some aspects of oral health care in lithuania

PowerPoint Presentation

Erminija GuzaitieneMember of the Council of theLithuanian Dental Chamber

SOME ASPECTS OF ORAL HEALTH CARE IN LITHUANIA
Baltic meetingSep. 2122, 2012Palanga, Lithuania

3.2 mln0.689 mln2 9746293 1930,21 billion Lt in a year (0,19% of Gross domestic product)
Current situation*
Total POPULATION in LithuaniaChildren populationDentistsDentist specialistsOral health specialistsExpenditure for oral health
________ *Statistics Lithuania Lithuanian Dental Chamber database Websana. Lietuvos Respublikos odontolog rmai 2008-2012. 2012, 52 p. CECDO figures, EU & EEA// https://www.cecdo.org/pages/database%20intro.html

Difficulties with eating food and pain
27% of Lithuanians experienced difficulties with eating food and pain. (EU average 15%)*

________ *Eurobarometer 330. (Oral health, 2010)

Satisfaction of the teeth and dentures appearance*
15% Lithuanians felt embarrassed of the appearance of their teeth and dentures. (EU average is 7%).This heads some interviewers to restriction of their participation in social activities.

Eating habits*
22% of Lithuanians who responded to the survey question how often do they eat biscuits, cakes, cream cakes answered often. (EU average is 18%)Citizens in Poland, Hungary, Lithuania, Slovakia, Greece appear to be the most regular eaters of confectionery.

Prefered type of dental facilities*
74% of Lithuanians prefer to go to dentists office or private dentists, others to clinics run by the city, government or university. (EU average is 79%).

Prefered type of dental facilities*
Percent of Lithuanians, who responded to the survey have visited dentists in the last 12 months is 46. From them only 26% visited state or municipal institution. It means only 11,96% of population visited clinics run by the city, government or university.

Chart1

11.96

34.04

54

Sales

Sheet1

Sales

Visited (state)11.96

Visited (private)34.04

Not visited54

To resize chart data range, drag lower right corner of range.

The frequency of visiting dentists*
The frequency of visiting dentist of Lithuanians who claimed to have seen a dentist within 12 months is 2,1 (EU average 2,2).The worse situation is if to explore the reason for the last visit among those who claimed to have visited a dentist within the last year. Only 21% of Lithuanians visited for check-up examination or treatment (EU average 50%, Netherlands 79%, UK 72%, Denmark 69%).Another figure is regarding emergency treatment 24% (EU average 17%, Netherlands, UK 8%) and routine treatment 54% (EU average 33%, NL 13%)

Main reason why respondents havent consulted a dentist in the last 2 years*
Their dental problem was not considered to be serious enough.Having no teeth, or the fact that the respondent had false teeth, the cost of dental consultation and treatment were also frequently mentioned reasons.

Targets for oral health careshould be:
Improve oral health Improve access to services Develop appropriate oral health care Develop oral health databasePrioritise investments Involve other stakeholders and health professionals.

Improve oral and general health
The common risk factor approach emphasises the need to tackle the common risk factors and conditions that are shared by chronic non-communicable diseases.These common risk factors include:tobacco usepoor dietstressalcohol consumption
poor hygieneinjuries sedentary lifestyle

Improve oral and general health
Targeting these risk factors at a population and individual level would help reduce the incidence of:obesityheart diseasestrokecancers
diabetesmental illnessoral diseases

Action of improving oral and general health (1/III)
The most effective and efficient method of promoting oral health is to integrate oral health promotion with health promotion.Commission oral health promotion interventions that are evidence-based and evaluated.Improve the effectiveness of oral hygiene instruction provided by oral and other health professionals.

Promote the development and adoption of nutrition and healthy eating guidelines which emphasize reducing the frequency of intake of sugary drinks and foods. Ensure schools, colleges and other settings are aware of and adopt guidelines on first aid for dental injuries.
Action of improving oral and general health (II/III)

Dental teams should routinely enquire about patients tobacco use and to give smoking cessation advice.Regular engagement with General practitioners and dental teams (conferences with General practitioners, courses).Provide training for dental teams to develop their health promoting knowledge and skills.

Action of improving oral and general health (III/III)

Improve access to dental services
46% of Lithuanian population had seen a dentist over last 12 months. This means need to achieve a 57% (EU average) increase.*90% of children should have an oral examination.


Action to improve access to dental services (I/II)
Make information about dental services available in a form that is acceptable, accessible and familiar to the public. Encourage good oral health by making preventive advice easily accessible (TV, internet, messages in non-medical environments).Establish and maintain a single point of contact or dental portal by internet. Review need for specialist services, (e. g. oral surgery, periodontology and endodontology ), and develop services ir regions.

Action to improve access to dental services (II/II)
To tackle the problems:children and adults with disabilities at homeolder people in residential homes people with mental health problems Develop appropriate oral health careThe 4th most frequently mentioned reason not visiting dentist or hygienist in the last 2 years was fear (reported 10% of respondents)*


What was the main reason you did not visit a dentist in the last 2 years? (EU)*

Chart1

33

16

15

10

7

3

1

1

%

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%

Your dental problem is not serious enouth33

You have teeth or you have false teeth16

It is too expensive15

You are afraid or you dont like dentists, dental hygienists10

You are too busy7

You don't like to spend money on dental care3

Dental office too far away1

Physical problems preventing you from going1

Action
Establish and support development of specialist services e. g. sedation, patients with special needs.Develop anxiety management services to include conscious sedationDevelop sedation services ???

Action should be taken of National Health insurance Fund:
Prioritise investments to prevention vouchers for pregnant, kids for free treatment (in the year 2011 the number of births was 34 385). Invest resources effectively according to needs of population.Support IT development for dental practices

Action of developing oral health database
Undertake regular epidemiological surveys to establish oral health/ health needs of the population and evaluate it.Collect and monitor need of oral health profesionals.Review data collected through patient satisfaction surveys.

Action of involving other stakeholders and health profesionals (I/II)
Consider training General Practitioners to undertake examination of the oral mucosa of tobacco users, heavy drinkers and older people. Encourage and train pharmacists to recognise oral health problems that need referral to dentist or specialist care. Promote mouth guard wear for sports where risk of tooth damage is high.

Action of involving other stakeholders and health profesionals (II/II)
Consider funded scheme for provision of mouth guards. Ensure schools, colleges and other settings are aware of and adopt guidelines on first aid for dental injuries. Use media, TV, internet, social advertisment to promote oral health.

References
CECDO figures, EU & EEA// https://www.cecdo.org/pages/database%20intro.htmlEurobarometer 330. (Oral health February 2010).Lietuvos Respublikos odontolog rmai 2008-2012. 2012, 52 p.Statistical information from Lithuanian Dental Chamber database Websana. Statistical information from Lithuanian Statistics Department http://www.stat.gov.lt

some aspects of oral health care in lithuania

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