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Bureau of Dental Health: An Overview of Programs Timothy Cooke, BDS, MPH Bureau of Dental Health Albany, NY. (518) 474-1961

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Presentation on theme: "Bureau of Dental Health: An Overview of Programs Timothy Cooke, BDS, MPH Bureau of Dental Health Albany, NY. (518) 474-1961"— Presentation transcript:

1 Bureau of Dental Health: An Overview of Programs Timothy Cooke, BDS, MPH Bureau of Dental Health Albany, NY. (518) 474-1961

2 Vision & Mission zThe Bureau of Dental Health will provide an environment to encourage all New Yorkers to develop an awareness of the importance of oral health, and to assure it’s inclusion in public health programs targeted toward the building of healthier communities. zOur mission is to improve the oral health of all New Yorkers. We design and implement public health initiatives to prevent and control oral diseases and other adverse conditions, promote healthy behaviors, and improve the skills of all dental care providers. We partner with local health departments, health care providers, community organizations, and residents of the state to build healthier communities.

3 Functions zAssess and monitor oral health status zProvide guidance for planning policy development to support community efforts directed toward assuring oral health zMobilize community partnerships to design and implement programs directed toward prevention and control of oral diseases and conditions zInform and educate the public regarding issues related to healthy lifestyle, health plans, and availability of care

4 Functions continued…………. zIntegrate oral health programs and policies into other health care programs zAssure the capacity and promote the competency of public health dentists, general practitioners, and dental hygienists zEvaluate the effectiveness, accessibility, and quality of population-based and personal service zPromote research and demonstration programs to develop innovative solutions to problems

5 Organizational chart

6 Technical Support BUREAU OF DENTAL HEALTH Indian Health Migrant Health School Health Community Health Centers Dental Care for persons with HIV Investigation of disease transmission Local Health Medicaid Child Health Plus Office of Children and Families Rural Health Managed care

7 Oral Diseases

8 zDespite improvements in overall disease levels, dental caries remains the commonest childhood disease* y7x as common as asthma yResponsible for children missing 52m school days annually z54% of 3 rd grade children in NY have suffered dental caries, 33% have active disease + zCaries can affect teeth soon after eruption: Early Childhood Caries y3000 children annually in NY are hospitalized for treatment yCost close to $1m zMajor disparities in caries experience by income *Oral Health in America: A Report of the Surgeon General ~ DHHS 2000 + NY surveillance 2002-04, unpublished data Dental Caries

9 Early Childhood Caries

10 zSevere periodontal disease (measured as 6 millimeters of periodontal attachment loss) affects about 14 percent of adults aged 45 to 54 zTwenty-three percent of 65- to 74-year-olds have severe periodontal disease zAbout 30 percent of adults 65 years and older are edentulous, compared to 46 percent 20 years ago zPotential link to pre-term/ low birth weight babies zAssociated with heart disease zTwo-way link with diabetes Oral Health in America: A Report of the Surgeon General ~ DHHS 2000 Periodontal Disease

11 zOral and pharyngeal cancers are diagnosed in about 30,000 Americans annually; 8,000 die from these diseases each year Oral and Pharyngeal Cancer Oral Health in America: A Report of the Surgeon General ~ DHHS 2000

12 Testis Thyroid Prostate Melanomas of Skin Breast (Females) Corpus & Uterus, NOS* Hodgkin’s Urinary Bladder Cervix Uteri Larynx Colon Kidney/Renal Rectum Oral Cav & Phynx Non-Hodgkin’s Ovary Leukemias Brain & NOS* Multiple Myeloma Stomach Lung and Bronchus Esophagus Liver & Intrahep Pancreas *Note: NOS= not otherwise specified Source: Kosary, 1996 Oral Health in America: A Report of the Surgeon General ~ DHHS 2000 White Patients Black Patients Five-year relative survival rates Five-year relative survival rates for select cancers for White and Black persons

13 Programs

14 Fluoridation *

15 New York State Fluoride Supplement Program zSelf Applied Fluoride Education and Rinse Program (SAFER) y95,000 children in 300 schools z Fluoride tablets and drops y5000 children in Head-Start, WIC, Migrants and County- based public health programs

16 Public Insurance Medicaid: zAbout 1.6 m (23%) eligible children receive dental care z$76.7 million or 2% of all expenditures zProgram has been enhanced substantially zAdult dental coverage always under threat Child health plus: zApproximately 450,000 are enrolled

17 Municipal Health Services Plan zState supports local health units. Activities are: yDental health education yDental clinics ySchool-based programs yAssessment

18 Orthodontic Program zSupports reimbursement for yCleft lip, cleft palate or ankylosis ySevere deviations resulting from disease or trauma in either jaw yMalocclusions best described as: xMaxillary prognathism xMandibular protrusion xMicro or macro development of jaws

19 School-based Programs zPrograms that do not need DOH oversight: yDental health in school curricula yDental note program in New York City yFluoride rinse/tablet program yScreening & referral program zProviding clinical services requires approval by DOH: yProphylaxis & dental sealant application yTreatment programs

20 zMobile dental equipment Clinical Service Provision zFixed school site zMobile Van

21 Health Education Program zFluoridation zPreventive Care zEarly Childhood Caries zPregnancy and oral health zDental Sealants zInfection Control zManagement of persons with HIV and AIDS zOral Cancer

22 Grants

23 Preventive Dentistry Grants zEstablish community partnerships zIdentify effective intervention and mobilize resources zFacilitate linkages and assure quality systems of care zExpansion of the use of preventive services zEvaluate outcomes and monitor progress zDevelop local coalition

24 Innovative Services Grants zInnovative projects: y Try new approaches to meeting local oral health needs y Piloting potential “best practices” y Disseminate new ideas zTechnical Assistance Center


26 Recent Activities

27 zCDC funded project zApproach used for all chronic disease programs zDeveloped by 80-90 stakeholders zOutlines key Goals, Objectives and Strategies y Short and long term y Organizations and coalitions will select appropriate activities and interventions New York State Oral Health Plan

28 Statewide Oral Health Coalition zWill coordinate activities around State Oral Health Plan implementation zCore of members active in developing the plan zWill work with regional and local oral health coalitions

29 zGuidelines for the dental care of pregnant women and young children zNo precedent for these guidelines zConvened expert panel: yOB/Gyns yDentists yPediatricians zWill (hopefully!) be released soon Guidelines Project

30 zUses CDC outline zPresenting all the available data on oral disease in NY in one place zWill be published later in 2006 Burden Document Questions?

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