Childhood Tooth Decay And Caries Is Our Nation 's Most Common Childhood Disease

Oral health has a direct impact on the general health, hence, it is important that all Canadians have adequate access to dental care services. Over the years successive Governments have reduced financial support to programs delivering dental care to most vulnerable populations. As a result, many low income families and other vulnerable groups have been unable to access dental care. There is further escalation in the disparities in oral health care among Canadians, as the number of Canadians losing dental care benefits continues to increase. Also, higher oral health care costs can be expected in the near future due to shortage of health care professionals.

The prevention of caries is accomplished through the execution of a variety of measures, such as the fluoridation of the drinking water supply as well as the utilization of sealants and topical fluorides (Mouradian, Wehr, and Crall 2625). Despite the ease of preventability of tooth decay, it is one of the most common childhood chronic diseases, with more than half of the nation’s children having detectable caries (Mouradian, Wehr, and Crall 2625). Unfortunately, only 62% of water supplies are fluoridated, and underserved communities with low-income and minority families are usually the ones who are disproportionately affected (Mouradian, Wehr, and Crall 2626). Low-income individuals are generally less likely to seek preventative care, increasing their costs of neglected oral diseases and morbidity factors (Mouradian, Wehr, and Crall 2626). In addition, only one in five children who are covered by Medicaid are authorized for preventative oral healthcare, while restorative care is generally not even a consideration (Mouradian, Wehr, and Crall 2625).

The first health disparity I would like to discuss is Oral health interventions among Hispanics, especially among Hispanic children. An article, “Community-based oral health self-care intervention for Hispanic families”, By Hull and other authors, focuses on monitories who are at high risk for poor oral health have dental caries, oral disease and not having much access to dental care based on their socioeconomic status Hull, 2013).

While most of the patients I interacted with were seeking non-dental care, I met patients who were seeking care to health conditions that stem from their oral health such as oral abscesses, which our team was unable to treat except for prescribing antibiotics or painkillers. I encountered similar situations when I shadowed physicians in the emergency room of hospitals, observing a variety of craniofacial disorders originating from a preventable tooth decay. From these observations, I learned that patients often did not receive treatment that addressed the root of their problems: their oral health. As the result, I learned that many physicians saw the same patient repeatedly for problems that would otherwise be easily prevented through proper preventive dental care. Determining to address the unmet needs for accessible preventive dental care, I decided to pursue a career in dentistry so that I can provide a positive and meaningful impact to the underserved community on their oral health and ultimately their overall

Because children are influenced by the family tradition and learn from their parents, it is important for parents to make sure that they are teaching proper oral care habits at a young age. The habits that children should learn at a young age are; keeping up with home dental care, receiving the dental care that people should, needing dental care but being enforced to go, brushing teeth as well as they should, being taught on how to control snacking between meals as well as they should, and being taught that dental care is indeed important. " Poor oral health has an impact upon children's health in general and dental caries can lead to a lack of appetite, problems with chewing, problems with sleeping and a decrease in school performance" (Abanto et al, 2011). Proper health education is somewhat

Health care has been an issue for the United States of America for multiple years. Dental care, a topic that does not get much attention because people believe it is trivial, plays a major part in people’s lives, particularly children. Gerard van Honthorst’s The Tooth Puller shows a dentist pulling a patient’s tooth with five observers watching. Van Honthorst shows how in awe or scared people are of the dentist. There is a negative outlook on dentists and dental care: people are afraid of the dentist giving them their negative connotation, while dental care only causes pain in many people eyes. There is a problem in the health care system and improvement in the system is needed because health care is a right for every citizen, especially dental care. The United States of America’s government should allow dental therapist to conduct the procedure that normal dentist conduct for free for children under the age of twelve. The government should fund the teaching, training, and employment of dental therapists to care for underserved people.

