Transcript Slide 1

You quit trying to hold your
stomach in no matter who
walks into the room.
Of Vulnerable Adults and Persons with
Disabilities
Your secrets are safe with your
friends because they can't
remember them either.
AGE
Functional Teeth per
Individual
18-24
28.4
25-34
26.7
35-44
23.5
45-64
19.5*
65-84
15.0*
85+
10.9*
Your joints are more accurate
meteorologists than the
national weather service.
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EXTREME TOOTH PAIN
SINUSITIS
BACTEREMIA
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BRAIN ABSCESS
FACIAL CELLULITIS
AIRWAY COMPROMISE
Kills an American every hour
2. 3x more victims than cervical cancer
3. Claims more lives than leukemia, Hodgkin’s
lymphoma, laryngeal cancer or skin cancer
(melanoma)
4. If detected early->80% survive
late-22% survive;
1. Smokers & drinkers -15 times greater risk
2. Minorities have greater risk; esp Af-Am
males
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You can eat supper at 4 pm.
• Decay and Periodontal Disease
• Tooth Loss
• Chewing Problems
In the older adult population:
 50% eat less than the RDA for protein
 90% are Vitamin D deficient
 30% are Vitamin B12, Zn and SE deficient
http//www.nestle.com/resource.axd?id=3AA999C4-91DO-4202-A199-338EB714F82E
3 times longer length of hospitalization
 3 times higher risk of infection
 More dependence in activities of daily living
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Low levels of vitamin E, B12 and D have been associated with a decline in functional mobility
Social Engagement
Emotional Status
Mental Health
You sing along with elevator
music.
Official Kickoff of the oral-systemic connection
“The terms oral health and general health
should not be interpreted as separate
entities.”
“Oral health is integral to general health.”
Oral health problems represent the
“silent X-factor promoting the onset
of life-threatening diseases which are
responsible for the deaths of millions
of Americans each year.”
People no longer view you as a
hypochondriac.
Type 2 Diabetes
Cardiovascular Disease
MI, stroke, htn, vhd, pvd
Respiratory Disease
Pneumonia, VAP, lung abscess COPD
Cognitive Impairments
GOOD EVIDENCE
that improved oral hygiene and frequent
professional oral healthcare reduces the
progression or occurrence of respiratory
diseases in high-risk elderly adults
(relative risk reduction of 34-83%)
Azarpazhooh A, leake JL, J of Periodontology 2006:771465-482
“... Providing mechanical oral hygiene may
prevent ~1 in 10 deaths from pneumonia in
dependent elderly people and show similar
pneumonia prevention effect.”
SjogrenP, et al: JAGA 2008(56); 2124-30
In a hostage situation you are
likely to be released first.
My dog is worried about the
economy because Alpo is up to $3.00 a can. That's almost $21.00 in dog
money.
-Joe Weinstein
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8,000 hospitalizations due to periapical
abscess
mean cost-$13,590 (3 days)
Allareddy V, et al. J Am Dent Assoc 2010;41:1107-1116
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Early periodontal care lowered medical cost
for diabetes, coronary artery disease,
cerebrovascular disease/stroke
Severe perio disease added 21% cumulative
cost for medical care;...those with no
pathologic pockets had 75% yearly costs
Dental cleaning/perio treatment associated
with lower medical costs pmpm: diabetes
($68) & coronary artery disease ($488)
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Cost savings from prevention or early
treatment of dental diseases is higher than
from HIV screenings or influenza
immunization
Oral cancer treatment costs-60% lower if
found earlier
Improving oral health saved>$4 billion in
treatment costs
Much oral disease is preventable or at least
controllable; substantial medical costs
savings are possible
WHAT TO DO
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Oral Health Education
Prevention & Daily Care Planning
Assessment & Needs
Residents with disease are identified
Provide educational information at admission
 Inservices
for approach and techniques to
caregivers/CNA’s
 Inhouse
oral hygiene clinic
Depending upon resident population size ideally on
a monthly basis
Of oral and nutritional Status
Will keep compliance with state regulations
Treatment Plans
 Should always be age and health appropriate
 No treatment at all
 Disease maintenance / monitoring
 Full mouth extractions
 Full restorative and preventative
 Denture or partial treatment
 Referred or monitored closely for pain or
infection
A dog is the only thing
on earth that loves you more than he loves himself.
-Josh
Billings
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2008 Johnson & Johnson/ADHA Hygienist Hero
2009 Colgate/ADHA Community Outreach Award
2009 Crest/ADHA Award for Clinical Hygienists
2009 Colorado Dental Hygiene Association
Outstanding Contribution Award
2010 American Red Cross Pikes Peak Region
Community Service Award
2010 Hu Friedy/ADHA Master Clinician Award
2010 Sunstar Americas Award of Distinction
2010 ADA Evidence Based Dentistry Conference
Champion
2010 Dental Products Report Top 25 Women of
Dentistry
National Dental Hygiene Month Youtube Video 2nd
Place
It’s not that
hard
• We can do it!!
It’s going to
happen
• Regulations
will change
Let’s be the
first!!
is critical to
reforming oral
health care delivery
some things
can only be done
by a team…
www.SeniorMobileDental.org