DELVERING SMILES

1. DELVERING SMILES DIVISION OF ORAL HEALTH Jnanankush Deka MS-HPE Student. JNANANKUSH DEKA

2. AN OVERVIEW The CDC’s Division of Oral Health (DOH) works to improve the oral health of the nation and reduce inequalities in oral health by— • Helping states improve their oral health programs. • Extending the use of proven strategies to prevent oral disease by— • Encouraging the effective use of fluoride products and community water fluoridation. • Promoting greater use of school-based and –linked dental sealant programs. • Enhancing efforts to monitor oral diseases, such as dental caries (tooth decay) and periodontal infections (gum disease). • Contributing to the scientific knowledge-base regarding oral health and disease. • Guiding infection control in dentistry. • Helping states improve their oral health programs.

3. VISION, MISSION and ROLE • Vision: A nation where all people enjoy good oral health that contributes to leading healthy, satisfying lives. • Mission: To prevent and control oral diseases and conditions by building the knowledge, tools, and networks that promote healthy behaviors and effective public health practices and programs. • Role: To provide national leadership to prevent and control oral diseases and conditions, and promote oral health.

4. Core Functions • Monitor/Surveillance: Monitor the burden of disease, risk factors, preventive services, and other associated factors. • Research: Support public health research that directly applies to policies and programs. • Communications: Communicate timely and relevant information to impact policy, practices, and programs. • Preventive strategies: Support the implementation and maintenance of effective strategies and interventions to reduce the burden of oral diseases and conditions. • State infrastructure: Build capacity and infrastructure for sustainable, effective, and efficient oral health programs. • Evaluation: Evaluate programs to ensure successful implementation. • Investigate and diagnose: Investigate health hazards and outbreaks in the community. • Partnerships: Identify and facilitate partnerships to support CDC strategic priorities and community efforts. • Policy development: Develop and advocate sound public health policies.

5. Division of Oral Health Strategic Planning for 2011–2014 • The five public health priorities and eight current goals address core/essential functions and key subject areas. • These areas include dental caries (tooth decay), periodontal (gum) diseases, oral and pharyngeal (mouth and throat) cancers, infection control, dental public health infrastructure, elimination of health disparities, health policy and translation/dissemination of CDC products, and organizational capacity and function. • Strategic initiatives are presented for each goal area; the final CDC strategic and operational plans will serve as a dynamic guide for setting program priorities. • Core functions such as surveillance, state infrastructure support, and evaluation are critical activities relative to most of these strategic priorities and goals.

6. PUBLIC HEALTH PRIORITIES • Utilize the best science and methods to improve surveillance of oral diseases and their risk factors, monitor and characterize the burden of oral diseases across the life stages, and communicate these findings. • Broaden our understanding of health disparities and determinants of oral health disparities, and apply multi-disciplinary evidence-based approaches to address these disparities. • Develop and promote effective evidence-based strategies and interventions to prevent oral diseases; translate, disseminate, and evaluate CDC products including recommendations, guidelines, and science; communicate timely and relevant information to impact policy, practices, and programs. • Strengthen infrastructure of state oral health programs and promote oral health in communities through development and implementation of macro-level policy and systems change approaches, and evaluate programs to ensure that implementation has been successful. • Increase organizational capacity and function with an emphasis on leadership effectiveness, internal and external collaborations and partnerships, global outreach, and workforce development.

7. GOALS • Goal 1: Prevent and control dental caries across the life stages. • Goal 2: Prevent and control periodontal diseases. • Goal 3: Prevent and control oral and pharyngeal cancers and their risk factors. • Goal 4: Eliminate disparities in oral health. • Goal 5: Promote prevention of disease transmission in dental health care settings. • Goal 6: Increase state oral health program infrastructure capacity and effectiveness. • Goal 7: Increase use of cross-cutting policy development and translational approaches to promote oral health. • Goal 8: Assure an efficient and effective organization.

8. Goal 1. Prevent and control dental caries across the life stages.1A. Strategic initiative: Characterize the burden of dental caries across the life stages.1B. Strategic initiative: Develop and promote effective evidence-based strategies and interventions to prevent dental caries.

9. Oral health across age-groups.

10. Goal 2. Prevent and control periodontal diseases. • 2A. Strategic initiative: Improve surveillance of periodontal infections and their risk factors. • 2B. Strategic initiative: Build an evidence base of effective strategies and interventions in periodontal disease.

11. Goal 3. Prevent and control oral and pharyngeal cancers and their risk factors. • 3A. Strategic initiative: Improve the surveillance of oral and pharyngeal cancers and their risk factors. • 3B. Strategic initiative: Build an evidence base of effective strategies and interventions to improve early detection of oral and pharyngeal cancers and to reduce incidence and mortality. Oral and pharyngeal cancers (i.e., cancer of the lip, tongue, floor of the mouth, palate, gingival and alveolar mucosa, buccal mucosa, or oropharynx) continue to pose a threat to the health of U.S. adults, with no marked improvements in survival rates over the past several decades. In 2010, estimates show that more than 36,000 people learned they had mouth or throat cancer, and more than 7,800 (about 5,430 men and 2,450 women) died of these diseases. Early detection is important because the 5-year survival rate for early stage cancer is approximately 80%, while the survival rate drops to 9% for late-stage disease.

