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Protecting Precious Smiles: How States Prevent Oral Diseases and Curb Costs Wednesday, August 10, 2005 2:00 p.m. EDT. Please wait. The Web conference will begin shortly. Thank you. Protecting Precious Smiles: How States Prevent Oral Diseases and Curb Costs.

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Protecting Precious Smiles:

How States Prevent Oral Diseases and

Curb Costs

Wednesday, August 10, 2005 2:00 p.m. EDT

Please wait. The Web conference will begin shortly.

Thank you.


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Protecting Precious Smiles:

How States Prevent Oral Diseases and Curb Costs

Trudi Matthews,Web conference moderator

Associate Director for Health Policy,

The Council of State Governments


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CSG’s Healthy States Initiative

  • CSG’s Partnership:

    • National Black Caucus of State Legislators

    • National Hispanic Caucus of State Legislators

  • Complete information on Healthy States: www.healthystates.csg.org

  • Click on the Healthy States link on lower left and other resources listed

  • Supported by the Centers for Disease Control and Prevention (CDC)


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Upcoming Web conferences

  • 5 more planned this year, including:

    • Immunizations Disparities

    • Smoking

    • Diabetes

    • HIV/AIDS and STDs Prevention Education

    • Cancer

  • 3 archived on Web site: Heart Disease & Stroke, Vaccine Safety, and School Health


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Technical Problems?

  • For problems connecting to the Web, call 1.866.767.6902

  • If you have any difficulty with audio or Web connections, press *0 for operator assistance


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Please Complete Evaluation at End of Web Conference

  • We need your help!

  • Please complete the evaluation poll at the end of the Web conference


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Today’s Speakers

  • Dr. Scott Presson, Team Leader for Prevention, Chief Dental Officer, Centers for Disease Control and Prevention

  • Dr. Lewis Lampiris, State Dental Director, state of Illinois

  • State Representative Tommy G. Roebuck, DDS, state of Arkansas


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Dr. Scott Presson

  • Program Services Team Leader,

    Division of Oral Health,

    National Center for Chronic Disease Prevention and Health Promotion, CDC

  • U.S. Public Health Service Commissioned Corps since 1977

  • Dental degree from Ohio State University, Master of Public Health from University of North Carolina at Chapel Hill

  • Board-certified in dental public health


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The Burden of Oral Diseases

  • Cavities, gum disease

  • Chronic and acute pain

  • Infection

  • Tooth loss

  • Estimated 28,000 +cases of oral/pharyngeal cancers in 2005

  • Possible effects on chronic diseases (e.g., diabetes, heart disease) and preterm births


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The Burden of Oral Diseases

  • $78 billion in expenditures for dental services in 2004

  • Profound disparities exist in disease levels and receipt of care

  • 100+ millionAmericans lack dental insurance

  • Effective prevention measures underutilized


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Consequences of Oral Disease

  • Lost time from school, work

  • Problems eating, speaking, attending to learning

  • Social consequences

  • Poor children more likely to have untreated decay

  • Medicaid covers children, dwindling assistance for adults


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Children 2-4 Years Who Have Ever Had Decay

in Primary Teeth, 1988-94 and 1999-2000

Percent

1999-2000

1988-94

2010 Target

Female

Male

Total

White

Black

Mexican

American

Note: Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race.

Source: National Health and Nutrition Examination Survey, NCHS, CDC.

Obj. 21-1a


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Total Tooth Loss, Adults Aged 65 Years & Older

Behavioral Risk Factor Surveillance System (BRFSS), 1999

20%

21-25.9%

26-34.9%

35%

Data unavailable


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Early Detection of Oral and Pharyngeal Cancers: 1990-95 and 1996-2000

1996-2000

1990-95

Percent

2010 Target

Female

Male

Total

White

Black

Hispanic

Note: Data are for Stage 1 (localized) tumors, excluding Kaposi Sarcoma tumors. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race.

Source: Surveillance, Epidemiology, and End Results Program, NIH, NCI.

Obj. 21-6


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Prevention Works 1996-2000

  • Water fluoridation

  • Dental Sealants

  • Other fluoride preventive products

  • Tobacco use prevention/cessation

  • Regular dental care


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Community 1996-2000

Water

Fluoridation

School-based,

school-linked

dental sealants


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Current U.S. Water Fluoridation Status - 2002 1996-2000

  • U.S. population drinking fluoridated water – 170 million

  • 67% of U.S. population on public water systems

  • Healthy People 2010 goal: 75% of U.S. population served - met by 24 states and D.C.


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Dental Sealants 1996-2000

Dental sealants—a plastic coating applied to the chewing surfaces of the back teeth


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Unreliable estimate, relative standard error >30%. 1996-2000

Dental Sealants: 1988-94 and 1999-2000

1988-94

1988-94

1999-2000

1999-2000

Percent

2010

Targets

Total

White

Black

Mexican

American

Total

White

Black

Mexican

American

6-11 Years

12-18 Years

Note: Targets are for children 8 years and 14 years. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race.

Source: National Health and Nutrition Examination Survey, NCHS, CDC.

