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Teachers and parents in the United States and the world are not taking this preventable, chronic disease seriously enough. Doctors Bagramian, Garcia-Godoy, and Volpe found that “International research conferences convened over the past 25 years proudly reported that dental caries prevalence was declining on a global basis. However, during the past decade, the situation has reversed and scientific report after report signal an alarming increase in the global prevalence of dental caries in children and adults, primary and permanent teeth (2009).” Several countries including China fluoridate their water supply in efforts to decrease dental decay, much like the United States. The article also alludes to several recent summits where dental professionals from around the world met to discuss the growing prevalence of dental caries and planned efforts to reverse the trend. These meetings are important in creating a greater awareness on oral disease and the importance of prevention, but prevention starts at a young age. Teachers, daycare providers, parents, and others who have direct contact with children are the best individuals for dental professionals in which to

If left untreated, pulp infection can lead to abscess, destruction of bone, and systemic infection (Cawson et al. 1982; USDHHS 2000). Various sources have concluded that water fluoridation has been an effective method for preventing dental decay (Newbrun 1989; Ripa 1993; Horowitz 1996; CDC 2001; Truman et al. 2002). Water fluoridation is supported by the Centers for Disease Control and Prevention (CDC) as one of the 10 great public health achievements in the United States, because of its role in reducing tooth decay in children and tooth loss in adults (CDC 1999). Each U.S. Surgeon General has endorsed water fluoridation over the decades it has been practiced, emphasizing that “[a] significant advantage of water fluoridation is that all residents of a community can enjoy its protective benefit…. A person’s income level or ability to receive dental care is not a barrier to receiving fluoridation’s health benefits” (Carmona 2004). As noted earlier, this report does not evaluate nor make judgments about the benefits, safety, or efficacy of artificial water fluoridation. That practice is reviewed only in terms of being a source of exposure to

All healthcare providers including dental hygienists should be knowledgeable when it comes to educating patients and use evidence based decision-making constructed on the research. The focus is to make an effort to find the right article and transform evidence into practice to improve quality and effectiveness of patient’s health care outcome.

In the first case study, the public health dental hygienist is responsible for evaluating the daily fluoridation test that is submitted by each state to make sure it is in the optimal range 0.7 to 1.2 milligrams per liter. (Centers for Disease Control and Prevention [CDC], 2011) She is also responsible for working with the state if the test results do not measure up the standards set forth by the CDC. In addition the dental hygienist reports all of these results to Centers for Disease control and Prevention (CDC) so the CDC can determine a national average. This case study shows the “assessment” part of the essential public health services.

The accessibility of dental care in relation to race, ethnicity, income level, and overall socioeconomic status is evaluated. Across the board, a huge lack of dental care is seen in individuals of low-income levels and minority groups. In addition, the most susceptible groups to dental disease are identified as children, low-income adults, and the elderly. Ways to improve the oral health status of these groups are recognized. The various needs of underserved communities with respect to the access of dental care are assessed, despite a lack of sufficient dental insurance coverage of individuals who are members of these communities. This includes the improvement of both preventative and restorative care via public health programs, such as

This proves that the lack of dental insurance within these low-income households plays a key role in whether or not these children will receive dental care. When these children do not visit the dentist, they increase their chances of developing dental caries significantly. The British Dental Journal disclosed that, “Sugars consumption varies by social class. National food surveys reveal a higher consumption of sugar and sugar-containing foods and drinks amongst low income groups”(Watt 8). Healthy food is expensive; therefore lower class families resort to unhealthy food because it is significantly cheaper. This extensive consumption of sugar-ridden foods is extremely detrimental to the enamel. The British Dental Journal also declared that “oral inequalities will only be reduced through the implementation of effective and appropriate oral health promotion policy”(Watt 6). The dental program will make the inequalities in dental care known and work to reduce those inequalities. Dental health is often times overseen because it is typically expensive and people are unaware of how the condition of their teeth affects the condition of the rest of their body. The all-inclusive dental health program will give people the treatment they need, regardless of their socioeconomic status.

