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CPS Statements > Oral health care for children – a call for action > Flashcards

Oral health care for children – a call for action Flashcards

1
Q

What percentage of Canadian children 6-11yo have had a cavity?

A

57%

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2
Q

What is early childhood caries (ECC)?

A

Presence of one or more decayed, missing (due to caries), or filled tooth surfaces in any primary tooth in a preschool-aged child

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3
Q

What is the prevalence of ECC in preschool children?

A

6-8%

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4
Q

What is the prevalence of ECC in Indigenous communities?

A

> 90%

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5
Q

What is the most common surgical procedure performed in preschool children in most pediatric Canadian hospitals?

A

Dental surgery

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6
Q

What percentage of Canadians have private dental insurance?

A

62%

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7
Q

What percentage of Canadians have public insurance?

A

6%

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8
Q

What percentage of Canadians have no dental insurance?

A

32%

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9
Q

What are factors in ECC development?

A
  1. Inappropriate infant feeding practices (i.e. frequent prolonged bottle feeding, excessive juice consumption)
  2. Vertical transmission of Streptococcus mutans from caregivers
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10
Q

What are measures to control ECC?

A
  1. Promoting proper feeding
  2. Improving diet
  3. Water fluoridation
  4. Increasing the use of topical fluorides
  5. Dental sealant by primary health care providers
  6. Use fluoride toothpaste
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11
Q

What populations have higher levels of dental disease and limited or no access to oral health care?

A
  1. Low-income families
  2. Aboriginal children
  3. New immigrants
  4. Children with special health care needs
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12
Q

What percentage of children <4yo with NIHB coverage have a yearly dental visit?

A

1 in 3 children

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13
Q

What does the Healthy Kids program in BC cover?

A

Eligibility is children and youth 0-19yo from low income families in receipt of premium assistance through Medical Services Plan

Services covered: $1400/2y of basic dental services, $1000/y toward GA fees, emergency treatment for pain relief (>$1400 limit), no orthodontic

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14
Q

What does the Dental Benefits Program for Children and Youth in Foster Care in BC cover?

A

Eligibility is children and youth in foster care covered up to $700/y

Services covered: basic, emergency and orthodontic care

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15
Q

What does the Alberta Child Health program cover?

A

Eligibility: children and youth 0-18yo from low-income families

Services covered: basic coverage: dental exams, cleaning, X-rays, fillings and extractions

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16
Q

What does the Family Support for Children with Disabilities in Alberta cover?

A

Eligibility: children and youth 0-18yo with a disability

Services covered: Basic dental treatment, with some orthodontic care (directly related to child’s disability and approved by a dental review committee)
– Covers portion of costs exceeding that covered by guardian’s dental insurance plan OR if guardian does not have dental insurance, costs exceeding $250 annually

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17
Q

What does the Foster Care program in Alberta cover?

A

Eligibility: Children and youth zero – 18 years of age in foster care

Services Covered: Basic coverage: dental exams, cleaning, X-rays, fillings and extractions

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18
Q

What does the Assured Income for the Severely Handicapped (AISH) in Alberta cover?

A

Eligibility: Children of parents with a disability who are unable to work

Services Covered: Basic coverage: dental exams, cleaning, X-rays, fillings and extractions

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19
Q

What does the Family Health Benefits program in Saskatchewan cover?

A

Eligibility: Children and youth zero – 18 years of age from low income families

Services Covered: Basic coverage

20
Q

What does the Supplementary Health Program in Saskatchewan cover?

A

Eligibility: Foster children

Services Covered: Diagnostic, preventive, restorative, oral surgery

21
Q

What does the Public Health Services Dental Clinic (Saskatoon Health Region) in Saskatchewan cover?

A

Eligibility: Children zero – 16 years who have limited or no dental coverage

Services Covered: Preventive and treatment services

22
Q

What does the Health Services Dental Program in Manitoba cover?

A

Eligibility: Children <18 years of age who have a disability or are wards of the state covered up to $500/year

Services Covered: Basic diagnostic, preventive, restorative, endodontic, periodontal, prosthodontic, oral surgery services

23
Q

What does the SMILE plus program (Winnipeg Regional Health Authority) in Manitoba cover?

A

Eligibility: At-risk children in the Winnipeg region

Services Covered: Preventive and basic treatment services

24
Q

What does the Healthy Smile Happy Child intersectoral partnership program in Manitoba cover?

A

Eligibility: At-risk infants and preschool children and their families

Services Covered: Oral health promotion using community development approaches

25
Q

What does the Free First Visit Program (Manitoba Dental Association) in Manitoba cover?

A

Eligibility: children <36mo

Services Covered: Early dental screenings

26
Q

What does the Healthy Smiles in program in Ontario cover?

A

Eligibility: Children and youth <18 years of age are eligible if their family’s net income is

27
Q

What does the Ontario Disability Support Program (Dental Special Care Plan) in Ontario cover?

A

Eligibility: Dependent children and youth (<18 years of age) who live with a disabled parent

Services Covered: Basic diagnostic, preventive, restorative, endodontic, periodontal, prosthodontic, oral surgery services

– General anesthesia and sedation

28
Q

What does the Assistance for Severely Disabled Children (ASDC) in Ontario cover?

A

Eligibility: Children and youth (<18 years of age) living at home in a low-income family
– Child must have a severe disability

Services Covered: Basic diagnostic, preventive, restorative, endodontic, periodontal, prosthodontic, oral surgery services

29
Q

What does the Children in Need of Treatment (CINOT) program in Ontario cover?

