an overview of oral health in north dakota presented by: kathleen mangskau, rdh, mpa
TRANSCRIPT
An Overview of Oral Healthin North Dakota
Presented by:Kathleen Mangskau, RDH, MPA
Oral Health Surveillance
Data SourceBRFSSYRBSEarly Childhood
CariesStatewide Epi
SurveysProvider
Distribution
Number of Indicators451
43
Oral Health Surveillance (cont.)
Data SourceVital Records
(congenital anomalies)Medicaid DataFluoridation DataNew Mothers’
Survey
Number of Indicators1
213
Total 24
Prevention
96% of ND population on public water supplies has access to fluoridated water
5,262 children in 76 schools in fluoride deficient areas participate in fluoride mouthrinse/tablet programs
44% of 8-year olds have dental sealants5,000 children annually receive oral
health education in the classroom
Percentage of Residentswith Fluoridated Water
7562
96
0
20
40
60
80
100
HP 2000Goal
US Average NorthDakota
Per
cent
Percentage of Childrenwith Dental Sealants
50 4423
0
20
40
60
80
100
HP 2000
Goal
US
Average
North
Dakota
Perc
ent
Oral Health Status
51% of 6-8 yr.-olds have tooth decay70% of 14 yr.-olds have tooth decay10% of young children suffer from
baby bottle tooth decay
Source: 1993-94 ND Oral Health Survey 1995 Head Start Survey
Treatment Need
25% of 6-8 yr olds have untreated decay22% of 14 yr olds have untreated decay
Source: 1993-94 ND Oral Health Survey
Disparities
Percent of Children
with Untreated Caries
24
47
0
20
40
60
80
100
White Native
American
Per
cent
Disparities
Baby Bottle Tooth Decay RateWhite - 10%Native American - 29%
Dental Caries is Common
Dental caries (tooth decay) is the most common chronic disease of childhood. It occurs 5-8 times as frequently as asthma. Caries is a preventable disease.
More than 80 percent of tooth decay is found in 25 percent of the child population.
Access Programs for Children
MedicaidCHIPCaring for Children Program
Access Programs for Adults
MedicaidVA Dental Benefits Program
Access Problems
Medicaid clientsSpecial populationsLow-income adultsElderly
State Initiatives to Improve Dental Access
Increase in Medicaid feesStreamlined Medicaid claims
processingProject Will Show
Local Initiatives to Improve Dental Access
Red River Region Dental Access Project Community Strategic Planning Expansion of CHC Expansion of Apple Tree Dental services
Delivery System
Number of private practice dentists in the state is slowly declining
Dental safety net is inadequate 1 CHC in Fargo only 3 local health agencies employ
dental staff No clinical dental services provided in
local public health agencies12 Counties designated dental HPSAs
GoldenValley
Dunn
Ward
Cass
McLean
Grant
McKenzie
Morton
Williams
Stark
Stutsman
Wells
Slope
Kidder Barnes
McHenry
Walsh
Mountrail
Divide
Sioux
Burleigh
Burke Cavalier
Benson
Emmons
Bottineau
Traill
Dickey
Pierce
Richland
Ramsey
Mercer
Logan
Billings
Nelson
Adams
Towner
Bowman
Rolette Pembina
Eddy
La Moure
Oliver
Hettinger
GrandForks
SteeleSheridan
SargentMcIntosh
Griggs
Ransom
Foster
Renville
Dental Health Professional Shortage Areas, 1999
Dental HPSAs
ND Dentist to Population Ratio
North Dakota ratio 1:2246US ratio 1:1859
Dentists12 - 56 - 1011 - 3031 or moreNo Dentists
Note: Counties outlined in green have been designated as dental shortage areas
North Dakota DentistsBy Zip Code, 1999
Practicing DentistsNorth Dakota
0
50
100
150
200
250
300
350
19
88
19
90
19
92
19
94
19
96
19
98
19
99
20
10
*
Source: North Dakota Department of Health, Oral Health Program, 1999
*Estimate
Dentists per 100,000 U.S. Population1950–2020
0
10
20
30
40
50
60
70 59.5 52.
7
Source: Bureau of Health Professions, HRSA, DHHS. Data from the Eighth Report to Congress 1991 and unpublished reports.
1950 1960 1970 1980 1990 2000 2005 2010 2015 2020
Figure 1
North Dakota Dental Education Institutions
0 Dental schools1 Dental hygiene school1 Dental assisting school
Resources Associated with Safety Net Providers
NationalNational Health Service Corp Loan
Repayment ProgramStateNone
How Can We Assure Oral Health Access for our Citizens
Our goal today is to develop strategies to improve oral health access