May 26th 2010

2. Pilot Project Inception, September 2008

3. Collaborative Approach

4. Access to Care/Vulnerable Population

5. Dental = Systemic
Health Health

6. Dental
Health
Systemic
Health

7. PLAQUE

8. BACTERIA PLAQUE LOAD

9. BACTERIAL PLAQUE LOAD
= BACTEREMIA
•
•
•
•
•
•
Myocardial Infarcts
Ischemic Strokes
Aspiration Pneumonia
Poor Glycemic Control
Prostheses Failure
Aggressive behavior

10. LTC Residents/
Vulnerability
to oral disease

11. • Cognitive Impairment
• Multiple Medications causing
Xerostomia
• Syrupy base for meds delivery
• Sticky, Soft diets with high starch
content

12. Picture This…
Plaque
Tooth Decay
Swollen, Painful, Bleeding
gums
Swollen, Dry, Red Tongue
Burning Mouth
Difficulty Eating, Chewing,
Swallowing, Speaking
Broken Down Sharp Edges
of teeth

13. Presently In Long Term
Care…

14. • Dentist
• Hygienist
• Assistant
• Mobile Dental Equipment

37. How To Improve
Oral Health In LTC?

38. Why???
• Premier Medical Care
• Decrease Health Care Costs
• Vulnerable Population
‐Quality Of Life
‐ Fundamental rights
‐ Limitation of Family Responsibility
‐ State Responsibility
‐ Social Responsibility

39. Let’s Study For Solutions?
•
•
•
•
•
•
April 2008
July 2008
October 2008
July 2009
April 2010
May 2010
ODA
Feds
NLDA
CDA
CDA
Saskatoon

40. To Access Oral Health Care in the
Long Term Care Sector
• ODA, RCDSO, ODHA
• April 2008
‐Lack of Funding
‐Need For Education
‐Logistics, Administration for Dentistry within
LTC

41. Oral Health Care For Elders In
Residential Care
“Dignity With A Smile”
• Federal Dental Advisory Committee
• July 2008
‐Oral Health Care Essential To Residential Care
‐Mgmt. of Oral Health Care in Residential Care
‐Education
‐Assessing Oral Health

42. • NEWFOUNDLAND OCTOBER 2008
• A process by which seniors may be provided
access to Dental Health services
• “Healthy Aging” became a Prov. Priority
• In 2020 ‐ 20% ‐ 65 or older
• In 2040 ‐ 60% ‐ 65 or older
• Access to Dental Care based on income for Srs.
• Based on program similar to Saskatchewan Social
Services Dental Fee Guide

43. Newfoundland Oct 2008
•
•
•
•
•
Promote Oral Health for Seniors
Provide CE Courses
Connect With LTC Facilities
Work in Collaboration with Dept of Health
Program to cover: Dental Exams, Fillings,
Extractions, Cleanings, Basic Removable
Prosthodontics

44. Canadian Dental Association
July 2009 Optimal Oral Health
for Frail Older Adults
Best practices along the continuum of care for:
‐Aging Adults in Private Practice
‐Dental Care for the Homebound
‐Oral Care in LTC Facilities

45. CDA July 2009
• Multidisciplinary Approach
‐(MD, DMD, RN, BPharm, Nutrition, Social
Worker)
• Access to Care
• Facility Policy for Oral Care
‐Oral Assessments, Oral Care Plan,
Education of Staff

46. CDA President‐Dental Health Month
April 2010
•
•
•
•
“Collaborative” Approach Needed To Ensure
Equitable Access to Oral Health Care for
Canadians
Dental Profession
Oral Health Professions
Federal and Provincial Governments
Non‐Govt Community Agencies

47. CDA Pres April 2010
• Increase/Place Public Funding as Needed
‐Inability to pay is barrier to access
• Enhanced Dental Coverage for Special Needs
that Addresses Medically Complex Reqments
• Establish Baseline Std for LTC Facilities to
provide daily oral care for residents and
access to annual professional oral health
care

48. Bhargava’s Oral Health Care Plan for
Sask Residential Delivery May 2010
5 R’s 4 Oral Health
‐Responsibility of LTC Facilities
‐Responsibility of Health Regions
‐Responsibility of College of Dentistry
‐Responsibility of College of Dental
Surgeons of Sask et al
‐Responsibility of Government

49. U{tÜztätËá j|á{ _|áà
• Mandate by Ministry of Health, with
guarantee of funding, to plan, create, and
activate a Saskatchewan Oral Health Action
Plan for Dental Care of the
Homebound/Residence (Institution) Bound
‐Collaboration of all stakeholders
‐Saskatchewan based plan that is
affordable now and viable in the future

50. Thank You