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Saskatchewan Ministry of Health
Improving Children’s Oral Health in
Populations at Risk
Saskatoon Oral Health Coalition
November 3, 2010

POPULATION HEALTH BRANCH
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Sooner, Safer, Smarter: A Plan to
Transform the Surgical Patient Experience
4 year plan is based on 5 objectives:

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Objectives:
• Shorter waits for surgical care
• A better experience for patients and
families
• Safe, high quality care
• Support for good health
• Patient centred providers.
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Support for Good Health
•
•
•
•

Tobacco Strategy
Healthy Weights
Injury Prevention
Oral Health Initiative for Populations at
Risk.
POPULATION HEALTH BRANCH
BUILDING A HEALTHIER
SASKATCHEWAN
• Oral health is increasingly recognized as an
important component in overall health and
wellbeing.
• Yet Early Childhood Tooth Decay remains the
#1 chronic childhood disease in Canada.

POPULATION HEALTH BRANCH
BUILDING A HEALTHIER
SASKATCHEWAN
• Each year approximately 1,800 children
under the age of five undergo dental
surgery under general anaesthetic –
more frequently than any other cause.
• Hundreds more are placed on long
waiting lists for as long as 12-18 months.
• 43% of all paediatric surgeries under GA
for children under 6, were dentally related
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• PHB focus will be on upstream
interventions related to improving oral
health through prevention and education.
• Involves exploring opportunities for
collaboration with various partners who
share our interest in reducing dental decay
in young children.

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• While great strides have been made in
reducing the high prevalence of dental
disease certain segments of the
population are left behind – primarily
people with low socioeconomic status,
Aboriginal Populations, recent immigrants
and vulnerable populations.
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Canadian Oral Health Strategy Guidelines
for 2010
• By age 6, 50% of children have never
experienced tooth decay and no more than
20% have unmet dental needs.
• In Saskatchewan 41% have never
experienced tooth decay and 27% have
unmet dental needs.
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Goal:
To reduce dental decay and contribute to
the healthy development of at risk
mothers, infants and preschool age
children.

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• Project Charter completed
• Consultations underway
• Researching Best Practice Guidelines and
resources from other provinces etc.

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Consultations and opportunities for collaboration
planned with:
• Health Canada – COHI Programs
• Regional Health Authorities – Dental Health
Educators and other public health staff
• Dental community – dentists, dental therapists,
dental hygienists, dental assistants.
• NITHA, FNIH
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Focus will be on preventing dental disease
through:
• early screening and referral of disadvantaged
moms and children.
• Enhanced preventive services.

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan

POPULATION HEALTH BRANCH
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Early Childhood Tooth Decay (ECTD)
• Caused by a bacterial infection
• About 27% of children by age 6 have unmet
dental treatment needs in Saskatchewan
• About 10-15% have ECTD; particularly
prevalent in at risk populations.

POPULATION HEALTH BRANCH
Why Are Children’s First Teeth
So Important ?
•
•
•
•

Eating
Speaking
Smiling
Positioning of
permanent teeth
• Self-Esteem
• Improved overall
health
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• Major causes of ECTD
– Poor oral hygiene habits
– Putting your baby to bed with a bottle and
staying on the bottle past age one
– Drinking from a bottle or training cup all day
– Snacking too often on sweet foods and drinks
– Lack of access to dental care and prevention.

POPULATION HEALTH BRANCH
Early Childhood Tooth Decay
ECTD

POPULATION HEALTH BRANCH
19
Building a Healthier Saskatchewan
• Impact on health
–
–
–
–
–
–
–

Pain and infection
Failure to thrive
Poor nutrition
Affects speech, ability to concentrate, sleep
Self esteem and willingness to smile
Spacing and alignment of permanent teeth
Leads to poor oral health as an adult.
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• Extensive dental treatment on very young
children can be challenging for dental
practitioners.
• Often treatment involves a trip to the
hospital for general anaesthetic
POPULATION HEALTH BRANCH
General Anaesthetics in
Saskatchewan

POPULATION HEALTH BRANCH
22
Building a Healthier Saskatchewan

Treatment of Choice

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• The good news is …..

