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Advancing Oral Health in America (2011) / Chapter Skim
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1 Introduction
Pages 15-30

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From page 15...
... In its most recent attempt to provide leadership in improving the oral health of 1 The term dental caries is used in the singular and refers to the disease commonly known as tooth decay (Dorland's Illustrated Medical Dictionary, 31st ed., s.v. "caries")
From page 16...
... In fact, this tragedy is credited with spurring Congress to require that states provide dental services in their Children's Health Insurance Program (CHIP) benefit packages during the program's federal reauthorization (Iglehart, 2009)
From page 17...
... . INFLUENCES ON ORAL HEALTH AND THE ORAL HEALTH CARE SYSTEM A number of factors contribute to poor oral health, including the relative lack of attention to oral health among nondental health care professionals,2 uneven and limited access to oral health care and dental coverage, social determinants of oral health, and the limited oral health literacy of the population.
From page 18...
... . Poor Oral Health Literacy and Communication Nearly all aspects of oral health care require health literacy: scheduling a dental appointment, determining how much fluoride toothpaste to use on a toddler's toothbrush, understanding when to stop using a baby bottle, recognizing potential complications of a root canal, completing a Medicaid application, understanding media campaigns that promote community 3 Social Security Act §1862(a)
From page 19...
... . Compounding the problem of low health literacy are the inadequate communication skills of health care professionals.
From page 20...
... Oral health research is challenged in part because the typical dental practice design has only one or two dentists. As is the case in the overall health care system, it can be difficult to obtain outcomes data due to the need to gather data from multiple practices as well as the variety of forms that are used to collect the same data.
From page 21...
... formed the Committee on an Oral Health Initiative to assess the current oral health care system and to advise HHS on actions that should be taken for an HHS oral health initiative (see Box 1-1)
From page 22...
... cases that apply only to the professions of dentists, dental hygienists, dental assistants, and, in some cases, dental laboratory technicians and newer dental professionals such as dental therapists; (2) cases in which it is historically accurate to use the term; and (3)
From page 23...
... Previous IOM Work More than 30 years have passed since the IOM's first significant look at oral health issues, Public Policy Options for Better Dental Health (IOM, 1980) , which considered the inclusion of dental services under national health insurance plans.
From page 24...
... While not speaking explicitly to oral health care, many reports in IOM's history related to primary care, health literacy, access to care, diversity, nutrition, and improving public health have implications for all oral health care professionals (IOM, 1993, 1996, 1997, 2002, 2004a,b, 2005b)
From page 25...
... It details historical and current efforts HHS has taken to reform oral health care, including the recent launch of the HHS Oral Health Initiative of 2010. It gives an overview of the department's wide-ranging activities directed to improving oral health care delivery and financing, including its role in the direct delivery of oral health care, health literacy, disease prevention, and education.
From page 26...
... 2008. Effects of enrollment in Medicaid ver sus the State Children's Health Insurance Program on kindergarten children's untreated dental caries.
From page 27...
... 2010b. HHS oral health initiative 2010.
From page 28...
... In Equity, social determinants and public health programmes, edited by E
From page 29...
... 2003b. Periodontal disease as a risk factor for adverse pregnancy outcomes.
From page 30...
... 2003. Dental care: Improving access and quality.


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