Judith A. Feinstein, MSPH Director, Maine Oral Health Program ME Center for Disease Control & Prevention (Bureau of Health) Maine Department of Health & Human Services. Oral Health in Maine: Facts & Figures, August 2005.
Judith A. Feinstein, MSPH
Director, Maine Oral Health Program
ME Center for Disease Control & Prevention (Bureau of Health)
Maine Department of Health & Human Services
“…Oral health is integral to general health. You cannot be healthy without oral health.”
Oral Health in America: A Report of the Surgeon General, 2000
1999 Maine Smile Survey: 20%
of children in grades K & 3 needed
47% of 3rd graders had at
least one sealant, and 56.8% needed
at least one more.
About 31% of grade K and 45% of grade 3 had a history of decay.
2002 Maine Child Health Survey
– 18.4%: untreated caries.
2003 Youth Risk Behavior Survey:
77% of middle school students reported a dental visit in past year – compared to 87% in 2001.
Of the children screened, 15% of kindergarten and 17% of the 3rd graders had untreated dental decay.
Of the kindergarten children screened, 11% hadn’t had a dental visit.
Of the 3rd graders screened, 57% had at least one dental sealant, but 50% of them needed at least one more.
15% of the kindergarten children and 41% of the 3rd graders who were screened have decay experience (fillings and/or decay).
In 1999, 38% of lower income children had sealants; in 2004, 53% of the lower income children screened have them – a level similar to higher income children.
~ half of women who had a baby that year visited a dental office or clinic during their pregnancy.
Women 35 or older were more likely, and women 25 or younger less likely to have had a dental visit.
PRAMS – 2000 Survey
Nearly 25% of new moms said they needed a dental visit during pregnancy; but of these, 35% did not go.
The women who did not obtain needed care were more likely to be 20-24 years old, enrolled in WIC, or have annual incomes of less than $16,000.
PRAMS – 2000 Survey
Exposure to optimally fluoridated water can reduce dental decay by 20 to 40%.
Close to half of Maine’s cities & towns do not have public water supplies.
Of communities with public water supplies, 84% of the population has fluoridated drinking water; but for the state as a whole, about 38%.
small, independently operating private practices.
Federally Designated Medically Underserved Areas and Populations
Federally Designated Primary Care Health Professional Shortage Areas
Federally Designated Dental Health Professional Shortage Areas
Workforce concerns: numbers, age and
distribution of dentists (2002)
589 dentists, net gain of 8 since 1998 (actively practicing vs. 630 licensees)
465 (~80%) were general practice dentists.
Dentist to population ratio was one per 2,165, compared to national ratio of one per 1,656. Maine was 28th in the 50 states.
Only 30% of Maine dentists were 45 or younger; average age was 50.5.
Workforce concerns: numbers, age and distribution of dental hygienists (2004)