1 00:00:06,173 --> 00:00:11,311 GOOD MORNING, EVERYONE. 2 00:00:11,311 --> 00:00:16,617 WELCOME TO OUR WILL LAST NIH 3 00:00:16,617 --> 00:00:17,317 HEALTH DISPARITY INTEREST GROUP 4 00:00:17,317 --> 00:00:18,719 OF 2024. 5 00:00:18,719 --> 00:00:21,121 I HOPE YOU'RE GETTING READY TO 6 00:00:21,121 --> 00:00:23,090 ENJOY THE HOLIDAY SEASON AND 7 00:00:23,090 --> 00:00:26,860 HAVING HOT CHOCOLATE AND NICE 8 00:00:26,860 --> 00:00:27,961 TREE OR OTHER WAYS TO CELEBRATE 9 00:00:27,961 --> 00:00:33,233 THE HOLIDAY SEASON. 10 00:00:33,233 --> 00:00:34,334 I'M THE DIRECTOR OF NATIONAL 11 00:00:34,334 --> 00:00:36,169 INSTITUTE OF HEALTH AND HEALTH 12 00:00:36,169 --> 00:00:36,770 DISPARITIES. 13 00:00:36,770 --> 00:00:39,072 WE'RE FORTUNATE TO HAVE 14 00:00:39,072 --> 00:00:40,107 DR. JENNIFER WEBSTER-CYRIAQUE 15 00:00:40,107 --> 00:00:45,412 WITH US AND SHE'LL BE PRESENTING 16 00:00:45,412 --> 00:00:45,913 TO US. 17 00:00:45,913 --> 00:00:49,182 LET ME GIVE A BRIEF INTRODUCTION 18 00:00:49,182 --> 00:00:51,084 OF HER ACCOMPLISHED CAREER. 19 00:00:51,084 --> 00:00:53,654 SHE NOW THE ACTING DIRECTOR OF 20 00:00:53,654 --> 00:00:57,891 NATIONAL INSTITUTE OF DENTAL AND 21 00:00:57,891 --> 00:00:59,159 CRANIOFACIAL RESEARCH AT THE 22 00:00:59,159 --> 00:01:00,894 NATIONAL INSTITUTES OF HEALTH. 23 00:01:00,894 --> 00:01:03,463 IS A VERY ACCOMPLISHED CLINICIAN 24 00:01:03,463 --> 00:01:05,065 RESEARCHER AND LEADER. 25 00:01:05,065 --> 00:01:06,233 DR. WEBSTER-CYRIAQUE HAS 26 00:01:06,233 --> 00:01:08,468 BRIEFEDLY SERVED AS A FACULTY 27 00:01:08,468 --> 00:01:10,203 MEMBER AT A UNIVERSITY OF NORTH 28 00:01:10,203 --> 00:01:11,838 CAROLINA SCHOOL OF DENTISTRY AND 29 00:01:11,838 --> 00:01:14,141 MEDICINE FOR MORE THAN TWO 30 00:01:14,141 --> 00:01:14,408 DECADES. 31 00:01:14,408 --> 00:01:16,143 SHE WAS A TENURED PROFESSOR 32 00:01:16,143 --> 00:01:19,646 THERE AND ALSO SERVED AS THE 33 00:01:19,646 --> 00:01:22,215 ATTENDING ON CLINICAL SERVICE AT 34 00:01:22,215 --> 00:01:28,188 THE UNC HOSPITAL DENTAL CLINIC 35 00:01:28,188 --> 00:01:31,458 AND LEAD RESEARCH TO POTENTIAL 36 00:01:31,458 --> 00:01:34,261 FOR SALIVARY GLAND DISEASE IN 37 00:01:34,261 --> 00:01:38,332 PEOPLE LIVING WITH HIV AND 38 00:01:38,332 --> 00:01:40,133 ASSESSED THE MICROBIOME AND 39 00:01:40,133 --> 00:01:42,469 POTENTIAL FOR CANCER VIRUSES AND 40 00:01:42,469 --> 00:01:44,972 STUDIED THE ORAL BIOMEDICAL AND 41 00:01:44,972 --> 00:01:47,107 HIV OUTCOME. 42 00:01:47,107 --> 00:01:50,844 IN ADDITION TO HER RESEARCH, 43 00:01:50,844 --> 00:01:51,945 DR. WEBSTER-CYRIAQUE HAS BEEN 44 00:01:51,945 --> 00:01:54,781 THE CHAIR AND VICE CHAIR OF THE 45 00:01:54,781 --> 00:01:55,882 ORAL HIV/AIDS RESEARCH ALLIANCE. 46 00:01:55,882 --> 00:01:58,018 AS A RESEARCH DIRECTOR AT THE 47 00:01:58,018 --> 00:01:59,152 NATIONAL DENTAL ASSOCIATION 48 00:01:59,152 --> 00:02:04,925 FOUNDATION. 49 00:02:04,925 --> 00:02:07,494 DIRECTOR OF THE TRAINING ALONG 50 00:02:07,494 --> 00:02:12,232 WITH MULTIPLE ROLES WITH 51 00:02:12,232 --> 00:02:14,568 INTERNATIONAL ASSOCIATIONS OF 52 00:02:14,568 --> 00:02:16,570 DENTAL RESEARCH. 53 00:02:16,570 --> 00:02:22,175 SINCE 2024 SHE LED THE UNC 54 00:02:22,175 --> 00:02:23,810 MALAWI PROJECT OF THE FIRST 55 00:02:23,810 --> 00:02:26,947 DENTAL SCHOOL OF 2019. 56 00:02:26,947 --> 00:02:29,483 I'M SURE YOU CAN GO ON FOR HALF 57 00:02:29,483 --> 00:02:32,719 AN HOUR WITH THE ACCOMPLISHMENTS 58 00:02:32,719 --> 00:02:33,954 BUT WOULD RATHER STOP HERE SO 59 00:02:33,954 --> 00:02:37,591 YOU HAVE A CHANCE OF WHAT 60 00:02:37,591 --> 00:02:39,192 DR. WEBSTER-CYRIAQUE WILL BRING 61 00:02:39,192 --> 00:02:40,193 TO US. 62 00:02:40,193 --> 00:02:42,162 WITH NO FURTHER ADO, THE STAGE 63 00:02:42,162 --> 00:02:42,963 IS YOURS. 64 00:02:42,963 --> 00:02:45,399 >> THANK YOU SO MUCH FOR THE 65 00:02:45,399 --> 00:02:50,504 PRIVILEGE TO SHARE WITH YOU SOME 66 00:02:50,504 --> 00:02:51,671 INSIGHTS RELATED TO ORAL HEALTH 67 00:02:51,671 --> 00:02:59,146 DISPARITIES. 68 00:02:59,146 --> 00:03:02,916 THE CHALLENGE FOR US IS THAT 69 00:03:02,916 --> 00:03:05,185 HERE IN THE U.S. RIGHT NOW WE 70 00:03:05,185 --> 00:03:07,521 HAVE ORAL HEALTH FOR SOME AND IT 71 00:03:07,521 --> 00:03:09,089 IS OUR MISSION HERE AT NIDCR WE 72 00:03:09,089 --> 00:03:14,428 MOVE TO ORAL HEALTH FOR ALL. 73 00:03:14,428 --> 00:03:17,531 BOTTOM LINE IS WE'LL NEVER BE 74 00:03:17,531 --> 00:03:19,433 EVER ATTAIN TRUE HEALTH AND OVER 75 00:03:19,433 --> 00:03:20,534 ALL WELLNESS IF YOU DON'T HAVE 76 00:03:20,534 --> 00:03:23,703 GOOD ORAL HEALTH. 77 00:03:23,703 --> 00:03:26,339 IT'S NOT EXCLUSIVE. 78 00:03:26,339 --> 00:03:29,476 IN RECENT SURVEYS WE KNOW ABOUT 79 00:03:29,476 --> 00:03:32,012 A THIRD OF ADULT WITH SURVEYS 80 00:03:32,012 --> 00:03:33,313 HAD AT LEAST ONE CHRONIC HEALTH 81 00:03:33,313 --> 00:03:36,283 CONDITION AND ALMOST 70% OF 82 00:03:36,283 --> 00:03:39,119 THESE PEOPLE ALSO HAD AN 83 00:03:39,119 --> 00:03:41,721 UNADDRESSED ORAL HEALTH SYMPTOM 84 00:03:41,721 --> 00:03:43,323 BUT ABOUT 60% HASN'T SOUGHT CARE 85 00:03:43,323 --> 00:03:45,992 FOR THE ORAL HEALTH SYSTEM AND 86 00:03:45,992 --> 00:03:47,461 WE KNOW THESE ORAL DISEASES ARE 87 00:03:47,461 --> 00:03:49,096 CLEARLY LINKED TO CARDIOVASCULAR 88 00:03:49,096 --> 00:03:51,098 DISEASE, DIABETES, PRETERM LOW 89 00:03:51,098 --> 00:03:56,169 BIRTH WEIGHT AND OTHER DISEASE. 90 00:03:56,169 --> 00:03:59,139 WE ALSO KNOW THAT THE MAJORITY 91 00:03:59,139 --> 00:04:03,276 OF CANCERS ARE HPV POSITIVE OF 92 00:04:03,276 --> 00:04:05,245 HEAD AND NECK CANCERS AND HAVE A 93 00:04:05,245 --> 00:04:07,614 SIGNIFICANT OPPORTUNITY FOR 94 00:04:07,614 --> 00:04:11,084 PREVENTION WITH VACCINE UPTAKE 95 00:04:11,084 --> 00:04:14,788 AND MANY ORAL DISEASES ARE 96 00:04:14,788 --> 00:04:16,256 INDEED PREVENTIBLE. 97 00:04:16,256 --> 00:04:18,492 IF YOU LOSE TOO MANY TEETH, WHAT 98 00:04:18,492 --> 00:04:20,227 WE'VE SEEN IS NOT HAVING AT 99 00:04:20,227 --> 00:04:24,865 LEAST 20 TEETH WHICH WE SAY IS A 100 00:04:24,865 --> 00:04:27,968 FUNCTIONAL DENTATION AND ABLE TO 101 00:04:27,968 --> 00:04:29,202 SPEAK AND CHEW AND FUNCTION IF 102 00:04:29,202 --> 00:04:34,741 YOU HAVE LESS THAN 20 TEETH HAS 103 00:04:34,741 --> 00:04:41,715 BEEN ASSOCIATED WITH HAVING 104 00:04:41,715 --> 00:04:43,150 DIABETES, RHEUMATOID DISEASE AND 105 00:04:43,150 --> 00:04:46,019 EM 106 00:04:46,019 --> 00:04:54,494 EMMA -- EMPHYSEMA AND THEY'RE 107 00:04:54,494 --> 00:04:56,563 ASSOCIATED WITH IT WILL LOW 108 00:04:56,563 --> 00:04:57,297 BIRTH WEIGHT AND CARDIOVASCULAR 109 00:04:57,297 --> 00:04:58,331 DISEASE HAVE ALL BEEN LINKED TO 110 00:04:58,331 --> 00:05:00,100 ORAL HEALTH. 111 00:05:00,100 --> 00:05:03,103 SO WHAT'S THE PROBLEM? 112 00:05:03,103 --> 00:05:04,671 WE OFTEN THINK OF CAVITIES BUT 113 00:05:04,671 --> 00:05:06,406 IF YOU HAVE A MOUTH LIKE THIS, 114 00:05:06,406 --> 00:05:07,807 THE ABILITY YOU'RE ABLE TO 115 00:05:07,807 --> 00:05:09,476 OBTAIN ADEQUATE NUTRITION AND 116 00:05:09,476 --> 00:05:14,881 EAT THE THINGS THAT ARE GOOD FOR 117 00:05:14,881 --> 00:05:16,416 YOU CRUCIFEROUS WILL VEGETABLES 118 00:05:16,416 --> 00:05:19,452 AND FRUITS AND PROTEINS IT'S A 119 00:05:19,452 --> 00:05:20,954 REAL CHALLENGE, RIGHT? 120 00:05:20,954 --> 00:05:27,460 AND IT IMPEDES YOUR DIGESTIVE 121 00:05:27,460 --> 00:05:28,929 PROCESSES BECAUSE THERE'S PAIN 122 00:05:28,929 --> 00:05:30,630 IN YOUR MOUTH AND ISSUES WITH 123 00:05:30,630 --> 00:05:32,098 HEART BURN AND DIGEST. 124 00:05:32,098 --> 00:05:34,534 WHAT DO YOU DO WHEN YOU HAVE NO 125 00:05:34,534 --> 00:05:39,339 WILL TEETH OR LACK OF DENTITION. 126 00:05:39,339 --> 00:05:41,708 PEOPLE WILL GO TO SOFTER 127 00:05:41,708 --> 00:05:45,845 CARBOHYDRATE LADEN FOODS THAT 128 00:05:45,845 --> 00:05:47,814 INCREASE INFLAMMATION LOCALLY 129 00:05:47,814 --> 00:05:49,316 AND SYSTEMICALLY AND 130 00:05:49,316 --> 00:05:50,750 INFLAMMATION ANYWHERE IS NOT A 131 00:05:50,750 --> 00:05:52,619 WITH THING. 132 00:05:52,619 --> 00:05:58,325 THE OTHER THING WE'RE AIR WA -- 133 00:05:58,325 --> 00:06:00,093 AWARE OF IS WILL DENTAL HEALTH 134 00:06:00,093 --> 00:06:00,560 AFFECTS EMPLOYMENT. 135 00:06:00,560 --> 00:06:03,196 THE APPEARANCE OF THEIR MOUTH 136 00:06:03,196 --> 00:06:05,232 AND TEETH CAN AFFECT THE ABILITY 137 00:06:05,232 --> 00:06:09,502 TO INTERVIEW OR THE TYPE OF JOB. 138 00:06:09,502 --> 00:06:14,574 IF YOU'RE MEETING THE PUBLIC 139 00:06:14,574 --> 00:06:16,376 IT'S DIFFICULT TO NOT HAVE A 140 00:06:16,376 --> 00:06:19,579 GOOD DENTITION AND 30% OF LOW 141 00:06:19,579 --> 00:06:24,818 INCOME ADULTS SAID THEIR POOR 142 00:06:24,818 --> 00:06:26,019 ORAL HEALTH AFFECTED THEM 143 00:06:26,019 --> 00:06:27,621 INTERVIEWING FOR A JOB AND A 144 00:06:27,621 --> 00:06:29,956 THIRD HAVE NOT BEEN ABLE TO FIND 145 00:06:29,956 --> 00:06:31,591 A JOB DIRECTLY BECAUSE OF POOR 146 00:06:31,591 --> 00:06:32,792 ORAL HEALTH. 