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Overview: Pediatric Oral Health Burton L. Edelstein DDS MPH Children’s Dental Health Project
Claim “ Parents Report More Unmet Dental Need than Any Other Health Care Need for their Children”
Problem Statement Oral Concerns Are –Prevalent –Significant –Consequential Oral Health Is Sentinel to MCH
Dental Unmet Need is #1 –3.3 Times > Medical –4.4 Times > Eyeglass –4.8 Times > Rx
NHIS One-in-18 Children With Dental Need Substantiation: –Urban Institute, Survey of America’s Families: –one-in-13 Children
NHIS - CSHCN Unmet Need Insured Medical2.2 Dental6.2 Mental0.9 Eye, RX3.1 Uninsured 10.5 23.9 3.4 12.3
NHANES III Tooth Decay Most Prevalent Chronic Disease of Children –5 Times More Common than Asthma
NHANES - HP 2000
Oral Health Issues Caries –Most Common Chronic Disease Cleft Lip/Palate –4th Leading Birth Defect Trauma & Abuse –75% Involve Face, Head, Neck
Oral Health Issues Tobacco –Smoking –Smokeless Dental Arch - Facial G & D –Orthodontics –Compromising Malocclusions
Dental is Sentinel Unmet Need Coverage Enrollment Access Disparities Safety Net
Dental & CSHCN Workforce Capacity Coverage Rampant Dental Disease Lack of Priority –Compromised Medical Care
Dental & Families Biology –Caries is Infectious & Transmissible -- from Mothers! Behavior –Dental Pain Changes Children’s Behavior & Performance
MCH Pyramid Infrastructure Population Based Services –Dental Enabling Services Direct Health Care
Federal Activities Healthy People 2000/2010 –Goal Statement Surgeon General’s Activities –Report, “Oral Health in America” –Workshop/Conference Departmental Initiatives
DHHS HRSA-HCFA Oral Health Initiative MCHB - HS - WIC Project NIH - HRSA Disparity Grants HCFA-HRSA Medicaid Grants Secretary’s Initiative
AMCHP Publication “Putting Teeth in Children’s Oral Health Policy & Programs: the State of Children’s Oral Health & Role of State Title V Programs” AMCHP December 1999
Title V Oral Health Performance Measures John Rossetti, DDS, MPH Chief Dental Officer HRSA/MCHB.
Children’s Oral Health & Dental Care Burton L. Edelstein DDS MPH Children’s Dental Health Project, Washington DC Columbia University, New York NY CityMatCH/NACHO.
Community Health Assessment – Three Perspectives on Community Health Graves County.
The State and Local Area Integrated Telephone Survey Presented by Marcie Cynamon Stephen Blumberg.
Oral Health Initiative John Rossetti, DDS, MPH HRSA/Chief Dental Officer Dee Raisl HCFA/Regional Maternal and Child Health Specialist Jim Sutherland, DDS,
Changes in Socioeconomic Disparities in Primary Tooth Caries in the United States: NHANES 1988 to 2004 Takenaka TH *1, Cunha-Cruz J 2, Leggott PJ 1 1 Department.
Colorado Oral Health Network & Web-based Resources HRSA HDC National Primary Oral Health Care Conference August 8, 2005 Colleen Lampron, MPH.
HRSA’s Oral Health Goals and the Role of MCH Stephen R. Smith Senior Advisor to the Administrator Health Resources and Services Administration.
Dental Health in the Classroom By: Maria, Charles, and Josh The Bad!! The Good.
Healthy Youth, Healthy Future: MCH Needs Assessment for Children and Adolescents.
1.Diabetes 2.Substance Abuse/Alcoholism 3.Injuries 4.Breast and Cervical Cancer 5.Dental 6.Mental Health 7.Cancer (all other) 8.Sanitation.
An Assessment of First Dental Visits Between Birth and the 1 st Year, Utah Shaheen Hossain, PhD Karen L. Zinner, MPH Peggy A. Bowman RDH, BA.
K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Access to Dental Care: Issues and Challenges Diane Rowland, Sc.D. Executive Vice.
Measures of Child Well-Being from a Decentralized Statistical System: A View From the U.S. National Center for Health Statistics Stephen J. Blumberg, Ph.D.
Framework and Recommendations for a National Strategy to Reduce Infant Mortality July 9, 2012.
Enhancing Surveillance with the Colorado Child Health Survey Jodi Drisko, MSPH Jason Gannon Alyson Shupe, MSW, PhD Colorado Department of Public Health.
Page 1 Non-profit, non-partisan. Founded in Dedicated to improving health and human services for all New Yorkers. Emphasis on low-income and vulnerable.
The State and Local Area Integrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics.
Mississippi State Oral Health Plan Building Bridges to Improve Oral Health Dr. Nicholas Mosca Dental Director, Mississippi Department of Health Mississippi.
Potential of Medicaid and SCHIP Expansions To Increase Insurance Coverage for CSHCN Amy Davidoff, Ph.D. Alshadye Yemane, B.A. The Urban Institute American.
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