Improving Oral Health in Kentucky: Insights and Initiatives
Dr. Julie Watts McKee, Dental Director, is leading efforts to ensure oral health for Kentucky residents. The presentation highlights key statistics on decay rates, access to dental services, preventive measures, behavioral factors, workforce challenges, water fluoridation, and key stakeholders. The data underscores the need for increased dental workforce, enhanced preventive services, and targeted interventions to address oral health disparities in the state.
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Presentation Transcript
Dr. Julie Watts McKee Dental Director
2 Core Mission: To assure oral health for Kentucky. 2
3 Statistics: Decay Rates: 2011-2012 10% U.S. Children with decay Kentucky rate: currently unknown 2001-2004 19.5% of 2-5 year olds in U.S. with untreated decay 2001 42.8% of Kentucky children with untreated decay 3
4 Statistics: Access and Utilization 46% of all Medicaid/KCHIP children One dental service 60% of 6-9 year olds received services 40% of all received a preventive service 54% of 6-9 year olds received preventive Oral Health Service by a non-dentist provider Physicians Health Departments Nurses Hygienists
5 Statistics: Preventive Services Fluoride Varnish 2004 40% reduction in smooth surface decay. Last year: 22,000 in local health deparments Smiling Schools: 17,000 this year Public Health Hygiene 7 sites 30,000 services 4,600 patients
6 Statistics: Behavioral Risk Factor Surveillance System High rate of extractions 7th highest in adults with an extraction Dental Visits 42nd in the nation (not good) 60% of adults with a dental visit 7th in edentulism in senior Kentuckians. This is an improvement over the years
7 Statistics: Dental Workforce Deloitte Report Rural areas need dentists Jefferson County needs 150 more dentists Maldistribution 435,000 newly covered mouths Few new providers 13 new dentist license in Appalachia
8 Statistics: Water Fluoridation Reduces decay between 40 and 50% 99.8% of Kentuckians have optimally fluoridated drinking water. Highest covered state Washington, DC at 100% New regulations 0.7 Parts Per Million
9 Key Stakeholders: Health Departments Specific Funding Varnish Sealants Hygiene Programs Special Projects Medicaid Reimbursements
10 Key Stakeholders: Dental Schools University of Kentucky Outreach Varnish Supplies Special Projects University of Louisville Special Projects Collaboration is evident
11 Key Stakeholders: Appalachia Smiling Schools
12 Key Stakeholders: Boards and Associations Kentucky Board of Dentistry Kentucky Dental Association
13 Key Stakeholders: Water Plants Regulatory Responsibility Monitoring Reporting Technical Assistance
14 Emerging Issues: Data Collection University of Kentucky Prevalence Study Early Learners Delta Dental Prevalence Study Third and Sixth Graders University of Louisville On-Going Surveillance System
15 Emerging Issues: PH Hygienists Seven Pilot Programs Start up funding Looking for two more Electronic Health Records Dental is the Canary
16 Emerging Issues: Increased Decay Rates in Early Childhood Permanent Teeth Decay Rates (Nationally) Dropping Slowly Primary Teeth Decay Rates (Nationally) Slight, but significant increase Kentucky? We ll see
17 Emerging Issues: Teledentistry Oral Health Interested in developing network Involves dental schools Involves private dentists
18 Emerging Issues: Workforce Distribution Possible maldistribution? Medicaid Expansion Leads to delay or avoidance of care
19 Emerging Issues: Community Dental Health Workers Community Dental Health Coordinator Reduces care Reduces impact Proven in other areas of patient navigation and education
20 Emerging Issues: Adult Dentures Significant Increase in Medicaid Extractions Pent Up Dental Need in Expansion Patients Dentures Employability Better Nutrition
21 Program Cost Effectiveness: Community Water Fluoridation Annual per-person cost savings $16-$19 a year Kentucky Saves $69 Million a year
22 Program Cost Effectiveness: Fluoride Varnish 20% reduction shown in Kentucky projects Varies on the studied parameters
23 Program Cost Effectiveness Sealants Evidence Based Procedure After two years $53 Oregon 1313% in 20 years $125 cost of filling-avoided If avoided, PH RDH has avoided $987,164
24 The Future of Oral Health Nationally Provider numbers Stable Decreasing Increasing State Keep on striving for the best oral health status for all Kentuckians
