Children’s Oral Health Dental Care儿童口腔健康与牙科保健.ppt

Childrens Dental Health Project Children’s Oral Health  Dental Care Burton L. Edelstein DDS MPH Children’s Dental Health Project, Washington DC Columbia University, New York NY CityMatCH/NACHO PIC Tele-Conference 9-18-03 Charge Provide overview of Children’s Oral Health Dental Care Status Action to Improve Children’s Oral Health Dental Care Current Policy Threats to Children’s Dental Care “Opening the Mouth” MCHB Study Understanding Children’s Oral Health:As Simple as Counting the Black Dots Context: Oral Health - an MCH Policy Concern Oral Health is a uniquely MCH Issue By Prevalence: Caries (tooth decay) is the single most prevalent disease of childhood – 5X asthma Caries affects 1-in-5 preschoolers, 1-in-2 second graders An estimated 5 Million children suffer severe, symptomatic dental disease that can disrupt normal daily activities By Biology: Caries is an infectious transmissible disease caused by bacteria acquired by children typically from their mothers before age two years By Importance: Maternal oral disease (periodontitis) is related to unfavorable birth outcomes (Prematurity, LBW) By Cost/Effectiveness Both pediatric and maternal oral diseases and their consequences can be markedly reduced through relatively low-cost interventions Context: Growing Policy Concern Evidence of Governmental Interest Federal reports SG Oral Health in America, National Call to Action Healthy People 2010 Congress GAO reports, Federal legislation, Hill Hearings, Staff briefings State Houses NGA Policy Academies, NCSL legislative support, State Summits, ASTHO/ AMCHP/ NASMD/AMCHP activity Federal Agencies NIH Disparity Centers, HRSA Oral Health Initiative, AHRQ Studies, CDC programs, CMS demonstrations Context: HRSA/MCHB Concern HRSA/MCHB Oral Health Programming Oral Health Policy Center at Columbia University Cooperative Agreement with Association of State and Territorial Dental Directors National Oral Health Resource Center at Georgetown New state gr