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