A

Eligibility: – Children and youth (<18 years of age) requiring emergency or essential dental care
– Parents have no dental insurance OR cost of treatment would result in ‘financial hardship’ (no income verification)

Services Covered: – Includes diagnostic, preventive, restorative, prosthodontic, endodontic, oral surgery, and pays for adjunct services such as general anaesthesia and conscious sedation
– Intended for one-time coverage; no ongoing care

30
Q

What does the Régie de l’assurance maladie du Québec: Children’s Dental Care Program in Quebec cover?

A
  1. All children <10yo
    Services Covered: Basic diagnostic, restorative and oral surgery
    – Does not include cleaning or fluoride application
  2. Children from Low Income families
    Services Covered: Basic diagnostic, restorative and oral surgery
    – >12 years of age: annual teeth cleaning
    – 12 – 15 years: annual fluoride application
31
Q

What does the Dental care for low- income families in New Brunswick cover?

A

Eligibility: Children <18 years of age from low-income families

Services Covered: Examination, basic diagnostic, extractions and some preventive treatment
– Up to a maximum of $1000/year

32
Q

What does the MSI Children’s Oral Health Program in Nova Scotia cover?

A

Eligibility: Children <10 yrs of age
– Families required to access private coverage first

Services Covered: Diagnostic (dental exam), preventive (one sealant application), and treatment services (fillings, fluoride application in some cases)
– General anesthesia covered in hospital settings only

33
Q

What does the Mentally Challenged Program in Nova Scotia cover?

A

Eligibility: – Children with disability (no age limit)
– Required to access private coverage first

Services Covered: Diagnostic, preventive, and treatment services
– General anesthesia covered in hospital settings only

34
Q

What does the Children’s Dental Care Program (Treatment Services) in PEI cover?

A

Eligibility: – Children three – 17 years of age
– Annual registration fee of $15/child to a maximum of $35/family (waived for low- income families)
– Parent pays 20% of treatment cost, unless annual income

35
Q

What does the Children’s Dental Care Program (Prevention) in PEI cover?

A

Eligibility: All school-aged children 3 – 17 years of age

Services Covered: Oral health education, screening, scaling, topical fluoride, sealants

36
Q

What does the Pediatric Specialist Services Dental Program in PEI cover?

A

Eligibility: – Children in medical and financial need
– Annual registration fee of $15/child

Services Covered: Diagnostic, treatment and some preventive services

37
Q

What does the Preventive orthodontic clinic in PEI cover?

A

Eligibility: Directed at children in low-income families

Services Covered: Minor preventive orthodontic services

38
Q

What does the Early Childhood Dental Initiative in PEI cover?

A

Eligibility: 15- and 18-month-old babies at Public Health immunization clinics

Services Covered: Screening, risk assessment by dental hygienists

39
Q

What does the Children’s Dental Health Program in Newfoundland cover?

A

Eligibility: – All children 0 – 12 years of age
– Families required to access private coverage first
– Youth 13 – 17 years of age in low-income families or on social assistance

Services Covered: Children’s component: diagnostic, preventive periodontal, restorative services (ie, exams, cleanings, fillings, fluoride application, extractations, sealants)

Social assistance component: exams, fillings, extractions and emergency treatment

40
Q

What does the NIHB program in Nunavut cover?

A

Eligibility: Registered First Nations and Inuit

Services Covered: Emergency, diagnostic, restorative, endodontic, periodontal, prosthodontic, oral surgery, orthodontic services

41
Q

What does the Children’s Dental Health Program (Yukon Health and Social Services) in Yukon cover?

A

Eligibility: Two programs:
– Preschool children
– All school-aged children from kindergarten to Grade 8 (or Grade 12) depending on the place of residence

Services Covered: – Preventive, restorative, periodontal, and oral surgery services
– Emergency (accidental) not covered in school-aged children’s plan

42
Q

When does the Canadian Dental Association recommend for timing of the first dental assessment?

A

Within six months of their first tooth appearing and no later than 1yo

43
Q

What does the AAP on Pediatric Dentistry recommend for timing of establishing a child’s dental home?

A

Within six months of their first tooth appearing and no later than 1yo

44
Q

When does the Rourke Baby Record recommend for timing of the first dental assessment?

A

9-15mo

45
Q

What are the most pressing targets for policy development?

A
  1. Ensure leadership in paediatric oral health policy development at provincial/territorial and federal levels.
  2. Assure provision of dental services under the Canada Health Act tenets, with special attention on marginalized populations.
  3. Compile (and maintain) current data on the dental health status of children and youth.
  4. Extend dental policy and programs based on evidence-based practices.
  5. Ensure proper evaluation of existing programs.
46
Q

What are the CPS recommendations?

A
  1. Ensure that all children in their respective jurisdictions be afforded equal access to basic treatment and preventive oral care, regardless of where they live or their family’s socioeconomic status.
  2. Ensure that every child has a dental home by one year of age.
  3. Support the Canadian Paediatric Society and the Canadian Dental Association recommendations on fluoride supplementation.
  4. Create leadership positions to represent the specific interests of children and youth on oral health issues.
  5. Develop an ongoing surveillance system to capture key data and to reflect the state of paediatric oral health.

CPS Statements (223 decks)

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