thank you for affording us the opportunity to discuss oral health education as a possible national...

Thank you for affording us the opportunity to discuss Oral Health Education as a possible National Governors Association Center For Best Practices Initiative

Outline

• Introduction• 2000 Surgeon General’s Report• Maryland’s 2012 Oral Health Education – Certification

and Monitoring Law• Power Point Presentation, •  The Oral Health Crisis In Your Classroom• National Research Data to Support the Oral Health

Education

• Oral Health Education Resources

I. Introduction

Introduction

All children deserve the right to have good oral health. However, the 2000 Surgeon’s General Report entitled “Oral Health in America” continues to be current in 2012 indicating the oral health status of school-age children remain unchanged. Thus, children and families living in underserved communities struggle daily with untreated dental disease.

Objectives

Objectives

1. Appreciate the essential need to establish oral health education as part of the elementary, middle and high school curriculum.

2. Integrate teaching oral health lessons with mathematics, reading, music, science, history and comprehensive health education.

Objectives (cont…)

3. Access materials and provide literature about proper dental hygiene and oral disease prevention.

4. Have an increased awareness of the devastating effects that tooth decay has on a student’s ability to learn.

5. Identify physical, emotional and behavioral symptoms of dental disease when a child is in the classroom.

EXECUTIVE SUMMARY

2000

The Burden of Oral Diseases and Disorders in Children

Dental caries (tooth decay) is the single most common chronic childhood disease--5 times more common than asthma and 7 times more common than hay fever.

Over 50 percent of 5- to 9-year-old children have at least one cavity or filling, and that proportion increases to 78 percent among 17-year-olds. Nevertheless, these figures represent improvements in the oral health of children compared to a generation ago.

Professional care is necessary for maintaining oral health, yet 25 percent of poor children have not seen a dentist before entering kindergarten.

The social impact of oral diseases in children is substantial. More than 51 million school hours are lost each year to dental-related illness. Poor children suffer nearly 12 times more restricted-activity days than children from higher-income families. Pain and suffering due to untreated diseases can lead to problems in eating, speaking, and attending to learning.

Meeting with MSDE - 2008

Why Do We Need Oral Health Education taught in the classroom?

Shifts in Ethnic/SES Distribution• 80% of caries are in 20-25% of the population

• Disproportionately more caries found in lower SES (socio-economic status) groups

• Disproportionately more caries in minority groups - Native Americans, African-Americans, Hispanics

• Access to care is a problem for many of these children

In classrooms everywhere there are children with

healthy teeth…

Normal Oral Structures

1st Grader

Normal Oral Structures

3rd Grader

Normal Oral Structures

5th Grader

And, then there are children with painful,

untreated tooth decay.

Baby Bottle Tooth Decay(Nursing Caries)

Mild

Baby Bottle Tooth Decay(Nursing Caries)

Moderate

Severe

Baby Bottle Tooth Decay(Nursing Caries)

8 year old male patient with generalized tooth decay

15 year old female patient w/ decayed teeth

Facial Cellulitis

Due to untreated dental abscess

Facial Cellulitis

Due to untreated dental abscess

Facial Cellulitis

Due to untreated dental abscess

Facial Cellulitis

Due to untreated dental abscess

Facial Cellulitis

Due to untreated dental abscess

Dietary Substrates (Source: Sugar, Baby!)

• Form and Frequency

• “Healthy” Snacks

• Soda pop

Intake during Teenage Years

10% of total caloric intake comes from soft drinks! Find

pic

A 12-ounce Can of Soda Contains

• 10-15 teaspoons (40 grams) of sugar• 35-45 milligrams of caffeine

• A 5-ounce cup of coffee – • 110-150 mg• Children that have increased

caffeine consumption may

experience: Restlessness Hyperactivity Difficulty concentrating Lack of sleeping

Supersize Me!

Toothbrushing Love = Microorganism Suppression

(Encourage kids to routinely brush to help remove plaque and get rid of tooth decay-causing germs.)

What challenges may arise when What challenges may arise when there is a child suffering from there is a child suffering from

painful tooth decay in the painful tooth decay in the classroom?classroom?