147 00:06:32,792 --> 00:06:35,195 THIS TRANSLATES TO OVER 200,000 148 00:06:35,195 --> 00:06:38,365 PEOPLE OUT OF VIABLE EMPLOYMENT 149 00:06:38,365 --> 00:06:39,699 HERE IN THE U.S. BECAUSE OF 150 00:06:39,699 --> 00:06:41,167 PREVENTIBLE DENTAL DISEASE. 151 00:06:41,167 --> 00:06:44,638 AND WHAT WE KNOW IS THAT WHEN 152 00:06:44,638 --> 00:06:47,974 YOU HAVE BETTER ORAL HEALTH IT 153 00:06:47,974 --> 00:06:50,076 LOWERS OVER ALL HEALTH CARE 154 00:06:50,076 --> 00:06:50,477 COST. 155 00:06:50,477 --> 00:06:51,411 HERE IN THE U.S. PEOPLE WITH 156 00:06:51,411 --> 00:06:56,216 HEART DISEASE SAVED UP TO $675 157 00:06:56,216 --> 00:06:58,118 PER YEAR OF HEALTH CARE SPENDING 158 00:06:58,118 --> 00:07:00,220 WHEN THEY HAD ROUTINE ORAL 159 00:07:00,220 --> 00:07:01,187 HEALTH CARE. 160 00:07:01,187 --> 00:07:05,025 AMONG DIABETICS THE SAVINGS WAS 161 00:07:05,025 --> 00:07:08,628 UP TO $3,000 AND PEOPLE WHO HAD 162 00:07:08,628 --> 00:07:09,829 DIABETES WITH OTHER CONDITIONS 163 00:07:09,829 --> 00:07:10,697 SAVED MORE. 164 00:07:10,697 --> 00:07:12,766 AND IMPROVED ORAL HEALTH ALSO 165 00:07:12,766 --> 00:07:15,468 REDUCED MEDICAL COSTS ASSOCIATED 166 00:07:15,468 --> 00:07:18,271 WITH PREGNANCY. 167 00:07:18,271 --> 00:07:21,141 UP TO $2400. 168 00:07:21,141 --> 00:07:23,143 THIS NOT -- PER PREGNANCY. 169 00:07:23,143 --> 00:07:27,447 THIS IS NOT TRIVIAL. 170 00:07:27,447 --> 00:07:30,483 WHAT DIFFERENCE DOES MEDICARE 171 00:07:30,483 --> 00:07:30,750 MAKE? 172 00:07:30,750 --> 00:07:33,153 THERE'S NOW 41 STATES THAT 173 00:07:33,153 --> 00:07:34,854 EXPANDED MEDICAID ELIGIBILITY AS 174 00:07:34,854 --> 00:07:38,591 PART OF THE AFFORDABLE CARE ACT. 175 00:07:38,591 --> 00:07:41,328 AND MEDICAID ALLOWS WILL HEALTH 176 00:07:41,328 --> 00:07:44,597 INSURANCE FOR AMERICANS WHO ARE 177 00:07:44,597 --> 00:07:46,766 LOW INCOME AND IT IS MANDATORY 178 00:07:46,766 --> 00:07:48,601 WHILE IT'S OPTIONAL FOR ADULTS 179 00:07:48,601 --> 00:07:50,937 IT'S MANDATORY COVERAGE FOR 180 00:07:50,937 --> 00:07:51,204 CHILDREN. 181 00:07:51,204 --> 00:07:54,808 AND SO WHAT WE NOW HAVE SEEN 182 00:07:54,808 --> 00:07:59,145 WITH THIS EXPANSION IS ENHANCED 183 00:07:59,145 --> 00:08:01,147 ACCESS FOR MILLIONS OF LOWER 184 00:08:01,147 --> 00:08:03,350 INCOME ADULTS AND STATES WHO 185 00:08:03,350 --> 00:08:04,784 PROVIDED THIS COMPREHENSIVE 186 00:08:04,784 --> 00:08:08,288 DENTAL COVERAGE HAVE SEEN A 14% 187 00:08:08,288 --> 00:08:09,122 REDUCTION IN EMERGENCY ROOM 188 00:08:09,122 --> 00:08:10,890 VISITS AND LOOKING SPECIFICALLY 189 00:08:10,890 --> 00:08:14,461 AT KENTUCKY AND NEW YORK AND 190 00:08:14,461 --> 00:08:16,396 KENTUCKY THOSE WHO VISITED A 191 00:08:16,396 --> 00:08:18,431 DENTIST WERE AT LOWER RISK OF 192 00:08:18,431 --> 00:08:20,266 BEING DIAGNOSED WITH DIABETES 193 00:08:20,266 --> 00:08:26,206 AND HEART DISEASE AND THIS 194 00:08:26,206 --> 00:08:29,943 REDUCED HEALTH CARE COST AND IN 195 00:08:29,943 --> 00:08:32,212 NEW YORK WITH THE MEDICAID 196 00:08:32,212 --> 00:08:36,816 EXPANSION WAS SHOWN TO REDUCE 197 00:08:36,816 --> 00:08:37,984 E.R. ROOM AND IN PATIENT COST 198 00:08:37,984 --> 00:08:38,785 SPENDING. 199 00:08:38,785 --> 00:08:41,087 IT'S LOW-LIFT, HIGH REWARD IN 200 00:08:41,087 --> 00:08:43,356 TERMS OF THE DIFFERENCE IT THE 201 00:08:43,356 --> 00:08:43,823 ORAL HEALTH CAN MAKE. 202 00:08:43,823 --> 00:08:46,760 AND WHEN WE THINK ABOUT IT, THE 203 00:08:46,760 --> 00:08:48,228 COST OF NOT HAVING GOOD ORAL 204 00:08:48,228 --> 00:08:51,297 HEALTH CARE IS VERY HIGH. 205 00:08:51,297 --> 00:08:53,032 IT'S HIGH TO THE INDIVIDUAL. 206 00:08:53,032 --> 00:08:53,199 WHY? 207 00:08:53,199 --> 00:08:57,437 IT CAN CONTRIBUTE TO POORERIOR 208 00:08:59,205 --> 00:08:59,205 209 00:09:00,306 --> 00:09:01,341 POORER OVER ALL HEALTH AND NOT 210 00:09:01,341 --> 00:09:02,876 ABLE TO GET ADEQUATE NUTRITION. 211 00:09:02,876 --> 00:09:06,579 WHEN PEOPLE ARE IN PAIN 212 00:09:06,579 --> 00:09:07,514 ESPECIALLY KIDS THEY HAVE 213 00:09:07,514 --> 00:09:12,585 DECREASED ACADEMIC ACHIEVEMENT 214 00:09:12,585 --> 00:09:17,857 AND BECAUSE HERE IN THE U.S. A 215 00:09:17,857 --> 00:09:22,962 CANT -- SIGNIFICANT AMOUNT IS 216 00:09:22,962 --> 00:09:25,698 OUT OF POCKET EVEN WITH IF 217 00:09:25,698 --> 00:09:27,767 INSURANCE IT CAUSES INCREASED 218 00:09:27,767 --> 00:09:28,668 STRESS. 219 00:09:28,668 --> 00:09:30,070 AT THE SOCIETAL LEVEL WE HAVE 220 00:09:30,070 --> 00:09:31,471 SIGNIFICANT ISSUES WITH 221 00:09:31,471 --> 00:09:33,373 DENTISTRY BEING IN THE TOP THREE 222 00:09:33,373 --> 00:09:37,010 FOR REDUCED MILITARY READINESS. 223 00:09:37,010 --> 00:09:42,849 ALSO, WHEN PEOPLE ARE IN PAIN 224 00:09:42,849 --> 00:09:47,987 AND HAVE SIGNIFICANT ORAL HEALTH 225 00:09:47,987 --> 00:09:50,990 CARE ISSUES AND ED OVER ALL 226 00:09:50,990 --> 00:09:51,658 HEALTH CARE COSTS. 227 00:09:51,658 --> 00:09:57,430 SO THE COST IS IS HIGH AND AGAIN 228 00:09:57,430 --> 00:10:01,067 THESE DISEASES ARE LARGELY 229 00:10:01,067 --> 00:10:01,367 PREVENTIBLE. 230 00:10:01,367 --> 00:10:03,470 IF WE LOOK ACROSS THE WILL WORLD 231 00:10:03,470 --> 00:10:05,805 AT WILL HIGH INCOME COUNTRIES 232 00:10:05,805 --> 00:10:11,144 INCLUDING THE U.S., WHEN WE LOOK 233 00:10:11,144 --> 00:10:18,918 AT TREATMENT COSTS THEY'RE ABOUT 234 00:10:18,918 --> 00:10:20,386 $303 BILLION BUT LOOK AT 235 00:10:20,386 --> 00:10:24,824 PRODUCTIVITY LOSS, $315 BILLION 236 00:10:24,824 --> 00:10:28,495 BECAUSE OF NOT HAVING GOOD ORAL 237 00:10:28,495 --> 00:10:28,862 HEALTH CARE. 238 00:10:28,862 --> 00:10:30,263 HOW BIG IS THE PROBLEM? 239 00:10:30,263 --> 00:10:33,867 IT'S BIG GLOBALLY. 240 00:10:33,867 --> 00:10:36,369 IT'S BIGGER THAN ANY OTHER 241 00:10:36,369 --> 00:10:36,669 DISEASE. 242 00:10:36,669 --> 00:10:38,037 THESE ARE THE MOST PREVALENT 243 00:10:38,037 --> 00:10:39,439 DISEASES IN THE ENTIRE WORLD. 244 00:10:39,439 --> 00:10:41,174 HERE'S DATA FROM THE W.H.O. AND 245 00:10:41,174 --> 00:10:46,679 THIS DATA IS IN THE MILLIONS. 246 00:10:46,679 --> 00:10:57,323 SO 3.374 MILLION COMPARED TO 247 00:10:58,992 --> 00:10:59,492 CARDIOVASCULAR DISEASE AND 248 00:10:59,492 --> 00:11:03,863 DIABETES AND CHRONIC RESPIRATORY 249 00:11:03,863 --> 00:11:04,464 STEEZ 250 00:11:04,464 --> 00:11:05,565 -- DISEASE AND CANCER. 251 00:11:05,565 --> 00:11:09,969 AND BETWEEN 1990 AND 2000 THE 252 00:11:09,969 --> 00:11:14,073 NUMBER OF CASES OF CARIES 253 00:11:14,073 --> 00:11:18,411 INCREASED WORLDWIDE BY ALMOST 254 00:11:18,411 --> 00:11:21,080 60% MOSTLY DUE TO POPULATION 255 00:11:21,080 --> 00:11:27,220 GROWTH IN LOW AND LOWER MIDDLE 256 00:11:27,220 --> 00:11:29,088 INCOME COUNTRIES. 257 00:11:29,088 --> 00:11:30,223 IT'S A GLOBAL CHALLENGE. 258 00:11:30,223 --> 00:11:31,457 IT'S THE MOST COMMON DISEASE IN 259 00:11:31,457 --> 00:11:35,161 THE ENTIRE WORLD. 260 00:11:35,161 --> 00:11:39,465 WITH OVER ALL $500 BILLION 261 00:11:39,465 --> 00:11:41,167 BURDEN. 262 00:11:41,167 --> 00:11:46,706 UNTREATED CAVITIES IN PERMANENT 263 00:11:46,706 --> 00:11:49,075 TEETH IS THE MOST PREVALENT 264 00:11:49,075 --> 00:11:52,979 DISEASE IN THE WORLD AND 265 00:11:52,979 --> 00:11:53,646 PERIDONTITIS AND IN THE UNITED 266 00:11:53,646 --> 00:11:56,950 STATES ABOUT 50% OF WORKING AGE 267 00:11:56,950 --> 00:11:58,785 ADULTS HAVE GUM DISEASE. 268 00:11:58,785 --> 00:12:00,420 AND THE NUMBERS ARE EVEN HIGHER 269 00:12:00,420 --> 00:12:02,889 IF WE LOOK AT OLDER ADULTS OLDER 270 00:12:02,889 --> 00:12:03,456 THAN 64. 271 00:12:03,456 --> 00:12:05,158 WHEN WE LOOK AT CANCERS OF THE 272 00:12:05,158 --> 00:12:07,527 LIP AND ORAL CAVITY, THESE ARE 273 00:12:07,527 --> 00:12:17,837 AMONG THE TOP 15 AND ABOUT 158 274 00:12:17,837 --> 00:12:21,741 MILLION HAVE COMPLETE TOOTH LOST 275 00:12:21,741 --> 00:12:28,615 AND CLEFT PALATE IS THE MOST 276 00:12:28,615 --> 00:12:31,918 COMMON AND SEE THIS IN 1 IN 7 277 00:12:31,918 --> 00:12:36,222 LIVE BIRTHS AND THE NECROTIZING 278 00:12:36,222 --> 00:12:38,291 DISEASE THAT STARTS IN THE MOUTH 279 00:12:38,291 --> 00:12:39,826 AND PREVENTIBLE BUT MOST PEOPLE 280 00:12:39,826 --> 00:12:43,296 GET IT LATE AND THIS HAPPENS AT 281 00:12:43,296 --> 00:12:44,964 A GREATER FREQUENCY IN 282 00:12:44,964 --> 00:12:45,665 SUB-SAHARAN AFRICA WHERE THE 283 00:12:45,665 --> 00:12:50,003 MORTALITY RATE IS 90%. 284 00:12:50,003 --> 00:12:54,607 AGAIN, HPV RELATED ORAL CANCERS 285 00:12:54,607 --> 00:12:55,408 ARE IN THE U.S. 286 00:12:55,408 --> 00:13:02,815 NOW, WHAT IS OUR CHALLENGE HERE? 287 00:13:02,815 --> 00:13:03,916 OUR MISSION IS ORAL HEALTH FOR 288 00:13:03,916 --> 00:13:07,453 ALL BUT RIGHT NOW WE HAVE ORAL 289 00:13:07,453 --> 00:13:11,157 HEALTH FOR SOME AND THIS WAS 290 00:13:11,157 --> 00:13:12,291 LAID OUT IN THE REPORT PUBLISHED 291 00:13:12,291 --> 00:13:14,193 BACK IN 2021 AND WE SEE GAPS 292 00:13:14,193 --> 00:13:16,929 BASED ON WHERE PEOPLE LIVE, 293 00:13:16,929 --> 00:13:18,831 BASED ON THE SOCIO ECONOMIC 294 00:13:18,831 --> 00:13:21,534 STATUS AND BASED ON RACE AND 295 00:13:21,534 --> 00:13:21,934 ETHNICITY. 