Why Seattle must care about oral health

Do us a favor.

Next time you drive past raucous CenturyLink Field when the Seahawks are playing, imagine that stadium ‑ and a second even larger stadium – both packed with young children who suffer from preventable toothaches, cavities, and all the less obvious consequences of poor oral health.

Doesn’t that seem like a problem worth fixing?

144,000: That’s how many 7-9 year-olds in our state have preventable tooth decay.  Further, 40 percent of preschoolers already have cavities and one in six third-graders have rampant decay (cavities or fillings in 7 or more teeth), according to a recent statewide survey.

Cavities can start with the very first tooth and spread quickly becoming difficult and expensive to treat.  Plus, cavities in baby teeth often lead to cavities in permanent teeth causing lifelong oral health problems.

When children have dental disease, they are not being set up for success.  Severe cavities can make it difficult for children to eat, sleep, play, and learn. Poor oral health affects self-image and socialization.  A child who hides her smile because she has bad teeth is a child who may have difficulty making friends or speaking up in class.

Affluent Americans spend more than $1 billion each year on cosmetic dentistry.  They do this because a gleaming smile is one of the primary indicators of social status.  Conversely, there is a stigma associated with severe dental disease.  It is hard to get a job if you’re missing teeth. It is hard to keep a job if your teeth are the cause of chronic pain.

Disparities in quality of life have emerged as a central theme in the upcoming Seattle mayoral and city council races.  Well, some of Seattle’s most problematic disparities exist in the realm of oral health.

In our state, 10 percent of white children have untreated preventable decay. That number is significantly higher for children who are Hispanic (15 percent), Asian (16 percent), black (18 percent), Native American (19 percent) or Pacific Islander (26 percent).  Children of color and from lower-income households had higher rates of decay and were less likely to get care than their white and more affluent counterparts.

In Seattle, the new tax on sugary beverages passed by the City Council will help reduce childhood obesity and help prevent cavities.  The tax is an acknowledgement that the city has a responsibility to safeguard the health of its citizens.  Let’s ask our candidates to do even more and prioritize health equity by closing the oral health gap.  All kids in Seattle deserve to start life with a healthy mouth.

The candidates must be willing to prioritize children’s health in their campaigns.  The winning candidates should recognize the positive impacts that preventing dental disease can have on the economics and public health of the region. The health of the teeth is inextricably linked to the health of the body, and healthy people are inextricably linked to a thriving economy.

Preventing dental disease needs to be a priority starting with the very first tooth. Candidates should support increased access to screenings and dental sealants.  The candidates should describe at forums what they will do to support the professionals such as school nurses, dentists, hygienists, pediatricians and primary care physicians who are at the front lines fighting for our children’s teeth, and their health.

Oral health is consistently identified as a top unmet health need in Seattle. Each year there are long lines snaking around the Seattle Center as thousands of people wait hours, some overnight, to see a dentist.  If we make prevention a priority, perhaps those long lines can be a relic of the past.

Elections are about leadership and vision for our city. Let’s make sure our local elected leaders will support the thousands of children whose futures depend on better oral health.

Ben Danielson MD, is Medical Director of Odessa Brown Children’s Clinic

Diane Oakes, is President & CEO of Arcora Foundation (formerly Washington Dental Service Foundation), the Foundation of Delta Dental of Washington

Our teeth are making us sick

The left side of Jacquelyn Garcia’s face throbbed fiercely. She had tried taking Tylenol and Excedrin for the pain, but threw them up. On a Monday morning straight after working the night shift as a custodian, she rushed to the N.Y.U. emergency dental clinic. Here a student delivered the verdict: decay so deep it had reached the nerve. The tooth needed to be pulled.

Paradoxically, this could make her mouth worse off. Dentists say pulling a tooth can lead to a cascade of other problems: the teeth start shifting, the bone diminishes, the skin sags and the risk of gum disease increases. But Ms. Garcia didn’t have any choice. Her tooth had been rotting from the inside out for more than a year. She didn’t have dental insurance and didn’t want to pay the high fees until the pain had surged and she couldn’t stand it anymore.

As Americans debate medical coverage, the problem of our teeth has remained almost entirely unaddressed. About 114 million Americans don’t have insurance coverage for their teeth – more than twice the number of people who didn’t have health insurance before the Affordable Care Act.

“Oral health is a neglected issue nationally,” said Julia Paradise, an associate director of the program on Medicaid and the Uninsured at the Kaiser Family Foundation. “This is a big problem. The mouth and the head – mental health and dental health – somehow remain outside of what people think of as general health.”

Lots of people (including politicians) think of dental care as a luxury – pleasant, sure, but not vital. But that’s just not true, experts say. Gum disease can increase the risk of heart disease and diabetes, and among pregnant women it is correlated with lower birth weights for their babies.

“It’s a lot more than just having a pretty smile,” said Peter Polverini, a dean emeritus at the University of Michigan School of Dentistry. “It’s not uncommon that you wind up with people being hospitalized because they can’t afford care.” Emergency room visits for dental problems – when teeth are often too ruined to save — cost the U.S. health care system an estimated $1.6 billion a year

By Zoe Greenburg