The U.S. Oral Health Workforce in the Coming Decade: Workshop Summary

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The U.S. Oral Health Workforce in the Coming Decade: Workshop Summary

The study was prepared for Sen. Bernie, I-Vt. Here is a five-minute highlights video from the hearing and witness testimony and the full video from the hearing. Bernie Sanders I-Vt. In a statement prepared for the hearing, Sen.

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Jay Rockefeller D-W. Projected to enrollment levels, GAO estimates that 6. Children in Medicaid remain at higher risk of dental disease compared to children with private health insurance; children in Medicaid were almost twice as likely to have untreated tooth decay. Report highlights. Healthy People , Focus Area on Oral Health — Healthy People is a statement of national health objectives designed to identify the most significant preventable threats to health and to establish national goals to reduce these threats. Millions of Americans Lack Access to Essential Oral Health Care : A report from the Institute of Medicine and the National Research Council looks at the consequences of inadequate access to oral health care and recommends ways to improve access.

Improving Access to Oral Health Care for Vulnerable and Underserved Populations : This report, from the Institute of Medicine's Committee on Oral Health Access to Services looks at the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care.

Oral Health and Low-Income Nonelderly Adults: A Review of Coverage and Access This policy brief provides data and analysis of coverage and access to oral health care for low-income nonelderly adults.

  1. S. Harris - Dentistry / Medicine & Nursing: Books;
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  8. Lack of resources to pay for dental services, either through dental insurance or out-of-pocket, is a major barrier to oral health care for many low-income Americans. The problem is particularly acute for low-income adults, who are more likely to be uninsured than low-income children. The report found that seniors in many states lack access to public and private dental benefits and dental services. In many states, community water fluoridation and other public health initiatives that support oral health are also in short supply. Information from the Centers for Disease Control and Prevention on the growing problem estimated to cost 23, American lives a year.

    A peer-reviewed paper describing the minimally invasive treatment for tooth decay, authored by Jo Frencken and others who have helped pioneer the technique. Centers for Disease Control and Prevention. Eleanor Fleming, dental epidemiologist and lead author of an April National Center for Health Statistics data brief on tooth decay rates among U. The American Academy of Pediatric Dentistry offers a wealth of information about the oral health of infants and children on its website. It includes questions about risk to health care workers and patients. Guidelines for infection control in dental offices , from the CDC.

    This link provides some basic information from the CDC about the rare transmission of hepatitis B in a dental setting. An interesting CDC table offering details of reported health care related outbreaks of hepatitis B and C. Information for health professionals and patients from the National Cancer Institute related to the management of oral complications following cancer treatment.

    Government/National Reports

    This article presents evidence-based clinical recommendations for using sealants developed by an expert panel convened by the American Dental Association Council on Scientific Affairs. This question-and-answer fact sheet on dental sealants was put together by the Centers for Disease Control and Prevention.

    This link includes short videos produced by the American Dental Association that explain how sealants are applied. This link brings you to the synopsis of a widely cited Cochrane review of sealant studies. The ADHA can answer questions and can help you find a hygienist in your state to speak with. Also check with your state dental association or society. In some states, scope of practice issues such as whether a child needs to be examined by a dentist before a hygienist applies sealants can be a source of strong debate between dentists and hygienists.

    The report gives 20 states and the District of Columbia grades of D and even F for their efforts. The Sullivan Alliance , a health advocacy organization founded by former U. Suggested national standards for the training of dental therapists developed by a panel of experts convened by Community Catalyst, a nonprofit advocacy organization and funded by the W. Kellogg Foundation.


    They were released in the fall of for the use of states and tribal nations considering the implementation of dental therapy programs. The author includes citations to a number of useful sources. Get oral health and diabetes resources from the National Institute of Dental and Craniofacial Research, including oral health tips for diabetics and links to government, professional and nonprofit resources.

    As a result, in the first year and adding 55 patients in each of the the hygiene program integrated new content into one next three years. However, in year 4, the Rural Alliance of its existing courses to address these issues. In addition, while expanding the num- program beyond the end of the grant period is a cen- ber of patients served, the Rural Alliance was able to tral challenge.

    This reduction was due to a combination the Ryan White Program and foundation resources. HIV Alliance developed Table 2.

