Certain Kids Could Benefit From More Fluoride

Fluoride is a mineral that helps teeth become more resistant to decay (cavities). You can help prevent your child from getting cavities by making sure they drink fluoridated water and brush at least twice daily with fluoride toothpaste. For many children, this daily fluoride exposure is enough to protect them for a lifetime.

But, has your child had a cavity in the past three years? If you answered yes, he or she is likely at higher-risk for tooth decay in the future. If your child is at higher risk for future tooth decay, you should also talk to your dentist about prescription-strength fluoride that can be applied in their office two or more times per year. Unfortunately, many higher-risk children are not receiving this protective treatment.

Although 2.5 million of the children Delta Dental covers are considered to be at higher-risk for cavities, 70 percent of them did not receive the recommended two or more fluoride treatments per year.1 The great news is that many of Delta Dental’s benefits plans cover preventive care, like two fluoride treatments per year, at 100 percent.

Take a look at your plan and make sure you are using preventive treatments to their full advantage – most are simple, painless and inexpensive. They can save your child from future pain and discomfort that often accompany tooth decay, and save you from paying for expensive fillings, crowns, or root canals. Delta Dental knows that you are doing your best to keep your family healthy, and that’s why we want to help you assess your child’s risk for oral disease and give you the information you need to help take steps to prevent or treat them. Delta

Dental’s myDentalScore risk assessment tool provides you with leading edge technology to evaluate your family’s oral health. By taking just three minutes to answer a few simple questions, you will receive an easy to understand oral health scores report that tells you exactly where your child stands for risk of oral diseases. Once you have the report, consult with your dentist to determine the best treatment patterns for your child’s oral health needs.

For answers to all of your oral health questions and to access the myDentalScore risk assessment tool, visit Delta Dental’s oral health education website at oralhealth.deltadental.com.1

1The Preventive Dental Care Study is a landmark claims study of Delta Dental’s more than 90 million dental claims that investigated whether higher-risk children and adults were receiving the preventive care they needed. For more information on the study, visit deltadental.com/pdcstudy.

The Silent Signs of Gum Disease

Diabetes is a pervasive problem in America, a cultural epidemic with wide-ranging and potentially severe consequences. According to the 2011 National Diabetes Factsheet, 25.8 million people or 8.3 percent of the U.S. population has diabetes at an estimated annual total cost of about $245 billion. 1

November is National Diabetes Month and Delta Dental wants to remind people of the well-documented connection between diabetes and oral health. 2 People with diabetes tend to develop periodontal (gum) disease earlier in life, and more severely. Though it is often painless, Delta Dental cautions people suffering from diabetes to be mindful of its warning signs. These can include bad breath, bleeding gums after brushing or flossing, red, swollen or tender gums, or changes in the way your teeth fit when you bite. Unfortunately, many people ignore those periodontal red flags until it’s too late.3

Individuals often ignore the warning signs of periodontal disease because there is usually no pain involved. So they will brush a little better to get rid of the bleeding or use mouthwash to hide their bad breath. The best idea is to schedule regular visits to your dentist to make sure that you are not developing periodontal disease.

Maintaining regular dental visits is particularly critical for patients suffering from diabetes.Oral diseases such as tooth decay and gum disease are often reversible if they are diagnosed and treated early. Dentists can also check for other common mouth conditions that afflict people with diabetes such as dry mouth, ulcers and infections. Periodontal disease and other mouth conditions may also be a sign that other medical conditions exist elsewhere in the body. Depending on their findings, the dentist might advise patients to seek a medical consultation.

Even before visiting the dentist, patients can use an online risk assessment tool (such as Delta Dental’s myDentalScore) to answer a series of questions that can gauge their risk levels for gum disease, oral cancer and other serious oral health problems. Additional lifestyle best practices for people with diabetes include controlling blood sugar, brushing and flossing daily, and quitting smoking.

1 Centers for Disease Control and Prevention. National Diabetes Fact Sheet, 2011. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.