296 00:13:21,934 --> 00:13:27,440 AS OF THIS YEAR, THERE'S ALMOST 297 00:13:27,440 --> 00:13:30,143 60 MILLION AMERICANS LIVING IN A 298 00:13:30,143 --> 00:13:33,613 SHORTAGE AREA OF HEALTH 299 00:13:33,613 --> 00:13:35,181 PROFESSIONALS AND HALF ARE IN 300 00:13:35,181 --> 00:13:37,216 RURAL COMMUNITIES. 301 00:13:37,216 --> 00:13:39,452 UNTREATED TOOTH DECAY IS MORE 302 00:13:39,452 --> 00:13:41,487 COMMON FOR THOSE LOW INCOME AND 303 00:13:41,487 --> 00:13:42,522 RACIAL AND ETHNIC MINORITY 304 00:13:42,522 --> 00:13:43,856 GROUPS FOR THOSE WHO HAVE NO 305 00:13:43,856 --> 00:13:44,791 HEALTH INSURANCE. 306 00:13:44,791 --> 00:13:46,959 AGAIN, MEDICAID IS MAKING A 307 00:13:46,959 --> 00:13:52,331 DIFFERENCE BUT STILL THE STEEZ 308 00:13:52,331 --> 00:13:53,166 309 00:13:53,166 --> 00:13:57,570 -- DISEASE IS PREVALENT AND GUM 310 00:13:57,570 --> 00:14:01,474 DISEASE IS MORE PREVALENT AND 311 00:14:01,474 --> 00:14:02,642 SEE COMPLETE TOOTH LOSS 312 00:14:02,642 --> 00:14:03,276 DISPROPORTIONATELY EXPERIENCED 313 00:14:03,276 --> 00:14:05,611 BY OLDER ADULTS WHO ARE LOWER 314 00:14:05,611 --> 00:14:09,048 INCOME AND HAVE LESS THAN A HIGH 315 00:14:09,048 --> 00:14:09,582 SCHOOL EDUCATION. 316 00:14:09,582 --> 00:14:15,455 WHAT IF WE CAN HAVE HERE IN THE 317 00:14:15,455 --> 00:14:20,059 U.S. A FUNCTION DENTITION AND 318 00:14:20,059 --> 00:14:23,129 IT'S BEEN SUCCESSFUL IN JAPAN 319 00:14:23,129 --> 00:14:25,364 AND PEOPLE MAINTAIN THEY'RE 320 00:14:25,364 --> 00:14:26,599 DENTITION AND HAVE LEFT ISSUES 321 00:14:26,599 --> 00:14:29,435 WITH ATHEROSCLEROTIC DISEASE AND 322 00:14:29,435 --> 00:14:29,769 DEMENTIA. 323 00:14:29,769 --> 00:14:32,672 WHAT IF THE SWEET 16 MEANT NO 324 00:14:32,672 --> 00:14:34,907 CAVITIES AT THE AGE OF 16? 325 00:14:34,907 --> 00:14:36,776 THESE ARE THINGS WE CAN ASPIRE 326 00:14:36,776 --> 00:14:46,853 TO. 327 00:14:49,355 --> 00:14:50,990 THERE'S BEEN WORK ON INDIVIDUAL 328 00:14:50,990 --> 00:14:53,059 BEHAVIORS AND IT'S IMPORTANT BUT 329 00:14:53,059 --> 00:14:53,726 NOT ENOUGH. 330 00:14:53,726 --> 00:14:56,028 THE CURRENT SOCIAL DETERMINATES 331 00:14:56,028 --> 00:15:00,600 LOOK AT ACCESS TO HEALTH CARE 332 00:15:00,600 --> 00:15:01,968 AND SOCIAL AND COMMUNITY CONTEXT 333 00:15:01,968 --> 00:15:07,507 AND ECONOMIC STABILITY AND THIS 334 00:15:07,507 --> 00:15:17,984 IS IMPORTANT HOWEVER ARE WE 335 00:15:23,422 --> 00:15:25,324 INCLUDING ORAL HEALTH LITERACY? 336 00:15:25,324 --> 00:15:31,464 WHEN WE THINK OF HEALTH CARE 337 00:15:31,464 --> 00:15:35,434 QUALITY ARE WE ASKING QUESTIONS 338 00:15:35,434 --> 00:15:38,037 ABOUT DENTAL HEALTH AND HOW 339 00:15:38,037 --> 00:15:43,409 CLOSE IS YOUR NEAREST DEN IT -- 340 00:15:43,409 --> 00:15:43,643 DENTIST. 341 00:15:43,643 --> 00:15:47,013 WHEN WE THINK OF FOOD SCARCITY 342 00:15:47,013 --> 00:15:50,516 DO WE THINK ABOUT WHAT TYPES OF 343 00:15:50,516 --> 00:15:52,385 FOODS PEOPLE ARE ACCESSING AND 344 00:15:52,385 --> 00:15:54,487 IN TERMS OF SOCIAL COMMUNITY AND 345 00:15:54,487 --> 00:15:56,489 CONTEXT, ARE WE ASKING ABOUT 346 00:15:56,489 --> 00:15:57,523 RELATIONSHIPS, EMPLOYMENT AND 347 00:15:57,523 --> 00:15:59,492 THE ABILITY TO EAT AND SPEAK 348 00:15:59,492 --> 00:16:03,296 BECAUSE ALL OF THESE THINGS ARE 349 00:16:03,296 --> 00:16:04,664 IT INFLUENCED BY YOUR ORAL 350 00:16:04,664 --> 00:16:06,799 CAVITY AND FINALLY WITH REGARD 351 00:16:06,799 --> 00:16:08,401 TO ECONOMIC STABILITY, WHAT 352 00:16:08,401 --> 00:16:10,436 ABOUT DENTAL INSURANCE? 353 00:16:10,436 --> 00:16:17,176 WHAT ABOUT THOSE OUT OF POCKET 354 00:16:17,176 --> 00:16:20,012 COSTS? 355 00:16:20,012 --> 00:16:22,248 WHAT'S NOT BEING CAPTURED IS 356 00:16:22,248 --> 00:16:25,751 SOCIAL DETERMINATES FOR HEALTH 357 00:16:25,751 --> 00:16:28,054 WE'RE WORKING OWN AN INSTRUMENT 358 00:16:28,054 --> 00:16:29,655 SPEARHEADED BY DR. SHARON 359 00:16:29,655 --> 00:16:31,157 JACKSON AND WORKING TOGETHER 360 00:16:31,157 --> 00:16:32,658 WITH SUE HAMMOND AND THEY'RE 361 00:16:32,658 --> 00:16:34,760 LOOKING AT SOCIAL AND CLINICAL 362 00:16:34,760 --> 00:16:36,629 PROFILES OF ADULT PATIENTS 363 00:16:36,629 --> 00:16:39,365 THINKING ABOUT THE NUANCED 364 00:16:39,365 --> 00:16:43,236 FACTORS THAT ALSO INFLUENCE AN 365 00:16:43,236 --> 00:16:44,070 INDIVIDUAL'S ORAL HEALTH. 366 00:16:44,070 --> 00:16:47,573 SO HERE WE'RE LOOKING AT SOCIAL 367 00:16:47,573 --> 00:16:50,910 ECONOMIC FACTORS THAT ASK 368 00:16:50,910 --> 00:16:52,278 SPECIFICALLY AROUND EMPLOYMENT 369 00:16:52,278 --> 00:16:53,145 AND DENTAL INSURANCE. 370 00:16:53,145 --> 00:16:55,514 WHEN WE THINK ABOUT THE HEALTH 371 00:16:55,514 --> 00:16:58,017 BEHAVIORS, WE'RE ASKING ABOUT 372 00:16:58,017 --> 00:16:59,085 TOBACCO AND ALCOHOL USE ALSO IN 373 00:16:59,085 --> 00:17:02,688 THE CONTEXT OF ORAL HEALTH AND 374 00:17:02,688 --> 00:17:04,924 ALSO WHAT ARE PEOPLE'S HABITS 375 00:17:04,924 --> 00:17:07,126 AROUND TAKING CARE OF THEIR 376 00:17:07,126 --> 00:17:07,460 MOUTHS? 377 00:17:07,460 --> 00:17:11,197 ARE THEY BRUSHING AND FLOSSING. 378 00:17:11,197 --> 00:17:12,765 WE'RE ASKING ABOUT LANGUAGE 379 00:17:12,765 --> 00:17:14,800 PROFICIENCY AND BARRIERS AND 380 00:17:14,800 --> 00:17:16,168 ORAL HEALTH LITERACY AND AROUND 381 00:17:16,168 --> 00:17:18,571 THE PHYSICAL ENVIRONMENT, DOES 382 00:17:18,571 --> 00:17:24,877 IT REQUIRE PUBLIC TRANGS FOR -- 383 00:17:24,877 --> 00:17:25,978 TRANSPORTATION TO ACCESS HEALTH 384 00:17:25,978 --> 00:17:28,080 CARE AND WHAT TYPE OF FOOD 385 00:17:28,080 --> 00:17:28,848 SECURITY TO YOU HAVE? 386 00:17:28,848 --> 00:17:31,450 DOES THIS PUT YOU AT RISK FOR 387 00:17:31,450 --> 00:17:33,452 ORAL DISEASE AND WHEN WE ASK 388 00:17:33,452 --> 00:17:37,156 ABOUT CLINICAL CARE, WHAT IS 389 00:17:37,156 --> 00:17:39,025 YOUR ACCESS TO ORAL HEALTH CARE 390 00:17:39,025 --> 00:17:41,027 PROFESSIONALS AND ACCESS TO 391 00:17:41,027 --> 00:17:41,294 DENTISTRY. 392 00:17:41,294 --> 00:17:43,462 WHEN WE PUT THIS TOGETHER WE 393 00:17:43,462 --> 00:17:46,866 HAVE A MORE COMPREHENSIVE SOCIAL 394 00:17:46,866 --> 00:17:47,934 DETERMINATE THAT BRINGS INTO 395 00:17:47,934 --> 00:17:54,440 VIEW ORAL AND OVER ALL HEALTH. 396 00:17:54,440 --> 00:17:58,711 THE GOAL OF UPSTREAM MECHANISM 397 00:17:58,711 --> 00:17:59,445 TO INTERVENE AND MOVE TOWARDS 398 00:17:59,445 --> 00:18:01,180 ORAL HEALTH FOR ALL. 399 00:18:01,180 --> 00:18:04,884 SO THIS IS THE PROJECT THAT IS 400 00:18:04,884 --> 00:18:05,117 ONGOING. 401 00:18:05,117 --> 00:18:09,288 IT WILL BE THE QUESTIONNAIRE 402 00:18:09,288 --> 00:18:12,391 WILL BE PILOTED AT THE NIH 403 00:18:12,391 --> 00:18:12,959 CLINICAL CENTER AND WE'RE 404 00:18:12,959 --> 00:18:19,198 WORKING ON THAT NOW. 405 00:18:19,198 --> 00:18:24,604 WHAT WE NEED IS A PRECISION 406 00:18:24,604 --> 00:18:25,938 PUBLIC HEALTH APPROACH AND 407 00:18:25,938 --> 00:18:26,806 DELIVER THE RIGHT INTERVENTION 408 00:18:26,806 --> 00:18:28,908 TO THE RIGHT POPULATION AT THE 409 00:18:28,908 --> 00:18:29,775 RIGHT TIME. 410 00:18:29,775 --> 00:18:31,444 AND IN ORDER TO GET TO ORAL 411 00:18:31,444 --> 00:18:33,279 HEALTH EQUITY, WE HAVE TO 412 00:18:33,279 --> 00:18:35,181 PRECISELY DEFINE OUR 413 00:18:35,181 --> 00:18:36,148 POPULATIONS. 414 00:18:36,148 --> 00:18:37,550 AND THINK ABOUT INTERSECTION 415 00:18:37,550 --> 00:18:44,056 1Y589 AND -- INTERSECTIONALITY 416 00:18:44,056 --> 00:18:48,260 AND ALLOW FOR THE GAPS IN 417 00:18:48,260 --> 00:18:49,829 OUTCOMES AND INTERVENTIONS CAN 418 00:18:49,829 --> 00:18:51,330 HELP CHANGE THE CONTEXT AND 419 00:18:51,330 --> 00:18:52,331 CONDITIONS. 420 00:18:52,331 --> 00:18:54,900 IT'S GOING TO TAKE PARTNERSHIP 421 00:18:54,900 --> 00:18:58,371 WITH THE POPULATION AND 422 00:18:58,371 --> 00:19:00,439 COMMUNITY TO LEVERAGE TRUST AND 423 00:19:00,439 --> 00:19:01,540 RECOGNIZE MUTUAL BENEFITS AND 424 00:19:01,540 --> 00:19:05,177 ALSO MAKING SURE THAT WE'RE 425 00:19:05,177 --> 00:19:07,046 DISSEMINATING BOTH DATA AND 426 00:19:07,046 --> 00:19:09,482 COMMUNITY INFORMED STRATEGIES IN 427 00:19:09,482 --> 00:19:13,586 ORDER TO ADDRESS THESE 428 00:19:13,586 --> 00:19:14,487 STRUCTURAL DETERMINATES AND 429 00:19:14,487 --> 00:19:15,755 IMPACT ORAL HEALTH AT THE 430 00:19:15,755 --> 00:19:16,589 POPULATION LEVEL. 431 00:19:16,589 --> 00:19:21,260 SO ONE CONCEPT THAT WAS CLEARED 432 00:19:21,260 --> 00:19:23,863 IS COMMUNITY-ENGAGED 433 00:19:23,863 --> 00:19:25,664 PARTICIPATORY RESEARCH TO 434 00:19:25,664 --> 00:19:28,100 ADVANCE DATA AND ADAPT FOR ORAL 435 00:19:28,100 --> 00:19:32,872 HEALTH EQUITY. 