Archive for the ‘National Oral Health News’ Category

Fluoridation Update from the ADA

Monday, August 6th, 2012

July 16, 2012
The state of fluoridation
After 67 years, challenges continue across nation
By Stacie Crozier, ADA News staff
For 67 years, community water fluoridation has been part of the landscape in the United States public health arena. Hundreds of studies have confirmed its safety and effectiveness in reducing caries rates since 1945, when Grand Rapids, Mich., became the first community to adjust the fluoride levels in its water supply to lower tooth decay rates in children.

 According to the latest statistics from the Centers for Disease Control and Prevention, fluoridated water now reaches more than 204 million U.S. residents—just under 74 percent of the population on public water systems. In 1999, the CDC proclaimed community water fluoridation as one of 10 great public health achievements of the 20th century.

Dental professionals might think policymakers and the public understand that community water fluoridation is a safe, effective and cost-effective measure to prevent dental decay, but the latest information compiled by the ADA indicates that 43 states have experienced activity to initiate, retain or defeat fluoridation programs—or a combination of these—from January 2011 through May 2012. While in some cases the activity didn’t end in an official vote, some communities were involved with challenges that required action on the part of dentist members and dental societies.

Although a handful of states have mandatory fluoridation laws, the vast majority of the debate happens at the local level, where many city councils, boards of health or water district officials have authority to make fluoridation decisions.

“A fluoridation debate might be happening in your community right now,” said Dr. John Hanck, chair of the National Fluoridation Advisory Committee and member of the ADA Council on Access, Prevention and Interprofessional Relations. “And you are not alone. Communities that have been fluoridated—even for decades—are facing challenges. However the question is raised, it can lead to high emotions.”
The ADA’s policy on fluoridation, added Dr. Hanck, calls for “individual dentists and dental societies to exercise leadership in all phases of activity which lead to the initiation and continuation of community water fluoridation, including making scientific knowledge and resources available to the community and collaborating with state and local agencies” and “encourages individual dentists and dental societies to utilize Association materials on the community organization and public education aspects of fluoridation.”

“We have a vast amount of resources available to our members for use in educating the decision-makers and the residents of their communities about the safety, benefits and cost-effectiveness of fluoridation as well as strategies that can help them initiate or face a challenge to fluoridation,” Dr. Hanck said.

Form a coalition
In the city of Bozeman, Mont., where residents have had fluoridated water for 60 years, health professionals, public health groups and others joined together earlier this year to educate and advocate for fluoridation with city commissioners and the public, said Dr. Jane Gillette, a Bozeman dentist and member of the ADA Council on Access, Prevention and Interprofessional Relations.
Dr. Gillette
“A few months ago a local college student came to a regular Monday night city commission meeting to speak in an open mike forum which started a chain of events,” she said. “The student said he wouldn’t drink or bathe in Bozeman’s tap water because it was fluoridated.”  

The result, she said, was that a vocal minority of people against fluoridation appeared every Monday for weeks to speak at commission meetings.

Bozeman dentists, hygienists, physicians, nurses, health department officials, public health advocates and groups like the local Head Start program responded by working in collaboration to show the city commissioners not only that they support fluoridation, but why.

“We had about 120 health professionals and other advocates sign on to a letter of support,” said Dr. Gillette. “Our supporters included not only most of Bozeman’s dentists, but pediatricians, water scientists and the dean of Montana State University College of Nursing.”

The coalition, she added, held many early morning conference calls to solidify its messages and plan for the city commission’s final hearing on fluoridation on April 23.

“Our message is that fluoridation is safe, effective and cost-effective and we developed talking points,” said Dr. Gillette. “We also planned to have as many coalition supporters as possible attend the meeting. We virtually flooded the meeting room and the coalition members who spoke at the meeting were articulate and persuasive.”

Dr. Gillette said the coalition wanted to give city commissioners a visual cue that the coalition was large and broad-based, so they developed 4-inch diameter buttons to wear to the meeting that said “Yes! Fluoride for a Healthy Bozeman.”

At the meeting, the commissioners unanimously decided to continue fluoridation, but antifluoridationists have started a petition drive, gathering signatures from Bozeman voters to bring the question to a ballot in November. The group has until mid-July to collect 4,041 signatures—one quarter of the voters in Bozeman—to get fluoridation on the ballot.

