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Northern Dental Day
September 21-23, 2018
How it all started
Why La Loche and Clearwater?
• Canadian Oral Health Framework (2012)
– “Aboriginals have decay rates 2-3 times greater
than non-Aboriginals”
• Public Health Agency of Canada Inequalities in
Oral Health in Canada: Inability to chew
• “First Nations off reserve & Metis people 1.5 -1.7 x
prevalence for inability to chew”
• Lack of water fluoridation and safe water
• Restrictions of hunting and fishing rights and increase in
Western high sugar diets
• Low health literacy
• No insurance coverage
• High costs of nutritious foods
• Sask. Dental Health Screening Program Report (2013-
2014)
– Highest decay rates in all of Canada
– Over twice the amount in Regina
– Lowest rate of receiving dental care in Sask.
La Loche and Clear Water Health Centres
Health Centre with dental clinic and senior care home (La Loche only)
Sponsors
3 applications for Grants (Six Rivers, SIGA and Northern and CAMECO): no success
Greystone-$3000, SDHA-$1200, NITHA-$500, SDAA-$250,
Saskatchewan Polytechnic-$600
Costs
• Van rentals and gas = $1520
• Overnight hotel in Prince Albert = $120
• Food = $550
• Accommodations = $4500
• Dental supplies = $250
• Advertising and printing = $150
• Total spent = $7090
The journey
Scenic Route
Our Team of
Volunteers
• 1 dentist
• 5 RDT’s
• 5 RDH’s
• 5 RDA’s
• 1 nutritionist & student
• 1 nurses
• 1 director of Population
Health Services
• 1 member of NITHA
• 1 Director of Dental
Therapists
• 1 Dental Technical
Consultant
Indigenous Culture & Blessing
Northern Team and Plan
Process of Care
• Some pre-assessments done ahead of time but
most were done over the 3 days in portable
chairs
– Digital sensor used
– Used SHA charts
– Prioritized care and treatment
• La Loche: 2 chairs & 3 portables
• Clearwater 1 chair & 2 portables
• Hygiene, education, extractions, and restorations
Table Clinics
Teamwork
Snacks/Lunch
Accommodations
Celebration
& Fish Fry
Results
Number of patients seen 34 Cost of treatment
Exams 34 1530
Radiographs 90 (41 PA/49 BW) 1542
Scaling 16 2226
Polishing 19 2528
Fluoride Varnish 23 575
Restorations 1 (MOD) 206
Temporary Restorations 2 302
Extractions 5 705
Desensitizer 2 124
Referrals 20
Total $9738
Number of patients seen 60 Cost of treatment
Exams 60 2700
Radiographs 149 2001
Scaling 16 4529
Polishing 10 360
Fluoride Varnish 17 425
Restorations 25 5158
Extractions 9 1128
Desensitizer 1 62
Referrals 6
Total $16,363
Total Number of patients seen Total cost of treatment
94 $26,101
Clearwater
La Loche
Memories
Memories
Reconciliation
Feedback
“I am beyond impressed by the quality of work that I saw
having never worked around a dental therapist. Wow, you
folks are awesome!”
“The group had a great dynamic, worked well together,
and did a great job. I left with a feeling of satisfaction,
especially considering this was an inaugural event”
“Greatest event I have ever participated in and I am still
giddy about what was accomplished. We need to do this
again!”
“Interprofessionalism and collaboration- a winning
combination for this event!”
• Share your knowledge and skills with
those who need it
• Actions speak louder than words!
• Advocate for oral health otherwise
nothing will change and it will only get
worse

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Improving Oral Health in Northern Saskatchewan

