By Rep. Lori K. Gramlich, D-Old Orchard Beach, and Dr. Steve Mills, ScarboroughFor over a year, the pandemic has shown us how public health policies can create a domino effect, impacting families, schools and the entire economy. We have also seen how good public health policy, such as prioritizing the COVID-19 vaccination rollout, has saved lives, gotten people back to work and allowed us to safely hug our loved ones again. But for decades, we have been seeing the negative impacts of an area of public health that has not been prioritized here in Maine, and that's dental care.
Maine ranks second to last in the nation in the percentage of children insured by Medicaid who receive any preventive dental care. Even among children who have consistent private dental benefits, too many go without care.
There are many reasons for this long-standing problem. Maine suffers from a shortage of dentists, and we have large coverage gaps in the state where it can take several hours to travel to a dental office. There are some parts of the state where no dental offices are currently accepting new patients with MaineCare.
Dental disease plagues so many people in Maine that we sometimes forget it is a disease we know how to prevent and treat. It is caused by a bacterial infection, not by inconsistent dental hygiene habits. Once the disease process starts, you cannot brush your way out of it, and it will eventually impact your overall health and well-being. Brushing and flossing are important tools to prevent the disease, but others, like fluoride varnish and sealants, are only available through a hygienist or dentist.
The Maine Legislature has a terrific opportunity this session to improve oral health in Maine with several very important bills. For example, LD 996 adds a comprehensive dental benefit to MaineCare for adults, covering the full range of preventive and restorative care that people need to avoid dental emergencies and protect their oral health.
Another critical piece of this policy puzzle is LD 1501, An Act To Protect Oral Health for Children in Maine. This bill directs the state to expand its School Oral Health Program to serve all schools in the state by 2025 and to efficiently use federal Medicaid funding to help cover the costs of providing preventive dental services in schools. It would also restore an Oral Health Coordinator position within Maine CDC to provide public health leadership to meet the oral health needs of our people.
For many families, there were insurmountable barriers to accessing dental care even before the pandemic hit, and now those barriers are worse. Many dental offices book checkups six months in advance, and families often dont have the flexibility to take time off from work for a dental checkup. Reliable transportation can also be a challenge, particularly in rural Maine.
The School Oral Health Program provides a way for the dental profession and our state to actively reach more children. Simply waiting for more patients to show up to dental offices is letting too many kids down. It is time for us to meet them halfway. If we are really serious about solving this problem, we need a viable school program that serves kids where they already are.
The state's School Oral Health Program has played this role for decades in Maine, but it has been hamstrung by funding and staffing cuts. Currently, only about a third of schools in the state are served. We have the opportunity to expand this program to ensure that no child suffers from preventable dental disease.
When we sacrifice our childrens oral health to save a few pennies, we pay a much worse price, and we pay it over and over again. Just as we are defeating this pandemic with good public policy, we can make oral health care accessible to all Maine families through measures that address the root (canal) of the problem. LD 1501 offers a clear path forward. This is a winnable battle, and the solutions are in the hands of the Legislature this session. Oral health is health, and dental care is health care.
Rep. Lori K. Gramlich, D-Old Orchard Beach, is serving her second term in the Maine House and is the sponsor of LD 1501. She is a licensed master social worker who has worked in public health, including overseeing the Childrens Oral Health Program for the City of Portland.
Dr. Steve Mills is a dentist with 40 years of experience, including 34 years specializing in pediatric dentistry in Maine. He is a board member for the Partnership for Children's Oral Health.