“Our main objective now is to encourage local health professionals and advocates to inform and educate their patients and clients about the benefits of fluoridation,” she said. “The community support I’ve personally gotten from this is amazing. Lots of people I hardly know have offered me their thanks for supporting fluoridation. The truth is our community is pretty well informed about its benefits and they appreciate our work. I’m proud of our community, and especially of all of our health professionals who worked together to advocate for fluoridation.” 

Get involved before challenges happen
Florida has been the site of a number of fluoridation changes in the past 18 months. Six communities have voted to retain their fluoridation programs following a challenge; two communities have voted to initiate fluoridation; two have discussed fluoridation in public forums without any action to date; and Pinellas County, which provides water to some 700,000 residents, voted to discontinue its fluoridation program by a county board vote of 4-3.

While the Pinellas County Board of County Commissioners opted to stop fluoridating the water supplied to some county residents at the end of 2011, several communities within the county have their own water systems and may not be affected by the decision. A few of the affected communities in the county are actively working to bring fluoridation back to their residents.

Dr. Johnson
Tarpon Springs recently held a city commission meeting to discuss fluoridating its water supply when the city’s desalination plant is completed in two years. A previous commission had voted not to fluoridate it. Dr. Johnny Johnson, a pediatric dentist in Palm Harbor, said that local dentists and other profluoridation activists have been working hard to educate the Tarpon Springs City Commission about the benefits of fluoridation and provided references and answers to questions from an antifluoridation group. Currently, the city depends on Pinellas County for most of its water.

“We worked hard to reach out to each commission member and make sure they had all the scientific information they needed to make a sound decision,” said Dr. Johnson. “We provided each member with an ADA Fluoridation Facts booklet; plus Internet links to websites like the ADA, CDC, the American Water Works Association and others; and the table of contents to a 500-page binder filled with information on the science and history of fluoridation.

“We also asked local dentists, pediatricians and other health professionals as well as local residents to send emails to commissioners supporting fluoridation and to attend the hearing on fluoridation,” Dr. Johnson said.

“The email contacts were huge,” he said. “Politicians depend on emails from experts and citizens to gauge public opinion, and even though it may not be scientific, it definitely influences their decisions.”
On April 17, the Tarpon Springs city commission cast a unanimous vote to fluoridate when the water system goes on line.

“I am so proud of everyone who got involved in this effort. The key is to stay involved,” he said. “Be involved even when things are going well. It’s good to have a personal relationship with your policymakers before you need to ask for their support. Your elected officials may or may not know the science behind fluoridation, and it’s easier to touch base with them when you are already involved with them.”

The issues are changing
In Milwaukee, Ald. Jim Bohl in May proposed that the city immediately stop fluoridating its water because he said fluoridated water is not safe. His proposal set off a firestorm in Wisconsin’s largest city, which has been fluoridated for 59 years and prompted a contentious seven-hour Common Council Steering and Rules Committee hearing May 31. The committee voted 5-2 to hold his proposal in committee and schedule an additional hearing on the issue. As of late June, no follow-up hearing date had been scheduled.

Dr. Donohoo
Photo by Emily Bultman, WDA Communications Coordinator/Managing Editor.
“It has become apparent that the fight is no longer over fluoride’s effectiveness (even the opposition acknowledges that the topical application is beneficial in fighting decay), but whether or not it is ever safe to add fluoride to the water supply for ingestion,” said Mark Paget, Wisconsin Dental Association executive director. “Organized dentistry and advocates of water fluoridation must have the research and evidence to show that fluoride is not only effective in preventing cavities but is also safe for consumption/ingestion.”

The WDA has long worked to address community fluoridation issues as part of a coalition, he added, teaming up with the Wisconsin Department of Health Services Division of Public Health, Marquette University School of Dentistry, grassroots member dentists and local public health departments.

Wisconsin’s coalition reacted swiftly to reach out to all Milwaukee City Council members in advance of the hearing with factual information. WDA member Dr. Mike Donohoo of Milwaukee was one of several dentists who testified.

Sound strategies to help protect fluoridation

Dr. Hanck
There are a few simple steps individual dentists, dental societies and oral health coalitions can take to help protect fluoridation for residents in their communities, said Dr. John Hanck, chair of the National Fluoridation Advisory Committee and member of the ADA Council on Access, Prevention and Interprofessional Relations:

• Read your annual Water Quality Report—Water systems are required to provide their customers with this report, sometimes called the Consumer Confidence Report, by July 1 of each year. The reports, which detail quality and content of water, may be mailed to consumers’ homes (often with the water bill), published in local newspapers or posted online. Dental professionals should review the report to check the level of fluoride in the water.

