mississippi state oral health plan building bridges to improve oral health dr. nicholas mosca dental...
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Mississippi State Oral Health PlanBuilding Bridges to Improve Oral Health
Dr. Nicholas MoscaDental Director, Mississippi Department of Health
Mississippi State Oral Health PlanBuilding Bridges to Improve Oral Health
Dr. Nicholas MoscaDental Director, Mississippi Department of Health
Government Protects HealthGovernment Protects Health
Traditional government view of ‘filling a cavity’
Most oral diseases are completely preventable at low cost
Governor Musgrove by executive order formed task force to develop a plan.
Most oral diseases are completely preventable at low cost
Governor Musgrove by executive order formed task force to develop a plan.
Preventable Oral DiseasesPreventable Oral Diseases
Tooth decay or ‘dental caries’ Gingivitis / periodontal disease Cleft lip / cleft palate
(folic acid deficiency) Oral cancer (tobacco use)
Tooth decay or ‘dental caries’ Gingivitis / periodontal disease Cleft lip / cleft palate
(folic acid deficiency) Oral cancer (tobacco use)
High Prevalence in MississippiHigh Prevalence in Mississippi
7 in 10 school-age children in public schools have tooth decay experience (fillings or cavities)
1 in 3 school-age children have untreated decay (cavities)
1 in 10 school-age children have urgent need for dental care due to pain or infection
Nationally, unmet need for dental care is 3 times greater than for medical care
7 in 10 school-age children in public schools have tooth decay experience (fillings or cavities)
1 in 3 school-age children have untreated decay (cavities)
1 in 10 school-age children have urgent need for dental care due to pain or infection
Nationally, unmet need for dental care is 3 times greater than for medical care
Diagnosis and Treatment
(Repair)
Solutions balance costs?Predict and
manage people at-risk
Implement disease prevention
New View of an Old ProblemNew View of an Old Problem
Tooth decay is 5 x more common than asthma Infectious Transmissible Predictable Culturally dependant Highly prevalent and consequential
The ‘cavity’ is the disease manifestation
Tooth decay is 5 x more common than asthma Infectious Transmissible Predictable Culturally dependant Highly prevalent and consequential
The ‘cavity’ is the disease manifestation
Dental caries is well-understoodDental caries is well-understood
Caused by acid producing bacteriain dental plaque
Caused by acid producing bacteriain dental plaque
Streptococcus mutans
White Spot Lesions
White Spot Lesions
Cavitated Enamel
Dental caries is transmissibleDental caries is transmissible
Vertical transmission from kissing, feeding and playing
Window of infectivity during first 2 years of life
Prevention should begin before age 2
Vertical transmission from kissing, feeding and playing
Window of infectivity during first 2 years of life
Prevention should begin before age 2
State Medicaid EPSDTState Medicaid EPSDTFY 2003 Total
eligiblesAges 1-2 Ages 3-5
Receiving any dental srvcs
28%
(118,424)
1.6%
(8,784)
49%
(29,490)
Receiving preventive dental srvcs
24%
(101,726)
0.1%
(6,617)
44%
(26,415)
New View of an Old ProblemNew View of an Old ProblemTooth
Mouth
ChildFamily
Community
Society
Health DISEASE
Dental caries is manageable (like diabetes)
Mobilizing Partnerships for Oral Health
Partner with Extension Service to utilize area health agents to deliver oral health education and prevention
Promote local community water fluoridation programs
Partner with Extension Service to utilize area health agents to deliver oral health education and prevention
Promote local community water fluoridation programs
KY Land Grant Mission and the Cooperative Extension ServiceKY Land Grant Mission and the Cooperative Extension Service
Although not directly funded by the Department for Public Health, one more partner emerges in the fight to improve oral health
The Cooperative Extension Service develops “Health Education Through Extension Leadership” using the extensive infrastructure available to provide community based partners to enhance health. Funding from state Department of Agriculture
August 2005, UK Colleges of Agriculture and Dentistry sign an agreement. Dentistry faculty becomes coordinator for oral health educational materials and training programs for extension agents.
Although not directly funded by the Department for Public Health, one more partner emerges in the fight to improve oral health
The Cooperative Extension Service develops “Health Education Through Extension Leadership” using the extensive infrastructure available to provide community based partners to enhance health. Funding from state Department of Agriculture
August 2005, UK Colleges of Agriculture and Dentistry sign an agreement. Dentistry faculty becomes coordinator for oral health educational materials and training programs for extension agents.
Plan provides opportunitiesPlan provides opportunities
“Creates interagency initiatives”
“Assures synergy” “Convenes strategic
alliances” “ Supports CSHCN
projects (i.e. Special Olympics)”
“Disease surveillance” (e.g. BRFSS, YRBS)
“Creates interagency initiatives”
“Assures synergy” “Convenes strategic
alliances” “ Supports CSHCN
projects (i.e. Special Olympics)”
“Disease surveillance” (e.g. BRFSS, YRBS)
“Obtain and share federal dollars” HRSA, CDC, USDA
“Addresses licensing and regulatory issues”
Oral health plan sets “clear expectations”
“Obtain and share federal dollars” HRSA, CDC, USDA
“Addresses licensing and regulatory issues”
Oral health plan sets “clear expectations”
Areas of collaborationAreas of collaboration Agreements for preventive services
Oral disease surveillance Community or population-level prevention (public water
fluoridation, dental sealants, fluoride rinse programs) Planning
Coalition / Summit Meeting / Collaborations Consultation
Education Continuing education / extramural training Student projects (i.e. community-based education
or outreach services)
Agreements for preventive services Oral disease surveillance Community or population-level prevention (public water
fluoridation, dental sealants, fluoride rinse programs) Planning
Coalition / Summit Meeting / Collaborations Consultation
Education Continuing education / extramural training Student projects (i.e. community-based education
or outreach services)
Key BarriersKey Barriers
“Administrative “red tape” & “bureaucracy” “Tight budget” or “cuts” “Insufficient staff to get involved” “Time constraints” “Dentists won’t treat the kids that need care” “Restricted auxiliary staff practice laws” “Few elderly care initiatives”
“Administrative “red tape” & “bureaucracy” “Tight budget” or “cuts” “Insufficient staff to get involved” “Time constraints” “Dentists won’t treat the kids that need care” “Restricted auxiliary staff practice laws” “Few elderly care initiatives”
Collaborations for Oral HealthCollaborations for Oral Health
Community water fluoridation program Community-based Dental Partnership for
those with HIV infection Weekly school-fluoride mouthrinse School-based dental sealant program Head Start Oral Health Advisory Committee State Comprehensive Cancer Control Plan Regional oral health consultants
Community water fluoridation program Community-based Dental Partnership for
those with HIV infection Weekly school-fluoride mouthrinse School-based dental sealant program Head Start Oral Health Advisory Committee State Comprehensive Cancer Control Plan Regional oral health consultants
School fluoride rinse programSchool fluoride rinse program
School-based Dental SealantsSchool-based Dental Sealants
UMMC School of Nursing Mercy Delta Health Express
Consumer / Professional EducationConsumer / Professional Education
Contact InformationContact Information
Phone: 601-576-7500 Email: [email protected] Website:
http://www.healthyMS.com/dental
Phone: 601-576-7500 Email: [email protected] Website:
http://www.healthyMS.com/dental