2 National Institute of Dental and Craniofacial Research. Diabetes and Oral Health. http://www.nidcr.nih.gov/OralHealth/Topics/Diabetes/default.htm

3American Diabetes Association. 2013  Diabetes Facts.   http://www.diabetes.org/diabetes-basics/diabetes-statistics/

The Best and Worst Halloween Treats for Teeth

Little ghosts and goblins will trick-or-treat to collect as much candy as they can this Halloween, but it’s not just kids who will enjoy the treats. Nearly 80 percent of parents admit they eat their children’s Halloween candy, according to the Delta Dental Children’s Oral Health Survey.1 But some candies have the potential to do more damage to teeth than others.

The best way to protect teeth from decay is to have candy in small portions at limited times, such as after a meal, as dessert or at regular snack times. Nearly 90 percent of parents say their kids consume Halloween candy this way.Choose candy that melts and disappears quickly. The longer teeth are exposed to sugar, the longer bacteria can feed on it, which could produce cavity-causing acid.

While no sweets are good for teeth, some are less harmful than others. We rated the best and worst treats for teeth on a scale of 1 to 5, with 1 being least harmful.

  1. Sugar-free candy and gum with xylitol                                                                   Sugar-free foods don’t contain sugar that can feed on the bacteria in the mouth and produce decay-causing acids. Gum and candy with xylitol may actually protect teeth by reducing the acids produced by bacteria and increasing saliva to rinse away excess sugars and acids.
  • Our survey says 44 percent of kids eat sugar-free candy at Halloween.1
  1. Powdery candy (such as sugar straws)                                                                     Sure, powdery candy is packed with pure sugar. But powdery candy dissolves quickly and doesn’t stick to the teeth.
  1. Chocolate (such as candy bars)                                                                             Chocolate dissolves quickly in the mouth and can be eaten easily, which decreases the amount of time sugar stays in contact with teeth. And calcium could help protect tooth enamel. However, chocolate with fillings, such as caramel and nuts, is a lot more harmful for teeth than the plain variety.
  • Our survey says 86 percent of kids eat chocolate at Halloween. 1
  1. Hard candy (such as lollipops or mints)                                                                     Hard candy is tough on teeth because it tends to be sucked on at a leisurely pace for an extended period of time. Plus, chomping down on hard candy can chip or break teeth.
  • Our survey says 50 percent of kids eat hard candy at Halloween. 1
  1. Chewy candy (such as caramels or gummies)                                                         Chewy, sticky treats are particularly damaging because they are high in sugar, spend a prolonged amount of time stuck to teeth and are more difficult for saliva to break down.
  • Our survey says 57 percent of kids eat chewy candy at Halloween. 1

Another way to protect teeth is to give kids something other than candy.  Nearly 25 percent of parents hand out non-candy items to trick-or-treaters, such as toys, money or fruit.1

For additional tips on how to help keep children’s teeth healthy during Halloween and all year long, visit the Tooth Fairy’s Halloween website at www.toothfairytrickytreats.com.

1 Morpace Inc. conducted the 2013 Delta Dental Children’s Oral Health Survey. Interviews were conducted nationally via the Internet with 926 primary caregivers of children from birth to age 11. For results based on the total sample of national adults, the margin of error is ±3.2 percentage points at a 95 percent confidence level.

Kids Need to Brush Longer and More Often

Poor and infrequent brushing may be major obstacles keeping children from having excellent oral health and are the areas that cause caregivers the greatest concern.

A survey1 of American children’s oral health found that while nearly two out of five Americans (37 percent) report that their child’s overall oral health is excellent, more than a third of the survey respondents (35 percent) admit their child brushes his or her teeth less than twice a day. Parents and caregivers recognize the frequency as “not enough,” despite the fact that nearly all of those surveyed (96 percent) with children up to age 6 say they supervise or assist with brushing.

Among those who rate their child’s oral health as less than excellent, only 56 percent say their child brushes his or her teeth for at least two minutes, which is the amount of time dentists typically recommend spending on each brushing.

