Oral Health is Health

Virginia Oral Health CoalitionSarah Bedard Holland

sholland@vaoralhealth.org

Oral Health is Health…It is time to put the mouth back in the

body

Sarah Bedard HollandVirginia Oral Health Coalitionsholland@vaoralhealth.org

This Morning…

• Oral Health is Health– Diabetes– Premature Birth– Dental Disease and kids

• The Virginia Oral Health Coalition• A Plug for the Virginia Oral Health Summit

Oral Health and Overall Health

Source: Community Health Solutions produced these estimates by applying national estimates from the Centers for Disease Control Healthy People 2020 initiative to Virginia population estimates. These estimates are for planning purposes only. Community Health Solutions cannot and does not guarantee their accuracy. Pre-term birth data source: VDH Division of Health Statistics Resident Live Birth, Death, Fetal Death and Induced Termination of Pregnancy Certificates 2010.

Virginia Health Status

Diabetes & Dental Disease

• With Treatment:– Saved an average of

$1,814 in medical costs annually

– Had an average reduction of 33% in annual hospital admissions

– Had an annual average of 13% fewer physician visits

Premature Birth & Dental Disease• Reality:

– Women with periodontal disease are 8x more likely to deliver prematurely

– Over 85% of women who delivered before 32 weeks had periodontal disease

• Costs:– Preterm baby costs are 10x higher

(almost $50,000 vs. $4,500) – 10% of the babies born to a mom

receiving Medicaid or FAMIS MOMS were premature

Dental Disease and Children• Untreated dental disease

increasing – 70% low income kids– Failure to thrive– 1 million missed school

hours– General Anesthesia

• Age one dental home

Oral Health…A Poster Child for Prevention

• Early Dental Visits• Fluoride

– Water– Varnish– Toothpaste

• Sealants• Diet, Oral Hygiene

• Most non dental providers not engaged• Little mention of oral health outside of dental programs• Low Medicaid utilization• Paltry adult Medicaid benefit• Oral Health issues affect every sector:

– Over 3,000 dental cases billed to Medicaid required general anesthesia in VA last year – at a cost of well over $7 million dollars

– 52% of new armed forces recruits had dental problems that delayed overseas deployments

– Adults miss an estimated 164 million hours of work each year because of dental needs

– Preventable dental conditions were the primary diagnosis in 830,590 visits to emergency departments in 2009

YET…

The Need is Still TremendousNot enough life boats.

The Virginia Oral Health CoalitionCreated as a convener to integrate oral health into all aspects of health care through policy change, public

awareness and targeted initiatives

Virginia Oral Health Coalition

The Coalition is a network of over 150 organizational and individual partners which drives the 19 objectives in the Virginia Oral Health Plan.

Coalition Activities Targeted Initiatives Public Awareness Policy Change

Medical and Dental

Collaboration Initiative

Website, Social Media, Newsletter Legislative Day

Virginia Dental Home Initiative

Oral Health Summit

Joint Commission Study

Learn More – Virginia Oral Health Summit!

The Future of Oral Health DeliveryNovember 8th

Richmond WestinDr. Marcia Brand, HRSADr. Marko Vujicic, ADA

“Make no little plans. They have no Magic to stir men's blood.”

- - Daniel H Burnham