1. Oral Health is Health Virginia Oral Health Coalition Sarah Bedard Holland sholland@vaoralhealth.org Oral Health is Health… It is time to put the mouth back in the body Sarah Bedard Holland Virginia Oral Health Coalition sholland@vaoralhealth.org

2. This Morning… Oral Health is Health – Diabetes – Premature Birth – Dental Disease and kids The Virginia Oral Health Coalition A Plug for the Virginia Oral Health Summit

3. Oral Health and Overall Health Associations: – Failure to Thrive – Diabetes – Premature Birth – Heart Disease – Osteoporosis – Stroke – Alzheimer’s

4. Source: Community Health Solutions produced these estimates by applying national estimates from the Centers for Disease Control Healthy People 2020 initiative to Virginia population estimates. These estimates are for planning purposes only. Community Health Solutions cannot and does not guarantee their accuracy. Pre-term birth data source: VDH Division of Health Statistics Resident Live Birth, Death, Fetal Death and Induced Termination of Pregnancy Certificates 2010. Virginia Health Status

5. Diabetes & Dental Disease With Treatment: – Saved an average of $1,814 in medical costs annually – Had an average reduction of 33% in annual hospital admissions – Had an annual average of 13% fewer physician visits

6. Premature Birth & Dental Disease Reality: – Women with periodontal disease are 8x more likely to deliver prematurely – Over 85% of women who delivered before 32 weeks had periodontal disease Costs: – Preterm baby costs are 10x higher (almost $50,000 vs. $4,500) – 10% of the babies born to a mom receiving Medicaid or FAMIS MOMS were premature

7. Dental Disease and Children Untreated dental disease increasing – 70% low income kids – Failure to thrive – 1 million missed school hours – General Anesthesia Age one dental home

8. Oral Health…A Poster Child for Prevention Early Dental Visits Fluoride – Water – Varnish – Toothpaste Sealants Diet, Oral Hygiene

9. Most non dental providers not engaged Little mention of oral health outside of dental programs Low Medicaid utilization Paltry adult Medicaid benefit Oral Health issues affect every sector: – Over 3,000 dental cases billed to Medicaid required general anesthesia in VA last year – at a cost of well over $7 million dollars – 52% of new armed forces recruits had dental problems that delayed overseas deployments – Adults miss an estimated 164 million hours of work each year because of dental needs – Preventable dental conditions were the primary diagnosis in 830,590 visits to emergency departments in 2009 YET…

10. The Need is Still Tremendous Not enough life boats.

11. The Virginia Oral Health Coalition Created as a convener to integrate oral health into all aspects of health care through policy change, public awareness and targeted initiatives

12. Virginia Oral Health Coalition The Coalition is a network of over 150 organizational and individual partners which drives the 19 objectives in the Virginia Oral Health Plan. VaOHC Free Clinics Community Health Centers VaOHC Free Clinics Community Health Centers AAPAAFPEVMS VaOHC Free Clinics Community Health Centers AAPAAFPEVMS

13. Coalition Activities Targeted Initiatives Public AwarenessPolicy Change Medical and Dental Collaboration Initiative Website, Social Media, Newsletter Legislative Day Virginia Dental Home Initiative Oral Health Summit Joint Commission Study

14. Learn More – Virginia Oral Health Summit! The Future of Oral Health Delivery November 8 th Richmond Westin Dr. Marcia Brand, HRSA Dr. Marko Vujicic, ADA

15. “Make no little plans. They have no Magic to stir men's blood.” - - Daniel H Burnham