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Saskatchewan Ministry of Health
Improving Children’s Oral Health in
Populations at Risk
Saskatoon Oral Health Coalition
May 11, 2011

POPULATION HEALTH BRANCH
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• Provide an update on the oral health initiative
• Provide additional baseline information
• Provide an overview of the strategy
• Seek feedback from you on the strategy’s
action statements and initial priorities
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.
• About 1,600 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
Mild Tooth Decay

POPULATION HEALTH BRANCH
Severe Early Childhood Tooth
Decay

POPULATION HEALTH BRANCH
BUILDING A HEALTHIER SASKATCHEWAN

Targets for the initiative include at risk:





Pre/Postnal Mothers
Children age 0-2
Children age 3-5
Healthy Public Policy & Strengthening
Community Action & Capacity

POPULATION HEALTH BRANCH
BUILDING A HEALTHIER SASKATCHEWAN

• The strategy includes action statements
related to:
 Education
 Prevention Services
 Resource Development
 Training

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Percentage of dental anaesthesia claims processed in Saskatchewan from
2006 to 2009
by age group

60%

Percentage of dental claims

50%

40%

1-4
5-9
10+

30%

Series4
20%

10%

0%
2006/07

2007/08

2008/09

2009/10

Fiscal year

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Number of children in Saskatchewan under six years of age receiving dental
care under anaesthesia from 2005 to 2009
2000

Num ber of Children

1600
1200
800
400
0
Year

2005

2006

2007

2008

2009

Children in SK

1497

1413

1757

1771

1791

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Number of clients wating for dental surgery as of September 30th 2010 and
number of clients who had already been waiting for more than 18 months prior
to September 2010 by age group
1800

1622
1500

Number of clients

Wating in Sask
1200

Wait >18 months

900

740
564

600

300

42

87

77

6 - 10

11+

0
1-5

Age group (years)

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Children Under 6 years of Age Undergoing General Anaesthesia for Dental Work In Saskatchewan
by Regional Health Authority of Physician and Residence of Child, 2009 - 2010
1200

Physician
Children Reside

800

600

400

200

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Number of Children

1000

Regional Health Authority

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Percentage Distribution of Anaesthetized Children across Regional Health
Authorities in Saskatchewan, 2010

20
15
10
5

at
oo
n

e
Sa

sk

nr
is

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n
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u' A
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i

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a ir
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ce

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or
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h il
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u

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am

aw

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et
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t th

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nd
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ss
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0

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ha

Percentage of Children

25

Regional Health Authority

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Crude Rate of Children under Six Years of Age who received Dental
Anaesthesia in Saskatchewan by Regional Health Authority, 2010

15

10

5

S
K

e
S
as
ka
to
on

S
un
r is

C
yp
re
ss
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ills
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am
Y
at
aw
th
et
é
an
C
hu
rc
hi
ll
P
rin
ce
Al
be
rt
P
ra
iri
e
R
N
eg
or
in
th
a
Q
u'
Ap
pe
lle
S
un
C
ou
nt
ry

ca

0
A
th
ab
as

Percentage of Children

20

Regional Health Authority

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Comparing the percentage of registerd First Nations and Non First Nations under six years
of age undergoing anaesthesia for dental care by RHA of physician, 2008 to 2010
70

% Non- FNs
% FNs

60

Percentage

50

40

30

20

10

0
Five Hills

Prairie North

Regina
Qu'Appelle

Sun Country

Saskatchewan

Physician RHA

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
• $40 million in additional funding for the
Saskatchewan Surgical Initiative this year
• “Sooner, Safer, Smarter” surgical care through
improved access to key health services
• The goal is to see more patients receive surgery
sooner.
• From March 2010, the number of patients
waiting more than 12 months declined by 12%
and the number waiting more than 18 months
has dropped by 26%.

POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
Other initiatives underway through the Surgical
Initiative include funding to support:
• an additional 1400 dental procedures through
the Surgery Centre of Saskatoon in the
Saskatoon Health Region
• an additional 60-70 procedures, including a
second dental surgery suite in Prairie North
• an additional 130 dental surgeries through 3
new itinerant dental surgeons in the Kelsey Trail
Health Region
• expansion of services through the Omni Centre
in Regina Qu’Appelle Health Region
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
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
Next steps……
• Seeking your input into the strategies
identified from the stakeholder
consultations.
• Asking for your help in prioritizing the long
list of action statements.
• Looking for potential roles for all of our
partners in moving this initiative forward.
POPULATION HEALTH BRANCH
Building a Healthier Saskatchewan
One smile at a time.

POPULATION HEALTH BRANCH
20
Building a Healthier Saskatchewan
Saskatchewan Health
Population Health Branch Contact Information:

lkarpinski@health.gov.sk.ca (787-0293)
Janet.Gray@mcrrha.sk.ca (425-8521)

POPULATION HEALTH BRANCH

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Improving children’s oral health in populations at risk saskatchewan ministry of health