The websites I used for my research were Center for Disease Control and Prevention and World Health Organization. The World Health Organization defines Oral Health as “a state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, birth defects such as cleft lip and palate, periodontal (gum) disease, tooth decay and tooth loss, and other diseases and disorders that affect the oral cavity” (2015). It is necessary to brush our teeth twice a day for two minutes and floss daily. Since tooth decay has been one of the most common chronic disease among children in the United States, I found it very important to educate them that this is a preventable disease and what ways it can be

(2015) and Dodd et al. (2014), Decker & Lipton (2015) have utilized data qualitatively, which verily served the purpose of gaining rich information on the perceptions of the respondents on dental care and health. This is also important to consider, especially since most of the studies are done quantitatively. Although both qualitative and quantitative studies are good on their own, both also have considerable weaknesses. It would be interesting as well to see more researches done in mixed method in order to fill in the weaknesses of these two. It will be also good to note if the study by Decker & Lipton (2015) can be replicated in different sample—such as other minority groups or a more heterogeneous sample. In this way, the scholar literature can be expanded by our knowledge about dental health that is growing to be a public health issue in United States and in other parts of the world. Given the qualitative data gathered by Decker & Lipton (2015), it will be helpful if better public policies are made to cater to these sensitive populations. This is also true in the suggestion of Dodd et al. (2014) on the widening of the Medicaid coverage among adults—and on the reconsideration not to deflouridate the water supply in New York in the study by Edelstein et al. (2015). As mentioned by Edelstein et al. (2015), removing the fluoride content in the New York water supply could only worsen the rates of early childhood carries. In the long run,

“The impact of unmet oral health care needs is magnified by the well-established connection between oral health and overall health” (Fineberg, H. 2011, p. ix). Oral health status is linked with general health, as evidenced by the association between poor oral health and chronic diseases, such as diabetes, cardiovascular disease, and respiratory disease. Poor oral hygiene can also lead to other health issues such as, oral facial pain and digestive problems. “The silent epidemic of oral diseases disproportionately affects disadvantaged communities,

Underserved and Low-income populations face high rates of untreated dental diseases due to low access to dental treatment. One of the main causes of this problem is lack of participating dentists or poor distribution of dentists due to transportation problems. Untreated oral diseases are often seen in low-income communities and underserved populations The most common oral diseases that manifest in underserved populations are periodontal diseases and dental caries

Oral disease is on of the most common health problems affecting children in the United States (Oral Health in America, 2000). Dental caries is the most prevalent dental disease in children which occurs more often in disadvantaged children than in others. Additionally, children with public insurance have great difficulty gaining access to primary oral care services (Kaye N, 1998; Oral health, 2000). A Report of the Surgeon General stated that minority and low-income children in the United States experience poorer oral health and poorer access to dental health care services than do their majority and higher-income peers (Oral Health in America, 2000). Each year, less than one in five children enrolled in Medicaid use preventive services (Kaye N, 1998; Oral health, 2000). Even if the public insured children get some access to preventive care, access to comprehensive dental care is much more less (Oral Health in America, 2000).

Dental public health programs in the United States operate on federal, state, or local levels. The roles and responsibilities of these programs are directly related to the level of which the program operates. Both similarities and differences can be seen when comparing dental public health programs with regard to organization, financing and delivery of care. Despite differences in the levels in which different dental public health programs operate, all of the programs share a common, generalized goal of improving the oral health status of the public.

245). Focus group was the design of study. This approach was taken because in the initial stages of designing oral health interventions for EHS programs in North Carolina and believed that it was an appropriate research design to provide an in-depth understanding of the determinants of children’s oral health” ((Mofidi, Zeldin, & Rozier 2009, p. 245-246). The results that were acquired from research and several sources allowed the planning of a comprehensive educational intervention. Gaining insights on developing intervention focused on improving children’s oral health in the long term, this is the goal of

Economic status of the dental industry is “A key risk factors for many oral diseases, and significantly determines both general and oral health” (Beaglehole Pg 49) .Countries income and dental care can determine the number of oral health or dental diseases people might have in that country. In appendix 8 and 9there is a chart which identifies the “Relationship between GDP per capita” (Beaglehole 48) in the dental care industry.

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.