The Dilemma of Dental Health Disparities; is there a Solution?

As dental health disparities continue to plague an increasing number of people in this country, licensed dental hygienists, and other professionals are trying to make a difference. Too often, there is pushback against using the excellent resources that could be utilized for those who need it the most.

Why is there such a resistance to allowing competent professionals to provide needed health care services in underserved populations? When healthcare professionals are available to serve vulnerable populations, it makes sense to utilize them.

Consider the Dental Hygienist. After two years of required pre-requisites, completing an accredited education program that includes 2000 hours of supervised clinical patient care, an associate or bachelor’s degree in Dental Hygiene will be attained. They must successfully pass an 8-hour national board and separate regional board examination before applying for licensure. Dental Hygienists' knowledge and skills are further enhanced through working within public health and/or private practice settings.

Too often, in settings outside of the dental office unnecessarily restrictive state board rules or laws do not allow, for example, licensed dental care providers from working to their scope of practice. In other words, professionals are often restricted from providing more than a simple teeth cleaning, fluoride treatment, or tooth sealants in states, such as Georgia. There are many other oral care services within the practice scope of a dental hygienist provided every day in private practices for those that have dental insurance or the wherewithal to afford it.

However, people in Title I schools, senior care settings, domestic violence shelters, and Federally Qualified Health Centers or clinics (FQHC's) to name a few are not so fortunate. The disparity in access to services, Teledentistry, and the use of proven products and technologies available to prevent cavities and treat gum disease that would reduce discomfort, tooth loss, and unnecessary costs are still prohibited in many states.

The result is that the most vulnerable populations are left to experience increased pain, decreased ability to chew which makes eating more difficult and compromises nutritional intake, negative health consequences, learning challenges, employment issues, and needless emergency room visits.

It is past time to let go of antiquated laws and rules, fear tactics, and turf battles. Solutions already exist to reduce health disparities and are being used successfully in other states. Let us work together to remove the barriers and improve the quality of life and welfare of the people in Georgia and across our country.

Pam Cushenan, RDH, MS, FSCDH
Contact me at: softsmilesinfo@gmail.com; www.softsmiles.com; “Oral Health for Life”