Behavior Problems

Low Student Achievement

Poor Social Relationships

• Self conscious of their teeth's appearance– Child may be shy – Child may not smile or laugh– Child may not engage in conversation

High School Drop Out

Other Negative Factors• Underage Drinking

• Smoking

• Teen Sex/Pregnancy

• Stealing

• Drug Use

• Diseases

Unemployment

The Cycle of Pain

Which equals

Diseased teeth can make you sick all over!

Signs and Symptoms of Oral Health Neglect

Symptoms• elevated temperature• foul smelling breath• drooling• detached• clenched teeth• chapped lips• teeth with brown stains• teeth with black holes• mouth sores• swollen lip• swollen eye• swollen cheek• swollen neck• dehydrated• frequent earaches• frequent headaches• impaired speech• hyperactive

Signs•frequently absent•does not sing•seldom laughs•frowned face•hand over the mouth•unbalanced gait•head on the desk•rocks back & forth•tearful wailing•refuses to eat•moans & groans•withdrawn•paces the floor•angry outbursts•often irritable

•hands over eyes•low test scores•inability to concentrate•low self esteem

Dry Chapped Lips

Dental Deaths

Children Diagnosed with Dental Disease- Directly or Indirectly Caused Death

Year

Name Age(Years)

State

2006 Diamond Brownridge 5 Illinois2007 Deamonte Driver 12 Maryland2007 Alexander Callender 6 Mississippi

2008 Jacqueline Martinez 7 California

2009 Cory Moore, Jr. 9 Florida

2009 Maddoux Cordova 1.10 Texas

2010 Dylan S. Stewart 5 Florida

2010 Jacobi Hill 6 Virginia

2010 David Liddell 5 Georgia

2010 Akasmse Rose Tecumseh

4 Oklahoma

What else can teachers do?

Fig. 3 highlights the willingness on the part of educators to teach across the curriculum, by incorporating oral health education within existing health, reading, math, science and other disciplines. Incorporating oral health education into the public school curricula could mean the difference between sub-par academic achievement and measurable intellectual gains for many children in Title One Schools.

(Key: SD =Strongly Disagree / D = Disagree / U = Undecided / A = Agree / SA = Strongly Agree)

Please utilize your Code Red resource booklet !

Lessons K-12: Get Kids Excited to Learn About Oral Health Care

MusicBrushing Song

(Sung to Old MacDonald Had a Farm)In my mouth I have some teeth,

E-I-E-I-OAnd in my mouth I put my brush,

E-I-E-I-OWith a brush, brush hereAnd a brush, brush there

Here a brushThere a brush

Everywhere a brush, brushIn my mouth I’ll keep my teeth!

E-I-E-I-O!!!!

Poetry

My Tooth

My tooth fell out and left a space

So big my tongue can touch my face.

And every time I smile I show

The place where something used to grow.

I miss my tooth as you can guess

But now I have to brush one less!

Math

Reading

Science

Health

Brush-a-thon

Physical Education

Mouth Guards

HistoryIn 1790, when George Washington was elected as the first President of the United States he only had 1 natural tooth. He had false teeth made from gold, hippopotamus and walrus tusks. Contrary to popular belief he did not have teeth made from wood.

Greek Mythology• St.  Apollonia is the Patron

Saint of Dentists, and people suffering from toothache and other dental diseases often ask her intercession. She is pictured with a pair of pincers holding a tooth or with a golden tooth suspended from her necklace.

• St. Appolonia was persecuted for her religious views and her persecutors knocked out all of her teeth out and burned her.

Puzzles

Oral Health Education Resources

Corporate Dentistry

• Colgate

• Sunstar Butler

• Crest Oral-B

• Dr. Fresh

• Brushtime Products, Inc.

Organized Dentistry

• American Dental Association (ADA)• American Dental Hygienists’ Association (ADHA)• National Dentist Association (NDA)• Hispanic Dental Association (HDA)• American Association of Pediatric Dentistry (AAPD)• American Association of Public Health Dentistry (AAPHD)• Society of American Indian Dentist (SAID)

Non-Profit Organizations

• Oral Health America• The Maryland Children’s Oral Health Institute• National Museum of Dentistry• Dental Trade Alliance

The Children’s Oral Health Institute

At-A-Glance

2008 2009 2010 2011

Lessons In A Lunch Box

Project CleanToothbrush

30 Days & 30Nights

Code Red

The Oral Health Crisis In Your Classroom is real!

THANK YOU