Dental
The World Health Organization defines oral health as "a state of being free from chronic mouth and
facial pain, oral and throat cancer, oral infection and sores, periodontal (gum) disease, tooth
decay, tooth loss, and other diseases and disorders that limit an individual's capacity in biting,
chewing, smiling, speaking, ans psychosocial
wellbeing."1
Policy basis for the WHO Oral Health Program include the following:
According to the data from the Utah Behavioral Risk Factor Surveillance System (BRFSS) in 2016:
Oral health barriers in Utah include:
To address oral health issues in Utah, the state provides Medicaid funding for emergency adult dental services, and services for pregnant women and children.
Policy basis for the WHO Oral Health Program include the following:
- Oral health is integral and essential to general health
- Oral health is a determinant factor for quality of life
- Proper oral health care reduces premature mortality2
1.
http://www.who.int/topics/oral_health/en/, downloaded on 03/07/2019.
2. https://www.who.int/oral_health/policy/en/, downloaded on 03/07/2019.
2. https://www.who.int/oral_health/policy/en/, downloaded on 03/07/2019.
Why It's Important
- Research has shown associations between chronic oral infections and heart and lung diseases, stroke, diabetes, and low-birth-weight, and premature births.
- Poor oral health in children has been related to decreased school performance, poor social relationships and less success later in life.
What Is Known
- In 2008 there were 320.8 million work or school hours lost annually for dental care in the United States, of which 92.4 million hours were for emergency (unplanned) care.3
- In 2017, the dentist to 100,000 population ratio for Utah was 59.7 compared to the U.S. at 61.7.4
- The first ever Surgeon General's Report on Oral Health in America was in 2000.5 A new report has been commissioned for 2020.6
- Oral diseases and disorders in and of themselves affect health and well-being throughout life.5
- There are profound and consequential oral health disparities within the U.S. population.5
According to the data from the Utah Behavioral Risk Factor Surveillance System (BRFSS) in 2016:
- 27.0% of adults 18 and over had not visited a dentist or a dental clinic for any reason in the last 12 months.
3. Kelekar U, Naavaal S. Hours Lost to Planned and Unplanned Dental
Visits Among US Adults. Prev Chronic Dis 2018;15:170225.
DOI: http://dx.doi.org/10.5888/pcd15.170225.
Accessed 03/07/19 at
https://www.cdc.gov/pcd/issues/2018/17_0225.htm.
4. Utah Medical Education Council (2017). Utah's Dentist Workforce, 2017: A Study of the Supply and Distribution of Dentists in Utah. Salt Lake City, UT. Accessed 03/07/2019 from https://umec.utah.gov/wp-content/uploads/Utah-Dentist-Workforce-Report-2017-1.pdf.
5. U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000. Accessed 03/07/2019 from https://www.nidcr.nih.gov/research/data-statistics/surgeon-general.
6. NIDCR News: 2020 Surgeon General's Report on Oral Health. National Institute of Dental and Craniofacial Research. Accessed 03/07/2019 at https://www.nidcr.nih.gov/news-events/SGRoralHealth.
4. Utah Medical Education Council (2017). Utah's Dentist Workforce, 2017: A Study of the Supply and Distribution of Dentists in Utah. Salt Lake City, UT. Accessed 03/07/2019 from https://umec.utah.gov/wp-content/uploads/Utah-Dentist-Workforce-Report-2017-1.pdf.
5. U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000. Accessed 03/07/2019 from https://www.nidcr.nih.gov/research/data-statistics/surgeon-general.
6. NIDCR News: 2020 Surgeon General's Report on Oral Health. National Institute of Dental and Craniofacial Research. Accessed 03/07/2019 at https://www.nidcr.nih.gov/news-events/SGRoralHealth.
Who Is at Risk
Numerous studies have found that age, infrequent dental visits, low education level, low income, comorbidities, and inclusion in certain racial or ethnic populations are associated with increased prevalence of dental disease.Oral health barriers in Utah include:
- Lack of dental insurance especially among the poor and the immigrants.
- Limited adult Medicaid services.
- Limited Medicaid dental providers.
- Rural and frontier population.
- Dental professional shortage in some areas especially for the low income population.
How To Reduce Risk
Strategies to reduce the burden of disease include:- Addressing access to care and calling to attention the benefits of good oral health.
- Increasing the number of children receiving preventive services (dental sealants/fluoride varnish).
- Increasing the number of residents consuming fluoridated water (Utah is well below the national average).
To address oral health issues in Utah, the state provides Medicaid funding for emergency adult dental services, and services for pregnant women and children.
How It's Tracked
The Utah Department of Health tracks oral health through:- Utah's Behavioral Risk Factor Surveillance System (BRFSS)
- The Utah Oral Health Program's Basic Screening Survey of 6- to 9-year-old school children
Routine Dental Health Care - Adults (BRFSS)
- March 2020 Health Status Update: Dental Visits to Emergency Departments
- November 2019 Spotlight: Survey Shows How Health Equity Frameworks Redirect Efforts from Short-term Care to Invest in Utah Oral Health Workforce
- December 2018 Health Status Update: Seal Your Smile School-based Sealant Program: Addressing Oral Health Disparities in Children
- December 2018 Breaking News: Cross-Cultural Education and Training of Oral Health Education Institutions in Utah
- December 2018 Community Health Spotlight: Medicaid Dental Benefits for Individuals with Disabilities
- September 2018 Community Health Spotlight: Oral Health Care and Pregnancy
- February 2018 Utah Health Status Update: Oral Health Knowledge and Behaviors Among Utah Students
- August 2017 Community Health Spotlight: Oral Health and Its Impact on Diabetes
- 2015-2016 Oral Health Status of Utah's Children
- May 2017 Utah Health Status Update: Bridging Communities and Clinics: Addressing Geographic Disparities in Primary Care and Oral Health Services
- Special Edition Utah Health Status Update: 2015-2016 Oral Health Status of Utah Children
- Regular Dental Care (from Utah State Health Assessment 2016 Report)
- April 2015 Breaking News: Oral Health and Aging
- The Oral Health Status of Utah's Children: Results from the 2010 Oral Health Survey
- Make Your Smile Count, Utah Oral Health Survey 2005
- Make Your Smile Count, Utah Oral Health Survey 2000