  • 1. Saskatchewan Ministry of Health Improving Children’s Oral Health in Populations at Risk Saskatoon Oral Health Coalition May 11, 2011 POPULATION HEALTH BRANCH POPULATION HEALTH BRANCH
  • 2. Building a Healthier Saskatchewan • Provide an update on the oral health initiative • Provide additional baseline information • Provide an overview of the strategy • Seek feedback from you on the strategy’s action statements and initial priorities POPULATION HEALTH BRANCH
  • 3. 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. • About 1,600 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
  • 5. Severe Early Childhood Tooth Decay POPULATION HEALTH BRANCH
  • 6. BUILDING A HEALTHIER SASKATCHEWAN Targets for the initiative include at risk:     Pre/Postnal Mothers Children age 0-2 Children age 3-5 Healthy Public Policy & Strengthening Community Action & Capacity POPULATION HEALTH BRANCH
  • 7. BUILDING A HEALTHIER SASKATCHEWAN • The strategy includes action statements related to:  Education  Prevention Services  Resource Development  Training POPULATION HEALTH BRANCH
  • 8. Building a Healthier Saskatchewan Percentage of dental anaesthesia claims processed in Saskatchewan from 2006 to 2009 by age group 60% Percentage of dental claims 50% 40% 1-4 5-9 10+ 30% Series4 20% 10% 0% 2006/07 2007/08 2008/09 2009/10 Fiscal year POPULATION HEALTH BRANCH
  • 9. Building a Healthier Saskatchewan Number of children in Saskatchewan under six years of age receiving dental care under anaesthesia from 2005 to 2009 2000 Num ber of Children 1600 1200 800 400 0 Year 2005 2006 2007 2008 2009 Children in SK 1497 1413 1757 1771 1791 POPULATION HEALTH BRANCH
  • 10. Building a Healthier Saskatchewan Number of clients wating for dental surgery as of September 30th 2010 and number of clients who had already been waiting for more than 18 months prior to September 2010 by age group 1800 1622 1500 Number of clients Wating in Sask 1200 Wait >18 months 900 740 564 600 300 42 87 77 6 - 10 11+ 0 1-5 Age group (years) POPULATION HEALTH BRANCH
  • 11. Building a Healthier Saskatchewan Children Under 6 years of Age Undergoing General Anaesthesia for Dental Work In Saskatchewan by Regional Health Authority of Physician and Residence of Child, 2009 - 2010 1200 Physician Children Reside 800 600 400 200 At ha ba sc a Ke ew at in Y at th é iv er C et an M am aw ce Pr in hu rc hi ll R or th N e A lb er t Pr ai ri Pa rk la nd ai l Tr Ke ls ey ea rtl an d H Sa sk at oo n Q eg in a R Su nr is e u' Ap pe l le yp re ss C il ls H Fi ve C ou nt ry 0 Su n Number of Children 1000 Regional Health Authority POPULATION HEALTH BRANCH
  • 12. Building a Healthier Saskatchewan Percentage Distribution of Anaesthetized Children across Regional Health Authorities in Saskatchewan, 2010 20 15 10 5 at oo n e Sa sk nr is Co u n Su u' A Q na R eg i Su nt ry lle pp e N ie a ir Pr Pr in ce Al or th be rt h il Ch u M am aw Ke ew et an at in rc Ya t th yT lse Ke l é ra il nd tl a He ar Hi lls Fi ve ss pr e Cy ba s ca 0 At ha Percentage of Children 25 Regional Health Authority POPULATION HEALTH BRANCH
  • 13. Building a Healthier Saskatchewan Crude Rate of Children under Six Years of Age who received Dental Anaesthesia in Saskatchewan by Regional Health Authority, 2010 15 10 5 S K e S as ka to on S un r is C yp re ss Fi ve H ills H ea rtl an d K el se y K Tr ee ai l w at M in am Y at aw th et é an C hu rc hi ll P rin ce Al be rt P ra iri e R N eg or in th a Q u' Ap pe lle S un C ou nt ry ca 0 A th ab as Percentage of Children 20 Regional Health Authority POPULATION HEALTH BRANCH
  • 14. Building a Healthier Saskatchewan Comparing the percentage of registerd First Nations and Non First Nations under six years of age undergoing anaesthesia for dental care by RHA of physician, 2008 to 2010 70 % Non- FNs % FNs 60 Percentage 50 40 30 20 10 0 Five Hills Prairie North Regina Qu'Appelle Sun Country Saskatchewan Physician RHA POPULATION HEALTH BRANCH
  • 15. Building a Healthier Saskatchewan • $40 million in additional funding for the Saskatchewan Surgical Initiative this year • “Sooner, Safer, Smarter” surgical care through improved access to key health services • The goal is to see more patients receive surgery sooner. • From March 2010, the number of patients waiting more than 12 months declined by 12% and the number waiting more than 18 months has dropped by 26%. POPULATION HEALTH BRANCH
  • 16. Building a Healthier Saskatchewan Other initiatives underway through the Surgical Initiative include funding to support: • an additional 1400 dental procedures through the Surgery Centre of Saskatoon in the Saskatoon Health Region • an additional 60-70 procedures, including a second dental surgery suite in Prairie North • an additional 130 dental surgeries through 3 new itinerant dental surgeons in the Kelsey Trail Health Region • expansion of services through the Omni Centre in Regina Qu’Appelle Health Region POPULATION HEALTH BRANCH
  • 17. 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
  • 18. 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
  • 19. Building a Healthier Saskatchewan Next steps…… • Seeking your input into the strategies identified from the stakeholder consultations. • Asking for your help in prioritizing the long list of action statements. • Looking for potential roles for all of our partners in moving this initiative forward. POPULATION HEALTH BRANCH
  • 20. Building a Healthier Saskatchewan One smile at a time. POPULATION HEALTH BRANCH 20
  • 21. Building a Healthier Saskatchewan Saskatchewan Health Population Health Branch Contact Information: lkarpinski@health.gov.sk.ca (787-0293) Janet.Gray@mcrrha.sk.ca (425-8521) POPULATION HEALTH BRANCH