oral health program current services oral health coalition

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Oral Health Program Current Services

Oral Health CoalitionMay 26, 2010

Healthiest People~Healthiest Communities~Exceptional Service© 2010, Saskatoon Health Region

2Healthiest People~Healthiest Communities~Exceptional Service

© 2010, Saskatoon Health Region

Goal of the Oral Health ProgramTo promote good oral health to people of

all ages in the community

Oral Health Program consists of two components:• PHS Dental Clinic

•Primary Health Services



Public Health Services Dental Clinic Staff

• Community Dental Health Coordinator• Dental Assistant• Dental Therapist • Dentist• Office Administrative Assistant



Who is Eligible for Dental Clinic Services?

Any child in the Saskatoon Health Region age 0 to 16

Must need dental treatment

No dental coverage

Limited dental insurance and face barriers to using dental coverage



Examinations – check-ups, x-rays

Preventive services – sealants, fluoride, oral hygiene, nutrition counselling

Fillings, extractions, nerve treatments, stainless steel crowns

Dental Clinic staff provide prevention and

routine treatment services

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Primary Health Services

Special Needs

Adults/Seniors

Tobacco

Promotion/Media

Early Childhood

Fluoride

School



Saskatchewan – 34%

Saskatoon Health Region – 86%

Highest percentage of all Saskatchewan Health Regions

Community Water Fluoridation



Communities with Fluoridated Water, 2009



Fluoride Mouthrinse Program

Reduces tooth decay 20 – 50%

Offered in 26 schools with no community water fluoridation

and in communities where children have poor oral health

2100 students rinse weekly from September to June with .2% sodium fluoride mouthrinse

Over 60 community volunteers assist

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Schools with Fluoride Mouthrinse Programs

AberdeenBordenColonsayDelisle ElementaryDrake ElementaryDundurn ElementaryEnglefeldHanleyHillcrest Colony (Dundurn)Lakeside Colony (Quill Lake)LaniganLeroyLord Asquith

McClellan (Young)Quill LakeRiverbend Colony (Waldheim)Riverview Colony (Aberdeen)St. Alphonse (Viscount)Stobart Elementary (Duck Lake)Swanson Christian (Delisle)Three LakesVanscoyViscountWaldheimWatrous ElementaryWilliam Derby (Strasbourg)


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Schools with Access to Fluoride Programs

SHR has 150 elementary schools

112 schools have access to community water fluoridation

26 schools have fluoride mouthrinse programs




Fluoride VarnishPaint-A-Smile Program

Photo provided by Denise Clay/Burke County Partnership for Children



Fluoride Varnish

• Fluoride varnish prevents cavities by:reversing demineralization (early tooth decay)stopping active decay

• Fluoride is painted on to dry teeth with a brush for 20 to 30 seconds

• Children should not brush until the next day and avoid sticky foods

1,279 children age 0 to 5 received fluoride (2009-10)



•All are drop-in clinics, except

Humboldt



Fluoride Varnish

Wakaw, Rosthern, Wadena, Lanigan, Watrous, Wynyard, Strasbourg – by appointment

In Duck Lake and Wynyard – public health nurse and nurse practitioner are applying varnish.



Other Fluoride Services

Consultations – 180 in 09/10Professional Inservices – 26 in 09/10Resource development



Early Childhood Dental Programs



Post-Natal Dental Health Parent Package

It includes:

Infadent brush

floss

adult brush

tearsheets

Public health nurses distribute this package to all new parents at the post-natal home visit and discuss oral health

1,855 distributed in 09/10



Child Health Clinics (CHC)

PHN’s provide anticipatory guidance on oral health at 6, 12, and 18 months, and 4 years of age

At each CHC visit, child receives a toothbrush, and parent receives written information on oral health

Over 12,000 anticipatory guidance consultations in 2009-10



Preschool Dental Kit

Advertised and circulated to preschools and daycares in the Saskatoon Health RegionBooked by calling 655-4462Preschools/ Day Cares can have the kit for one to two weeks35 Preschools used a kit with 1004 children participating in 2009/10



School Dental Resource Kits

Advertised to and available for all schools

Booked by calling 655-4462

Schools can keep for 1 – 2 weeks (2 weeks in rural)

5252 schools used a kit with schools used a kit with 2,1502,150 students participating in 09/10 students participating in 09/10

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School Dental Services


23Healthiest People~Healthiest Communities~Exceptional Service© 2010, Saskatoon Health Region

Every five years dental screening of selected grades (2008-09 – Grade 1 and 7) - follows Canadian Oral Health Strategy

Use data to develop programs and target services

Dental Screening



Dental Screening Report

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Canadian Oral Health Strategy Guidelines for 2010

