The Accessibility Of Dental 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.

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

As the number of older Americans continue to rise, along with dental practitioners who are entering retirement, it would benefit this under-served population for the dental profession to develop new models of mid- level care. To expand training as well as additional licensing for dental hygienists, along with more training for other health care professionals would be a great beginning towards improved access to care (Overview of oral health,

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.

In United States Department of Health and Human Services (HHS), Healthy People 2020 (2011), the report talks about how many improvements have occurred in oral health but there is still a lot more improvement needed. The report further explains how water fluoridation has been one of the most efficient ways to reduce decay across the nation. Mostly everyone has access to water and if the water is fluoridated, then those with little or no access to dental care are getting preventative dental care in the form of a fluoride regimen in their daily water intake. (HHS, Healthy People 2020, 2011) Given this, it would only make sense that the government would employ a dental professional to assess the water fluoridation in every state.

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

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

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 treatment.

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).

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

Dental care coverage is much less dominant than medical care coverage in the United States. When compared between medical and dental coverage of adults over the age of 21, about 15 percent have no form of medical care coverage, but over 45 percent have no form of dental care coverage (Brown & Manski, 2004; Buchmueller, Miller, & Vujicic, 2014). Moreover, Americans over 65 continue to be the age group with

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States

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.