Getting children to brush regularly, and correctly, can be a real challenge. Here are some easy ideas to encourage brushing:

  • Trade places: Tired of prying your way in whenever it’s time to brush those little teeth? Why not reverse roles and let the child brush your teeth? It’s fun for them and shows them the right way to brush. Just remember, do not share a toothbrush. According to the American Dental Association, sharing a toothbrush may result in an exchange of microorganisms and an increased risk of infections.
  • Take turns: Set a timer and have the child brush his or her teeth for 30 seconds. Then you brush their teeth for 30 seconds. Repeat this at least twice.
  • Call in reinforcements: If children stubbornly neglect to brush or floss, maybe it’s time to change the messenger. Call the dental office before the next checkup and let them know what’s going on. The same motivational message might be heeded if it comes from a third party, especially the dentist.

1 Morpace Inc. conducted the 2011 Delta Dental Children’s Oral Health Survey. Interviews were conducted by email nationally with 907 primary caregivers of children from birth to age 11. For results based on the total sample of national adults, the margin of error is ±3.25 percentage points at a 95 percent confidence level.


ACA’s Exchanges Offer Opportunity to Improve Dental Health

As the Affordable Care Act’s Exchanges begin to enroll people across the country, a seemingly minor provision in the law is bound to make a big difference in combating the most widespread disease children experience today: tooth decay.Federal legislators wanted to tackle this issue head-on, and saw fit to make children’s dental coverage one of the ten essential health benefits for people getting coverage on the Exchanges.

There are many options for new customers purchasing dental benefits for their kids on the Exchanges. Consumers will now be able to choose from stand-alone dental plans, which is the way dental benefits have traditionally been provided, and from health plans with dental coverage wrapped up inside.

In fact, besides health plans covering major medical benefits, stand-alone dental plans are the only other type of coverage that can be sold on the Affordable Care Act’s Exchanges. Our goal is to help parents get access to great coverage so they can get their kids to the dentist for the care they need. Delta Dental member companies are offering children’s plans in most of states across the country in 2014, with more offering coverage in their states in 2015.

Parents will be able to shop for dental coverage not only for their children, but also for themselves. Family plans can be sold on most Exchanges as long as the pediatric coverage is also included in the plan. Recent studies show that parents with dental plans go to the dentist.2 And when they do, they are likely to bring their children. Ultimately, we hope that Delta Dental and other carriers can do their part to reduce dental disease across the country.

1 Oral Health in America; A Report of the Surgeon General (Executive Summary). National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/datastatistics/surgeongeneral/report/executivesummary.htm 

2007 NADP Consumer Survey. National Association of Dental Plans. http://www.ineeddentalbenefits.com/wp-content/uploads/2008/07/nadpemployerwhitepaper.pdf

Don’t Let Meds Desert Older Adults

Novelist C. S. Lewis once wrote, “How incessant and great are the ills with which a prolonged old age is replete.” Indeed, the Centers for Disease Control and Prevention (CDC) reports that about four out of every five older adults suffer from a chronic condition, and half have at least two.1

Often, those chronic conditions are treated with a variety of prescription medications. During National Healthy Aging Month, Delta Dental, the nation’s largest dental benefits provider, cautions older adults to guard against a dangerous side effect of more than 400 prescribed and over-the-counter medications – dry mouth.2

As it is medically defined, dry mouth is the result of a reduction of salivary output or quality. But dry mouth is more than just irritating and mildly uncomfortable; it can also increase the risk of tooth decay, gum disease and other oral infections. Many medications that treat chronic illnesses – such as hay fever, heart disease, Parkinson’s disease, high blood pressure (hypertension) and depression – are known to have dry mouth as a side effect.3

The New York Times recently attributed the dry mouth that results from many prescription medications as a major contributor to the rapidly deteriorating oral health of nursing home residents.4 The American Dental Association (ADA) has even advocated for warning-label information on these types of “xerogenic” medications to promote awareness of the potential oral health complications associated with drug-induced dry mouth.3 According to the ADA, chronic dry mouth is a common adverse effect for each of the following medication groups:3

