Helping To Heal

1. Helping To Heal Understanding How Pediatric Dentists Can Impact Oral Health Poverty

3. Helping to Heal: Understanding How Pediatric Dentists Can Impact Oral Health Poverty Outline I. ObjectivesI. IntroductionII. What is poverty? III. Why is poverty a challenge for public health and for the profession of dental medicine? IV. Problem Analysis: Oral Health V. The Pediatric Dentist definedVI. AAPD Mission & Vision

4. VII. The Business RationalA Fee Schedule ComparisonVII. The Moral Rational a. The Oral Health Crisis in the Classroom b. Signs & Symptoms c. A Cycle of Pain: Consequences of untreated tooth decay d. From Maryland to Mississippi and Abroad e. A BOY’S SILENT PLEA STIRS CHANGE IN MARYLAND f. GIRL STARVES AFTER TEETH PULLEDVIII. Socially-sensitive Practice Management KnowledgeXI. Conclusion: Looking toward the future

5. Inform and update oral health care professionals about poverty. Describe the challenges poverty represents for public health and for health professionals. Provide socially-sensitive practice management knowledge. Objectives

6. Introduction This Miniclinic presentation emphasizes the moral rationale for pediatric dentists to take the lead and empower the profession of dental medicine and help to relieve the oral health poverty that exists among millions of children. Participants will gain invaluable, socially-sensitive practice management knowledge. This presentation will better enable dental professionals to provide the much needed restorative treatment for children who live day after day with the overwhelming suffering of untreated tooth decay. Put a feather in your cap!

7. The United Nations defines poverty as a human condition characterized by the sustained or chronic deprivation of the resources, capabilities, choices, security and power necessary for the enjoyment of an adequate standard of living and other civil, cultural, economic, political and social rights. What is poverty?

8. There is considerable evidence that low socioeconomic status and poverty constitute the main determinants of poor health in industrialized societies. The poorer people are, the more they are at risk of developing diseases, and ultimately, of dying prematurely. Why is poverty a challenge for public health and for the profession of dental medicine?

9. Problem Analysis: Oral Health

10. Why poverty is a challenge for the profession of dental medicine? • Dental caries is the single most common chronic • Childhood disease 5 times more common than asthma • Over 50 percent of 5 - 9 year old children have at least • One cavity or filling, and that proportion increases to 78 • Percent among 17year olds • Unintentional and intentional injuries commonly affect • Craniofacial tissues • Poor children suffer twice as much dental carries as their more affluent peers, and their disease • is more likely to be untreated • For each child without medical insurance, there are at least 2.6 children without dental insurance • Uninsured children are 2.5 times less likely than insured children to receive dental care

11. Pediatric dentists are the pediatricians of dentistry, exclusively trained to address the unique oral health needs of children. The specialized education in child psychology, growth and development, management of oral-facial trauma, sedation and general anesthesia places us at the forefront of leading the charge in providing equal access to dental care for all children. The Pediatric Dentist defined

12. Pediatric Dental Practices are High Patient Volume Practices that are Prevention-Oriented·        Pediatric dentists and orthodontists have 2-3 times as many scheduled visits per week as do general dentists or other specialists.·        The three most common pediatric dentistry procedures are prophylaxis, fluoride treatment, and a periodic oral evaluationPediatric Dentistry Volume of Patients Treated and Services Rendered

13. Pediatric dentists report the highest percentage of patients insured through public assistance, among all dentists Updated, September 2007

14. The percentage of public assistance patients in a practice.ADA 2007 Survey of Dental Fees Updated, September 2007

15. The mission of the AAPD is to advocate policies, guidelines and programs that promote optimal oral health and oral health care for children. The AAPD serves and represents its membership in the areas of professional development and governmental and legislative activities. It is a liaison to other health care groups and the public. The AAPD Mission

16. The AAPD Vision The vision of the AAPD is optimal health and care for infants, children, adolescents and persons with special health care needs. The AAPD is the leader in representing the oral health interests of children. The pediatric dentist is a recognized primary oral health care provider and resource for specialty referral.

17. MarylandIllinois California Medicaid vs. BCBSMedicaid vs. MetLife Medicaid vs. Aetna___ Consultation Initial Examination Emergency Examination Prophylaxis Fluoride Treatment Pulpotomy Pulpectomy Stainless Steel Crown Resin Crown Resin Restorations Amalgam Restoration Extraction The Business Rationale A Fee Schedule Comparison: Private Pay versus Medicaid

18. The Moral Rationale

19. Signs & Symptoms

20. The Faces of the Oral Health Crisis in the Classroom

21. From Maryland to Mississippiand Abroad Deamonte Driver, Prince George’s County, MD – January, 2007- Age 12 Alexander Collander, Bil0xi, MS – March, 2007 – Age 6Diamond Brownridge - Chicago, IL - November, 2006 -Age 5Sophie Waller, Truro, England - December, 2005 - Age 8

22. A BOY’S SILENT PLEA STIRS CHANGE IN MARYLAND PEDIATRIC DENTISTRY TODAY March 2009 Volume XLV.Number 2 Deamonte Driver, sitting next to his mother, Alyce, shows the scars from incisions for his brain surgery.Photo Credit: By Linda Davidson -- The Washington PostRelated Article: For Want of a Dentist, page B01

23. British Girl Starves After Teeth Pulled CBS News – London, February 10, 2009

24. A Cycle of Pain: Consequences of untreated tooth decay

25. Could society have caused this end result because of untreated tooth decay?

26. Socially-sensitive Practice Management Knowledge

27. Community Outreach

28. Outreach Professionals

29. Outreach To Schools

30. Outreach To Schools

31. Outreach To Government

32. • Fighting poverty has been justified for reasons ranging from human rights and social justice to economic, political and even religious concerns. Oral health professions and their members must embark on the national movement toward poverty reduction and contribute to alleviating its consequences. Conclusion: Looking toward the future

33. Efforts must aim to: 1) improve relationships with underserved members of society 2) develop strategies for positive and effective interactions 3) improve access to dental services for poor populations

34. Pediatric Dentists Can Make The Difference

35. Thank you for beinga pediatric dentist that cares enough to help make a difference!

36. Special Thanks to: American Academy of Pediatric Dentistry Dr. George Acs, Department of Dentistry, Children's National Medical Center Dr. Burton Edelstein, Executive Director, Children's Dental Health Project Ms. Aqsaa Chaudhry, Franklin Senior High School Dr. Caswell A.Evans, Project Director, Oral Health In America: A Report of the Surgeon General

37. The End