Dr Warren Shnider

BDSc FRACDS(SND)

Specialist, Special Needs Dentistry

Dr Warren Shnider

BDSc FRACDS(SND)

Specialist, Special Needs Dentistry

Oral Hygiene and Dental Care for Older

Australians

Oral Hygiene and Dental Care for Older

Australians

Aged Care & Oral HealthAged Care & Oral Health

• Introduction

• How the various dental specialties and oral health professionals work together

• Things to consider when working with dental professionals in aged care facilities

• What can be offered in terms of quality support and education

JCDA • www.cda-adc.ca/jcda • November 2007, Vol. 73, No. 9 •

JCDA • www.cda-adc.ca/jcda • November 2007, Vol. 73, No. 9 •

“Much has been said about the importance of medicine to dentistry, especially in the context of an aging population with medical issues of increasing complexity.”

George K.B. Sándor, MD, DDS, PhD, FRCD(C), FRCSC, FACSgeorge.sandor@utoronto.ca

JCDA • www.cda-adc.ca/jcda • November 2007, Vol. 73, No. 9 •

“The medical management of many conditions has become more successful; and chronically ill patients have become more ambulatory and more likely to visit a dental office than

ever before.”

George K.B. Sándor, MD, DDS, PhD, FRCD(C), FRCSC, FACSgeorge.sandor@utoronto.ca

JADA, Vol. 137 http://jada.ada.org October 2006 5S

Clinical professor, Department of Periodontics/Endodontics,

School of Dental Medicine, University at Buffalo, The State University of New York.

JADA, Vol. 137 http://jada.ada.org October 2006 5S

Clinical professor, Department of Periodontics/Endodontics,

School of Dental Medicine, University at Buffalo, The State University of New York.

“…the possibility that events in the oral cavity can influence systemic disease has been highlighted by the U.S. surgeon general’s report in 2000”Michael L. Barnett, DDS

JADA, Vol. 137 http://jada.ada.org October 2006 5S

Clinical professor, Department of Periodontics/Endodontics,

School of Dental Medicine, University at Buffalo, The State University of New York.

“associations and interactions between oral disease—particularly periodontal disease—and coronary heart disease, stroke, diabetes and bacterial pneumonia.”Michael L. Barnett, DDS

Aged Care & Oral HealthAged Care & Oral Health

• Introduction

• How the various dental specialties and oral health professionals work together

• Things to consider when working with dental professionals in aged care facilities

• What can be offered in terms of quality support and education

http://ww.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

Revised Draft Code of Practice:

Practice of Dentistry by Dental Auxiliaries

Submission to Dental Practice Board of Victoria by

Australian Dental Association Victorian Branch Inc.

March 2007

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

““General practitioner dentists areGeneral practitioner dentists are trained to provide treatmenttrained to provide treatment across across all modalities and areas,all modalities and areas, while while specialist dentists providespecialist dentists provide highly highly complex treatment incomplex treatment in only one only one nominated field.nominated field.””

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

““Likewise, dental auxiliaries suchLikewise, dental auxiliaries such as as dental hygienists, dentaldental hygienists, dental therapists therapists and dental prosthetistsand dental prosthetists only deliver only deliver basic treatmentbasic treatment within selected within selected areas, to whichareas, to which theirtheir training and training and skill areskill are limited.limited.””

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

““The ADAVB considers that patients The ADAVB considers that patients undergoing dental treatment will undergoing dental treatment will often have needs inoften have needs in multiple areas, multiple areas, and therefore general practitioner and therefore general practitioner dentists should normally complete dentists should normally complete theirtheir dental treatment.dental treatment.” ”

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

““However a dentist is also the care However a dentist is also the care coordinator of the patient’s overallcoordinator of the patient’s overall dental treatment, referring to dental dental treatment, referring to dental and medical specialists and/or and medical specialists and/or auxiliaries asauxiliaries as appropriate for appropriate for selected aspects of patient care.selected aspects of patient care.””

http://www.adavb.net/Portals/0/Submission/ADAVB-Submission-2007-03-16.pdf

““This role is similar to that performed This role is similar to that performed byby the general medical practitioner the general medical practitioner in relation to general health.in relation to general health.””

Aged Care & Oral HealthAged Care & Oral Health

• Introduction

• How the various dental specialties and oral health professionals work together

• Things to consider when working with dental professionals in aged care facilities

• What can be offered in terms of quality support and education

Australian Dental AssociationAustralian Dental Association

http://www.ada.org.au/publications/adj.aspx

http://www.alzheimers.org.au/upload/HS2.14.pdf

http://www.bsdh.org.uk/guidelines.html

Guidelines for Oral Health Care for Long-stay Patients and Residents

Guidelines for the Development of Local Standards of Oral Health Care for Dependent, Dysphagic, Critically and Terminally Ill Patients

http://www.scdonline.org/associations/2865/files/supplement.pdf

EducationEducation

• Australian Dental Association Victorian Branch– http://www.adavb.net

• Dental Health Services Victoria– http://www.dhsv.org.au/default.asp

• Department of Veterans’ Affairs– http://www.dva.gov.au/health/provider/dental/dental.htm

• Special Interest Group in Gerodontics– shniderw@dhsv.org.au

Thank youThank you