436 00:19:32,872 --> 00:19:35,174 AND THE GOALS ARE TO BUILD 437 00:19:35,174 --> 00:19:40,946 COLLABORATIVE COMMUNITY-BASED 438 00:19:40,946 --> 00:19:42,214 INTERVENTION PROJECTS AND DATA 439 00:19:42,214 --> 00:19:45,484 MINING OPPORTUNITIES TO 440 00:19:45,484 --> 00:19:47,453 ACCELERATE PROGRESS TOWARDS 441 00:19:47,453 --> 00:19:48,220 RE-TUESDAY ORAL HEALTH 442 00:19:48,220 --> 00:19:50,122 DISPARITIES AND INEQUITIES. 443 00:19:50,122 --> 00:19:52,324 FOR ONE TEAM TO SUPPORT PROJECTS 444 00:19:52,324 --> 00:19:55,461 THAT USE THESE COMMUNITY-BASED 445 00:19:55,461 --> 00:19:58,597 PARTICIPATORY APPROACHES TO 446 00:19:58,597 --> 00:20:00,199 DESIGN, IMPLEMENT AND WILL 447 00:20:00,199 --> 00:20:01,067 DESIGN INTERVENTION BASED 448 00:20:01,067 --> 00:20:01,367 STRATEGIES. 449 00:20:01,367 --> 00:20:04,637 THE GOAL IS TO CREATE A HUB THAT 450 00:20:04,637 --> 00:20:06,772 WILL SPECIALIZE IN COMMUNITY 451 00:20:06,772 --> 00:20:10,342 ENGAGEMENT AND DATA COORDINATION 452 00:20:10,342 --> 00:20:11,444 AND MANAGEMENT AND THIS WILL BE 453 00:20:11,444 --> 00:20:17,550 A CVPR RESEARCH CONSORTIUM 454 00:20:17,550 --> 00:20:23,456 JOINING IN THE NIMHT FOR HEALTH 455 00:20:23,456 --> 00:20:29,195 DISPARITIES AND ARTIFICIAL 456 00:20:29,195 --> 00:20:29,829 INTELLIGENCE BIAS PLATFORM. 457 00:20:29,829 --> 00:20:31,597 ONE OPPORTUNITY UNDER THE 458 00:20:31,597 --> 00:20:37,670 CONCEPT IS TO LEVERAGE 459 00:20:37,670 --> 00:20:41,207 CO-LOCATED FACILITIES 460 00:20:41,207 --> 00:20:43,275 RECOGNIZING THE OPPORTUNITIES TO 461 00:20:43,275 --> 00:20:44,877 MAKE A DIFFERENCE IN TERMS OF 462 00:20:44,877 --> 00:20:45,411 WHOLE PERSON HEALTH. 463 00:20:45,411 --> 00:20:46,479 HERE'S THE CHALLENGE. 464 00:20:46,479 --> 00:20:50,216 YOU HAVE A PERSON HERE. 465 00:20:50,216 --> 00:20:55,454 THEY'VE GOT MULTIPLE MALADIES 466 00:20:55,454 --> 00:20:57,690 AND INFLAMED IF WE PROVIDE ORAL 467 00:20:57,690 --> 00:20:59,125 HEALTH CAN HELP THE SITUATION. 468 00:20:59,125 --> 00:21:01,861 SO IN PLACES WHERE YOU HAVE 469 00:21:01,861 --> 00:21:04,630 MEDICAL AND DENTAL CO-LOCATED 470 00:21:04,630 --> 00:21:08,901 THERE'S THE OPPORTUNITY TO 471 00:21:08,901 --> 00:21:10,336 PROVIDE EDUCATION TO THE MEDICAL 472 00:21:10,336 --> 00:21:20,880 AND DENTAL TO DO ORAL EXAMS AND 473 00:21:23,182 --> 00:21:28,721 FOR DENTAL TO PROVIDE 474 00:21:28,721 --> 00:21:33,526 COMPREHENSIVE CARE AND THEN 475 00:21:33,526 --> 00:21:34,793 DIMINISH SOURCES OF 476 00:21:34,793 --> 00:21:35,194 INFLAMMATION. 477 00:21:35,194 --> 00:21:36,829 WHY IS THIS SO IMPORTANT? 478 00:21:36,829 --> 00:21:42,334 LAST YEAR IN 2023 THE UNITED 479 00:21:42,334 --> 00:21:43,702 STATES PUBLIC HEALTH TASK FORCE 480 00:21:43,702 --> 00:21:47,006 SHARED INSUFFICIENT EVIDENCE 481 00:21:47,006 --> 00:21:49,408 THAT ORAL HEALTH PREVENTION BE 482 00:21:49,408 --> 00:21:54,547 PROMOTED IN THE SETTING OF 483 00:21:54,547 --> 00:21:56,382 PRIMARY CARE. 484 00:21:56,382 --> 00:21:58,751 WE NEED TO TO THE STUDIES TOE 485 00:21:58,751 --> 00:22:09,195 SHOW IT'S FEASIBLE AND A 486 00:22:13,265 --> 00:22:22,508 MODIFIABLE RISK FACTOR. 487 00:22:22,508 --> 00:22:30,349 HERE THEY CAN SHIFT THEIR 488 00:22:30,349 --> 00:22:32,751 MICROBIOME AND WE DEVELOPED THE 489 00:22:32,751 --> 00:22:34,720 DDS HUB. 490 00:22:34,720 --> 00:22:38,791 DDS IS FOR DENTAL AND YES PUN 491 00:22:38,791 --> 00:22:40,726 INTENDED AND FOR US IT ALSO 492 00:22:40,726 --> 00:22:42,928 STAND FOR DATA DRIVEN SCIENCE. 493 00:22:42,928 --> 00:22:45,464 THE HUB WILL LAUNCHES AT THE END 494 00:22:45,464 --> 00:22:46,799 OF THE MONTH IN DECEMBER AND 495 00:22:46,799 --> 00:22:52,471 WE'RE BUILDING AN IDCR DATA 496 00:22:52,471 --> 00:22:53,772 SCIENCE KNOWLEDGE BASE TO 497 00:22:53,772 --> 00:22:54,773 INTEGRATE DENTAL CRANIOFACIAL 498 00:22:54,773 --> 00:23:00,479 WITH OVER ALL HEALTH. 499 00:23:00,479 --> 00:23:03,082 THIS CROSS-CUTTING INITIATIVE 500 00:23:03,082 --> 00:23:04,917 WILL BE A PLACE TO FIND AND 501 00:23:04,917 --> 00:23:07,386 CURATE DATA AND MANAGE AND SHARE 502 00:23:07,386 --> 00:23:10,155 YOUR DATA AND UTILIZE ANALYTIC 503 00:23:10,155 --> 00:23:15,294 RESOURCES IN THE CLOUD LIKE THE 504 00:23:15,294 --> 00:23:16,729 SHARE PLATFORM WHERE YOU CAN 505 00:23:16,729 --> 00:23:20,032 BRING LARGER DATA SETS AND 506 00:23:20,032 --> 00:23:22,534 GENERATE AND ASK QUESTIONS. 507 00:23:22,534 --> 00:23:23,435 IN OUR FIELD THERE HAVE BEEN 508 00:23:23,435 --> 00:23:25,371 BEEN A NUMBER OF RANDOMIZED 509 00:23:25,371 --> 00:23:27,373 CONTROL TRIALS THAT NEED TO BE. 510 00:23:27,373 --> 00:23:29,174 OFTEN STUDY HAVE SMALL SAMPLE 511 00:23:29,174 --> 00:23:31,443 SIZES. 512 00:23:31,443 --> 00:23:33,445 THIS IS A HUGE OPPORTUNITY IS 513 00:23:33,445 --> 00:23:34,947 BUT ALSO A PLACE TO LEARN ABOUT 514 00:23:34,947 --> 00:23:37,750 GRANTS AND FUNDING AND ENGAGE 515 00:23:37,750 --> 00:23:38,217 WITH US. 516 00:23:38,217 --> 00:23:39,952 THIS PLACE WILL CENTRALIZE THE 517 00:23:39,952 --> 00:23:46,125 REPOSITORIES AND DATA FOR DENTAL 518 00:23:46,125 --> 00:23:46,759 ORAL AND CRANIOFACIAL RESEARCH 519 00:23:46,759 --> 00:23:57,202 FROM ALL AROUND THE WORLD. 520 00:23:58,537 --> 00:24:00,806 WHAT ABOUT THE WORKFORCE? 521 00:24:00,806 --> 00:24:03,175 IF EVERY PERSON WHO NEEDED TO 522 00:24:03,175 --> 00:24:05,210 SEE THE DENTIST OR ORAL HEALTH 523 00:24:05,210 --> 00:24:07,479 PROFESSIONAL TRIED TO DO IT 524 00:24:07,479 --> 00:24:11,216 TODAY IN THE U.S., COULDN'T DO 525 00:24:11,216 --> 00:24:13,285 IT. 526 00:24:13,285 --> 00:24:14,520 THERE'S NOT ENOUGH PEOPLE. 527 00:24:14,520 --> 00:24:16,755 SEVERAL INITIATIVES ONGOING 528 00:24:16,755 --> 00:24:23,228 TARGETING THE K-12 GROUP THROUGH 529 00:24:23,228 --> 00:24:27,433 SEPA GRANS AND TASK FORCE AND 530 00:24:27,433 --> 00:24:37,810 OTHER COLLABORATIONS WE BUILT AN 531 00:24:37,810 --> 00:24:41,213 ONLINE MODULE AND OPPORTUNITIES 532 00:24:41,213 --> 00:24:46,752 TO ENGAGE GRANT TRAINEES TO 533 00:24:46,752 --> 00:24:49,021 BUILD EXTRAMURAL NETWORKS WITH 534 00:24:49,021 --> 00:24:55,194 SHARED CURRICULA AND WORK WITH 535 00:24:55,194 --> 00:24:56,261 OTHER COMMUNITIES AND 536 00:24:56,261 --> 00:24:58,764 PROFESSIONAL SOCIETIES AND 537 00:24:58,764 --> 00:24:59,665 INDUSTRY TO WORK TOWARDS 538 00:24:59,665 --> 00:25:01,800 IMPROVING OUR PATHWAY TO PEOPLE 539 00:25:01,800 --> 00:25:05,204 CAN GET THE CARE THEY NEED. 540 00:25:05,204 --> 00:25:12,311 WE HAVE TWO PRACTICE-BASED 541 00:25:12,311 --> 00:25:12,544 NETWORK. 542 00:25:12,544 --> 00:25:14,580 ONE IS LAUNCHING PRACTITIONERS 543 00:25:14,580 --> 00:25:17,015 ACROSS THE U.S. AND RECENT LE 544 00:25:17,015 --> 00:25:18,717 BEGAN WHAT WE CALL WILL PRIMED. 545 00:25:18,717 --> 00:25:20,119 THIS IS A PRACTICE-BASED 546 00:25:20,119 --> 00:25:22,354 RESEARCH NETWORK IN DENTAL 547 00:25:22,354 --> 00:25:23,622 SCHOOLS. 548 00:25:23,622 --> 00:25:24,223 DENTAL SCHOOLS ARE SAFETY NET 549 00:25:24,223 --> 00:25:32,131 PROVIDERS. 550 00:25:32,131 --> 00:25:38,737 THEY'RE GOING TO BE FOLKS WHO 551 00:25:38,737 --> 00:25:44,476 MAY NOT HAVE WILL DENTAL HEALTH 552 00:25:44,476 --> 00:25:45,110 AND IT'S RESEARCH EXPERIENCE 553 00:25:45,110 --> 00:25:46,779 THROUGHOUT THEIR EDUCATION. 554 00:25:46,779 --> 00:25:51,450 THIS IS SOMETHING WE'RE DOING IN 555 00:25:51,450 --> 00:26:00,592 COLLABORATION WITH NCATS. 556 00:26:00,592 --> 00:26:07,466 AS WE THINK OF CHRONIC 557 00:26:07,466 --> 00:26:10,736 NON-COMMUNICABLE DISEASE WE 558 00:26:10,736 --> 00:26:11,970 THINK OF CARDIOVASCULAR DISEASE 559 00:26:11,970 --> 00:26:12,938 AND OTHERS AND THERE'S A MENTAL 560 00:26:12,938 --> 00:26:19,845 HEALTH DISORDERS AND THERE'S 561 00:26:19,845 --> 00:26:22,314 DIET AND TOBACCO. 562 00:26:22,314 --> 00:26:24,183 IN 2018 CLIMATE WAS BROUGHT TO 563 00:26:24,183 --> 00:26:26,051 BEAR AND AIR POLLUTION WHICH IS 564 00:26:26,051 --> 00:26:29,221 ALSO A SHARED RISK FACTOR ACROSS 565 00:26:29,221 --> 00:26:30,789 THESE NON-COMMUNICABLE DISEASES 566 00:26:30,789 --> 00:26:32,791 AND THERE'S AN OPPORTUNITY TO 567 00:26:32,791 --> 00:26:35,194 THINK ABOUT SUGAR AS A COMMON 568 00:26:35,194 --> 00:26:44,169 RISK FACTOR ESPECIALLY FOR THOSE 569 00:26:44,169 --> 00:26:44,436 IMPACTED. 570 00:26:44,436 --> 00:26:46,305 THERE WAS A MEET OF THE W.H.O. 571 00:26:46,305 --> 00:26:49,441 AND THE ESTABLISHMENT OF A 572 00:26:49,441 --> 00:26:51,109 GLOBAL COALITION FOR ORAL HEALTH 573 00:26:51,109 --> 00:26:53,278 TO PROVIDE CLEAR GUIDANCE AN 574 00:26:53,278 --> 00:26:55,681 ORAL HEATH PRIORITIES AND 575 00:26:55,681 --> 00:26:57,783 UPCOMING MEETING ON 576 00:26:57,783 --> 00:26:58,484 NON-COMMUNICABLE DISEASES HELD 577 00:26:58,484 --> 00:26:59,651 IN 2025. 578 00:26:59,651 --> 00:27:04,990 HOPING TO BRING THE VISION TO 579 00:27:04,990 --> 00:27:10,963 BEAR SO EVERYONE HAS AN 580 00:27:10,963 --> 00:27:12,498 OPPORTUNITY FOR ORAL HEALTH SO 581 00:27:12,498 --> 00:27:20,272 THE FOCUS ON UNIVERSAL COVERAGE. 