• Know your policymakers—It’s easier to meet a fluoridation challenge head on when you are familiar with those who make decisions in your community and have already established a relationship of trust and mutual respect.

• Work with the local or state oral health coalition—Dentists who work with dental hygienists and dental assistants, physicians, nurses, public health officials and other individuals and groups in the community can show policymakers and the public that fluoridation has broad-based support and endorsement.

• Tour your local water plant—Seeing how the water plant operates and getting to know its personnel builds bridges and opens lines of communication and education with the water system, policymakers and the public.

• Use ADA and other fluoridation resources—From the ADA’s comprehensive Fluoridation Facts booklet (available at, to links for information from dozens of other respected organizations on fluoridation, visit The ADA also offers personalized help for communities facing hearings, ballot initiatives or other measures where fluoridation is an issue. The ADA Councils on Communications and Access, Prevention and Interprofessional Relations have created a new resource kit for dental societies. Fluoridation: Tap In To Your Health, will be available in late July. Watch upcoming issues of the ADA News for more information. For more information, contact Jane McGinley, manager, Fluoridation and Preventive Health Activities for the ADA Council on Access, Prevention and Interprofessional Relations, at mcginleyj©ada•org  (mcginleyj©ada•org)   or call toll free, Ext. 2862.
“I attended the city fluoride hearing, and it was disheartening to see out-of-state antifluoride activists attack local dentists who serve local children, adults, seniors and families,” said Dr. Donohoo in a letter to the Milwaukee Journal Sentinel. “Wisconsin’s dentists donate tens of millions of dollars in charitable care through various programs annually. We work with federal, state and local officials to expand access to oral health care, and we support numerous preventive education programs.”
Dr. Donohoo, who has practiced dentistry in Milwaukee for 32 years, said he had many conversations about fluoridation with his late father, Dr. Stanley Donohoo, who practiced in Milwaukee for 57 years. The elder Dr. Donohoo’s career began before fluoridation was implemented in Milwaukee.

“He and I often discussed the dramatic, positive health changes he witnessed as Milwaukee transitioned from nonfluoridated to fluoridated water,” said Dr. Donohoo. “As someone dedicated to serving low-income and Medicaid patients, I love that water fluoridation makes cavity prevention so much easier for everyone. It’s accessible for even the poorest of families. When I see a patient—and sadly, I see this kind of patient weekly—who’s never learned how to brush and can’t always afford fluoride toothpaste, mouthwashes and rinses, I say a silent prayer of thanks that safe, fluoridated water provides them with at least some barrier to extreme dental decay.

“Wisconsin’s dentists want what’s best for our patients. And science shows that what’s best for our patients today is optimally fluoridated water.”

You’re not alone
Help is as close as the ADA’s Fluoridation Facts booklet and resources available to ADA members, said Dr. Mark Peppard, president of the Capital Area Dental Society, which serves the Austin, Texas, metropolitan area.

“The best advice I can give anyone or any group of dentists in a community is to be prepared,” said Dr. Peppard. “Read Fluoridation Facts cover to cover several times. Read The Journal of the American Dental Association scientific articles on fluoridation, on baby formulas, on the valid epidemiological studies on the benefits of water fluoridation and the reason why the recommendations have evolved. Immerse yourself in the concepts of the scientific method and the principals of peer review and why a study has authenticity and validity. Understand how a controlled study is validated epidemiologically. Know the history of fluoridation in the United States. Know the variables of European fluoridation policies.”

For more than a year now, Texas Dental Association members and others in Austin (Texas) have been working to stop fluoridation challenges. The end result is that the Austin City Council last December decided to continue fluoridation of its water system that serves more than 736,000 residents and nearby Water District 17, which serves another 16,000 local residents also reaffirmed fluoridation in April.

“Without question, our members were well prepared thanks to the support of ADA and TDA staff and the resources they provided for us,” Dr. Peppard added. “Our team consisted of general dentists, specialists and dental hygienists and we enlisted the support of the state’s fluoridation engineer for expertise in the chemical engineering of water fluoridation science. We received the support of the medical director for the city of Austin, who presented medical testimony.”

Dr. Peppard said the Texas coalition’s sharing of scientific knowledge and background gave policymakers the confidence to make the decision to continue fluoridating.

