Missouri Dental Health In Bad Shape

by Gopalan on  February 03, 2010 at 11:00 AM General Health News
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Among its findings then were –

Tooth decay is a significant health problem for Missouri’s children.

�� Many children in Missouri are in need of dental care.

�� Many children in Missouri are attending school with infection or pain from dental

disease.

�� While dental sealants are a proven method for preventing decay, the majority

of Missouri’s third grade children do not have access to this valuable preventive

service.

�� African-American children’s oral health status and access to preventive dental

sealants is less than the general population.

�� The oral health status of children from low-income schools and access to

preventive dental sealants is less than the genera l population. 

The report went on to note, “This needs assessment demonstrates that we still face many barriers to improving the oral health of children in Missouri. We are seeing more dental disease among children, and we have fewer dentists in the state than we need to provide essential preventive and restorative services. In order to reverse these trends, we need to mobilize resources, including both public and private oral health care providers.”

The situation does not seem to have changed since.

Writing in Columbian Missourian newspaper, Caitlin Hartsell, a public health graduate student at Washington University, feels if only the state were to allow dental therapists to practice, things could be far different.

The dentists are of course looking at askance at any kind of 'para' professionals. But studies have shown dental therapists can acquit themselves well and they cost less – a very important factor for disadvantaged sections.

Dental therapists, because they require less training, are able to provide comparable care for a wide range of dental services at a more affordable rate. Those who need more than basic drilling and cleaning can be referred to a professional dentist, Hartsell argues.

Dental therapists have been successful in England, Canada and Australia at providing quality dental care, she adds.

But the Missouri Dental Association has thus far been speaking only of educating the people on the importance of dental health and doesn’t address the shortage issue. A dentist contends, “Distribution is a problem, but that is determined by the market. I have to work to stay busy in my two offices. Adding a “dental therapist” will not solve the access issue. Going in for a dental visit is several times cheaper than a medical visit. In general, people don’t go for dental visits unless they are in pain. This is the real reason for low numbers. Only a small portion of patients can say they have no access. A dental visit doesn’t cost more than a car payment..."

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