Tooth decay is preventable
Working with parents and children at a young age
can help create a lifetime of healthy teeth

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Preventive Services could include:
• Screening & risk assessment (prenatal
and ages 0-2)
• Education and counselling
• Fluoride Varnish treatments
• Support related to access to care
• Promotion of community water fluoridation
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Potential Resource Needs
•
•
•
•

Fluoride varnish supplies
Train the trainer resources
Education resources
Prevention & Promotion resource
development

POPULATION HEALTH BRANCH
Start brushing early ….

POPULATION HEALTH BRANCH
27
Building a Healthier Saskatchewan

“Lift the Lip”
POPULATION HEALTH BRANCH
Brushing can be fun
or a challenge!

POPULATION HEALTH BRANCH
29
Fluoride Varnish Application

POPULATION HEALTH BRANCH
30
Making Healthy Eating Choices Easier
•

Food choices are
influenced by
knowledge, tradition
& social
circumstances,
availability and cost.
POPULATION HEALTH BRANCH
Eating Nutritional Foods can
be Fun!

POPULATION HEALTH BRANCH
32
TEAMWORK

Teamwork

POPULATION HEALTH BRANCH
Developing Happy / Healthy
Children

POPULATION HEALTH BRANCH
34
Happy Children Make Happy
Parents!

POPULATION HEALTH BRANCH
35
The Balance of 
Good Health
Healthy Mouth

Healthy Body
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
One smile
at a time.

POPULATION HEALTH BRANCH
POPULATION HEALTH BRANCH
38
Building a Healthier Saskatchean

Questions?

POPULATION HEALTH BRANCH

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Improving Children's Oral Health in At-Risk Populations