“We are the professionals they look to,” he said. “We are the educated and experienced individuals in the trenches they can trust. We have the scientific background and clinical experience necessary to help them make the decision.”

“This is not a walk in the park confrontation. The Fluoridation Facts booklet is organized to help users to address specific claims commonly used by antifluoridationists. Prepare your group and trust your knowledge that in the world of public health, what we strive for is the best method of providing the greatest benefit to those most in need.”

Dr. Peppard

PBS – FRONTLINE June 26, 2012

Monday, June 18th, 2012

On June 26, 2012, Frontline and the Center for Public Integrity investigates the Dental Care Crisis in the US.

“Dental care can be a matter of life or death. Yet more than 100 million Americans either
don’t have dental insurance or simply can’t afford to see a dentist. The result? Severe pain, preventable disease, humiliation, bankruptcy and sometimes even death. In Dollars and Dentists, airing Tuesday, June 26, 2012, at 10 P.M ET on PBS (check local listings) a joint investigation by FRONTLINE and the Center for Public Integrity, correspondent Miles
O’Brien uncovers the shocking consequences of a broken dental care system.”

Dartmouth Students Simple Design for Big Impact – Improving Oral Health during Pregnancy

Friday, June 1st, 2012

This year a group of Dartmouth College undergraduates including Lucas Yamamura, Karl Schutz, Melissa Saphier, Winnie Yoe, Hannah Kim worked with Tom Roberts and Good Beginnings to improve oral health for pregnant mothers.  They are part of the group Design for America (, a national organization from Chicago that has established studios at colleges in the US to use design thinking as a way to solve local social issues.  Lucas and his colleagues learned that gum disease is a common problem for pregnant women, and poor dental health is usually correlated to negative birth outcomes.  Brushing teeth twice a day is the recommendation of most dentists – a simple strategy for healthy teeth and gum.  In order to tackle this issue, the group asked the following question: How to encourage pregnant moms to promote their own oral health?  The group’s answer is a tooth brush holder in the form of a simple, low cost cup and lid that holds the brush.  The cup is decorated in honor of the coming baby and and can include a copy of the baby’s ultrasound or any other picture or drawing the mom and family apply. That way, they intend to elicit a personal connection between the parents and the upcoming child, reminding future mothers that brushing teeth is part of the  Not yet in production, but the group will be suggesting this idea to a group of pregnant moms for their input.  Great work and let’s hope it works.

Preschoolers in Surgery for a Mouthful of Cavities

Tuesday, March 6th, 2012

–excerpted from The New York Times, Health, March 6, 2012.

In the surgical wing of the Center for Pediatric Dentistry at Seattle Children’s Hospital, Devon Koester, 2 ½ years old, was resting last month in his mother’s arms as an anesthesiologist held a bubble-gum-scented mask over his face to put him under. The doctors then took X-rays, which showed that 11 of his 20 baby teeth had cavities. Then his pediatric dentist extracted two incisors, performed a root canal on a molar, and gave the rest fillings and crowns….

“We have had a huge increase in kids going to the operating room,” said Dr. Jonathan Shenkin, a pediatric dentist in Augusta, Me., and a spokesman for the American Dental Association. “We’re treating more kids more aggressively earlier.”

But such operations are largely preventable, he said. “I have parents tell me all the time, ‘No one told us when to go to the dentist, when we should start using fluoride toothpaste’ — all this basic information to combat the No. 1 chronic disease in children.” …

Click here to read the full article in The New York Times.

USA Weekend, 2012 Resolutions: “Get Your Teeth Cleaned”

Monday, February 20th, 2012

From “The 8 best ways to make your resolutions a reality in 2012″, USA Weekend, December 29, 2011:

Get your teeth cleaned.

If preventing heart disease isn’t on your list of resolutions, add it now:  It’s the No. 1 cause of death in the USA. And if you are scared of dentists, it’s time to get over it.  New research presented at the American Hearth Association’s Scientific Sessions in November found that people who had their teeth cleaned by a dentist or hygienist had a 24% lower risk of heart attack and 13% lower risk of stroke.  One possible reason: Professional cleanings appear to reduce inflammation-causing bacterial growth that can lead to heart disease or stroke.  More tips to protect your heart: Stop smoking, eat healthy, move more, reduce stress and limit alcohol.

Prison: Better Access to Oral Health Care?

