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ORAL HEALTH OF AIAN PEOPLE Oral Health Disparity or Oral Health Disaster?

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Just the Facts: Oral Health of AIAN 3-5 Year Olds Sources: The IHS 2014 Oral Health Survey of AI/AN Preschool Children National Health and Nutrition Examination Survey (NHANES), 2009-2010

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Two is Too Late!

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Variation by IHS Area

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Just the Facts: Oral Health of AIAN 6-9 Year Olds

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Just the Facts: Oral Health of AIAN 13-15 Year Olds Data Sources: The IHS 2013-2014 Oral Health Survey of AI/AN Adolescents National Health and Nutrition Examination Survey (NHANES), 2009-2010

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Just the Facts: Oral Health of AIAN Adults 68% of AIAN 35-44 year olds had untreated decay. 79% had lost at least one tooth 96% had gingivitis 36% had periodontal disease

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Dental Access Nationally, dental access for AIAN people hovers around 29% while about 45% of the US population visited the dentist in the past year. Barriers to dental access include a lack of dental providers, long geographical distances between dental providers, and limited services available. To ration dental treatment, AIAN people often are faced with complicated call-in systems and long waits for appointments.

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Baby Teeth Matter Swinomish Puyallup Tulalip Port Gamble Skokomish Sophie Trettevick Grand Ronde Objectives Increase the number of 0-5 year olds who receive dental access, with an emphasis on 0-2 year olds. Increase the number of 0-5 year olds who receive comprehensive dental care at their IHS/Tribal dental program.

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One Year Results

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What can YOU do? Tribal Policies -well-child visits and collaboration with medical and community health partners. -tribal daycare -case management -real open access Be picky when hiring new dentists Consider alternative workforce models

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Prevention Matters! In our every deliberation we must consider the impact of our decisions on the next seven generations. Iroquois (1700-1800) Together we CAN make a difference!