Dental insurance coverage is a key determinant on whether to seek care or not. The exclusion of our mouths from the rest of our body parts and not receiving the care it requires is quite impossible to rationalize (McClymont, 2015). Dental care is essential in the maintenance of good oral health and in the identification of symptoms of systemic conditions that most likely are manifested through the mouth. As striking and conspicuous as it may sound, Canada has indeed a type of health care system wherein mouth is excepted as a part of the body. As a matter of fact, our lips, tongues, and throats are securely covered while our teeth and gums are left out from the privilege. The most common infectious disease in the world are dental diseases, and the fact that many health issues can be first diagnosed through the oral cavity validates its importance and co-relevance to the rest of our body. Studies have linked poor oral health such as severity of gum infection to AIDS, first stages of osteoporosis, reveal nutritional deficiencies, immune disorders, cancer, and so on and so forth. Xerostomia or dry mouth for an instance is often a symptom of undetected diabetes. Diabetic patients have higher risks of gum infection caused by increased blood sugar, thickening of blood vessels resulting to hindered healing process that is why they are obligated to undergo pre-medication as a form

Over 130 million Americans do not have dental insurance. On top of that, almost a million emergency room visits last year resulted from preventable oral conditions. Many Americans today are unaware of how the condition of their dentition affects their overall health. Socioeconomic limitations, the lack of dental education in parents, eating habits, and simply the availability of dentists plays a key role in the state of children’s oral health; implementing a universal dental care program will help lower the barriers that many people face when it comes to receiving the dental care they need. The program will target high-risk individuals who are prone to dental caries and provide them with standard

Studies on oral health range from the impact of dental health insurance to the efficiency of state or federal programs and services. More recently, studies have also highlight the role of less advantageous populations. In the study by Edelstein, Hirsch, Frosh, & Kumar (2015), a Medicaid population is examined on its available interventions in an effort to reduce childhood dental carries. The researchers used systems model analysis of the Medicaid population in New York in order to assess the cost savings and disease reduction capacity of nine interventions, which include the following: fluoride varnish application, water fluoridation, fluoride toothpaste, fluoride varnish, medical screening, motivational interviewing, secondary prevention,

While the private sector provides excellent quality of oral health care for its patients, many vulnerable groups have difficulty with access.2 It is also these vulnerable groups who demonstrate extremely high levels of oral health disease. According to a 2014 report issued by the Canadian Academy of Health Services (CAHS), the following represent Canada’s most vulnerable groups: individuals with low incomes; younger age children living in low-income families; individuals working without dental insurance; elderly populations with low incomes and/or living in institutions; aboriginal people, immigrants/refugees; people with disabilities; and, populations living in rural/remote communities.2 The CAHS authors report that increasingly and in light of challenging economic times, families from lower-middle income strata are also demonstrating difficulty with accessing oral health care (this is partially attributable to an increasing tendency toward part-time employment rather than full-time employment with benefits).

Dental care has long been viewed as luxury due to the fact that many can not afford this high cost for health care1. Overall, much of our society either perceives the cost too high or does not give it the urgency it so deserves1. As mentioned earlier, one of the communities biggest issues is the lack of care being served to low-income communities.. This largely comes from the fact that many health care companies do not cover dental care. Another issue is that due to lower pay back from Medicaid, many times dentists do not accept Medicaid as a payment1. Unfortunately, within these underserved, low-income populations, Medicaid is the primary form of coverage that these individuals are able to receive. Other barriers to treatment, also include the lower number of dentists that are also available in these under

According to the World Health Organization, “Worldwide, 60-90% of school children and nearly 100% of adults have dental cavities.”

Dental Hygiene is very important to me and has been since I was a child, this has influenced my desire of becoming a pediatric dentist. In a personal interview i conducted with Dr.Bills she informed me of this, “Dental Hygiene is emphasized by all dentists, we want our patients to have elegant white teeth and pleasant breath”(Bills). I would like to teach children the importance of keeping their teeth brushed so that they will have a beautiful smile and healthy teeth. Pediatric Dentistry is a superb fit for me because I care about dental health and I want children to know the importance as well. It is never too early for children to learn how important dental hygiene is.

Although considered preventable, 53.6% of Medicaid eligible kindergarteners studied in California had a history of dental caries and 27.8 % had decay present at the time of the screening (Dental Health Foundation, 2006). Teaching young children effective oral hygiene techniques is the most effective way to protect the child’s teeth and help them to develop a daily oral wellness routine ("Dental Health," 2015). By focusing on those most in need, Medicaid eligible preschool aged children, teaching and reinforcing effective oral hygiene strategies early in life will foster a lifelong habit of oral health wellness (Gardner, Lally, & Wardle, 2012).

Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.