Thursday, August 25th, 2011

The August 29th edition of The New Yorker includes an intriguing cartoon by Emily Flake. In it, a man sits in a jail cell with his arms folded and speaks to his cell mate who is standing nearby. They both look upset. The caption reads: “I’m just here for the dental.”

View the cartoon.

New Report: Advancing Oral Health in America

Tuesday, July 26th, 2011

The U.S. surgeon general issued a landmark report in 2000, Oral Health in America, which described the poor oral health of our nation as a “silent epidemic.” While there have been notable improvements in the oral health of Americans, oral diseases remain prevalent across the country, posing a major challenge for the U.S. Department of Health and Human Services (HHS). Evidence shows that tooth decay and other oral health complications may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. While tooth decay is a highly preventable disease, individuals and many healthcare professionals remain unaware of the risk factors and preventive approaches for many oral diseases, and they do not fully appreciate how oral health affects overall health and well-being.

In 2009, the Health Resources Services Administration (HRSA) asked the Institute of Medicine of the National Academies (IOM) to assess the current oral health care system and to recommend strategic actions for Department of Health and Human Services (HHS) agencies to improve oral health and oral health care in America. The IOM convened a committee to explore how HHS can enhance its role as a leader in improving the oral health and oral health care of the nation. In this April 2011 report, the IOM recommends that HHS design an oral health initiative consistent with IOM’s proposed set of organizing principles, which are based on the areas in greatest need of attention and on the approaches that have the most potential for creating improvements. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders.

Click here for the 2011 Report.

New Membership Option for Dental Discounts

Wednesday, June 29th, 2011

There’s a new website which offers members discounts at participating dentists., which launched in May 2011 in all states except Florida, Montana, and Vermont, gives subscribers access to a network of over 25,000 dentists who offer members discounts on cleanings, crowns, implants, root canals, whitening treatments, and other procedures. Savings range from 20% to 60% off the price an uninsured patient would be charged.

The website shows dentists’ location, prices for a wide array of services – including cosmetic procedures, and consumer feedback and reviews of providers.

Read the whole story.

University of Minnesota School of Dentistry Becomes the First College to Offer Dental Therapy Track

Monday, March 7th, 2011

Despite the innovative program’s proven track record, the number of states allowing dental therapists to provide oral health care remains at two: Minnesota and Alaska allow dental therapists to provide basic care in place of a full-fledged dentist. We can only hope that more states follow their lead. More dental therapists in practice means more dentists are free to provide specialized care. At the same time, having dental therapists means better access to oral health care for vulnerable populations.

Some, however—most notably the American Dental Association—aren’t entirely sold on the idea and are offering their own alternatives to improving community oral health.

From U.S. News & World Report:

Two states, Alaska and Minnesota, currently allow dental therapists to provide oral care, according to the American Dental Association. Minnesota was the first to license dental therapists, and the University of Minnesota School of Dentistry has become the first college in the nation to offer a dental therapy track.

“We’re only in our second class,” said Dr. Patrick Lloyd, dean of Minnesota’s dentistry school, noting that 33 people applied for 10 slots in the most recent class. “We’re really proud to be the first dental school in the country to have an approved dental therapy program.”

Dental therapists receive two to three years of training in dental procedures. In Minnesota, they study alongside people who are training to become full-fledged dentists, Lloyd said.

“They use the same facilities and the same laboratories and are educated side-by-side to the same standards and level of competency,” the dean said. “The idea is that if they are educated together and learn together, they can better work together.

Read the whole story.

Oral Care Van Provides Dental Screenings for Children

Wednesday, March 2nd, 2011

With the help of local dentists, a national organization is sending out a fleet of vans all over the country to provide free dental screenings for children under the age of 12.

The Bright Smiles, Bright Futures program provides oral checkups and informational talks to help children learn to take care of their own teeth. Their ultimate goal, however, is connecting families with good “dental homes” where they can regularly receive care.

From The Pilot:

Students at The Academy of Moore County know what it takes to keep a healthy smile.

A Colgate Family Dollar Bright Smiles oral care van recently visited the school as a part of the national Bright Smiles, Bright Futures dental health program.

The mobile dental office is one of eight vans traveling around the country to provide free dental screenings for children under the age of 12.

Local dentists volunteer to evaluate children’s teeth and help them receive any additional treatments they may need.

As students from Nora Andersen’s first-grade class climbed into the van, Dr. William Pete McKay III, a West End dentist, greeted them with a smile. McKay has been volunteering to do dental screenings for children with various organizations since 1986.

Read the whole story.