  • 1. Saskatchewan Ministry of Health Improving Children’s Oral Health in Populations at Risk Saskatoon Oral Health Coalition November 3, 2010 POPULATION HEALTH BRANCH POPULATION HEALTH BRANCH
  • 2. Building a Healthier Saskatchewan Sooner, Safer, Smarter: A Plan to Transform the Surgical Patient Experience 4 year plan is based on 5 objectives: POPULATION HEALTH BRANCH
  • 3. Building a Healthier Saskatchewan Objectives: • Shorter waits for surgical care • A better experience for patients and families • Safe, high quality care • Support for good health • Patient centred providers. POPULATION HEALTH BRANCH
  • 4. Building a Healthier Saskatchewan Support for Good Health • • • • Tobacco Strategy Healthy Weights Injury Prevention Oral Health Initiative for Populations at Risk. POPULATION HEALTH BRANCH
  • 5. BUILDING A HEALTHIER SASKATCHEWAN • Oral health is increasingly recognized as an important component in overall health and wellbeing. • Yet Early Childhood Tooth Decay remains the #1 chronic childhood disease in Canada. POPULATION HEALTH BRANCH
  • 6. BUILDING A HEALTHIER SASKATCHEWAN • Each year approximately 1,800 children under the age of five undergo dental surgery under general anaesthetic – more frequently than any other cause. • Hundreds more are placed on long waiting lists for as long as 12-18 months. • 43% of all paediatric surgeries under GA for children under 6, were dentally related POPULATION HEALTH BRANCH
  • 7. Building a Healthier Saskatchewan • PHB focus will be on upstream interventions related to improving oral health through prevention and education. • Involves exploring opportunities for collaboration with various partners who share our interest in reducing dental decay in young children. POPULATION HEALTH BRANCH
  • 8. Building a Healthier Saskatchewan • While great strides have been made in reducing the high prevalence of dental disease certain segments of the population are left behind – primarily people with low socioeconomic status, Aboriginal Populations, recent immigrants and vulnerable populations. POPULATION HEALTH BRANCH
  • 9. Building a Healthier Saskatchewan Canadian Oral Health Strategy Guidelines for 2010 • By age 6, 50% of children have never experienced tooth decay and no more than 20% have unmet dental needs. • In Saskatchewan 41% have never experienced tooth decay and 27% have unmet dental needs. POPULATION HEALTH BRANCH
  • 10. Building a Healthier Saskatchewan Goal: To reduce dental decay and contribute to the healthy development of at risk mothers, infants and preschool age children. POPULATION HEALTH BRANCH
  • 11. Building a Healthier Saskatchewan • Project Charter completed • Consultations underway • Researching Best Practice Guidelines and resources from other provinces etc. POPULATION HEALTH BRANCH
  • 12. Building a Healthier Saskatchewan Consultations and opportunities for collaboration planned with: • Health Canada – COHI Programs • Regional Health Authorities – Dental Health Educators and other public health staff • Dental community – dentists, dental therapists, dental hygienists, dental assistants. • NITHA, FNIH POPULATION HEALTH BRANCH
  • 13. Building a Healthier Saskatchewan Focus will be on preventing dental disease through: • early screening and referral of disadvantaged moms and children. • Enhanced preventive services. POPULATION HEALTH BRANCH
  • 14. Building a Healthier Saskatchewan POPULATION HEALTH BRANCH
  • 16. Building a Healthier Saskatchewan Early Childhood Tooth Decay (ECTD) • Caused by a bacterial infection • About 27% of children by age 6 have unmet dental treatment needs in Saskatchewan • About 10-15% have ECTD; particularly prevalent in at risk populations. POPULATION HEALTH BRANCH
  • 17. Why Are Children’s First Teeth So Important ? • • • • Eating Speaking Smiling Positioning of permanent teeth • Self-Esteem • Improved overall health POPULATION HEALTH BRANCH
  • 18. Building a Healthier Saskatchewan • Major causes of ECTD – Poor oral hygiene habits – Putting your baby to bed with a bottle and staying on the bottle past age one – Drinking from a bottle or training cup all day – Snacking too often on sweet foods and drinks – Lack of access to dental care and prevention. POPULATION HEALTH BRANCH
  • 19. Early Childhood Tooth Decay ECTD POPULATION HEALTH BRANCH 19
  • 20. Building a Healthier Saskatchewan • Impact on health – – – – – – – Pain and infection Failure to thrive Poor nutrition Affects speech, ability to concentrate, sleep Self esteem and willingness to smile Spacing and alignment of permanent teeth Leads to poor oral health as an adult. POPULATION HEALTH BRANCH
  • 21. Building a Healthier Saskatchewan • Extensive dental treatment on very young children can be challenging for dental practitioners. • Often treatment involves a trip to the hospital for general anaesthetic POPULATION HEALTH BRANCH
  • 23. Building a Healthier Saskatchewan Treatment of Choice POPULATION HEALTH BRANCH
  • 24. Building a Healthier Saskatchewan • The good news is ….. Tooth decay is preventable Working with parents and children at a young age can help create a lifetime of healthy teeth POPULATION HEALTH BRANCH
  • 25. Building a Healthier Saskatchewan Preventive Services could include: • Screening & risk assessment (prenatal and ages 0-2) • Education and counselling • Fluoride Varnish treatments • Support related to access to care • Promotion of community water fluoridation POPULATION HEALTH BRANCH
  • 26. Building a Healthier Saskatchewan Potential Resource Needs • • • • Fluoride varnish supplies Train the trainer resources Education resources Prevention & Promotion resource development POPULATION HEALTH BRANCH
  • 27. Start brushing early …. POPULATION HEALTH BRANCH 27
  • 28. Building a Healthier Saskatchewan “Lift the Lip” POPULATION HEALTH BRANCH
  • 29. Brushing can be fun or a challenge! POPULATION HEALTH BRANCH 29
  • 31. Making Healthy Eating Choices Easier • Food choices are influenced by knowledge, tradition & social circumstances, availability and cost. POPULATION HEALTH BRANCH
  • 32. Eating Nutritional Foods can be Fun! POPULATION HEALTH BRANCH 32
  • 34. Developing Happy / Healthy Children POPULATION HEALTH BRANCH 34
  • 35. Happy Children Make Happy Parents! POPULATION HEALTH BRANCH 35
  • 37. Building a Healthier Saskatchewan One smile at a time. POPULATION HEALTH BRANCH
  • 39. Building a Healthier Saskatchean Questions? POPULATION HEALTH BRANCH