582 00:27:20,272 --> 00:27:21,440 PREVENTION IS CRITICAL I'VE 583 00:27:21,440 --> 00:27:24,743 MENTIONED MANY TIMES AND ONE OF 584 00:27:24,743 --> 00:27:31,817 THE GREATEST PUBLIC HEALTH 585 00:27:31,817 --> 00:27:34,419 INTERVENTIONS IS FLUORIDE. 586 00:27:34,419 --> 00:27:36,021 IT ALLOWS FOR EQUITABLE ACCESS 587 00:27:36,021 --> 00:27:43,428 TO CAVITY PREVENTION. 588 00:27:43,428 --> 00:27:45,697 ANYBODY REGARDLESS OF INCOME CAN 589 00:27:45,697 --> 00:27:47,699 ACCESS THIS AT HOME, SCHOOL OR 590 00:27:47,699 --> 00:27:48,567 WORK OR ANY PLACE PUBLIC WATER 591 00:27:48,567 --> 00:27:53,839 IS AVAILABLE. 592 00:27:53,839 --> 00:27:57,075 WE KNOW FLUORIDE AT LOW LEVELS 593 00:27:57,075 --> 00:27:58,844 IS BENEFICIAL FOR ORAL HEALTH 594 00:27:58,844 --> 00:28:00,913 AND WATER IS EFFECTIVE FOR 595 00:28:00,913 --> 00:28:02,147 PREVENTING TOOTH DECAY. 596 00:28:02,147 --> 00:28:04,650 WHY IS THIS IMPORTANT? 597 00:28:04,650 --> 00:28:06,785 THIS TOOTH DECAY CAN LEAD TO 598 00:28:06,785 --> 00:28:08,020 PAIN, MISSED DAYS FROM SCHOOL 599 00:28:08,020 --> 00:28:08,320 AND WORK. 600 00:28:08,320 --> 00:28:11,456 OTHER DENTAL PROCEDURES AND 601 00:28:11,456 --> 00:28:12,691 SYSTEMIC INFECTIONS AND THESE 602 00:28:12,691 --> 00:28:17,062 SYSTEMIC INFECTIONS CAN BE 603 00:28:17,062 --> 00:28:17,529 DEADLY. 604 00:28:17,529 --> 00:28:23,135 IN FACT THIS YOIRUNG GUY IS 12 605 00:28:23,135 --> 00:28:26,572 YEARS OLD AND HE DIED OF A 606 00:28:26,572 --> 00:28:27,673 TOOTHACHE BECAUSE HE WAS HAVING 607 00:28:27,673 --> 00:28:30,075 PROBLEMS AND DIDN'T HAVE DENTAL 608 00:28:30,075 --> 00:28:31,443 INSURANCE, HIS MOM WAS BRINGING 609 00:28:31,443 --> 00:28:34,813 HIM TO THE DENTIST AND EMERGENCY 610 00:28:34,813 --> 00:28:38,884 ROOM AND GETTING ANTIBODIES AND 611 00:28:38,884 --> 00:28:40,986 PAIN MEDS AND HIS ORAL INFECTION 612 00:28:40,986 --> 00:28:44,556 BECAME A BRAIN ABSCESS AND HE 613 00:28:44,556 --> 00:28:45,457 DIED AND THE THAT DOESN'T NEED 614 00:28:45,457 --> 00:28:47,092 TO HAPPEN. 615 00:28:47,092 --> 00:28:52,497 IT DOESN'T ONLY HAPPEN IN PEOPLE 616 00:28:52,497 --> 00:28:55,434 WHO DON'T HAVE MEANS LAST FALL 617 00:28:55,434 --> 00:29:01,640 THERE WAS AN NFL PLAYER WHO DIED 618 00:29:01,640 --> 00:29:07,479 OF A BACTEREMIA AND DIED AND 619 00:29:07,479 --> 00:29:11,883 ACCESS TO FLUORIDE HELPS. 620 00:29:11,883 --> 00:29:14,920 COMMUNITIES ARE NOT MANDATED TO 621 00:29:14,920 --> 00:29:17,222 ADD FLUORIDE TO THEIR WATER AND 622 00:29:17,222 --> 00:29:19,424 PEOPLE CAN REMOVE FLUORIDE FROM 623 00:29:19,424 --> 00:29:20,359 THEIR DRINKING WATER BY 624 00:29:20,359 --> 00:29:21,293 UTILIZING A FILTER IF THEY WOULD 625 00:29:21,293 --> 00:29:23,428 LIKE TOE. 626 00:29:23,428 --> 00:29:24,596 -- LIKE TO. 627 00:29:24,596 --> 00:29:29,534 SOME FOLKS SAY, WELL, IF YOU'RE 628 00:29:29,534 --> 00:29:30,669 USING TOOTHPASTE WHY DO YOU NEED 629 00:29:30,669 --> 00:29:41,046 FLUORIDE IN THE WATER? 630 00:29:44,716 --> 00:29:47,452 AND THERE'S IT SUPPLEMENTED ORAL 631 00:29:47,452 --> 00:29:48,587 HEALTH CARE PRACTICE AND WHAT 632 00:29:48,587 --> 00:29:51,123 DIFFERENCE DOES IT MAKE? 633 00:29:51,123 --> 00:29:53,258 DR. JACKSON IS HELPING MOVE THAT 634 00:29:53,258 --> 00:29:54,126 STUDY FORWARD. 635 00:29:54,126 --> 00:29:56,361 I'LL WRAP UP HERE SHARING WITH 636 00:29:56,361 --> 00:29:59,431 YOU SOME OF THE STUDIES AND 637 00:29:59,431 --> 00:30:05,570 INITIATIVES THAT WE HAVE ONGOING 638 00:30:05,570 --> 00:30:10,842 AT NIDCR. 639 00:30:10,842 --> 00:30:11,576 FIRST INCREASED USE OF THE ORAL 640 00:30:11,576 --> 00:30:15,347 HEALTH CARE SYSTEM AND WE HAVE A 641 00:30:15,347 --> 00:30:16,882 COUPLE INITIATIVES ONGOING 642 00:30:16,882 --> 00:30:18,917 SPECIFICALLY THE CLINICAL AND 643 00:30:18,917 --> 00:30:19,918 PRACTICE-BASED RESEARCH PROGRAM 644 00:30:19,918 --> 00:30:23,455 AS WELL AS OUR ORAL HEALTH 645 00:30:23,455 --> 00:30:24,523 DISPARITIES AND INEQUITIES 646 00:30:24,523 --> 00:30:24,756 PROGRAM. 647 00:30:24,756 --> 00:30:29,327 HERE'S A COUPLE EXAMPLES OF 648 00:30:29,327 --> 00:30:31,797 NIDCR FUNDED RESEARCH. 649 00:30:31,797 --> 00:30:33,365 FOR EXAMPLE, MULTILEVEL 650 00:30:33,365 --> 00:30:34,800 INTERVENTIONS TO REDUCE HEALTH 651 00:30:34,800 --> 00:30:38,136 DISPARITIES AMONG ADULTS IN 652 00:30:38,136 --> 00:30:39,104 PRIMARY CARE SETTINGS. 653 00:30:39,104 --> 00:30:44,543 HERE'S AN EXAMPLE OF A STUDY. 654 00:30:44,543 --> 00:30:45,110 HERE TARGETING DISABILITY 655 00:30:45,110 --> 00:30:47,446 POPULATION LOOKING SPECIFICALLY 656 00:30:47,446 --> 00:30:50,916 AT SENSORY ADAPTATIONS THE 657 00:30:50,916 --> 00:30:52,317 DENTAL ENVIRONMENT IN CHILDREN 658 00:30:52,317 --> 00:30:52,851 WHO HAVE AUTISM SPECTRUM 659 00:30:52,851 --> 00:30:59,091 DISORDER. 660 00:30:59,091 --> 00:31:00,692 WHAT ABOUT ADOLESCENTS. 661 00:31:00,692 --> 00:31:03,462 ONE OBJECTIVE IS TO REDUCE THE 662 00:31:03,462 --> 00:31:09,701 NUMBER OF ADOLESCENTS WHO HAVE 663 00:31:09,701 --> 00:31:12,404 BEING ACTIVE AND UNTREATED DECAY 664 00:31:12,404 --> 00:31:14,606 AND ASKING FOR SOLUTIONS THAT 665 00:31:14,606 --> 00:31:15,574 CAN HALT TOOTH DECAY. 666 00:31:15,574 --> 00:31:18,577 WHAT WAS FOUND IN THE RANDOMIZED 667 00:31:18,577 --> 00:31:20,579 CONTROL TRIAL WAS THIS 668 00:31:20,579 --> 00:31:23,448 INTERVENTION WAS SO EFFECTIVE IT 669 00:31:23,448 --> 00:31:24,983 HAD TO BE STOPPED EARLY. 670 00:31:24,983 --> 00:31:28,820 THIS IS A CLINICAL TRIAL OF 600 671 00:31:28,820 --> 00:31:30,989 CHILDREN WITH SEVERE TOOTH 672 00:31:30,989 --> 00:31:31,323 DECAY. 673 00:31:31,323 --> 00:31:34,392 THIS SDF TREATMENT WHICH IS 674 00:31:34,392 --> 00:31:41,133 FLUORIDE BASED WORKS VERY WELL. 675 00:31:41,133 --> 00:31:43,201 ALSO LIFE TIME WILL IT TOOTH 676 00:31:43,201 --> 00:31:48,940 DECAY WE'RE FUNDING RESEARCH 677 00:31:48,940 --> 00:31:51,977 FOCUSSED ON SOCIAL NETWORKS AND 678 00:31:51,977 --> 00:31:56,047 ORAL HEALTH BEHAVIORS IN PUBLIC 679 00:31:56,047 --> 00:31:56,815 HEALTH COMMUNITIES AND WITHIN 680 00:31:56,815 --> 00:32:00,685 THE CONTEXT OF THAT STUDY IS 681 00:32:00,685 --> 00:32:03,021 LOOKING AT IT ONE GOAL IS TO 682 00:32:03,021 --> 00:32:03,688 INFORM INTERVENTIONS RESPONSIVE 683 00:32:03,688 --> 00:32:06,591 TO THE DYNAMICS OF THE 684 00:32:06,591 --> 00:32:11,229 POPULATION THAT ARE AFFECTED BY 685 00:32:11,229 --> 00:32:13,131 HEALTH DISPARITIES. 686 00:32:13,131 --> 00:32:14,933 IF INTRODUCING THE PROPORTION OF 687 00:32:14,933 --> 00:32:15,934 PEOPLE WHO CAN'T GET THE CARE 688 00:32:15,934 --> 00:32:22,107 THEY NEED WHEN THEY NEED IT. 689 00:32:22,107 --> 00:32:24,643 WE ARE FUNDING RESEARCH LOOKING 690 00:32:24,643 --> 00:32:27,245 AT MOBILE APPS TO INCREASE TOOTH 691 00:32:27,245 --> 00:32:29,648 BRUSHING SKILLS IN TEENS AND 692 00:32:29,648 --> 00:32:31,817 THOSE AUTISTIC AND HARNESSING 693 00:32:31,817 --> 00:32:33,752 TECHNOLOGY BY DEVELOPING AND 694 00:32:33,752 --> 00:32:35,453 EVALUATING SCHOOL-BASED DIGITAL 695 00:32:35,453 --> 00:32:39,991 ORAL HEALTH PROGRAMS. 696 00:32:39,991 --> 00:32:41,126 THOSE ARE A FEW OF THE THINGS 697 00:32:41,126 --> 00:32:45,463 WE'RE DOING. 698 00:32:45,463 --> 00:32:51,436 IMPORTANTLY, WE ARE ADAPTING THE 699 00:32:51,436 --> 00:32:53,438 NIMHD FRAMEWORK RECOGNIZING 700 00:32:53,438 --> 00:32:54,406 INFLUENCE FROM INDIVIDUAL TO 701 00:32:54,406 --> 00:32:55,440 SOCIETAL LEVEL. 702 00:32:55,440 --> 00:32:56,541 AT THE INDIVIDUAL LEVEL THINGS 703 00:32:56,541 --> 00:32:59,077 THAT ARE DIFFERENT ARE OF COURSE 704 00:32:59,077 --> 00:33:02,247 THE ORAL MICROBIOME INFLAMMATION 705 00:33:02,247 --> 00:33:04,916 GENETICS AND THE VIROME IN TERMS 706 00:33:04,916 --> 00:33:07,485 OF THE BEHAVIORAL DOMAIN OR 707 00:33:07,485 --> 00:33:08,954 HEALTH BEHAVIORS AND NUTRITION 708 00:33:08,954 --> 00:33:09,588 ARE CRITICAL. 709 00:33:09,588 --> 00:33:12,290 IN TERMS OF THE IT HEALTH CARE 710 00:33:12,290 --> 00:33:13,491 SYSTEM, ORAL HEALTH LITERACY 711 00:33:13,491 --> 00:33:15,460 TREATMENT PRACTICES AND 712 00:33:15,460 --> 00:33:17,562 OPTIMIZED DENTAL MATERIALS ARE 713 00:33:17,562 --> 00:33:20,899 CRITICAL HERE. 714 00:33:20,899 --> 00:33:23,435 THERE ARE AT THE 715 00:33:23,435 --> 00:33:24,703 INTERPROFESSIONAL OR PERSONAL 716 00:33:24,703 --> 00:33:26,271 LEVEL THE PATIENT-CLINICIAN 717 00:33:26,271 --> 00:33:27,539 RELATIONSHIP AND MEDICAL DENTAL 718 00:33:27,539 --> 00:33:29,641 DECISION MAKING AND INTEGRATION 719 00:33:29,641 --> 00:33:30,642 ARE SO IMPORTANT. 720 00:33:30,642 --> 00:33:32,611 BUT AT THE COMMUNITY LEVEL LOOK 721 00:33:32,611 --> 00:33:35,447 AT THE OPPORTUNITIES TO EMBED 722 00:33:35,447 --> 00:33:38,116 PREVENTION IN COMMUNITY S TO 723 00:33:38,116 --> 00:33:39,017 EMBED PREVENTION IN COMMUNITY 724 00:33:39,017 --> 00:33:42,854 NORMS AND TO EMBED PREVENTION IN 725 00:33:42,854 --> 00:33:43,655 THE AVAILABILITY OF SERVICES AND 726 00:33:43,655 --> 00:33:53,865 SAFETY NET SERVICES. 