  • 2. How it all started
  • 3. Why La Loche and Clearwater? • Canadian Oral Health Framework (2012) – “Aboriginals have decay rates 2-3 times greater than non-Aboriginals” • Public Health Agency of Canada Inequalities in Oral Health in Canada: Inability to chew • “First Nations off reserve & Metis people 1.5 -1.7 x prevalence for inability to chew” • Lack of water fluoridation and safe water • Restrictions of hunting and fishing rights and increase in Western high sugar diets • Low health literacy • No insurance coverage • High costs of nutritious foods • Sask. Dental Health Screening Program Report (2013- 2014) – Highest decay rates in all of Canada – Over twice the amount in Regina – Lowest rate of receiving dental care in Sask.
  • 4. La Loche and Clear Water Health Centres Health Centre with dental clinic and senior care home (La Loche only)
  • 5. Sponsors 3 applications for Grants (Six Rivers, SIGA and Northern and CAMECO): no success Greystone-$3000, SDHA-$1200, NITHA-$500, SDAA-$250, Saskatchewan Polytechnic-$600
  • 6. Costs • Van rentals and gas = $1520 • Overnight hotel in Prince Albert = $120 • Food = $550 • Accommodations = $4500 • Dental supplies = $250 • Advertising and printing = $150 • Total spent = $7090
  • 9. Our Team of Volunteers • 1 dentist • 5 RDT’s • 5 RDH’s • 5 RDA’s • 1 nutritionist & student • 1 nurses • 1 director of Population Health Services • 1 member of NITHA • 1 Director of Dental Therapists • 1 Dental Technical Consultant
  • 12. Process of Care • Some pre-assessments done ahead of time but most were done over the 3 days in portable chairs – Digital sensor used – Used SHA charts – Prioritized care and treatment • La Loche: 2 chairs & 3 portables • Clearwater 1 chair & 2 portables • Hygiene, education, extractions, and restorations
  • 18. Results Number of patients seen 34 Cost of treatment Exams 34 1530 Radiographs 90 (41 PA/49 BW) 1542 Scaling 16 2226 Polishing 19 2528 Fluoride Varnish 23 575 Restorations 1 (MOD) 206 Temporary Restorations 2 302 Extractions 5 705 Desensitizer 2 124 Referrals 20 Total $9738 Number of patients seen 60 Cost of treatment Exams 60 2700 Radiographs 149 2001 Scaling 16 4529 Polishing 10 360 Fluoride Varnish 17 425 Restorations 25 5158 Extractions 9 1128 Desensitizer 1 62 Referrals 6 Total $16,363 Total Number of patients seen Total cost of treatment 94 $26,101 Clearwater La Loche
  • 22. Feedback “I am beyond impressed by the quality of work that I saw having never worked around a dental therapist. Wow, you folks are awesome!” “The group had a great dynamic, worked well together, and did a great job. I left with a feeling of satisfaction, especially considering this was an inaugural event” “Greatest event I have ever participated in and I am still giddy about what was accomplished. We need to do this again!” “Interprofessionalism and collaboration- a winning combination for this event!”
  • 23. • Share your knowledge and skills with those who need it • Actions speak louder than words! • Advocate for oral health otherwise nothing will change and it will only get worse

Notas do Editor

  1. Faded picture background with full-color overlay (Intermediate) Tip: For best results with the picture overlay on this slide, use a picture that is the same dimensions as the slide: 7.5” high and 10” wide. If the picture is not the same height and width, resize or crop to those dimensions before following the instructions below. To reproduce the background effects on this slide, do the following: On the Home tab, in the Slides group, click Layout, and then click Blank. Right-click the slide and then click Format Background. In the Format Background dialog box, click Fill in the left pane. In the Fill pane, select Picture or texture fill, and then under Insert from, click File. In the Insert Picture dialog box, select a picture, and then click Insert. Also in the Format Background dialog box, in the Fill pane, in the Transparency box, enter 50%. Also in the Format Background dialog box, click Picture Color in the left pane. In the Picture Color pane, under Recolor, click the button next to Presets, and then click Tan, Background color 2 Light (third row, first option from the left). On the Insert tab, in the Images group, click Picture. In the Insert Picture dialog box, select the same picture chosen for the background, and then click Insert. Select the picture. Under Picture Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the image so that the height is set to 7.5” and the width is set to 2.25”. To crop the picture, click Crop in the left pane, and in the Crop pane, under Crop position, enter values into the Height, Width, Left, and Top boxes. To resize the picture, click Size in the left pane, and in the Size pane, under Size and rotate, enter values into the Height and Width boxes. Also in the Format Picture dialog box, click Glow and Soft Edges in the left pane, and then in the Glow and Soft Edges pane, under Soft Edges, in the Size box enter 10 point.