Obj. 21-8


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CDC Oral Health Program 1996-2000

  • Strengthen the nation’s oral health infrastructure by supporting state-based programs

  • Enhance monitoring (surveillance) of oral diseases

  • Evaluate science base for prevention and provide guidance to states and community programs

  • Extend the use of proven strategies to prevent oral diseases

  • Resource for program development


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Association of State and Territorial Dental Directors (ASTDD)

  • CDC Cooperative Agreement

    • Improve surveillance and monitoring

    • Develop/assist state programs

    • Enhance communication between states

    • Provide the National Oral Health Conference

    • Compile annual Synopses of state oral health programs

    • Conduct Best Practices project


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Rhode Island (ASTDD)

Republic of Palau

CDC Capacity Building States

ND

OR

NY

AK

MI

IL

NV

CO

SC

AR

TX


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Leadership (ASTDD)

Describe disease burden

Surveillance system for oral diseases

State oral health plan

Statewide coalition

Linkages and partnerships

Program evaluation

Water fluoridation

Dental sealants

Capacity Building Activities


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Prevention Works (ASTDD)

  • Assure state program capacity

  • Water fluoridation

  • Dental sealant programs

  • Other fluoride preventive products

  • Tobacco use prevention/cessation

  • Regular dental care


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Useful Oral Health Web sites (ASTDD)

  • CDC Oral Health Web site:

    www.cdc.gov/oralhealth/

    • General information

    • National Oral Health Surveillance System

    • Water Fluoridation Reporting System

    • State Synopses

  • ASTDD Web site: www.astdd.org

    • General information

    • Member list

    • Best Practices


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Dr. Lewis Lampiris (ASTDD)

  • Director, Illinois Department of Public Health’s Division of Oral Health

  • D.D.S. from Temple University, M.P.H from the University of Illinois at Chicago School of Public Health

  • Practiced clinical dentistry in both the military and in private practice for close to 20 years

  • President, Association of State and Territorial Dental Directors


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Why implement a comprehensive state oral health program? (ASTDD)

  • Protect health and welfare of citizens – children, youth, adults, elderly, disadvantaged

  • States invest in oral health programs

    • Schools for dentists, dental hygienists

    • Licensing boards to assure quality services

    • Fluoridation of water supplies

    • Safety net dental clinics for disadvantaged

    • School based education to reach children most at risk – low income

  • Comprehensive program assures that these investments are made wisely


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What does a comprehensive state oral health program do? (ASTDD)

  • Evaluate and monitor oral health status

  • Develop policies to support oral health programs

  • Assure that population-based programs are available

  • Seek improved oral health for all populations


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Essential elements of a comprehensive state oral health program

  • Leadership and expertise in oral health and public health

  • State oral health surveillance system

  • Population-based interventions for effective primary and secondary prevention of oral disease

  • Capacity to support community-level interventions

  • State oral health improvement plan


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Impact program

  • 11.5 million residents receive benefit of fluoridated water

  • 27% of 3rd grade children have at least one dental sealant

  • Development of statewide grassroots oral health coalition

  • Policy changes directed toward improving oral health


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Promising Trends program

  • Community water fluoridation

  • School based/school linked dental sealant programs

  • Integrating oral health with primary health

    • Fluoride varnish

    • Oral cancer


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Arkansas State Representative programTommy G. Roebuck

  • Occupation : Practicing Dentist

  • First Elected: 2000

  • Relevant Committees:

    • Aging, Children and Youth

    • Public Health, Welfare, and Labor

      • Public Health House Health Services subcommittee


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Arkansas Legislation program

  • Establishing Office of Oral Health--Act 785

  • Implementation of an oral health education curriculum in K-12 classes-- Act 1216

  • Water fluoridation legislation-- HB 2627


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Arkansas Programs program

  • Smiles: AR, U.S. Coalition

  • Regulatory change allowing dental hygienists to practice under the general supervision of a dentist

  • Oral health summit (annual meeting) result of the Coalition and the Office of Oral Health


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Getting Legislators Involved program

  • Get involved with Dental Community

    • dental society, family dentist

    • state dental health department

    • free and faith based Health Clinics

  • Develop coalitions similar to Arkansas and collaborate with other dental providers

  • Become a champion of oral health

    • learn about oral health and what you can do as a legislator

    • ask other legislators to learn more about oral health and how it impacts state and preventive oral health programs

    • become involved in the process to provide oral health initiatives


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Q & A Session Instructions program

  • Submit questions either way:

    • Email: Use the question box on the bottom right portion of the web page

    • Phone: Press *1, let the operator know you have a question. The operator will unmute your line so you can ask your question directly to the panelists.


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CDC Program Assistance program

  • Develop science base for program decision-making

  • Assist states in monitoring burden of oral diseases

  • Provide Web-based systems to show status and progress

  • Support research that tests innovative population-based preventive approaches

  • Strengthen and support state-based programs


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Protecting Precious Smiles programPanelists

Dr. Scott Presson, Centers for Disease Control and Prevention

Dr. Lewis Lampiris, Illinois Division of Oral Health, Dept. of Public Health

Arkansas Representative Tommy G. Roebuck


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This Concludes the Web Conference program

  • Please complete the evaluation poll which will pop up on your screen

  • Go to www.healthystates.csg.org for complete information on Healthy States Initiative

  • Thanks for attending!


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