OUR MISSION… To raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.
OUR GOAL… To assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native People.
OUR FOUNDATION… To uphold the Federal Government’s obligation to promote health American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.
IHS/Tribal Healthcare Systems 48 hospitals 280 health centers 147 health stations 34 urban health projects 9 residential treatment centers 176 Alaska village clinics
Challenges in IHS Dental Programs 2,800 patients per IHS dentist 1,500 patients per U.S. dentist $50 average IHS expenditure per patient $300 average U.S. per patient 25% dental access for Indian people
Oral Disease Trends 76% pre-school children with caries 68% adolescent children with caries Increased access for sealants 63% 8 year-olds with at least 1 sealant
Screen Results 2008-2009 387 students, aged 14-19 387 screened 97% have had dental caries 73% with untreated decay (1395 carious teeth) 14% reported oral pain
2010 Target = 57% 19962000 Receipt of Preventive Services by Low Income Children Obj. 21-12 Note: Data are for children under 19 years. Low income is less than 200% of poverty level. Preventive services include examinations, cleaning, x-rays, fluoride treatments and sealant applications. Source: Medical Expenditure Panel Survey, AHRQ.
Total 2010 Targets 6-11 Years12-18 Years BlackMexican American White TotalBlackMexican American White Dental Sealants: 1988-94 and 1999-2000 Obj. 21-8 1999-2000 1988-94 Unreliable estimate, relative standard error >30%. Note: Targets are for children 8 years and 14 years. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Percent
Obj. 21-1c Adolescents 12-18 Years Who Ever Had Caries in Permanent Teeth, 1988-94 and 1999-2000 Note: Target is for adolescents 15 years old. Black and white exclude persons of Hispanic origin. Persons of Mexican- American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. TotalBlackMexican American White MaleFemale Percent 2010 Target 1988-94 1999-2000
Oregon Smile Survey 2007 64% of children have had dental caries 20% of children with rampant decay (7+) 35% of children with untreated decay 25% with no dental insurance 9% with no dental home 20% need urgent care due to pain/infection 43% with dental sealants
Oregon Smile Survey Recommendations –Community water fluoridation –Early-childhood cavities prevention –School based fluoride supplement program –School based dental sealant programs
Resources Oregon Dental Association Oregon Dental Hygienists’ Association Dental Foundation of Oregon Tooth Taxi Medical Teams International Mobile Dental Van Boys and Girls Club
Resources Oregon Smile Survey Burden of Disease in Oregon Oral Health Data Book King Fluoride Dental Sealants Protect Oregon Teeth: A Guide… http://www.oregon.gov/DHS/ph/oralhealth