727 00:33:53,865 --> 00:33:54,966 UTILITY END HERE SHARING THE 728 00:33:54,966 --> 00:33:56,701 COST OF POOR ORAL HEALTH IS HIGH 729 00:33:56,701 --> 00:33:58,603 BOTH AT THE INDIVIDUAL AND 730 00:33:58,603 --> 00:33:59,204 SOCIETAL LEVEL. 731 00:33:59,204 --> 00:34:01,039 THERE'S MUCH TO BE DONE IN TERMS 732 00:34:01,039 --> 00:34:02,274 OF ORAL HEALTH DISPARITIES AND 733 00:34:02,274 --> 00:34:07,846 WE LOOK FORWARD TO YOU JOINING 734 00:34:07,846 --> 00:34:13,852 US IN A WORLD OR COUNTRY WHERE 735 00:34:13,852 --> 00:34:15,453 THERE'S ORAL HEALTH FOR ALL. 736 00:34:15,453 --> 00:34:19,624 THANK YOU FOR YOUR ATTENTION. 737 00:34:19,624 --> 00:34:27,132 THANK YOU FOR HAVING ME. 738 00:34:27,132 --> 00:34:27,432 739 00:34:27,432 --> 00:34:29,701 >> THANK YOU FOR YOUR 740 00:34:29,701 --> 00:34:33,071 INFORMATIVE PRESENTATION AND IN 741 00:34:33,071 --> 00:34:40,679 MANY WAYS I HEARD A SHORTER 742 00:34:40,679 --> 00:34:43,782 VERSION OF THIS BUT RELIEVED IN 743 00:34:43,782 --> 00:34:48,987 TERMS OF THE EXTENT TO WHICH 744 00:34:48,987 --> 00:34:52,457 ORAL HEALTH HEALTH IMPACT IN 745 00:34:52,457 --> 00:34:53,425 GENERAL AND SOCIO ECONOMIC 746 00:34:53,425 --> 00:34:54,159 IMPACT YOU MENTIONED IN YOUR 747 00:34:54,159 --> 00:35:03,802 PRESENTATION. 748 00:35:03,802 --> 00:35:09,107 HOW DO WE GO ABOUT INCREASING 749 00:35:09,107 --> 00:35:10,275 PEOPLE'S APPRECIATION OF THE 750 00:35:10,275 --> 00:35:11,843 EXTENT OF ORAL HEALTH THAT 751 00:35:11,843 --> 00:35:15,413 IMPACTS NOT JUST HAVING 752 00:35:15,413 --> 00:35:17,716 TOOTHACHE OR SOMETHING SO SIMPLE 753 00:35:17,716 --> 00:35:23,388 THOUGH KRUSH 754 00:35:26,358 --> 00:35:28,793 EXCRUCIATI 755 00:35:28,793 --> 00:35:29,594 EXCRUCIATING. 756 00:35:29,594 --> 00:35:31,429 >> TEETH ARE IMPORTANT BUT IT'S 757 00:35:31,429 --> 00:35:36,601 NOT JUST TEETH BUT EDUCATION AND 758 00:35:36,601 --> 00:35:38,970 BRINGING IN OTHER SECTORS IN AN 759 00:35:38,970 --> 00:35:40,772 INTENTIONAL WAY. 760 00:35:40,772 --> 00:35:47,445 AND IN A BROADER WAY. 761 00:35:47,445 --> 00:35:48,947 SCHOOL-BASED HEALTH CARE 762 00:35:48,947 --> 00:35:56,888 PROGRAMS ARE IN IMPORTANT WHEN 763 00:35:56,888 --> 00:35:58,590 PEOPLE TWO TO PHYSICIANS THEY'LL 764 00:35:58,590 --> 00:36:00,792 SAY HAVE YOU HAD YOUR ORAL 765 00:36:00,792 --> 00:36:01,893 HEALTH CARE CHECKED AND PEOPLE 766 00:36:01,893 --> 00:36:02,927 WILL NOT LOOK BEYOND YOUR MOUTH 767 00:36:02,927 --> 00:36:04,329 TO YOUR TONSILS BUT LOOK AT 768 00:36:04,329 --> 00:36:10,535 WHAT'S HAPPENING THERE. 769 00:36:10,535 --> 00:36:14,205 WITH NEED TO INCREASE AWARENESS 770 00:36:14,205 --> 00:36:15,974 BECAUSE IT'S SOMETHING THAT IS 771 00:36:15,974 --> 00:36:19,444 LOW RISK AND HIGH REWARD. 772 00:36:19,444 --> 00:36:22,380 PEOPLE DON'T KNOW WHEN THEY 773 00:36:22,380 --> 00:36:22,847 DON'T UNDERSTAND. 774 00:36:22,847 --> 00:36:26,918 NOT EVERYBODY HAS ACCESS TO A 775 00:36:26,918 --> 00:36:31,456 TOOTH BRUSH AND SOME HOUSEHOLDS 776 00:36:31,456 --> 00:36:32,824 PEOPLE SHARE A TOOTH BRUSH NOT 777 00:36:32,824 --> 00:36:38,029 RECOGNIZING FOR INDIVIDUALS WHO 778 00:36:38,029 --> 00:36:40,498 MAY HAVE HIV OR HEPATITIS 779 00:36:40,498 --> 00:36:41,666 SHARING THAT TOOTH BRUSH IS NOT 780 00:36:41,666 --> 00:36:46,571 A GOOD IDEA. 781 00:36:46,571 --> 00:36:55,447 IT WILL REQUIRE US INTERFACING 782 00:36:55,447 --> 00:37:03,288 WITH SO MANY AND SO MANY ARE ON 783 00:37:03,288 --> 00:37:06,758 DRUGS AS THEY ARE GET OLDER THAT 784 00:37:06,758 --> 00:37:14,799 MAKES THE SALIVARY GLANDS ARE 785 00:37:14,799 --> 00:37:16,801 AFFECTED AND HERE'S A WAY TO 786 00:37:16,801 --> 00:37:18,837 BRING IN PHARMACY AND I NOTICE 787 00:37:18,837 --> 00:37:22,207 YOU'RE ON X, Y, Z DRUG USE THIS 788 00:37:22,207 --> 00:37:27,512 FLUORIDE RINSE OR WHAT HAVE YOU. 789 00:37:27,512 --> 00:37:31,750 WE HAVE TO INTEGRATE CONNECT THE 790 00:37:31,750 --> 00:37:33,118 HEAD BACK TO THE REST OF THE 791 00:37:33,118 --> 00:37:35,453 BODY AS WE THINK ABOUT A 792 00:37:35,453 --> 00:37:36,087 PERSON'S HEALTH WE'RE ALSO 793 00:37:36,087 --> 00:37:37,689 ASKING ABOUT AND CONSIDER THEIR 794 00:37:37,689 --> 00:37:39,424 ORAL HEALTH ACROSS MULTIPLE 795 00:37:39,424 --> 00:37:47,665 SECTORS. 796 00:37:47,665 --> 00:37:49,734 SEE 797 00:37:49,734 --> 00:37:54,105 -- SEEMS LIKE A NEED FOR 798 00:37:54,105 --> 00:37:54,939 CROSS-DISCIPLINES CONTRIBUTING 799 00:37:54,939 --> 00:37:55,874 TO ORAL HEALTH AND THAT'S THE 800 00:37:55,874 --> 00:38:01,212 APPROACH THAT NEEDS TO BE TAKEN. 801 00:38:01,212 --> 00:38:10,755 I THINK PEOPLE UNDERSTAND WHEN 802 00:38:10,755 --> 00:38:12,157 THEY'RE TEETH ARE FALLING OFF OR 803 00:38:12,157 --> 00:38:14,025 HAVING A HARD TIME EATING BUT IT 804 00:38:14,025 --> 00:38:17,128 TAKES MORE THAN A SINGLE PERSON 805 00:38:17,128 --> 00:38:27,238 TOE REALLY ATTAIN IF ORAL HEALTH 806 00:38:27,238 --> 00:38:28,706 AND WHAT THINGS HAVE WE LEARNED 807 00:38:28,706 --> 00:38:30,208 FROM OTHER COUNTRIES BY 808 00:38:30,208 --> 00:38:37,582 IMPROVING ORAL HEALTH. 809 00:38:37,582 --> 00:38:41,019 >> SOME OTHER COUNTRIES HAVE 810 00:38:41,019 --> 00:38:43,021 BEEN INTENTIONAL IN 811 00:38:43,021 --> 00:38:44,589 INCORPORATING ORAL HEALTH 812 00:38:44,589 --> 00:38:45,390 LITERACY WITH OTHER SECTORS AND 813 00:38:45,390 --> 00:38:48,526 FOR EXAMPLE, NURSES ARE GIVE 814 00:38:48,526 --> 00:38:50,061 INFORMATION AND SCHOOL TEACHERS 815 00:38:50,061 --> 00:38:53,832 ARE GIVING INFORMATION ON ORAL 816 00:38:53,832 --> 00:38:54,332 HEALTH. 817 00:38:54,332 --> 00:38:58,336 PEOPLE WITHIN THEIR DAILY WALKS 818 00:38:58,336 --> 00:39:00,839 ARE HEARING ABOUT IT IN A MORE 819 00:39:00,839 --> 00:39:03,074 INTENTIONAL WAY. 820 00:39:03,074 --> 00:39:04,309 THE OTHER THING COUNTRIES ARE 821 00:39:04,309 --> 00:39:05,510 DOING IS MAKE WILL ORAL HEALTH 822 00:39:05,510 --> 00:39:08,580 PART OF THEIR PRIMARY HEALTH 823 00:39:08,580 --> 00:39:10,181 CARE AND THEIR COMMUNITY CENTERS 824 00:39:10,181 --> 00:39:12,550 THEY HAVE DENTAL CLINICS RIGHT 825 00:39:12,550 --> 00:39:16,221 THERE WITH MEDICAL CLINICS AND 826 00:39:16,221 --> 00:39:17,722 THEY'RE ACTUALLY INTEGRATING 827 00:39:17,722 --> 00:39:18,223 THEM. 828 00:39:18,223 --> 00:39:20,892 THE OTHER THING IS UTILIZING THE 829 00:39:20,892 --> 00:39:24,696 DENTAL CLINICS FOR EXPANDED 830 00:39:24,696 --> 00:39:24,996 SERVICES. 831 00:39:24,996 --> 00:39:28,166 DEMONSTRATING SHOTS, THEY CAN 832 00:39:28,166 --> 00:39:30,568 HELP WITH SAYING, OH, 833 00:39:30,568 --> 00:39:34,138 MRS. JOHNSON YOU HAVE A 834 00:39:34,138 --> 00:39:34,706 MAMMOGRAM COMING UP. 835 00:39:34,706 --> 00:39:36,241 KEEPING PEOPLE LINKED TO THE 836 00:39:36,241 --> 00:39:41,746 OVER ALL HEALTH CARE SERVICES. 837 00:39:41,746 --> 00:39:45,216 SO THERE'S MODELS OTHER 838 00:39:45,216 --> 00:39:48,019 COUNTRIES ARE UTILIZING TO 839 00:39:48,019 --> 00:39:51,122 INTEGRATE ORAL HEALTH. 840 00:39:51,122 --> 00:39:52,757 >> I FIND THAT INTERESTING. 841 00:39:52,757 --> 00:39:58,296 I WAS BORN AND RAISED IN HONG 842 00:39:58,296 --> 00:40:07,939 KONG AND WE DON'T HAVE WITH WERE 843 00:40:07,939 --> 00:40:15,880 BUSSED TO THE DENTIST AS A 844 00:40:15,880 --> 00:40:18,917 CLASS AND WE WERE ALL WENT IN 845 00:40:18,917 --> 00:40:21,753 AND SOME GOT TEETH EXTRACTED -- 846 00:40:21,753 --> 00:40:25,123 I DID BECAUSE I DIDN'T BRUSH MY 847 00:40:25,123 --> 00:40:27,325 TEETH TOO WELL AND SOME GET 848 00:40:27,325 --> 00:40:28,359 TREATMENTS AND CLEANING AND WE 849 00:40:28,359 --> 00:40:30,061 GET EDUCATION ON HOW TO BRUSH 850 00:40:30,061 --> 00:40:31,329 TEETH AND STUFF. 851 00:40:31,329 --> 00:40:39,437 THAT'S HOW I GREW UP DURING MY 852 00:40:39,437 --> 00:40:40,204 GRADE SCHOOL YEARS. 853 00:40:40,204 --> 00:40:41,773 IT'S INTERESTING TO SEE HOW 854 00:40:41,773 --> 00:40:47,779 INTERVENTIONS CAN BREAK TOWN -- 855 00:40:47,779 --> 00:40:55,420 BREAK DOWN ACCESS TO CARE WE CAN 856 00:41:17,875 --> 00:41:22,080 DOING SCREENING AND DRIVING 857 00:41:22,080 --> 00:41:26,017 TRUCKS TO ALLOW US TO REACH 858 00:41:26,017 --> 00:41:35,993 AREAS THAT ARE HAVING ACCESS TO 859 00:41:35,993 --> 00:41:36,928 WE SEE THE MEDICAL 860 00:41:36,928 --> 00:41:37,662 INFRASTRUCTURE IN THE RURAL 861 00:41:37,662 --> 00:41:39,197 AREAS ARE GETTING THINNER AND 862 00:41:39,197 --> 00:41:39,564 THINNER. 863 00:41:39,564 --> 00:41:41,265 AND THOSE BUSSES AND TRUCKS 864 00:41:41,265 --> 00:41:47,438 SERVE THE PURPOSE OF PEOPLE 865 00:41:47,438 --> 00:41:48,139 ACCESS. 866 00:41:48,139 --> 00:41:51,242 WE SHOULD PUT MAYBE DENTAL 867 00:41:51,242 --> 00:41:55,446 HYGIENE THERE. 868 00:41:55,446 --> 00:42:00,718 >> AND UTILIZE COMMUNITY WORKERS 869 00:42:00,718 --> 00:42:06,090 TO SHARE SHARE IF YOU SEE THIS 870 00:42:06,090 --> 00:42:07,191 IN YOUR MOUTH IT'S CONCERNING 871 00:42:07,191 --> 00:42:08,726 AND CALL THIS NUMBER OR 872 00:42:08,726 --> 00:42:09,527 SOMETHING. 