Oral Health in Windsor-Essex

Oral Health Department Windsor-Essex Health Unit April 21st, 2016

ORAL HEALTH 2016 REPORT

• First local report of its kind

• Oral health profile of the population

• Current oral health programs

• Oral health needs in our community

• Future program planning for oral health services

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ORAL HEALTH • Vital to general health & well-being at every

stage of life

• Largely preventable

• Shares common risk factors with other chronic diseases

• Public health units are well-situated to take a leading role in improving oral health

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PUBLIC HEALTH’S ROLE To ensure “an increased proportion of children have optimal oral health”*

• Oral health assessment & surveillance

• Preventive services to children

• Treatment services to children

• Monitoring community water fluoride levels

*OPHS, 2014

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ORAL HEALTH PROGRAM Dental school screenings

Prevention services

Dental clinics in Windsor and Leamington

Oral health promotion & hygiene instruction

Community events

Community partnerships

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Infographic for the Oral Health 2016 Report

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Findings: Perceived Oral Health Windsor-Essex residents: self-reported very good or excellent oral health (%):

• Low income individuals report poorer oral health status.

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Annual Household

Income

12-19

years old

20-44

years old

45-64

years old

65+

years old

Low

<$30,000 57.4%E 39.6%E 27.1%E 33.9E

Middle

$30,000-$99,999 62.1% 57.6% 57.4% 49.2

High

>$100,000 66.2% 64.6% 66.1% 76.4

Findings: ER Visits for Oral Health Issues • 544 ER visits per year in WEC for oral health issues.

• Total Cost = $279,000 per year in WEC

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01-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

ED Visits 20 50 34 117 347 397 280 274 276 276 236 125 101 59 48 37 23 14 6

050

100150200250300350400450

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of

ED V

isit

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Findings: Oral Day Surgeries • Each year, there is an average rate of 806 oral day surgeries

per 100,000 children and youth in WEC.

• Total Cost = $1.13 million per year in WEC

• 2.4-times greater than Ontario

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2010 2011 2012 2013 2014

WEC 831.1 884.5 817.0 725.0 772.3

ON 308.9 327.0 323.4 318.0 324.9

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800.0

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Findings: Map of Oral Day Surgeries Rate of oral day surgeries is highest in residents of Leamington and Downtown Windsor:

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Findings: School Dental Screenings

Indicator 2011-2012 2012-2013 2013-2014 2014-2015 Overall Trend

deft/DMFT index* 0.75 0.83 0.79 0.84 12% ↑

Caries-free children* (%) 81.0 80.0 79.0 78.0 4% ↓

Children with urgent dental needs (%)

12.8 11.2 12.2 14.3 12% ↑

Children with decay and urgent dental needs (%)

16.2 13.7 15.3 17.8 10% ↑

Children eligible for topical fluorides (%)

17.8 29.0 38.8 39.6 122% ↑

Children eligible for fissure sealants (%)

2.9 2.7 3.4 4.3 48% ↑

Fluorosis Index* (%) 0 0 0 <0.1 0% —

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All oral health outcomes are worsening among children: • More tooth decay • More urgent dental needs • More treatments required

Findings: School Dental Screenings Compared to Windsor… • LaSalle and Tecumseh have less decayed, missing, and filled teeth. • Leamington has more decayed, missing, and filled teeth. • Amherstburg, Essex, Kingsville, and Lakeshore had no significant difference

in decayed, missing, and filled teeth.

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Amherstburg Essex Kingsville LaSalle Lakeshore Leamington Tecumseh Windsor

JK 21.2% 16.8% 23.2% 11.1% 18.3% 37.8% 13.0% 23.2%

SK 30.5% 29.9% 35.5% 25.4% 28.4% 41.7% 18.7% 32.3%

Grade 2 42.8% 46.6% 46.2% 37.2% 44.2% 57.4% 31.7% 46.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

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1

Findings: Cost of CINOT and HSO

Year Total CINOT

Eligible Children

Total Cost of CINOT

Treatments

Total HSO Eligible

Children

Total Cost of HSO

Treatments

Total Cost of CINOT + HSO

2011 1461 $810,503 486 $140,565 $951,068

2012 1099 $676,729 840 $246,258 $922,987

2013 1003 $694,628 922 $281,781 $976,408

2014 897 $701,376 1208 $345,037 $1,046,413

2015 865 $703,915 1553 $469,014 $1,172,929

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Children in Need of Treatment (CINOT) and Healthy Smiles Ontario (HSO) spent $1.17 million to provide treatment to WEC children in 2015.

RECOMMENDATIONS 1. Oral health education into other programs

2. Screenings for preschool & nursery programs

3. Preventive services in schools at higher risk

4. Community promotional campaign

5. Collaborations to implement early-stage preventive oral care & education

6. Expand oral health outreach programs

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CONTACT INFORMATION If you have questions regarding the report please contact:

Mackenzie J. Slifierz, M.Sc.

Epidemiologist

Windsor-Essex County Health Unit

1-800-265-5822 Ext. 1339

mslifierz@wechu.org

Gillian Stager, M.Sc.

Health Promotion Specialist

Windsor-Essex County Health Unit

519-258-2146 Ext. 3213

gstager@wechu.org

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