At age 6, 50% of childen are cavity free

Saskatoon Health Region 51%

Saskatchewan 41.5%


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At age 6, no more than 20% of children have unmet dental needs


Saskatchewan 27%


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At age 12, 75% of children have no decay in their permanent teeth


Saskatchewan 66%


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At age 12, no more than 10% of children have unmet dental needs

Saskatoon Health Region 6.5%

Saskatchewan 11%


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At age 12, average DMFT is 1.0 or less

Saskatoon Health Region 0.60

Saskatchewan 0.85


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At age 12, a Significant Caries Index (SiC) of 3.0 or less

Saskatoon Health Region 1.81

Saskatchewan 3.00


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Self-Reported Results for Dental Insurance


75% of children have some type of dental insurance

12% of children do not have any type of dental insurance

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Compared to children with insurance, children with no dental insurance had:

•2.5% more no evidence of care•6% more cavities•5% more unmet dental needs

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Self – Reported Results for Dental Visit in the past Year

75% of children have had a dental visit in the past year

17% of children have not had a dental visit in the past year


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Compared to children who had a dental visit in the past year, children who had not seen a dentist:

•10% more no evidence of care•10% more cavities•10% more unmet dental needs•2% more pain and infection

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Self-Reported Resultsfor Having Sealants


Yes – 30% of children had sealants

No – 39% of children did not have sealants

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Self-Reported Results for Sealant Placement


Children who responded no to having sealants had:

3% more cavities

17% more were cavity-free



Confederation Park Suburban Centre Pleasant Hill

King George Riversdale

Meadow Green Westmount

Oral Health Disparities

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Low Income Non-Low Income

% with cavities 30 12

% with pain/infection 4 2

% with no evidence of care 13 6

% with Early Childhood Caries 8 3

% Cavity free 34 60

Average deft/DMFT 2.97 1.53

Oral Health Disparity

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Improved Oral Health

For children in schools experiencing oral health disparities, there has been an improvement in oral health


2003-04 2008-09 Improvement

% with ECC 22 8

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2.97

% with NEC 23

14% reduction

10% reduction

deft/DMFT 3.12 0.15 reduction



Annual visual oral health inspections of all the Pre-Kindergarten, Kindergarten, Grade One and Grade Two children each year

Children identified as needing treatment are referred to:

• College of Dentistry• Dentist• PHS Dental Clinic•White Buffalo Youth Lodge

Services to High Risk Schools and Preschools



Dental sealants and fluoride varnish provided to Grades 1, 2, 6 and 7 in selected high risk schools.

Oral health instruction provided.

2,844 sealants and 532 fluoride varnishes in 09/10

Seal-A-Smile Program

School-based

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2009-10Seal-A-Smile Schools

Bishop RoboreckiBishop KleinConfederation ParkDuck Lake (Stobart Elementary & High School)Forest GroveSt. GorettiSt. JohnSt. MarkWadena (Elementary & High School)




Special Needs



Presentations and displays for caregivers andmentally/physically challenged people (e.g. Crocus Coop,Cosmopolitan Industries)

Consultations with caregivers and clients

Workshops on oral health modules (e.g. SIAST rehab worker,special care aide)



Adults and Seniors

Presentations and displays for seniors and/or their caregivers

Consultations

Workshops on oral health care

Oral Health Module presented to SIAST and Sask. UrbanNative Teacher’s Education Program students



TALK More About It – education on spit tobacco to children and youth delivered by public health nurses, nursing students and oral health program staff

5A’s of Tobacco Intervention implemented at each visit for clients accessing treatment/preventive services (e.g.: Dental Clinic)

Tobacco

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Promotion

Promote public awareness of oral health through:

• Media:Health Matters5 articles in 09/10

•National Oral Health Month™ activities•Public Displays


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Partnerships


Ministry of Health and Canadian Public Health Association working on tobacco projects and strategies

Saskatoon Open Door Society and EGADZ – providing education, promotion, and screening for parents and their children

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Partnerships


Saskatoon Council on Aging – Health education, promotion and consultation for Spotlight on Seniors and Caregivers Forum

SIAST – teaching Oral Health module to students in Early Childhood Rehabilitation Worker, Youth Worker, Education Assistant, and Home Care/Special Care Aide Programs

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SWITCH


Public Health Services – Oral Health Program staff member volunteers at SWITCH twice per month

Public Health Services donates fluoride varnish and other supplies to SWITCH

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Tooth decay is 100% preventable!Tooth decay is 100% preventable!




How can we work together to improve oral health?

Oral Health Coalition

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Any Questions?

oral health program current services oral health coalition

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