Tooth decay: a sad national epidemic caused by lack of dentists who care and not a fluoride need. Extensive lobbying, political maneuvering and expensive public relations campaigns by organized dentistry sway legislators to add fluoride chemicals into public water supplies, 2/3 of which already are, to benefit those whom dentists neglect. Protecting their high-salaried monopoly, dentists lobby against dental groups offering quality, cheaper fixes. Fluoride product makers benefit most.
More than a decade and a half after [Surgeon General] Satcher’s report, tooth decay is still the number one chronic disease affecting children. More than a third of elementary school children have untreated tooth decay. One reason is that only about one-third of U.S. dentists accept Medicaid. Another big reason is that a growing number of Americans live in communities were dentists are few and far between. In fact, since 2000, the number of people living in dental shortage areas, often called dental deserts, has nearly doubled, from 25 million to 49 million.
“Silent epidemic” is the term former U.S. Surgeon General David Satcher used in a seminal report in 2000 to describe a growing but, until then, little understood crisis. Satcher wrote, “there are profound and
consequential disparities in the oral health of our citizens. Indeed,
what amounts to a “silent epidemic” of dental and oral diseases is
affecting some population groups.”
Because most dentists prefer to treat the water of and not the teeth of low income Americans,
in Arizona, Emergency Rooms are the go-to treatment option for more than 45,000 people with dental problems from 2010 to 2015.
The state’s Medicaid program (the taxpayers) picked up the tab for 41 percent of these cases — nearly 19,000 visits. At an average of $749 per visit, that’s quite a chunk of public dollars going to treat something that could be prevented at a dentist’s office for about a third of the cost.
The latest New Zealand studylooking at dental health and the NZ School Dental data both show that for the vast majority of children there is no difference in decay rates between fluoridated and non-fluoridated areas Non-water fluoridated Scottish kids now have better teeth than water-fluoridated Kiwi kids.
Delray Beach, Florida, is fluoridated: More than 100 elementary students have a big reason to smile. Miami Marlins outfielder Giancarlo Stanton teamed up with Delray Beach’s Spodak Dental Group to provide free care to the children Friday.
The care wasn’t just a cleaning. The dental office shut down and dentists performed extractions and other procedures totally free. Dr. Craig Spodak believes the office did more than $150,000 worth of dental work throughout the day.
“The number 1 reason a child would go to the emergency room, the number 1 reason a child will miss school is because of a dental pain, or dental disease, so it’s an epidemic,” Spodak said.
Every week, 100 Irish kids go to hospitals with dental problems. Ireland public water suppliers are required to add fluoride chemicals in its failed attempt to reduce tooth decay in children who eat sugar - which is the only cause of tooth decay.
More than one-third of all Michigan seniors have lost six or more natural teeth due to tooth decay or gum disease. Low-income seniors are more than three times as likely to have lost six or more teeth from tooth decay and/or gum disease.
Sixty-six percent of third-graders in the Upper Peninsula had a history of dental decay in their primary and/or permanent teeth, compared with 56 percent statewide.
Years of studies, reports and task forces show us there is no one
solution to this problem. But one strategy that hasn't been tried in
Michigan yet is adding mid-level dental providers to our state's
workforce to expand access to care.
Rhode Island is 84% fluoridated: “The significant level of patient turnout for the five-year milestone clinic highlights the continuing need for access to affordable oral health care in Rhode Island,” said Dr. Jeffrey Dodge, DMD, Mission of Mercy co-chair
Mission of Mercy Dental Clinic
Between 2012 and 2015, the Rhode Island Mission of Mercy free dental clinic has treated 3,281 patients between the ages of one and 91.
Since it began and through 2015, the two-day clinic has provided $1,790,228 worth of dental services and more than 12,400 procedures, including:
1,729 cleanings, sealants and fluoride treatments
114 root canals
336 removable partial dentures and denture repairs
In 2015 Misc. Facts 231 Patients arrived in pain Average time in pain, 66 days 94% of patients had no dental insurance 41% of patients had not seen a dentist in over 2 years 32% of patients needed more dental work
Americans Desperately Need Dental Care, despite being fluoride-overdosed
After 71 years of fluoridation and 61 years of fluoridated toothpate:
Fluoride overdose symptoms (dental fluorosis or discolored teeth) is growing in incidence and severity after 71 years of fluoridation reaching record numbers of Americans and 61 years of fluoridated toothpaste, a glut of fluoridated dental products (and in higher concentrations both over-the-counter and hidden, to you, in dental materials), fluoride containing medicines and a fluoride-saturated food supply. Yet,
People desperately need dental care, by Susan Sered, Professor of Sociology, Suffolk University
Excerpts: In 2003 and 2004 (pre-Obamacare), I conducted a national study of uninsured Americans in southcentral Illinois, northern Idaho, the Mississippi delta, the Rio Grande Valley of Texas and in eastern Massachusetts.
I asked nearly 150 interviewees: “If President Bush were to declare universal health care for everyone starting tomorrow, what is the first problem you would take care of?” The most common answer by a landslide echoed this respondent’s: “I’ll be waiting outside the dentist’s office at 5:00 in the morning waiting for it to open.”
Many of the people I interviewed lived with untreated diabetes, asthma or even cancer, yet their oral health problems presented the greatest challenges to their quality of life.
Recently I returned to these communities to reinterview the people I’d met over a decade earlier. Very little has changed. While the majority of the people I interviewed now had health care coverage of some sort (for nearly 20 percent of them, it was as a consequence of becoming sufficiently disabled to be eligible for Social Security), very few had managed to secure dental coverage.
