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Oral Health Rural ECOH Karen Marini Consumer Engagement Manager - - PowerPoint PPT Presentation
Oral Health Rural ECOH Karen Marini Consumer Engagement Manager - - PowerPoint PPT Presentation
Oral Health Rural ECOH Karen Marini Consumer Engagement Manager kmarini@lmmml./org.au 0429 709 882 Rural ECOH Project Rural ECOH is a three year funded partnership project funded by the National Health and Medical Research Council aiming to
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Why choose oral health?
- Tooth decay is one of Australia’s most prevalent health problems
- Dental admissions are the highest cause of acute preventable hospital
admissions in Australia
- Annually there are more than 40,000 hospital admissions for preventable
dental conditions - over 26,000 of these are children under 15 years of age
- Direct annual expenditure on dental treatment was $6.7 billion in 2008–
09 and $1.9 billion in Victoria
- Oral disease is the second most expensive disease group to treat, just
below cardiovascular disease
- It’s more expensive than the treatment of all cancers combined
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Why choose oral health?
An Aussie smile is an instant indicator of socioeconomic status, employability and self-
- esteem. It’s also a predictor of physical health.
The average number of children’s baby teeth affected by decay has risen. Around 45% of children aged 12 have decay in their adult teeth. Over one-third of adults have untreated
- decay. And more than 20% of people aged 65 and over have lost all their teeth.
Poor oral health and dental decay are the cause of pain, poor nutrition and
- embarrassment. When appearance and speech are impaired by dental
disease, this may inhibit opportunities for education, employment and social interactions. Behavioural risk factors
- a high sugar diet including high sugar drinks and juices
- excessive plaque build-up
- limited exposure to fluoride available in toothpastes, community water fluoridation or
- ther sources
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The burden of oral disease
Good oral health is important for general health and wellbeing Oral diseases place a considerable impact on individuals, families and the community. The burden of oral disease comes from four main conditions:
- tooth decay
- gum disease
- ral cancer and
- ral trauma
- less common malocclusion (misalignment of teeth) and the erosion of teeth
- Oral health disease causes pain, sepsis and nutritional impacts
- It has strong links with mental health, cardiac disease, cancer, diabetes, osteoporosis,
rheumatoid arthritis and adverse pregnancy outcomes
- Oral health is poorer in rural compared with urban Australia
- Aboriginal Australians experience poorer oral health than their non indigenous
counterparts as do refugees and immigrants.
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At risk community groups
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Population Health Profile
Population Health Profile
Data Taken from PHIDU Medicare Local Report SLA Region FOCUS AREA KEY EVIDENCE LMMML Baseline- Gr. Bendigo (C) - Central
- Gr. Bendigo (C) - Eaglehawk
- Gr. Bendigo (C) - Inner East
- Gr. Bendigo (C) - Inner North
- Gr. Bendigo (C) - Inner West
- Gr. Bendigo (C) - S'saye
- Gr. Bendigo (C) - Pt B
- ver (Standard Ratio)
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Common risk factors
Figure 3 Average number of teeth affected by tooth decay by age in Australia* Source: Evidence-based oral health promotion resource, Department
- f Health, Government of Victoria, 2011. * Note that for six year olds, the tooth decay shown is in the primary, not permanent, teeth
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Your mouth is the gateway to your body
- It’s a window into what's going on in the rest of your body, often serving as a helpful
vantage point for detecting the early signs and symptoms of systemic disease
- Growing research shows there's a relationship between the bacteria and the
inflammation that bacteria cause in the mouth with lots of other diseases
- Research shows that if you have an infection in your mouth, it can increase your risk
for cardiovascular disease, diabetes, Alzheimer's disease, and even pregnancy complications.
- Studies are showing that the inflammation found in periodontal / gum disease may
play a more specific role in causing or increasing the risk for certain conditions.
- Bacteria that builds up on teeth make gums prone to infection. The immune system
moves in to attack the infection and the gums become inflamed. The inflammation continues unless the infection is brought under control.
- Over time, inflammation and the chemicals it releases eat away at the gums and bone
structure that hold teeth in place. The result is severe gum disease, known as
- periodontitis. Inflammation can also cause problems in the rest of the body.
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Public dental services
In 2012-13, over 341,000 people were treated through Victoria’s public dental services
- Of these, approximately 189,000 were adults, 152,000
were children and over 140,000 were emergency patients
- There are approximately 1.7 million people in Victoria who
are eligible for public dental services
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Rural ECOH project achievements
- Partnership approach, working together
- Completed a rapid review of the guidelines around tooth brushing
programs in schools
- Consulted with and involved our partners at Dental Health Services Victoria
- We are now moving into planning the feasibility pilot study at Swan Hill
Primary School
- Delivered a range of resources that can be used within the community.
- Developing brochures promoting local dental health services
- Developing a summary of the Child Dental Benefit Scheme information
about eligibility
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What our communities want in Victoria
Communities don’t expect complicated and costly solutions
- They don’t want expensive interventions
- They want to raise awareness with community and professionals
- They want reminders in different settings about the importance of oral
health
- They want to capitalise on existing partnerships to convey the message
- f the importance of oral health
- www.ruralecoh.com/
- www.dhsv.org.au
- www.lmmml.org.au
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Dental referral options
Private dental services vary in costs In Victoria access to public dental services is FREE for children aged 0-18 years if you have a Health Care Card (HCC) or Pension Card. Anyone can access public dental but if you don’t have a HCC or Pension card, the services cost from $33 and up to $125 for treatment for the year for children up to 12 years of age. If your child is eligible under the Child Dental Benefits Scheme (CDBS) and they use a public dental service, there will be no cost up to the value of $1000 worth of dental care until June 30 2015. You can check if your child is eligible by calling Medicare on 132 011 and have your Medicare card handy or check via your online Medicare account. Private dentists may bulk bill children who are under the CDBS or they may charge an out of pocket expense. Most Dentists will offer to check your eligibility for CDBS when you ring to make an appointment but ask if you are not sure if your child is eligible.
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