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Oral health program current services oral health coalition
- 1. Oral Health Program Current Services Oral Health Coalition May 26, 2010 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 1
- 2. Goal of the Oral Health Program To 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 2
- 3. Public Health Services Dental Clinic Staff • Community Dental Health Coordinator • Dental Assistant • Dental Therapist • Dentist • Office Administrative Assistant Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 3
- 4. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 4
- 5. Dental Clinic staff provide prevention and routine treatment services Examinations – check-ups, x-rays Preventive services – sealants, fluoride, oral hygiene, nutrition counselling Fillings, extractions, nerve treatments, stainless steel crowns Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 5
- 6. Primary Health Services Early Childhood Fluoride School Special Needs Adults/Seniors Tobacco Promotion/Media Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 6
- 7. Community Water Fluoridation Saskatchewan – 34% Saskatoon Health Region – 86% Highest percentage of all Saskatchewan Health Regions Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 7
- 8. Communities with Fluoridated Water, 2009 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 8
- 9. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 9
- 10. Schools with Fluoride Mouthrinse Programs Aberdeen Borden Colonsay Delisle Elementary Drake Elementary Dundurn Elementary Englefeld Hanley Hillcrest Colony (Dundurn) Lakeside Colony (Quill Lake) Lanigan Leroy Lord Asquith McClellan (Young) Quill Lake Riverbend Colony (Waldheim) Riverview Colony (Aberdeen) St. Alphonse (Viscount) Stobart Elementary (Duck Lake) Swanson Christian (Delisle) Three Lakes Vanscoy Viscount Waldheim Watrous Elementary William Derby (Strasbourg) Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 10
- 11. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 11
- 12. Fluoride Varnish Paint-A-Smile Program Photo provided by Denise Clay/Burke County Partnership for Children Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 12
- 13. 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) Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 13
- 14. •All are drop-in clinics, except Humboldt Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 14
- 15. 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. Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 15
- 16. Other Fluoride Services Consultations – 180 in 09/10 Professional Inservices – 26 in 09/10 Resource development Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 16
- 17. Early Childhood Dental Programs Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 17
- 18. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 18
- 19. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 19
- 20. Preschool Dental Kit Advertised and circulated to preschools and daycares in the Saskatoon Health Region Booked by calling 655-4462 Preschools/ Day Cares can have the kit for one to two weeks 35 Preschools used a kit with 1004 children participating in 2009/10 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 20
- 21. 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) 52 schools used a kit with 2,150 students participating in 09/10 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 21
- 22. School Dental Services Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 22
- 23. Dental Screening 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 23
- 24. Dental Screening Report Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 24
- 25. Canadian Oral Health Strategy Guidelines for 2010 At age 6, 50% of childen are cavity free Saskatoon Health Region Saskatchewan 51% 41.5% Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 25
- 26. Canadian Oral Health Strategy Guidelines for 2010 At age 6, no more than 20% of children have unmet dental needs Saskatoon Health Region Saskatchewan 19% 27% Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 26
- 27. Canadian Oral Health Strategy Guidelines for 2010 At age 12, 75% of children have no decay in their permanent teeth Saskatoon Health Region Saskatchewan 75% 66% Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 27
- 28. Canadian Oral Health Strategy Guidelines for 2010 At age 12, no more than 10% of children have unmet dental needs Saskatoon Health Region Saskatchewan 6.5% 11% Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 28
- 29. Canadian Oral Health Strategy Guidelines for 2010 At age 12, average DMFT is 1.0 or less Saskatoon Health Region Saskatchewan 0.60 0.85 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 29
- 30. Canadian Oral Health Strategy Guidelines for 2010 At age 12, a Significant Caries Index (SiC) of 3.0 or less Saskatoon Health Region Saskatchewan 1.81 3.00 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 30
- 31. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 31
- 32. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 32
- 33. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 33
- 34. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 34
- 35. Self-Reported Results for Having Sealants Yes – 30% of children had sealants No – 39% of children did not have sealants Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 35
- 36. Self-Reported Results for Sealant Placement Children who responded no to having sealants had: 3% more cavities 17% more were cavity-free Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 36
- 37. Oral Health Disparities Confederation Park Suburban Centre Pleasant Hill King George Riversdale Meadow Green Westmount Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 37
- 38. Oral Health Disparity Low Income Non-Low Income % with cavities 30 % with no evidence of care % with Early Childhood Caries % Cavity free Average deft/DMFT 4 2 13 6 8 3 34 % with pain/infection 12 60 2.97 1.53 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 38
- 39. 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 14% reduction % with NEC 23 13 10% reduction 3.12 2.97 0.15 reduction deft/DMFT Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 39
- 40. Services to High Risk Schools and Preschools 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 40
- 41. Seal-A-Smile Program School-based 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 41
- 42. 2009-10 Seal-A-Smile Schools Bishop Roborecki Bishop Klein Confederation Park Duck Lake (Stobart Elementary & High School) Forest Grove St. Goretti St. John St. Mark Wadena (Elementary & High School) Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 42
- 43. Special Needs Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 43
- 44. Presentations and displays for caregivers and mentally/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) Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 44
- 45. 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. Urban Native Teacher’s Education Program students Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 45
- 46. Tobacco 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) Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 46
- 47. Promotion Promote public awareness of oral health through: • Media: Health Matters 5 articles in 09/10 •National Oral Health Month™ activities •Public Displays Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 47
- 48. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 48
- 49. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 49
- 50. 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 Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 50
- 51. Tooth decay is 100% preventable! Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 51
- 52. Oral Health Coalition How can we work together to improve oral health? Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region 52