Tag Archives: Oral Health

Oral Health Series Part III: How Oral Healthcare Impacts Vocational Pursuits

This post focuses on how oral healthcare impacts vocational pursuits the last of a three-part series on ORAL HEALTH that began with discussing, the importance of partnering, collaborating and identifying strategies, interventions, and resources to better engage people living with psychiatric disorders about their oral hygiene and Part II how oral healthcare impacts socialization. Based on attending a university colloquium presented by Associate Professor, Dr. Vaishali Singhal called, “Oral Implications of Psychiatric Disorders” I wanted to research more about the vocational implications regarding a lack of oral healthcare not limited to people living with mental illness and/or addiction concerns. While researching I was reminded about a presentation with a colleague on “Wellness and Recovery.”

During the presentation we were informed about a program participant who was receiving pre-vocational services at a partial care program. This person was very active in employment related activities on site, such as identifying work goals, developing a résumé, and practicing interviewing skills. After many months, staff learned that the person was not applying for jobs because he was ashamed and reluctant to mention his missing two front teeth were an emotional, physical, and financial barrier. This article called, “Do missing teeth affect job seekers?” was informative and resourceful. The author Lori Herbert had thoughtfully and empathetically described people’s plight to improve their teeth in a society that seems to usually value physical appearance. Furthermore, she offered potentially reduced dental cost resources to explore in one’s own state. These types of dental circumstances can cause perceived and real challenges of:

  1. Low self esteem
  2. Feeling ashamed
  3. Stigmatized
  4. Isolation and loneliness
  5. Fearfulness

According to a  report from February 29, 2012 called, “Dental Crisis in America/The Need to Expand Access,”  the U.S. Surgeon General’s report, “Oral Health in America,” was cited as stating: students missed 51 million hours of school and employed adults lose more than 164 million hours of work each year due to dental disease or dental visits. I believe you will find the report an insightful read addressing the complexities of accessing oral healthcare for all people and strategies and interventions to help lessen the problem. The U.S. Surgeon General (2000) referred to dental disease as a “silent epidemic.”

What areas of the three-part series on Oral Hygiene did you find most important? Share how you will use these strategies and interventions personally and professionally?

George H. Brice, Jr.

Oral Health Series Part II: How Oral Healthcare Impacts Socialization

This is Part II of the Oral Health Series focusing on, how oral healthcare impacts socialization. In Part III I will explore the  impact of Oral Health on vocational pursuits.

Based on a university colloquium presented by Associate Professor, Dr. Vaishali Singhal called, “Oral Implications of Psychiatric Disorders” I wanted to research more about the social implications regarding a lack of oral healthcare not limited to people living with mental illness and or addiction concerns.

According to Robert Anders, “Beyond physical problems, having bad teeth can cause psychological issues. After all, your mouth is usually a point of focus when socializing, whether you are talking, flashing a smile, or twisting a scowl.” Anders notes ways bad teeth can trigger psychological issues http://publichealthbugle.com/2012/07/smile/.

• Anxiety, especially when socializing:
• Low self-esteem:
• Depression:

Medicaid coverage varies statewide for routine and preventative dental coverage and some state programs are limited to only teeth extractions seemingly a major foundation of social complexities impacting oral healthcare treatment. People may also not prioritize dental health because of lifestyle behaviors, such as access, tobacco use, frequency of alcohol use, illness, fear, cost, and poor dietary choices. It is difficult for anyone not beginning at a young age to effectively manage oral healthcare though important to begin as soon as possible.

One tool to address the social factors and environment of oral healthcare is by a center for disease control (CDC) model. I’ve outline its action steps:

Action 1. Change perceptions of oral health.

Action 2. Overcome barriers by replicating effective program and proven efforts.

Action 3. Build the science base and accelerate science transfer.
Action 4. Increase oral health workforce diversity, capacity, and flexibility.
Action 5. Increase collaborations.

Here is a link to help better help person served and ourselves, a website that collects information on free medical and dental care in every state, links to free and reduced-rate medical services for both children and adults.

George Brice

Oral Health Series Part I: Why Human Services Should Partner with Dental Schools

This post is Part I of a three part series on ORAL HEALTH beginning with discussing, the importance of partnering, collaborating and identifying strategies, interventions, and resources to better engage people living with psychiatric disorders about their oral hygiene.  Part II focuses on, how oral healthcare impacts socialization and Part III its impact on vocational pursuits.

I attended a university colloquium (presentation of a scholarly literature review to faculty, students and the public at large for discussion) presented by Associate Professor, Dr. Vaishali Singhal called, “Oral Implications of Psychiatric Disorders.” Vaishali Singhal, a doctor of dental medicine is currently working on a Ph.D. in Health Sciences with a concentration in Psychiatric Rehabilitation. As a dentist she is keenly interested in developing better partnerships and collaboration between medical and mental health providers. Singhal’s literature review addressed growing concerns about the accessibility of dental care for people living with psychiatric disorders with a focus on persons diagnosed with schizophrenia. Lack of oral healthcare increases negative health risks for physical (i.e., stroke and heart attack) and psychological (i.e., low self-esteem, isolation, depression) distress impacting social and vocational goals. A contributing factor to this lack of oral healthcare is the absence of training for oral healthcare professionals to better engage patients with psychiatric disorders. As a person living with bipolar disorder I know I could have benefitted from focused preventive education on oral hygiene.

I do believe mental health professionals should be interested in collaborating with dental care providers. There is tremendous financial, emotional, and physical increased risk of premature disability and death among the people we serve. Through interdisciplinary collaboration we can help better integrate medical and psychiatric needs to empower individuals like myself to balance their attention in both physical and mental health coupled with all providers strengthening engagement skills. Here is a link: Building Infrastructure and Capacity in State and Territorial Oral Health Programs (April 2000) prepared by: Association of State and Territorial Dental Directors (ASTDD) http://www.astdd.org/docs/Infrastructure.pdf . This is a document to develop ideas from for organizational and systematic approaches.

I believe that it is important that as professionals we seize opportunities for cross training; attending seminars, and workshops outside of our focused area of expertise to collectively help strengthen quality services as an interdisciplinary team. For example, agencies can reach out to local dental schools for consultation, resources, i.e., oral hygiene checklist, psycho-education materials for varied literacy needs. Have oral healthcare listed as an agenda item for team meetings. Consider having both a dental hygienist and nutritionist as guest speakers. Identify i.e. service recipients for some formal oral healthcare training to serve as role models in residential settings. Here is a couple of links from the CDC Home page but not limited to adult and older adult oral hygiene: http://www.cdc.gov/oralhealth/publications/factsheets/adult.htm and http://www.cdc.gov/oralhealth/publications/factsheets/adult_older.htm Furthermore, a link for free and low cost dental care that may be similar in your location. http://www.prnewswire.com/news-releases/free-and-low-cost-dental-care-available-to-underserved-through-delta-dental-of-new-jersey-foundation-grants-197520961.html