Then and now, people told me about visiting emergency rooms in hopes of alleviating pain or using addictive pain medications to make it through the day. People even told me that they had resorted to pulling out their own teeth.
It can be very hard to find dentists who accept Medicaid
I have met women and men of various ages who have pulled their own teeth.
Medicare does not cover dental care. Today, according to government estimates, 70 percent of seniors lack dental coverage.
It is estimated that 108 million Americans have no dental insurance, and that one in four non elderly Americans has untreated tooth decay.
The reality is that tooth decay signifies poverty in pernicious ways. Without expanding insurance to cover oral health, millions of Americans will continue to live with pain, stigma and the risks of systemic diseases that could be averted through an accessible and integrated system of dental care.
A New Zealand study published in Bio Medical Central Oral Health last month shows dental health improved the greatest extent for children in non-fluoridated areas. There is now no difference in dental decay rates between non-Maori children who live in fluoridated areas and non-Maori children who live in non-fluoridated areas, proving that fluoridation is not needed for children to obtain good dental health. There has been an improvement in child dental health over the past ten years right across New Zealand.
More than 1400 children under five are now being admitted to NSW hospitals each year to have teeth pulled or crowns inserted under general anaesthetic.
That is a rate of 312 per 100,000 children, 152 per cent more than the 124.1 per 100,000 in 1989-1990.
More than 5200 children under 14 go under general anaesthetic for dental work in NSW hospitals each year.
“We have gone backwards. After years of improvement from the 1960s and early 1970s with fluoridation, Australia’s children are worse off,” Australian Dental Association spokesman Dr Peter Alldritt said.
“More than half of Australian children by the age of six have tooth decay and almost half of 12-year-olds have experienced decay in their permanent teeth.
“We are calling on the federal government to implement a sugar tax. Frequent consumption of sugar on a regular basis is the No. 1 cause of tooth decay.”
Sydney paediatric dentist Dr Philippa Sawyer said she had seen cases in which all of a child’s baby teeth had to be surgically removed.
Some 400,000 preschoolers turned up at Minnesota
hospitals with severe oral complaints from 2007 to 2012, according to the
Minnesota Department of Health. Overall, Minnesotans racked up $80 million in
hospital bills over five years for oral care that could have been avoided by
regular dental visits.
Florida is 78% fluoridated, Yet, "Nearly one-third of older adults have untreated tooth decay."
"The listing of dentists for basic dental
services (one to two cleanings per year, X-rays) in each plan may
include 20 dentists. But calling any listed provider reveals that
perhaps 10 percent accept adults. The rest serve only children. Frail,
impaired, under-educated and other seniors are not able to maneuver the
system to find out how to proceed."
91% of Am-Indian & AK-native 3rd graders have tooth decay
“According to the Indian Health Service, American Indian and Alaska Native preschoolers have the highest levels of tooth decay in the U.S.,” says a press release from the Miss Native American USA Organization. “By grade three, 91 percent of American Indian and Alaskan Native children have experienced tooth decay and 72 percent have unfilled cavities.
Despite decades of fluoridation, dental health is getting worse in Knox County, Tennessee. Tooth loss is trending upwards where 21.4% of adults over 65 are toothless (35% of blacks; 29% of whites) In 2014, 43.8% of all adults had at least one tooth extracted due to infections - up from 41.7% in 2008
In 2014, 8.6% of all adults had all teeth extracted - Up from 6.7% in 2008.
In 2014, 21.4% of adults 65 and older had all their teeth extracted - up from 20.3% in 2008 https://www.documentcloud.org/documents/2680571-CHA-Print-2015.html
By the age of 36 months, dental caries is nearly universal in this population of American Indian children. Caries risk factors included sugared beverage consumption, greater household size, and maternal factors.
in Eau Claire County to decrease tooth decay in children
In response to the increasing number of young children with tooth
decay, the action team released a webinar session for medical professionals
about how they can play a vital role in tooth decay prevention in young
According to the 2010 Burden of Oral Disease in Wisconsin, about
25 % of Wisconsin’s Head Start children ages three and four have untreated decay
and 33% have had cavities and now have fillings.
In Ireland, where fluoridation is mandated country-wide, "The Irish Dental Association (IDA) said that up to 10,000 children under the age of 15 are being hospitalized in Ireland each year to have teeth extracted under general anesthetic."
Oregon Looks North for Lessons about Expanding Dental Access to Reservation Communities
Native Americans have the highest rates of oral diseases in the United States. A report published in April by the Indian Health Service said that more than half of American Indians and Alaska Natives between the ages of one and five have experienced tooth decay; a rate that is more than four times higher than white non-Hispanic children.
“This disparity exists in spite of the implementation of dental decay prevention programs by IHS and Tribes, including fluoridation of community water systems, the use of topical fluorides and dental sealants, and oral health educational programs for children and parents,” according to the IHS Data Service brief by Kathy R. Phipps, Dr. P.H. and Timothy L. Ricks, D.M.D., M.P.H.
One of their key findings is that American Indian and Alaska Native preschool children do not receive enough dental care.
Visits Decline As Dental Emergency Room Visits Rise
In Georgia there were about 60,000 visits to Georgia emergency rooms for
"non-traumatic" dental problems – oral health issues not caused by injuries.
That cost more than $23 million (2007).[i] According to Capaldo, the problem is
not a lack of capacity in the system. Most dentists in Georgia have the ability
to see more patients. Rather, patients face barriers to getting needed care such
as fear of the dentist, time off work and cost, according to a news release from the Georgia Dental Association. Georgia is 96% fluoridated.