873 00:42:09,527 --> 00:42:11,029 THERE'S OPPORTUNITIES WE IS 874 00:42:11,029 --> 00:42:12,230 HAVEN'T AVAILED OURSELVES OF 875 00:42:12,230 --> 00:42:20,304 THAT CAN MAKE A BIG DIFFERENCE. 876 00:42:20,304 --> 00:42:21,873 SOME OF THE WORK WE WERE DOING 877 00:42:21,873 --> 00:42:25,109 IN AFRICA WAS SOME OF THE FIRST 878 00:42:25,109 --> 00:42:27,412 SIGNS A PERSON IS HIV POSITIVE 879 00:42:27,412 --> 00:42:32,083 ARE LESIONS THAT MANIFEST IN 880 00:42:32,083 --> 00:42:34,118 YOUR MOUTH AND THEY DON'T HURT 881 00:42:34,118 --> 00:42:36,988 SO UNLESS YOU LOOK YOU WOULDN'T 882 00:42:36,988 --> 00:42:40,024 KNOW BUT WE WERE TEACHING 883 00:42:40,024 --> 00:42:41,058 COMMUNITY HEALTH WORKERS WHAT TO 884 00:42:41,058 --> 00:42:43,227 LOOK FOR AND HOW TO GET PEOPLE 885 00:42:43,227 --> 00:42:44,295 INTO CARE AND TEACHING PEOPLE 886 00:42:44,295 --> 00:42:49,033 WHAT IT LOOK FOR BECAUSE ISSUES 887 00:42:49,033 --> 00:42:50,034 WITH RESISTANCE OR PEOPLE NOT 888 00:42:50,034 --> 00:42:52,136 BEING ADHERENT YOU CAN SEE 889 00:42:52,136 --> 00:42:53,805 THINGS POP UP BEEN. 890 00:42:53,805 --> 00:42:59,811 THE UTILITY IS QUITE SIGNIFICANT 891 00:42:59,811 --> 00:43:03,414 AND UTILIZING HEALTH CARE 892 00:43:03,414 --> 00:43:05,817 WORKERS IS AN AREA OF 893 00:43:05,817 --> 00:43:10,254 OPPORTUNITY THAT CAN BE 894 00:43:10,254 --> 00:43:10,655 LEVERAGED. 895 00:43:10,655 --> 00:43:11,189 >> THAT'S RIGHT. 896 00:43:11,189 --> 00:43:15,359 AND WE DO AMAZING WORK IN THE 897 00:43:15,359 --> 00:43:17,061 COMMUNITY IN REACHING PEOPLE IN 898 00:43:17,061 --> 00:43:22,600 WAYS US SITTING IN THE OFFICE 899 00:43:22,600 --> 00:43:24,001 AND WHAT WE CAN'T REALLY DO. 900 00:43:24,001 --> 00:43:25,503 >> ABSOLUTELY. 901 00:43:25,503 --> 00:43:28,306 WE HAVE TO IMPROVE ORAL HEALTH 902 00:43:28,306 --> 00:43:38,649 LITERACY IN GENERAL. 903 00:43:40,751 --> 00:43:41,886 WHEN YOU SAY ORAL HEALTH 904 00:43:41,886 --> 00:43:43,254 LITERACY WHAT DO YOU MEAN? 905 00:43:43,254 --> 00:43:44,889 >> IF YOU HAVE SIGNIFICANT 906 00:43:44,889 --> 00:43:46,591 INFLAMMATION IN YOUR MOUTH IT 907 00:43:46,591 --> 00:43:48,759 COULD AFFECT YOUR HEART AND 908 00:43:48,759 --> 00:43:49,026 DIABETES. 909 00:43:49,026 --> 00:43:51,162 AND IF YOU'RE PREGNANT IT COULD 910 00:43:51,162 --> 00:43:54,765 AFFECT YOUR PREGNANCY. 911 00:43:54,765 --> 00:43:59,470 PEOPLE AREN'T AWARE THAT THESE 912 00:43:59,470 --> 00:44:02,940 INFECTIONS GO UNMANAGED IF YOU 913 00:44:02,940 --> 00:44:05,510 CAN GET SYSTEMIC INFECTIONS OR 914 00:44:05,510 --> 00:44:07,278 BRAIN ABSCESS OR OTHER ISSUES. 915 00:44:07,278 --> 00:44:12,149 PEOPLE AREN'T AWARE THAT FOR 916 00:44:12,149 --> 00:44:15,486 EXAMPLE WHEN YOU LOOK AT 917 00:44:15,486 --> 00:44:19,457 PNEUMONIAS AND ICUs MANY PEOPLE 918 00:44:19,457 --> 00:44:21,826 WHO HAVE VENTILATOR ASSOCIATED 919 00:44:21,826 --> 00:44:23,494 PNEUMONIA HAVE ORAL ORGANISMS 920 00:44:23,494 --> 00:44:27,465 THAT ARE DRIVING THOSE 921 00:44:27,465 --> 00:44:30,167 PNEUMONIAS. 922 00:44:30,167 --> 00:44:36,908 WE NEED A CAMPAIGN TO CLEAN IT 923 00:44:36,908 --> 00:44:39,744 CLEAN UP HERE SO PEOPLE DON'T 924 00:44:39,744 --> 00:44:40,411 GET WORSE BUT PEOPLE DON'T THINK 925 00:44:40,411 --> 00:44:41,546 ABOUT IT. 926 00:44:41,546 --> 00:44:43,114 WHEN I TALK ABOUT ORAL HEALTH 927 00:44:43,114 --> 00:44:48,185 LITERACY THAT'S WHAT I MEAN. 928 00:44:48,185 --> 00:44:52,290 IT BECOMES A MORE COMMON TO HOW 929 00:44:52,290 --> 00:44:56,460 WE THINK ABOUT HEALTH IN GENERAL 930 00:44:56,460 --> 00:44:58,095 AND NOT AN ASIDE. 931 00:44:58,095 --> 00:45:01,499 >> THANK YOU VERY MUCH FOR YOUR 932 00:45:01,499 --> 00:45:02,466 TALK TODAY AND DISCUSSION. 933 00:45:02,466 --> 00:45:04,969 CAN YOU TALK MORE ABOUT THE 934 00:45:04,969 --> 00:45:09,941 INTEGRATION OF DENTAL AND 935 00:45:09,941 --> 00:45:11,309 MEDICAL CARE IN THE U.S. BOTH 936 00:45:11,309 --> 00:45:13,844 FROM THE SIDE OF LITERACY IN 937 00:45:13,844 --> 00:45:18,716 TERMS OF CARETAKER ROLES AS WELL 938 00:45:18,716 --> 00:45:22,787 AS DISCUSSING NOW THE COMMUNITY 939 00:45:22,787 --> 00:45:23,554 INTERVENTION INITIATIVES THAT 940 00:45:23,554 --> 00:45:30,428 ARE NEEDED. 941 00:45:30,428 --> 00:45:35,866 >> BEFORE YOU DO I WANT TO MAKE 942 00:45:35,866 --> 00:45:39,437 SURE THE AUDIENCE KNOWS ABOUT 943 00:45:39,437 --> 00:45:41,305 THE INTERVENTION. 944 00:45:41,305 --> 00:45:41,439 S. 945 00:45:41,439 --> 00:45:45,476 >> I'M SHARON JACKSON AN 946 00:45:45,476 --> 00:45:47,478 INVESTIGATOR WORKING WITH 947 00:45:47,478 --> 00:45:56,287 DR. WEBSTER-CYRIAQUE AT NIDCR. 948 00:45:56,287 --> 00:45:59,890 >> THAT'S A VERY BIG PICTURE 949 00:45:59,890 --> 00:46:00,224 QUESTION. 950 00:46:00,224 --> 00:46:03,327 I THINK SIGNIFICANT 951 00:46:03,327 --> 00:46:05,529 OPPORTUNITIES EXIST. 952 00:46:05,529 --> 00:46:11,068 ONE CHALLENGE IS WILL HOW WE ARE 953 00:46:11,068 --> 00:46:19,443 ALL TRAINED. 954 00:46:19,443 --> 00:46:21,512 THE DENTAL WILL SCHOOLS ARE 955 00:46:21,512 --> 00:46:23,247 TRAINED AND THEN PEOPLE SPLIT 956 00:46:23,247 --> 00:46:23,447 OFF. 957 00:46:23,447 --> 00:46:26,083 THERE'S CERTAINLY OPPORTUNITIES 958 00:46:26,083 --> 00:46:29,887 TO INTEGRATE WITHIN THE MEDICAL 959 00:46:29,887 --> 00:46:32,590 AND NURSING CURRICULUM AND 960 00:46:32,590 --> 00:46:33,391 PHARMACY CURRICULUM HERE ARE 961 00:46:33,391 --> 00:46:35,493 THINGS IMPORTANT TO ORAL HEALTH 962 00:46:35,493 --> 00:46:39,063 OR DENTISTRY AND VICE VERSA AND 963 00:46:39,063 --> 00:46:41,866 THE DENTAL CURRICULUM HERE ARE 964 00:46:41,866 --> 00:46:44,168 THINGS TO THINK ABOUT AS YOU 965 00:46:44,168 --> 00:46:49,040 THINK ABOUT THE PERSON'S WHOLE 966 00:46:49,040 --> 00:46:49,273 HEALTH. 967 00:46:49,273 --> 00:46:50,941 I DON'T WANT FOR THE DENTIST TO 968 00:46:50,941 --> 00:46:52,510 SAY OKAY, WE'RE GOING TO COME IN 969 00:46:52,510 --> 00:46:53,811 AND DO THIS AND NOT PAY 970 00:46:53,811 --> 00:46:55,980 ATTENTION TO THE FACT THE PERSON 971 00:46:55,980 --> 00:46:57,214 MAY HAVE A CANCER UNDER THEIR 972 00:46:57,214 --> 00:47:00,251 TONGUE OR THERE'S AN ISSUE WITH 973 00:47:00,251 --> 00:47:01,519 THEIR GAIT AND HAVING TROUBLE 974 00:47:01,519 --> 00:47:03,454 WALKING AND SHORTNESS OF BREATH, 975 00:47:03,454 --> 00:47:04,522 ETCETERA. 976 00:47:04,522 --> 00:47:09,994 WE ALL ARE NEEDING TO THINK 977 00:47:09,994 --> 00:47:11,429 BIGGER PICTURE. 978 00:47:11,429 --> 00:47:12,063 THERE'S MULTIPLE OPPORTUNITIES 979 00:47:12,063 --> 00:47:17,034 WHERE THERE EXISTS ACROSS THE 980 00:47:17,034 --> 00:47:19,470 HEALTH CARE SYSTEM AND OUTSIDE 981 00:47:19,470 --> 00:47:21,038 THE HEALTH CARE SYSTEM TO BRING 982 00:47:21,038 --> 00:47:23,474 TO HELP PEOPLE BE AWARE OF ORAL 983 00:47:23,474 --> 00:47:33,617 HEALTH. 984 00:47:36,721 --> 00:47:38,222 I THINK THAT PRESENTS A 985 00:47:38,222 --> 00:47:42,193 CHALLENGE AND AN OPPORTUNITY. 986 00:47:42,193 --> 00:47:52,737 BECAUSE I DO TOBACCO AND WE HAVE 987 00:47:59,543 --> 00:48:01,579 OPPORTUNITIES FOR REDUCTION AND 988 00:48:01,579 --> 00:48:03,547 THIS OTHER PLACE WE TALKED ABOUT 989 00:48:03,547 --> 00:48:06,550 TOBACCO USE CESSATION IS GOING 990 00:48:06,550 --> 00:48:07,952 TO BE IN THE BARBERSHOP AND 991 00:48:07,952 --> 00:48:13,023 FLAIL S -- NAIL SALON AND HOW D 992 00:48:13,023 --> 00:48:15,259 WE HAVE THE CONVERSATIONS IN THE 993 00:48:15,259 --> 00:48:18,496 MUCH BROADER IMPACT IN VARIOUS 994 00:48:18,496 --> 00:48:22,466 PLACES AS DR. WEBSTER-CYRIAQUE 995 00:48:22,466 --> 00:48:27,738 MENTIONED TO IT'S ROUTINELY 996 00:48:27,738 --> 00:48:31,208 TALKED ABOUT AS IMPORTANT WE 997 00:48:31,208 --> 00:48:33,944 TALK ABOUT FOOD AND WHAT TO EAT 998 00:48:33,944 --> 00:48:35,479 AND WHERE TO EAT AND WE NEED TO 999 00:48:35,479 --> 00:48:38,115 TALK ABOUT HOW DO WE HAVE BETTER 1000 00:48:38,115 --> 00:48:40,918 ORAL HEALTH SO WE CAN EAT? 1001 00:48:40,918 --> 00:48:42,386 >> PERHAPS WE THINK ABOUT IT IN 1002 00:48:42,386 --> 00:48:43,888 THE CONTEXT OF THE ONGOING 1003 00:48:43,888 --> 00:48:44,221 CONVERSATIONS. 1004 00:48:44,221 --> 00:48:47,892 FOR EXAMPLE, IF WE'RE TALKING 1005 00:48:47,892 --> 00:48:49,860 ABOUT TOBACCO CESSATION THAT 1006 00:48:49,860 --> 00:48:55,299 COULD HAPPEN IN A DENTAL 1007 00:48:55,299 --> 00:48:56,300 ENVIRONMENT BUT DO PEOPLE KNOW 1008 00:48:56,300 --> 00:48:58,402 FOR PEOPLE WHO SMOKE THEY HAVE 1009 00:48:58,402 --> 00:49:01,906 SIGNIFICANT ISSUES WITH 1010 00:49:01,906 --> 00:49:03,274 PERIODO 1011 00:49:03,274 --> 00:49:04,074 PERIODONTAL DISEASE AND TOOTH 1012 00:49:04,074 --> 00:49:04,675 LOSS? 1013 00:49:04,675 --> 00:49:05,976 TO PEOPLE KNOW THEY'RE AT HIGHER 1014 00:49:05,976 --> 00:49:10,414 RISK FOR ORAL CANCERS AND THOSE 1015 00:49:10,414 --> 00:49:12,283 ARE TOUGH CANCERS IN TERMS OF 1016 00:49:12,283 --> 00:49:15,586 AND IN FACT WHEN WE LOOK AT HOW 1017 00:49:15,586 --> 00:49:17,555 WE'RE DOING COMPARED TO FIVE 1018 00:49:17,555 --> 00:49:22,760 YEAR SURVIVAL RATES OF OTHER 1019 00:49:22,760 --> 00:49:24,695 CANCERS, THE MORBIDITY AND 1020 00:49:24,695 --> 00:49:25,896 MORTALITY IS MUCH WORSE BECAUSE 1021 00:49:25,896 --> 00:49:27,464 WE DON'T HAVE THE BIOMARKERS. 