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Transcript of OOHA Powerpoint
The Whole Tooth&
Nothing But The Truth
Presented to you by:The Ontario Oral Health Alliance
The Whole Truth
Presented to you_________________
Insert your coalition here
Ontario Oral Health Alliance
Geographic groups
• Hastings• Prince Edward• Kingston• Northumberland• Ottawa• Peterborough• Toronto• Haliburton• Lennox & Addington• Halton
Organizations
• VON• Public Health Units• Community Health
Centers• Long Term Care Homes• Social Services• Ontario Association for
Public Health Dentistry• Dental Professionals• General Public
Oral Health Defined “A state of the oral and related
tissues and structures that contributes positively to physical, mental and social well-being and the enjoyment of life’s possibilities, by allowing the individual to speak, eat and socialize unhindered by pain, discomfort or embarrassment”.
Canadian Dental Association – http:www.cda-adc.ca
Our Vision
A system that allows for equitable
dental care for all Ontarians
Our Collective Mission
To advocate for a continuum of oral health for everyone
Oral Health Promotion & Disease Prevention
Timely Access to Care
Strategic Actions
• Creating awareness• Educating general public• Providing limited interim access to
services (band-aid solution)• Influencing government policy to
improve access to services
Today’s Objective
To raise awareness that…
The Mouth is part of the Body!
Inequities exist in our system
Improving access to oral care
is a priority!
Background Information
• One third of residents of Ontario DO NOT see a dentist on a regular basis (Matear D, Locker D. Oral disorders, systemic health, well-being and the quality of life. Community Dental Health Services Research Unit. Faculty of Dentistry, University of Toronto; 2000)
• Barriers exist that prevent many people in our communities from accessing dental care
• Cost is the most common & serious barrier
Inverse Care Law
Individuals with the greatest need for
services will be those with the least
ability to pay for services.
Webb E. Children and the inverse care law. BMJ 1998; 316:1588-1591.
Inequalities in Oral Care
52% of Canadians and 60% of Ontarians have
some form of dental insuranceBUT…
Not all insurance plans are created equal
Matear D, Locker D. 2000
What Is Available For Ontario’s Children?
Dental Care for Children
Children (up to age 13*) from low-income families:
• Urgent dental treatment (Health Unit)
Children (up to age 18) who are dependents of Ontario Works or Ontario Disability Support Program recipients:
• Basic dental treatment
What Is Available For Ontario’s Adults?
Dental Services for Adults
General Public• No government program is available
Ontario Disability Support Program recipients• Basic care
Ontario Works recipients• Discretionary coverage only that may include:
• Emergency care• Preventive care (expectant mothers)
A Serious Gap Exists for…
• Adults & Families earning minimum wage (including those with partial insurance)
• Older Adults
The problem
Unresolved dental issues lead to a host of problems:
•Physical •Psychological•Social•Economic
Affects Everyone
• Children & Youth
• Adults
• Older adults
Affect On A Child
• Pain & infection• A ‘failure to thrive’ (Matear D, Locker D.
2000)
• Negative impact on healthy development & readiness to learn
• Long term impact on school success & success in life!
Early Childhood Tooth Decay
Graphic used with permission from the Halton Region Health Unit
“For Want of a Dentist…”
“Twelve-year-old Deamonte Driver died of a toothache ...
a routine, $80 tooth extraction might have saved him”
Washington Post, Wed Feb 28, 2007
An Adult’s Story
Jason Jones:• A mouthful of decayed teeth• Unable to eat solid foods
and• Unable to find employment
Toronto Star, Feb 10, 2007
Case Study Of An Older Adult
Maureen’s story:• Fixed income• Problems chewing (eating
properly) and socializing • General health compromised
Gum Disease
The Lack of Access to Oral Treatment & Care
=An Economic Burden on
Ontario’s Society
A clear Need For Action…
“It’s expensive. But it’s expensive not to
do it”
As stated by Minister Meilleur, Ontario Minister of Community and Social Services (February 11,
2007, Toronto Star)
What’s Being Done Now?
Some Examples
• Chief Dental Officer of Health (i.e. National Survey)
• Coalitions & partnerships
• Pro–bono work (cannot rely on volunteers to fix the problem)
The Toronto Star “War on Poverty” Series
(2007)• “Why is he out of work” Feb 10 • “Reader’s respond to a man’s plight” Feb 11• “Man ‘amazed’ by dental care offers” Feb 13• “Price tag to fix smiles: $2M” Feb 22• “Health minister silent on dental care” Feb 23• “Plunged into darkness” April 28• “He has a new smile; system still in decay” June 23
Toronto Star Headlines continued…
• “Dental care should be an election issue, says coalition” July 3
• “NDP set to unveil $100M dental program” July 10• “Dental care turns into a hot vote issue” July 11• “Liberals trump NDP dental announcement” July 10• “Liberals vow $45M for low-income dental plan”
Sept 5• “Poor to get dental plan” Nov 27
Ontario Government Investment
Investment of $135 millionover three years for a Dental Program for low-income persons
Recommendations to Government
Ultimate Goal
Equitable access to oral care for all Ontarians
Small Steps Forward
Ontario Government funding is a critical first step forward
Equitable Dental Care for All
All Ontarians should have FAIR & EQUITABLE access to
PREVENTIVE DENTAL CARE & BASIC DENTAL TREATMENT
Equitable Compensation
FAIR & EQUITABLE compensation for dentists
must be addressed to facilitate FAIR & EQUITABLE access to
services
OOHAs recommendations
• Ensure ALL children have access to a basic dental program
• Offer basic dental services to priority groups one at a time:• Pregnant women• Low income individuals, seniors and
families Include coverage for children whose families have
partialinsurance but are unable to pay the uninsured portion
Alternate Models of Service Delivery
Include primary oral health care services within Ontario Community Health Centres (existing and soon to be
established)
Continued action from all levels of government is
NECESSARYto guarantee a BASIC
level of oral health for ALL
Ontarians.
The Ontario Oral Health AlliancePartners Shaping the Smiles of
Ontario
~Everyone Has The Right To A Healthy Smile ~