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Overview: Pediatric Oral Health Burton L. Edelstein DDS MPH Children’s Dental Health Project.

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Presentation on theme: "Overview: Pediatric Oral Health Burton L. Edelstein DDS MPH Children’s Dental Health Project."— Presentation transcript:

1 Overview: Pediatric Oral Health Burton L. Edelstein DDS MPH Children’s Dental Health Project

2 Claim “ Parents Report More Unmet Dental Need than Any Other Health Care Need for their Children”

3 Problem Statement Oral Concerns Are –Prevalent –Significant –Consequential Oral Health Is Sentinel to MCH

4 NHIS

5 Dental Unmet Need is #1 –3.3 Times > Medical –4.4 Times > Eyeglass –4.8 Times > Rx

6 NHIS One-in-18 Children With Dental Need Substantiation: –Urban Institute, Survey of America’s Families: –one-in-13 Children

7 NHIS - CSHCN Unmet Need Insured Medical2.2 Dental6.2 Mental0.9 Eye, RX3.1 Uninsured

8 NHANES III Tooth Decay Most Prevalent Chronic Disease of Children –5 Times More Common than Asthma

9 NHANES - HP 2000

10 Oral Health Issues Caries –Most Common Chronic Disease Cleft Lip/Palate –4th Leading Birth Defect Trauma & Abuse –75% Involve Face, Head, Neck

11 Oral Health Issues Tobacco –Smoking –Smokeless Dental Arch - Facial G & D –Orthodontics –Compromising Malocclusions

12 Dental is Sentinel Unmet Need Coverage Enrollment Access Disparities Safety Net

13 Dental & CSHCN Workforce Capacity Coverage Rampant Dental Disease Lack of Priority –Compromised Medical Care

14 Dental & Families Biology –Caries is Infectious & Transmissible -- from Mothers! Behavior –Dental Pain Changes Children’s Behavior & Performance

15 MCH Pyramid Infrastructure Population Based Services –Dental Enabling Services Direct Health Care

16 Federal Activities Healthy People 2000/2010 –Goal Statement Surgeon General’s Activities –Report, “Oral Health in America” –Workshop/Conference Departmental Initiatives

17 DHHS HRSA-HCFA Oral Health Initiative MCHB - HS - WIC Project NIH - HRSA Disparity Grants HCFA-HRSA Medicaid Grants Secretary’s Initiative

18 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

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