1022 00:49:27,464 --> 00:49:28,933 THAT'S SOMETHING WE'RE WORKING 1023 00:49:28,933 --> 00:49:38,108 ON TOGETHER WITH THE NCI BUT 1024 00:49:38,108 --> 00:49:41,979 WHEN WE TALK ABOUT NUTRITION WE 1025 00:49:41,979 --> 00:49:45,115 TALK ABOUT ORAL HEALTH AND IT'S 1026 00:49:45,115 --> 00:49:48,519 TOUGH TO CHEW WITHOUT TEETH OR 1027 00:49:48,519 --> 00:49:50,421 BROCCOLI OR THINGS GOOD FOR US. 1028 00:49:50,421 --> 00:49:53,057 I THINK WE CAN TAKE ADVANTAGE OF 1029 00:49:53,057 --> 00:49:55,726 OPPORTUNITIES TO BRING IT IN IN 1030 00:49:55,726 --> 00:49:56,760 THE CONTEXT ONGOING 1031 00:49:56,760 --> 00:50:07,004 CONVERSATIONS. 1032 00:50:09,306 --> 00:50:11,442 >> I THINK PEOPLE UNDERSTAND THE 1033 00:50:11,442 --> 00:50:12,509 RELEVANCE BUT NOT AT WHAT 1034 00:50:12,509 --> 00:50:18,015 THEY'RE THINKING IN TERMS OF 1035 00:50:18,015 --> 00:50:23,454 KEEPING GUMS HEALTHY OR EVEN NFL 1036 00:50:23,454 --> 00:50:25,789 FOOTBALL PLAYER IS NOT THINKING 1037 00:50:25,789 --> 00:50:29,393 ABOUT ORAL HEALTH AND IT'S NOT 1038 00:50:29,393 --> 00:50:31,362 NECESSARY A SIMPLE ACCESS ISSUE. 1039 00:50:31,362 --> 00:50:34,398 YOU ALSO MENTIONED A CAMPAIGN. 1040 00:50:34,398 --> 00:50:41,038 SO DR. WEBSTER-CYRIAQUE I 1041 00:50:41,038 --> 00:50:43,340 ASSUME YOU'RE GETTING READY TO 1042 00:50:43,340 --> 00:50:45,075 GET ON TIKTOK. 1043 00:50:45,075 --> 00:50:48,612 >> I'M NOT GOOD AT SOCIAL MEDIA 1044 00:50:48,612 --> 00:50:48,913 PERSONALLY. 1045 00:50:48,913 --> 00:50:50,381 BUT HAPPY TO COLLABORATE WITH 1046 00:50:50,381 --> 00:50:55,586 OTHER PEOPLE AND SO WE ARE 1047 00:50:55,586 --> 00:51:01,525 WORKING ACROSS OTHER AGENCIES 1048 00:51:01,525 --> 00:51:02,793 LIKE CDC AND WORKING WITH THE 1049 00:51:02,793 --> 00:51:05,729 FDA ON ADDED SUGARS AND THERE'S 1050 00:51:05,729 --> 00:51:07,431 ABOUT 16 DIFFERENT FEDERAL 1051 00:51:07,431 --> 00:51:10,067 AGENCIES THAT HAVE AN ORAL 1052 00:51:10,067 --> 00:51:10,534 HEALTH COMPONENT. 1053 00:51:10,534 --> 00:51:12,236 SO WORKING ON TRYING TO LEVERAGE 1054 00:51:12,236 --> 00:51:18,242 THOSE GROUPS AND GET THE WORD 1055 00:51:18,242 --> 00:51:23,447 OUT THERE WAS A WONDERFUL 1056 00:51:23,447 --> 00:51:26,050 CAMPAIGN THROUGH THE INDIAN 1057 00:51:26,050 --> 00:51:29,119 HEALTH SERVICE AND IN NATIVE 1058 00:51:29,119 --> 00:51:32,423 POPULATIONS THE TEETH TEND TO 1059 00:51:32,423 --> 00:51:33,557 COME IN EARLIER. 1060 00:51:33,557 --> 00:51:34,525 IF PEOPLE DON'T KNOW AS SOON AS 1061 00:51:34,525 --> 00:51:37,995 THE TEETH COME IN WE SHOULD 1062 00:51:37,995 --> 00:51:43,200 START INTERVENING, CLEANING 1063 00:51:43,200 --> 00:51:49,139 THEM, DOING SOMETHING AND HAVE 1064 00:51:49,139 --> 00:51:50,741 SEEN HIGH RATES OF DECAY IN 1065 00:51:50,741 --> 00:51:55,446 THESE NATIVE POPULATIONS. 1066 00:51:55,446 --> 00:51:58,449 WE THOUGHT IT MUST BE NURSING 1067 00:51:58,449 --> 00:52:01,418 BABY CARIES AND THEY'RE IN THE 1068 00:52:01,418 --> 00:52:04,555 INTERVENING BECAUSE PEOPLE 1069 00:52:04,555 --> 00:52:05,622 DIDN'T KNOW. 1070 00:52:05,622 --> 00:52:08,892 SO THEY BEGAN THE CAMPAIGN 1071 00:52:08,892 --> 00:52:10,394 ACROSS THE INDIAN HEALTH 1072 00:52:10,394 --> 00:52:11,562 SERVICES AND THEY MADE THE 1073 00:52:11,562 --> 00:52:13,163 DIFFERENCE BUT THE KEY IS PEOPLE 1074 00:52:13,163 --> 00:52:14,164 NEED TO KNOW. 1075 00:52:14,164 --> 00:52:16,100 THOSE NEED TO BE EXPANDED. 1076 00:52:16,100 --> 00:52:18,135 ONCE WE HAVE A DEMONSTRATION AND 1077 00:52:18,135 --> 00:52:20,771 IT WORKS, WE CONSENT SAY OKAY 1078 00:52:20,771 --> 00:52:22,306 WE'LL KEEPING TO THIS IN 1079 00:52:22,306 --> 00:52:22,573 OKLAHOMA. 1080 00:52:22,573 --> 00:52:25,876 WE NOW NEED TO FIGURE OUT HOW TO 1081 00:52:25,876 --> 00:52:28,779 GET IT ACROSS AND DISSEMINATE IT 1082 00:52:28,779 --> 00:52:34,451 IN AN INTENTIONAL WAY YOU ALL 1083 00:52:34,451 --> 00:52:41,692 HAVE THE SELE NETWORKS TO 1084 00:52:41,692 --> 00:52:42,326 PROVIDE OPPORTUNITY FOR SHARING 1085 00:52:42,326 --> 00:52:46,163 OF INFORMING. 1086 00:52:46,163 --> 00:52:49,433 LOOK FORWARD TO WORKING WITH YOU 1087 00:52:49,433 --> 00:52:52,036 ALL ON THAT. 1088 00:52:52,036 --> 00:52:53,737 >> I'M DISAPPOINTED I WON'T SEE 1089 00:52:53,737 --> 00:52:55,072 YOU ON TIKTOK BUT WE'LL WORK 1090 00:52:55,072 --> 00:52:56,673 TOGETHER ON OTHER THINGS. 1091 00:52:56,673 --> 00:53:01,278 THAT'S AN INTERESTING THING 1092 00:53:01,278 --> 00:53:04,982 THOUGH BECAUSE I THINK THIS 1093 00:53:04,982 --> 00:53:06,517 QUESTION IS DO WE SEE 1094 00:53:06,517 --> 00:53:12,089 GENERATIONAL DIFFERENCES IN 1095 00:53:12,089 --> 00:53:16,226 TERMS OF ORAL HEALTH OR IS IT 1096 00:53:16,226 --> 00:53:21,098 PRETTY INSUFFICIENT ACROSS ALL 1097 00:53:21,098 --> 00:53:21,398 GENERATIONS? 1098 00:53:21,398 --> 00:53:21,732 SF 1099 00:53:21,732 --> 00:53:23,167 >> THIS IS IT COMPLEX. 1100 00:53:23,167 --> 00:53:26,503 I WAS WORKING IN RURAL 1101 00:53:26,503 --> 00:53:27,471 POPULATIONS AND PEOPLE WOULD SAY 1102 00:53:27,471 --> 00:53:30,874 THINGS LIKE WELL, MY GRANDMOTHER 1103 00:53:30,874 --> 00:53:32,242 HAD HER TEETH OUT SO YOU CAN 1104 00:53:32,242 --> 00:53:42,719 JUST TAKE ALL MY TEETH OUT. 1105 00:53:42,953 --> 00:53:44,855 IN THE INDIVIDUAL INTERVENTIONS 1106 00:53:44,855 --> 00:53:47,024 THERE'S BEEN SO MUCH FOCUS ON 1107 00:53:47,024 --> 00:53:48,258 TEACHING PEOPLE HOW TO FLOSS AND 1108 00:53:48,258 --> 00:53:49,493 ALL THAT AND WE KNOW 1109 00:53:49,493 --> 00:53:51,028 INTERVENTIONS WORK BECAUSE WHEN 1110 00:53:51,028 --> 00:53:53,797 WE ASK PEOPLE THE PEOPLE CAN 1111 00:53:53,797 --> 00:53:56,734 SAY, WHAT THEY'VE LEARNED BUT 1112 00:53:56,734 --> 00:53:58,435 DOES IT GET IMPLEMENTED? 1113 00:53:58,435 --> 00:53:59,970 SOME THINGS WE'RE LEARNING IS WE 1114 00:53:59,970 --> 00:54:01,572 NEED TO DO FAMILY LEVEL 1115 00:54:01,572 --> 00:54:03,474 INTERVENTIONS AND COMMUNITY 1116 00:54:03,474 --> 00:54:04,741 LEVEL INTERVENTIONS. 1117 00:54:04,741 --> 00:54:06,009 AND THAT'S SOMETIMES WHAT IT 1118 00:54:06,009 --> 00:54:11,448 TAKES TO MAKE SURE THESE ARE 1119 00:54:11,448 --> 00:54:17,988 EFFECTIVE BECAUSE AGAIN WE SPENT 1120 00:54:17,988 --> 00:54:20,424 TIME LOOKING AT THE INDIVIDUAL 1121 00:54:20,424 --> 00:54:21,658 LEVEL AND IT HASN'T MOVED THINGS 1122 00:54:21,658 --> 00:54:23,660 THE WAY WE NEED TO AND MORE AND 1123 00:54:23,660 --> 00:54:24,595 WORK IS UNDERSTANDING THINGS 1124 00:54:24,595 --> 00:54:31,768 THAT OCCUR AT THE FAMILY LEVEL 1125 00:54:31,768 --> 00:54:34,138 AND COMMUNITY LEVEL START TO 1126 00:54:34,138 --> 00:54:35,439 REMOVE STRUCTURAL CHALLENGES AND 1127 00:54:35,439 --> 00:54:37,708 START TO SEE IMPROVEMENT. 1128 00:54:37,708 --> 00:54:43,313 TAKING THE MULTI-LEVEL APPROACH 1129 00:54:43,313 --> 00:54:48,752 LIKE IN YOUR FRAMEWORK IT'S 1130 00:54:48,752 --> 00:54:50,854 IMPORTANT BECAUSE IT'S NOT JUST 1131 00:54:50,854 --> 00:54:51,755 ABOUT DID THIS PERSON BRUSH 1132 00:54:51,755 --> 00:54:52,156 THEIR TEETH. 1133 00:54:52,156 --> 00:55:01,398 >> ABSOLUTELY. 1134 00:55:01,398 --> 00:55:06,236 WE TRY TO EMPOWER PEOPLE TO DO 1135 00:55:06,236 --> 00:55:07,671 THE RIGHT THING BUT NEEDS 1136 00:55:07,671 --> 00:55:09,106 INDIVIDUAL AND COLLECTIVE LEVEL 1137 00:55:09,106 --> 00:55:13,177 ACTIONS AND HOW WE BETTER SHAPE 1138 00:55:13,177 --> 00:55:14,077 THE ENVIRONMENT TO PROMOTE 1139 00:55:14,077 --> 00:55:15,112 BETTER ORAL HEALTH FOR ALL. 1140 00:55:15,112 --> 00:55:19,316 WITH THAT, I WANT TO ONCE AGAIN 1141 00:55:19,316 --> 00:55:20,918 THANK DR. JENNIFER 1142 00:55:20,918 --> 00:55:22,352 WEBSTER-CYRIAQUE COMING TO US 1143 00:55:22,352 --> 00:55:24,454 AND GIVING US A WONDERFUL 1144 00:55:24,454 --> 00:55:28,692 PRESENTATION AND VERY WILL 1145 00:55:28,692 --> 00:55:29,893 THOUGHTFUL CONVERSATION 1146 00:55:29,893 --> 00:55:30,194 AFTERWARDS. 1147 00:55:30,194 --> 00:55:31,695 AND THANK ALL OF YOU FOR 1148 00:55:31,695 --> 00:55:33,597 PARTICIPATING AND LISTENING TO 1149 00:55:33,597 --> 00:55:35,799 THE LECTURE SERIES THROUGHOUT 1150 00:55:35,799 --> 00:55:38,235 2024. 1151 00:55:38,235 --> 00:55:39,670 WE ALL WISH YOU A WONDERFUL 1152 00:55:39,670 --> 00:55:44,775 HOLIDAY SEASON AND REKCONVENE I 1153 00:55:44,775 --> 00:55:47,077 THE NEW YEAR YOU CAN E-MAIL WHAT 1154 00:55:47,077 --> 00:55:51,448 THE NEXT LECTURE IS GOING TO BE. 1155 00:55:51,448 --> 00:55:53,283 WITH THAT ONCE AGAIN, THANK YOU 1156 00:55:53,283 --> 00:55:54,518 DR. WEBSTER-CYRIAQUE FOR YOUR 1157 00:55:54,518 --> 00:55:56,053 TIME AND THANK YOU FOR LISTENING 1158 00:55:56,053 --> 00:56:06,053 AND HAPPY HOLIDAYS.