1. Virginia Department of Health Division of Dental Health Adult Oral Health Program Tonya McRae, RDH Adult Oral Health Coordinator Tonya.Mcrae@vdh.virginia.gov Phone: 804-864-7785 Fax: 804-864-7783

2. Current Programs Senior Smiles Saving Smiles, Saving Lives - Oral Cancer Oral Health – Total Wellness Dental Hygiene for Long-Term Care Residents

3. Senior Smiles Facts on senior populations Physical changes that effect oral health as we age Other factors that lead to oral neglect Poor oral health impacts the body as a whole What they can do to maintain those… “Sunny Senior Smiles” Educational Program for Seniors

4. Saving Smiles, Saving Lives Oral Cancer in Virginia Virginia ranks 22nd in mortality among all states 17th highest mortality rate in the US for males of all races African-American males highest incidence rates (22.2% - 1998) Higher in most categories than U.S. average SEER Cancer Registry

5. Saving Smiles, Saving Lives Barbershop Project Richmond Norfolk Statewide Care Provider Reminders/Press Releases ACS Partnership African-American Men’s Health Conference Lay Health Ministry Partnerships Baptist General Convention - SPICES Minority Health Coalition

6. Oral Health – Total Wellness Oral Conditions Tooth Decay Gingivitis Periodontal Disease Oral Cancer Tooth Loss Systemic Connections Heart Disease & Stroke Diabetes Pre-term, Low Birthweight Births Lung Disease Decreased Quality of Life

7. Oral Health – Total Wellness What Can be Done to Promote Good Oral Health General Hygiene Alternative Cleaning Devices Attachments to Toothbrush Handles Adaptive Technologies Rinses Saliva Replacement Proper Oral Hygiene

8. Dental Care Long-Term Care Facility Survey long-term care facilities – Crater Health District Evaluate training needs of direct care staff Provide training and assistance for care givers Work with facilities to update protocols, procedures and new staff training material Develop a training module for care givers in long-term care facilities that can be disseminated statewide