12. Goal 4. Eliminate disparities in oral health. • 4A. Strategic initiative: Broaden the understanding of health disparities, determinants of health disparities, and evidence-based approaches to addressing disparities in oral health. Health disparities may involve inequalities in health outcomes or receipt of health care services among different groups defined by their race/ethnicity, gender, health behaviors, education, income level, job security, insurance status, housing, and geographic region of the United States. Although periodontal disease is decreasing in the United States, researchers continue to see a higher prevalence among people of lower income, non-Hispanics blacks, those without a high school education, and current smokers (NHANES 1999–2004). CDC will continue to focus on monitoring the burden of oral diseases and receipt of preventive services and providing information to public health practitioners, dental care professionals, and policy makers on effective approaches to reducing and eliminating health disparities.

13. Goal 5. Promote prevention of disease transmission in dental health care settings. • 5A. Strategic initiative: Provide evidence-based dental infection control information and recommendations. • 5B. Strategic initiative: Maintain current high levels of adoption of the current CDC infection control guidelines into dental practice.

14. Goal 6. Increase state oral health program infrastructure capacity and effectiveness. • 6A. Strategic initiative: Assess the impact of increased dental public health infrastructure and capacity on the state oral health program effectiveness, efficiency, and sustainability. • Oral health program leadership and staff. • Oral disease surveillance system, including a burden of oral disease document. • Strategic planning and the development of a state oral health plan. • State-wide oral health coalition and strong partnerships. • Use of evidence-based preventive interventions, including community water fluoridation and school-based dental sealant programs. • Policy and health systems strategies that promote oral health. • Program evaluation. • Collaboration with other state chronic disease programs.

15. Goal 7. Increase use of cross-cutting policy development and translational approaches to promote oral health. • 7A. Strategic initiative: Increase the capacity of the Oral Health Program to promote oral health through development and implementation of macro-level policy approaches. • 7B. Strategic initiative: Increase the capacity of the Oral Health Program to use evidence-based strategies to translate and disseminate CDC guidelines, recommendations, and effective preventive interventions especially related to fluoridation, sealants, and infection control. • Cross-Cutting Approaches. CDC's Oral Health Program has participated in several cooperative agreements with other NCCDPHP divisions that were designed to educate state policymakers about the importance of oral health and effective interventions to prevent oral diseases in children and adults. CDC has also provided support for National Governors Association policy academies, which were designed to help governors formulate and implement policies and programs to address the oral health of children.

16. Goal 8. Assure an efficient and effective organization. • 8A. Strategic initiative: Improve the organizational capacity and functioning of the Oral Health Program with an emphasis on increasing leadership effectiveness, partnerships, and workforce development. This goal centres on the Oral Health Program as an organization and its capacity to lead the federal focus on oral disease prevention and support of key organizational partners. Areas of importance include: Partnerships. Partnerships are essential for accomplishing the program's mission and furthering its goals. Workforce Development. CDC's Oral Health Program provides several opportunities for training the dental public health practitioners and leaders of the future. Internal Organizational Effectiveness. The strategic planning work group noted the importance of having an organizational culture that will foster and facilitate enhancement of supervisory, management, and leadership practices within the Oral Health Program.

17. ORAL HEALTH DATA Data concerning the CDC Oral Health data systems can be found in the following sites: • MY WATERS FLUORIDE • ORAL HEALTH MAPS • DENTAL , ORAL AND CRANIOFACIAL DATA RESOURCE CENER (DRC) • NATIONAL ORAL HEALTH SURVELLIANCE SYSTEM (NOHSS) • SYNOPSES OF STATEAND TERRITORIAL DENTAL PUBLIC HEALTH PROGRAMS (State Synopses) • WATER FLUORIDATION REPORTING SYSTEM (WFRS) The Water Fluoridation Reporting System (WFRS) also provides biennial data to the National Oral Health Surveillance System (NOHSS) and the Synopses. The Synopses provide data to NOHSS through a real-time link. WFRS also provides data in real-time to two systems—My Water's Fluoride (MWF) and the Oral Health Maps.

18. Relationships between oral health data systems

19. Someexample Oral health promotion programs • Benefits of oral health and prevention • Oral health America- wisdom tooth project • Dental Health- 5 things you can do right now

20. References • Centers for Disease control and prevention- http://www.cdc.gov/ • CDC division of oral health- http://www.cdc.gov/OralHealth/index.htm • CDC About DOH- http://www.cdc.gov/OralHealth/about/index.htm • CDC DOH, Strategic planning for 2011-2014- http://www.cdc.gov/OralHealth/strategic_planning/toc.htm • CDC DOH, Vision ,mission, role and core functions- http://www.cdc.gov/OralHealth/strategic_planning/plan2.htm • CDC DOH, Public health priorities - http://www.cdc.gov/OralHealth/strategic_planning/plan3.htm • CDC DOH, Goals: Focussing the efforts of the oral health program.- http://www.cdc.gov/OralHealth/strategic_planning/plan4.htm • CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). http://www.cdc.gov/chronicdisease/index.htm • CDC DOH, Data Applications. - http://www.cdc.gov/OralHealth/strategic_planning/plan4.htm • CDC DOH, Publications.- http://www.cdc.gov/OralHealth/publications/index.htm • Healthy people 2010.- http://www.healthypeople.gov/2010/redirect.aspx?url=/2010/