An article in the latest issue of the Journal of the American Dental Association (JADA) explores the role of pandemics on societal behavior and their impact on oral health care. The analysis explores the past, present, and future of pandemic and what measures the dental community should adopt moving forward. The latest issue also features articles about ultrasonic scaler aerosol and spatter mitigation, the use of teledentistry with older patients, and the promotion of community water fluoridation.
Veteran Oral Health: Expanding Access and Equity
Gaps in veteran oral health have been long overlooked. Now is the time for change. A forward-thinking white paper from the CareQuest Institute and the American Institute of Dental Public Health (AIDPH), “Veteran Oral Health: Expanding Access and Equity,” focuses on the need to better understand the significant deficits surrounding veteran oral health. The goal of the paper is to catalyze oral health professionals and policymakers toward advancing health equity for veterans. The social, structural, and individual drivers of disparate oral health outcomes experienced by veterans deserve more attention from the oral health community. This paper delineates the struggles veterans face with oral health care every day.
New Best Practice Approach Report on Teledentistry
A new CareQuest Institute and Association of State and Territorial Dental Directors (ASTDD) Best Practice Approach Report encourages state/territorial oral health programs and stakeholders to identify community barriers to care and consider teledentistry as part of the solution. The practical Report includes guidelines and recommendations, best practice criteria, myriad resources, and several examples of teledentistry in use across the country.
Top Five CareQuest Institute Publications from 2021
Based on the collective engagement from the audience of providers, policymakers, advocates, and oral health stakeholders across the industry, below are the top five most popular CareQuest Institute publications.
Disparities Relating to HIV and PrEP
The Centers for Disease Control and Prevention (CDC) recently released two reports which may be of interest to health center providers:
- HIV and Gay and Bisexual Men: Difference in Knowledge of Status, Prevention, Treatment, and Stigma Exist by Race/Ethnicity: https://www.cdc.gov/vitalsigns/hivgaybimen/
- Racial, Ethnic, and Gender Disparities in Awareness of Pre-Exposure Prophylaxis Among HIV-Negative Heterosexually Active Adults at Increased Risk for HIV Infection: https://www.cdc.gov/mmwr/volumes/70/wr/mm7047a3.htm
Viagra May be Useful Against Alzheimer’s Dementia
A study of health insurance data for more than 7.2 million people showed a nearly 70% lower risk of developing Alzheimer’s in the next six years among those who took sildenafil (Viagra) versus those who did not. Viagra was originally designed as a heart drug because of its main action of improving blood flow by relaxing or widening blood vessels. Doctors then discovered it was having a similar effect elsewhere in the body, including the arteries of the penis, and it was developed into a successful treatment for erectile dysfunction. It is also been used in the treatment of pulmonary hypertension. Experts think it could have other uses too. It is important to note that observed associations like this, even on a huge scale, are not the same as proof of a causative effect. Researchers state the correlation shown as well as other indicators in the study are enough to identify sildenafil as a promising candidate drug for Alzheimer’s disease.
America’s Youngest Adults are Overweight
According to new research conducted by Johns Hopkins and published in the Journal of the American Medical Association, 56% of American adults ages 18 to 25 are overweight or obese. Using data from a nationally representative sample of 8,015 people in that age bracket, the researchers compared average weights over the past four decades. In that time, that population’s average body mass index, a measure of body fat based on a person’s height and weight, had increased by 4.6 points – from 23.1 (considered normal weight) to 27.7 (considered overweight). That shifted the number of overweight young adults from about 18% in the late 1970’s to nearly 24% by 2018.
New Bulletin with Oral Health Resources Published
The National Maternal and Child Oral Health Resource Center (OHRC) recently published the “Oral Health Resource Bulletin: Volume 47.” The bulletin contains briefs, guidelines, manuals, standards, reports, and videos published in 2020 and 2021. Topics include the COVID-19 pandemic, data and surveillance, policy, professional and education practice, program development, public awareness and education, and systems integration. Resources include a toolkit on community water fluoridation, a user’s guide on teledentistry, and more.
Data Estimates from National Survey of Children’s Health Released
The Data Resource Center for Child and Adolescent Health (DRC), a project of the Child and Adolescent Health Measurement Initiative (CAHMI), under a cooperative agreement with the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB), announced the release of the combined “2019-2020 National Survey of Children’s Health (NSCH) Child and Family Health Measures.” The combined 2019-2020 NSCH is the fourth multi-year dataset since the redesign of the NSCH in 2016 and includes data from 72,210 children ages 0-17 years. The combined 2019-2020 NSCH downloadable data sets and codebooks with constructed variables displayed in the DRC Interactive Data Query will be available in early 2022.
New Policy Brief Published on Rural Hospital Emergency Designation
The National Advisory Committee on Rural Health and Human Services (NACRHHS) published their October 2021 Policy Brief on the new provider designation, the Rural Emergency Hospital.
In December 2020, Congress passed the Consolidated Appropriations Act (CAA) of 20211 (Public Law 116-260), which, in Section 125, created a new Medicare provider type called the Rural Emergency Hospital (REH). The REH will be a new rural hospital type that does not provide inpatient care but will provide 24-hour emergency services. By creating the REH, Congress has established the first new rural provider type in over 20 years since the Critical Access Hospital (CAH) was created in 1997 under the Balanced Budget Act of 1997 (Public Law 105-33). The REH comes as a response to an ongoing period of hospital closures in rural communities and to the concerns of access to emergency services in rural areas. In the brief, the Committee notes the implications the REH program to offer an innovative way for rural communities to integrate care and services sectors.