Oral Health Care

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 purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

However, Department of Health, Australian Government in 2016 reported that the scheme had been underutilised, which there was a possibility of underpromotion. From the patient’s view, even though the actual fee was paid by the Government through CDBS, people usually aware of the gap between the benefit coverage and the actual fee (DeVoe et al. 2008). It is known that the gap exists in the payment. For example, the difference for the same services between the benefit for the 10 most utilised services and the national average dental charges for 10 privately insured services, the gap is up to 27 dollars (Private Health Insurance Ombudsman, Australian Government 2014). Moreover, in Australia, children utilised more private services than the public one, since private practitioners provide most dental services. The dentist in the private setting is also free to set their own fee and charges the patient directly (Department of Health, Australian Government 2015; Department of Health 2014; Chrisopoulos, S & Harford JE, 2013). Hence, these conditions may affect some groups of people that does not have sufficient financial resource to afford appropriate dental

The authors have properly addressed the health disparities in this article. They started the article by telling the audience why Hispanic faces health disparities the most. First, due to the language barrier they have insufficient knowledge of oral health. Most the people who participated in this study were immigrants, Spanish. Only 2/3 of the people spoke and understood little to no English. Second, because of the poverty they have can’t afford dental health and avoid going to see the dentist. ¾ of the parents received an income of $2,000 or under per month. Third, many of the families did not have any type of dental insurance.

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

Despite enjoying excellent health and receiving comprehensive and universal healthcare access, Canada has seen continuing healthcare inequality especially among those people living at or below the poverty level and those who are members of the Aboriginal Peoples. The greatest impact of this disparity is evidenced through earlier mortality rates and greater incidences of injury and illness. Nowhere in Canada is this more true than among the Aboriginal Peoples, who, for example, have the highest rate or and risk for Type 2 Diabetes. This risk costs Canada an additional 18 billion dollars CAD every year (Strategic Initiatives and Innovations Directorate, 2011).

The provision of dental treatment in Australia is a topic that ignites a wide range of opinions and emotions among the various stakeholders involved. Much of dentistry in Australia is provided in the private setting, some estimates suggesting 83%1. Australians fund up to 60% of dental care via out of pocket payments1,2. Only a relatively small amount of dental care is provided in the public sector to patients who are often disadvantaged in regards to their oral health1. It is estimated that a large amount of the population is unable to access dental care due to finances; however the capacity of the public sector to provide dental care is limited. With limited funding and resources, the public sector is unable to provide dental care for all Australians and a large proportion of people are on long wait lists, some estimates of 650,0002.

Many low income areas have dental therapists as part of their local dental team. Many people in these areas have never been to a dentist or do not go every six months as recommended this poses many other health problems. There has been case studies and data showing that in these areas dental health

Northern Canada is comprised of remote stretches of land that “are removed from major population and service centres” (Schmidt, 2008, p. 3). Many of the services easily available in urban areas are not readily available in these areas (Schmidt, 2008). Significant barriers to accessing health care can be seen as “more than two thirds of residents in northern and remote regions live more than 100 kilometers from a

Universality and accessibility go hand in hand. They are the principles that assure that each Canadian regardless of financial situation, will have equal opportunity to access the same level of care. The lack of a private market in

Oral health in Australia is a concern. The impact of poor dental health can instigate ulcers, gingivitis, gum disease and damage one’s overall health. Tooth decay is extensive among Australian adults, and tooth aches are a considerable amount of hospital admission for children (Parliament of Australia, 2013). Two in three children aged 14 years have deteriorated permanent teeth, while three in ten adults receive no treatment at all. Adults living in rural Australia are 1.7 times more likely to have no teeth than those in major cities. 14 percent of children and 37 percent of adults avoid or delaying seeing a dentist due to costs (Australian Institude of Health and Welfare, 2012). The advantages of installing a dental program within

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

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.

Understanding the historical reasons of exclusion of dental care from Medicare can inform current domestic and international policy debates. Canada’s national system of health insurance surprises the health care analysts for excluding the dental care. There counts a history with of several reasons for why the dental care was not included in Canadian Medicare. There had been few legislative reasons such as the Dominion- Provincial Conference on reconstruction, wanted to publicly finance the dental care after physician and hospital services. However, the conference did not yield the commitment and the Hospital Insurance and Diagnostic Services Act was introduced excluding dental care. The Royal Commission on Health Services (1961-1964) viewed

Lastly, low income countries have 62% of the world population and there world health expenditure is 2%. By looking at this information “Evidence based intervention for all major oral diseases exist. But they are not available or implemented in majority of countries” (Beaglehole Pg 91). Please refer to appendix 5 and 6