  • Cardiovascular medications (such as diuretics or calcium channel blockers)
  • Anticholinergic agents for treatment of urinary incontinence (e.g., oxybutynin and tolterodine)
  • Tricyclic antidepressants (e.g., amitriptyline)
  • Anti-psychotic agents (e.g., chlorpromazine)
  • Anti-Parkinson’s medications (e.g., benzatropine)
  • Anti-allergy medications (e.g., antihistamines)

If your mouth becomes dry after taking a medication, you may want to mention it to your physician. Sometimes, an equally effective substitute medication can be prescribed that does not have the same side effect. To help you maintain good oral health and stimulate saliva, your dentist might suggest sipping water or sucking on ice chips frequently, avoiding alcohol, caffeine and tobacco products, chewing sugar-free gum or sucking on sugar-free candies.

1 Centers for Disease Control and Prevention. Healthy Aging at a Glance (2011). Centers for Disease Control and Prevention.  http://www.cdc.gov/chronicdisease/resources/publications/AAG/aging.htm

 2 U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.

3 Warning Label Information on Medications Associated with Xerostomia (Dry Mouth). American Dental Association. http://www.ada.org/sections/newsAndEvents/pdfs/ltr_dry_mouth_110427.pdf

4 Nursing Homes’ Dental Problems. New York Times. http://www.nytimes.com/video/2013/08/05/health/100000002374631/nursing-homes-dental-problems.html?smid=tw-share

“Dry Mouth.” National Institute on Aging, National Institute of Dental and Craniofacial Research, National Institutes of Health, March 20, 2010. http://www.nidcr.nih.gov/OralHealth/Topics/DryMouth Accessed 2010.

Are Two Annual Dental Visits One Too Many – or Not Enough?

For decades, conventional wisdom held that certain dental procedures were best practices and were right for all people. You brushed your teeth after every meal (or at least morning and night) flossed daily, and visited the dentist twice a year. At each visit, you got an exam, X-rays and a cleaning. If you were a child, you could add on a fluoride treatment and perhaps sealants on your molar teeth.

However, thanks to advances in molecular medicine, genetics and other areas of research, health care in general (including oral health care) is being transformed from a system of treating disease in a one-size-fits-all manner to one that provides predictive, proactive, preventive and personalized care. Oral health care advances also allows for a more customized and tailored approach to each person’s individual situation.

Sure, basic prevention activities like brushing with fluoride toothpaste, flossing and drinking fluoridated water regularly is important for all. Based on risk factors, however, some people are considered at higher risk and some at lower risk for developing oral diseases like tooth decay, periodontal (gum) disease or oral cancer. Your risk for disease may help you determine what level of more costly professional services may be most beneficial. People with a history of good oral health, good dietary and oral hygiene habits, and no genetic red flags may need to only visit the dentist once a year or less. Conversely, those with a history of disease and other risk factors may need two or more routine visits each year.

A recent study published in the Journal of Dental Research looked at individual’s risk for periodontal disease and concluded that for low-risk individuals, “the association between preventive dental visits (dental cleaning) and tooth loss was not significantly different whether the frequency was once or twice annually.”1 It went on to recommend evaluating genetic tendencies for gum disease with conventional risk factors (smoking and diabetes) when assessing how often a patient needs to visit the dentist.1 While this study looked specifically at gum disease risk, risk factors are also established for other oral problems such as tooth decay and oral cancer.

In response to the JDR study, the American Dental Association released a statement to “remind consumers that the frequency of their regular dental visits should be tailored by their dentists to accommodate for their current oral health status and health history.” 2

For those who are unaware of their personal risk factors, Delta Dental provides an online tool (myDentalScore) that can help you self-assess your level of risk for gum disease, tooth decay and oral cancer. This self-assessment will provide you with valuable information to help you have a good discussion with your dentist about the best mix of self-care and professional care for you as an individual.

Ultimately, Delta Dental encourages consumers to honestly evaluate themselves and seek the kind of dental care that will be most beneficial to their oral health.

Patient Stratification for Preventive Care in Dentistry.  http://jdr.sagepub.com/content/early/2013/06/05/0022034513492336.abstract

2 American Dental Association. American Dental Association Statement on Dental Visits.  http://www.ada.org/8700.aspx