between Public Health and the Amish community. The dental team visited six schools where 22% of the children needed urgent dental care.



2011-2013 Community Dental Services Report

Community Dental Services Clinic

Summary statistics

Community Dental Services offers dental assessment, scaling, polishing, fluoride treatments, and other adjunctive services as indicated at the 93 Graham Street Community Dental Services clinic. The clinic staff also do infant and toddler screening as well as screenings for adult clients.

Since opening the clinic, Community Dental Services has seen over 2,000 patients for treatment or referrals.

Preventative services 2011-2012 2012-2013Scaling 986 1143Polishing 1062 1233Fluoride treatment 352 551Sealants 24 82

Since 2010, the Community Dental Services clinic has seen patients from ages 0-81 and older, for preventative services and referrals.In 2012, the clinic saw 546 new patients.

NEW FOR 2013/2014

Preventative services: Dental cleaning for children under 17 during summer months.

Promotion of Healthy Smiles Ontario program through advertising campaign.


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