    The U.S. Oral Health Workforce in the Coming Decade: Workshop Summary.

    Every time you work on my teeth, emergency basis. HIV case managers also stressed the it makes me feel better. Provider training Student experience was measured using pre- and post- Services delivered service surveys, interviews, and focus groups. Students The Rural Alliance also expanded the types of services reported that they were better prepared to provide oral provided to clients, resulting in the delivery of more health care as a result of didactic courses and clinical comprehensive care.

    Sixty-one percent of patients com- rotations. The AETC presentations were viewed as a pleted treatment plans. To date, 7, clinical services valuable resource that reinforced the content of online have been provided Table 3. These services included courses. The HIV course that was added to the examinations, radiographs, routine cleanings, deep curriculum, in conjunction with hands-on experiences cleanings, fillings, extractions, dentures, crowns, and in providing care, contributed to increased confidence bridges.

    Patients reported that students were patient HIV-positive or not , so as long as we professional and concerned with their comfort. They follow protocol, we will be fine. Several factors contributed to the success of this Service type N innovative model of care: 1 accessing funding from multiple Ryan White Program sources, 2 involving Diagnostic 2, multiple partners, 3 engaging dental hygiene stu- Preventive 1, dents, 4 using a dental case manager, and 5 being Restorative 1, responsive to unanticipated needs.

    Endodontics The importance of leveraging multiple Ryan White Periodontics Prosthodontics Program funding sources to sustain the delivery of care Oral surgery cannot be overstated. The Oral Health Initiative helped Other the program establish a dental clinic and hire a project Total 7, coordinator. Ryan White care. At a services and increase treatment compliance. The experience at the LCC dental clinic is cannot be overstated.

    As the program began providing services, The cornerstone of the care model presented in it became apparent that one centralized location did this article is partnership. The partnership among not meet the needs of clients in the large service area. HIV Alliance, LCC, and Community Health Centers Satellite clinics, which were established to solve this of Lane County was based on the recognition that problem, not only improved dental utilization but also no one entity could effectively tackle the problem of reduced transportation costs incurred by clients and inadequate access to dental care.

    The partners built on the program. Likewise, it allowed the program to set existing strengths to bring to the table key resources, up rotations of hygiene students that increased their such as expertise in oral health-care delivery, training, direct care experiences. Other examples of tailoring and case management, as well as clinical infrastruc- interventions to the needs of various groups included ture, providers, and access to liability insurance.

    HWTAC Webinar 042 - The Changing Landscape in Oral Health

    This expanding clinic hours to accommodate more clients collaboration experienced some challenges early on, and revising the curriculum to better prepare dental underestimating the time needed to identify and assign hygiene students for working with PLWHA. Extensive discussion and effort were needed to reach a consensus on key issues, COnclusions but in the end, these challenges helped to strengthen the collaboration.

    This program and study are generalizable and repli- The incorporation of dental hygiene students into cable in other settings, particularly those that host com- the model of care is innovative and has important munity colleges with space that may be underutilized. First, the lack of dental care for PLWHA Successful replication of the rural model described in is aggravated, in part, by the limited number of dentists this article in other settings involves considering several treating this population.

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    Dental hygienists are poised key features: building and maintaining community-aca- to alleviate this shortage by filling the workforce gaps. Transferability of the program also depends Second, recent efforts have focused on training and on tapping into revenue streams, such as Ryan White using students in the oral health care of PLWHA, but Program funding; drawing from external resources, few have targeted dental hygiene students. The hygienist may be the first provider to detect oral conditions related to HIV and can assist in This study was supported by grant H97HA from the U. Department of Health and Human Services, Health the referral process in obtaining early diagnosis and Resources and Services Administration.

    Annalee Gonzales

    This grant is funded appropriate primary medical care. The contents of this article are solely the a knowledgeable, caring, and skillful cadre of dental responsibility of the authors and do not necessarily represent the hygienists capable of providing oral health preventive views of the funding agencies or the U. J Am data that suggest case managers play an important Dent Assoc ; Harris TA, Andersen R, et al. Perceived unmet need for oral treatment among rapporteur.

    The U. Washington: The National Academies Press; clinical correlates. Am J Public Health ; Perceived J with HIV? Issues for dental education.