Measuring Our Impact

About 9000 babies are born in SF every year.

How well are we keeping our children cavity free across all ages?
Follow the path below to find out.

Prenatal

goal

All pregnant women receive oral health education and referral during OB/GYN visit.

Did we make our goal?

Current Status

Percentage of women who have a dental visit during pregnancy (of women with Medi-Cal).

61 %

There are disparities to accessing dental care among low-income and women of color during pregnancy in SF.

more data

Women who had a dental visit during pregnancy in 2012 and 2016

Women who had a dental visit during pregnancy: Private vs Medi-Cal 2015-16*

White women had a dental visit almost 2x as often as black women during pregnancy*

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Effort

Medi-Cal prenatal and dental providers trained on oral health guidance and dental referrals for perinatal women.

CavityFree SF is promoting referrals to preventive dental services for pregnant women by training Medi-Cal prenatal and dental providers.

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Medical Checkup

1-5 year olds goal

All infants, toddlers, and young children receive oral health preventive services at medical well-child visits.

Did we make our goal?

Current Status

Of 15,000 0-5 year old (Medi-Cal) in SF, only 1/3 are served by a clinic offering Fluoride Varnish

5000

Number of children receiving fluoride varnish applications (and dental referral with education) during pediatric well-child visits

more data

Total Number of Fluoride Varnish Applications in SF

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Effort

Number of large Medi-Cal clinic systems in SF who routinely offer fluoride varnish to their 0-5 year old patients.

Working to increase from 3 out of 7 large Medi-Cal systems in SF providing fluoride varnish to children 0 to 5 years old

more data

Total Fluoride Varnish applied in large SF medical systems is increasing (2014-17)… but many children are still not being offered this benefit!

Some clinics are still NOT offering fluoride varnish. Fluoride varnish application by large SF Medical System (0 to 5 year old)

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Dentist Visit

0-5 year olds goal

All children visit the dentist for preventive services annually.

Did we make our goal?

Current Status

Only 5 dental offices with Board-Certified Pediatric Dentists accepting Denti-Cal patients in SF for 18,342 Medi-Cal eligible 0 to 5 year old children

Low-income children have greater challenges accessing dental care

more data

Lack of access to dental care for low-income pediatric patients: Map showing Dental Clinics who accept pediatric patients (0 TO 21 year old) with Denti-Cal insurance

Lack of access to dental care for low-income pediatric patients: Only 42 full-time equivalent (FTE) dentists serve over 18,000 Denti-Cal eligible children 0 TO 5 in SF

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Effort

Percentage of Denti-Cal eligible children under age 2 that accessed at least one annual dental visit in the year 2016

27 %

Oral health services for children under age 2 are not equally accessed across ethnicities

more data

Percent of Denti-Cal eligible children under age 2 who accessed at least one annual dental visit in the calendar year 2013-2016. Children of color are less likely to have a dental visit

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Pre-school

3-5 year olds goal

All preschool children are screened for oral health issues, and provided preventive services and referrals.

Did we make our goal?

Current Status

Percentage of low-income Preschoolers in SF that continued to experience cavities in the past year. (Higher than the national average.)

26 %

Good News: Number and percent of SF toddlers and preschool children with dental disease is decreasing!

more data

Number and percent of Child Care Health Program (CCHP) preschoolers with caries in primary teeth is decreasing

Number and percent of SFUSD preschoolers with caries in primary teeth is decreasing

Percent of both CCHP and SFUSD preschoolers with caries in primary teeth is decreasing

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Effort

Increased number of fluoride varnish applications for preschoolers in SF from 2016 to 2017

868

Working to increase numbers of children who received preventive oral health services (screening and fluoride varnish) at their preschool

more data

Number preventive fluoride varnish applications in preschools in SF increased 55% in 2016-17

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Kindergarten

5-6 year olds goal

All kindergarteners are screened for oral health issues and provided services as needed.

Did we make our goal?

Current Status

Percentage of SFUSD kindergarteners that experienced caries in their primary teeth in 2016-17.

33 %

Children of color and low-income children experience a greater burden of oral disease. Caries experience shows prevention in babies and toddlers. Untreated decay reflects current access to restorative treatment.

more data

Children of color experience up to 3x more dental caries than their Caucasian peers

Children in some zip codes experience 4-5X the rate of dental caries

Target: Reduce untreated decay to from 18% in 2012 to 8% in 2020 (HP 2020 Goal 21.4%) Reduce gap b/w children of color and white from over 9% in 2012 to 6% by 2020

Percentage of SFUSD kindergarteners who had untreated decay by Zip Code*

Dental Caries Across Time
More Detailed Data

Oral Health Disparities: Race-Ethnicity and Income
More Detailed Data

Dental Caries by Zipcode
More Detailed Data

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Effort

Every year, SFUSD partners with SFDPH to provide annual oral health screenings for kindergartners. The annual oral health screening is an important surveillance of overall oral health of kindergartners citywide.

The SF Unified School District School Health Program is partnering with the SF Dental Transformation Initiative Local Dental Pilot Program (SF DTI LDPP) to provide multi-lingual dental care coordination for pre-school and kindergarten children within SF Unified School District. Now, through this partnership, SF DTI LDPP is able to provide care coordination services, to connect children with cavities to the dental services they need to treat their cavities and to maintain their oral health.

Note: This work is in progress and data will be available for publication next year

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Older Kids

6+ Year olds goal

Children are screened for oral health issues and provided services as needed

Did we make our goal?

Current Status

SFDPH is in the process of collecting data on SFUSD screening and caries experience data for age 6 and above and hopes to have better surveillance data for 2018-19 and beyond.

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Effort

Preventive dental services offered both in the schools, and at dental clinics accepting Denti-Cal.
Percentage of Dental Sealants applied at school have tripled since 2012, and dental visits for Denti-Cal children under 10 for preventive services have increased by >20%

more data

Number sealant applications for grades K–7 has tripled at 12 high risk SFUSD schools

SFUSD students K-7 that received sealants during school year 2016-17 by race/ethnicity

Percent of Denti-Cal eligible children under age 10 who accessed preventive dental services

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Having healthy teeth is critical for speaking, eating, focusing in school, and positive self-esteem. Although preventable, tooth decay is the most common chronic childhood disease in SF 2-3 times more common for children of color and 8 times more common in low-income children. Join us in working together to ensure our children have a healthy start ~ ready for a happy successful productive life.

Together, we can make SF cavity free.