Diabetes and Oral health: A 21 st Century issue to be addressed

Transcription

1 Diabetes and Oral health: A 21 st Century issue to be addressed A/Prof Rachel Martin Manager, Oral Health North Richmond Community Health Principal Fellow, Melbourne Dental School Faculty of Medicine, Dentistry and Health Sciences University of Melbourne ADEA Vic Branch State Conference 2 March 2019 A/Prof Rachel Martin presenting for Evelyn Boyce, CDE, NRCH

2 Oral Diseases Dental Caries (Tooth Decay) Chronic Periodontal Diseases (Gum Disease) July 2013

3 ORAL HEALTH Oral health is multi-faceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex. Ref: FDI 2016

4 Periodontitis = Gum Disease Signs include: bleeding swelling gums receding gums bad breath bad taste loose teeth Lamster et al, 2008

5 Why addressing Oral Health in Diabetes is important This Photo by Unknown Author is licensed under CC BY

6 Diabetes and Oral Health Project (DiabOH) Diabetes management: A feasible and acceptable model of shared responsibility between general practitioners, primary health care nurses and oral health professionals in community health services (DiabOH) 1: EXPLORATORY PHASE 2: DEVELOPMENT PHASE 3: PILOT PHASE

7 PILOT ORAL HEALTH PROFESSIONALS = 7 MEDICAL PROFESSIONALS =

8 What did we find when we asked our health professionals? Agree it is their role to screen for oral disease and diabetes. Better collaboration, and formal communication is needed between medical and oral health services to improve diabetes care. Barriers include limited time in consults, competing priorities, differing funding models and non-integrated data bases. More education is needed around diabetes and periodontal risk. A better understanding of the different health professionals roles is needed.

9 Barriers to co-management siloing of dental and medical practices incompatible medical record software formal referrals not routine oral health not included in Diabetes Cycle of care not included in Medicare EPC funding limited access to public dental services

10 Recommendations for Practice in the 21 st Century raise issue of oral health in diabetes risk screening create formal referrals, request feedback include oral health professionals in management plans understand eligibility criteria for community dental services referrals to private dental support good oral health practice

11 Continuing and future research PHASE 4 validation of Periodontal Risk Assessment tool PHASE 5 test the efficacy of a interdisciplinary education program FINAL PHASE Test the efficacy of a developed model of shared responsibility for diabetes management that includes oral health

12 Oral Health instructions Short Videos Interdental brushing for ortho Gum disease bleeding Tooth brushing Flossing Progression of Gingivitis to Periodontitis Periodontal disease

13 Authors Boyce E 2, Martin R 1,2, Lau P 1, Calache H 2,3,4, Gussy M 4, Furler J 1,2, Darby I 1, Chen M 1, Tran A 1 1 Faculty Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC; 2 North Richmond Community Health, Melbourne, VIC; 3 Oral Health Economics Research Unit Deakin University, Geelong VIC; 4 Department of Dentistry and Oral Health La Trobe University, Bendigo, VIC.

14 Network for Interdisciplinary Oral Health THANK YOU