83 FR 35664 - Notice To Announce Commission of a Surgeon General's Report on Oral Health
DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health Federal Register Volume 83, Issue 145 (July 27, 2018)
National Institutes of Health
Federal Register Volume 83, Issue 145 (July 27, 2018)
| Page Range | 35664-35664 | |
| FR Document | 2018-16096 |
[Federal Register Volume 83, Number 145 (Friday, July 27, 2018)] [Notices] [Page 35664] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-16096] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Notice To Announce Commission of a Surgeon General's Report on Oral Health AGENCY: National Institutes of Health, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: On behalf of the United States Department of Health and Human Services, the Office of the Surgeon General, the National Institutes of Health, and the National Institute of Dental and Craniofacial Research, the U.S. Public Health Service's Oral Health Coordinating Committee announces the commission of a Surgeon General's Report presenting prominent issues affecting oral health. The report will document progress in oral health in the twenty years since the 2000 Surgeon General's Report on Oral Health, identify existing knowledge gaps, and articulate a vision for the future. FOR FURTHER INFORMATION CONTACT: Bruce A. Dye, DDS, MPH, Dental Epidemiology Officer, Office of Science Policy and Analysis, NIDCR, NIH, 31 Center Drive, Room 5B55, Rockville, MD, 20892. Phone: 301-496- 7765, Email: bruce.dye@nih.gov. SUPPLEMENTARY INFORMATION: Scope of Problem: The charge for the first Surgeon General's report on oral health in 2000 was to define, describe, and evaluate the interaction between oral health and health and well-being (quality of life), through the lifespan in the context of changes in society. The overarching message from that report clearly communicated that oral health is essential to the general health and well-being of all Americans and can be achieved by all. In the intervening two decades, oral health has improved for many Americans, but not for all. Many Americans are retaining more of their natural teeth, complete tooth loss among older adults is at the lowest level ever measured, and many younger children have less untreated tooth decay. Over the past two decades, we have learned more about how changes across the lifespan can substantially influence oral health and how health promotion activities and interventions targeted for specific life stages can benefit oral health and quality of life. However, many Americans continue to experience unnecessary pain and complications from poor oral health that adversely affect their well-being, adding substantial economic and social costs. Poor oral health also impacts our nation's ability to recruit young adults for military service and maintain military readiness. Oral health workforce models and care delivery systems have evolved in the past two decades. There has been a substantial effort to incorporate early detection and preventive oral health measures into primary care settings and the expansion of the State Children's Health Insurance Program, Medicaid, and other health insurance programs have helped many Americans of all ages. Yet, as there have been some successes in integrating oral health into the broader health care system in the United States, many still view oral health care as a supplemental benefit, and not a priority benefit. This separate view of oral health negatively impacts our nation in a variety of ways. including the increasing use of emergency departments at substantial cost to treat dental pain and related conditions. Finally, the increasing problems of substance misuse and use disorders during the past two decades have impacted oral health at the patient, community, and provider level, which has raised awareness of the need to address dental provider prescribing patterns and pain management practices. The first Surgeon General's report on oral health addressed determinants for oral health and disease. Twenty years later, the knowledge gained from science and technology has continued to provide a better understanding of the etiology and natural history of oral and craniofacial diseases and conditions, and we have gained a better understanding of these determinants. This knowledge has led to therapeutic interventions that have improved oral health over the past two decades. Ongoing research is improving our understanding of the biological influences on oral health, the relationship between oral diseases and general health, the role of technology and advanced materials in improving dental care, and the benefits of good oral health to overall well-being and the community. Although we benefit from numerous advances that influence oral health, we still face challenges as we try to reach our goal of oral health for all. Approach: The scope of the Surgeon General's Report is intended to be broad and comprehensive, with the goal of mapping the current landscape of the key issues that affect oral health. It will present information from a variety of data sources such as the National Health and Nutrition Examination Survey, Medical Expenditure Panel Survey, Behavioral Risk Factor Surveillance System, and others. These sources highlight changes in oral health over time, providing opportunities to monitor how determinants for health have changed, and the effect of those changes over the past 20 years. The report is intended to: (1) Underscore the critical nature of poor oral health as a public health issue; (2) provide a comprehensive review of the importance of oral health throughout life; (3) describe important contemporary issues affecting oral health and the promise of science to transform the oral health of the nation; (4) outline a vision for future directions; and (5) educate, encourage, and call upon all Americans to take action. Potential Areas of Focus: Areas of focus in the report may include a description of the epidemiology of diseases and conditions that affect the craniofacial complex; a review of health promotion and disease prevention activities; factors that affect the etiology of poor oral health at the individual and population level; social determinants of health and their influence on oral health disparities; biological factors including the microbiome; social, economic, and health consequences of poor oral health; mental health, substance misuse and addiction impact on the oral health of individuals, providers, and communities; the state of oral health care access and coverage as it relates to prevention and treatment for dental diseases and related conditions; integration of oral health into primary health care settings; organization and financing of the provision of dental care within the health care system; ethical, legal, and policy issues; and the application of scientific research in the field, including methods, challenges, and current and future directions. Dated: July 21, 2018. Lawrence A. Tabak, Deputy Director, National Institutes of Health. [FR Doc. 2018-16096 Filed 7-26-18; 8:45 am] BILLING CODE 4140-01-P
![35664 Federal Register / Vol. 83, No. 145 / Friday, July 27, 2018 / Notices
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Research; 93.397, Cancer Centers Support; more about how changes across the
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to reach our goal of oral health for all.
Cancer Control, National Institutes of Health,
lifespan can substantially influence oral Approach: The scope of the Surgeon
HHS) health and how health promotion
General’s Report is intended to be broad
activities and interventions targeted for
Dated: July 23, 2018. and comprehensive, with the goal of
specific life stages can benefit oral
Melanie J. Pantoja, health and quality of life. However, mapping the current landscape of the
Program Analyst, Office of Federal Advisory many Americans continue to experience key issues that affect oral health. It will
Committee Policy. unnecessary pain and complications present information from a variety of
[FR Doc. 2018–16008 Filed 7–26–18; 8:45 am] from poor oral health that adversely data sources such as the National Health
BILLING CODE 4140–01–P affect their well-being, adding and Nutrition Examination Survey,
substantial economic and social costs. Medical Expenditure Panel Survey,
Poor oral health also impacts our Behavioral Risk Factor Surveillance
DEPARTMENT OF HEALTH AND nation’s ability to recruit young adults System, and others. These sources
HUMAN SERVICES for military service and maintain highlight changes in oral health over
military readiness. time, providing opportunities to
National Institutes of Health Oral health workforce models and monitor how determinants for health
care delivery systems have evolved in have changed, and the effect of those
Notice To Announce Commission of a the past two decades. There has been a changes over the past 20 years. The
Surgeon General’s Report on Oral substantial effort to incorporate early
Health report is intended to: (1) Underscore the
detection and preventive oral health critical nature of poor oral health as a
AGENCY: National Institutes of Health, measures into primary care settings and public health issue; (2) provide a
HHS. the expansion of the State Children’s comprehensive review of the
ACTION: Notice. Health Insurance Program, Medicaid, importance of oral health throughout
and other health insurance programs life; (3) describe important
SUMMARY: On behalf of the United States have helped many Americans of all contemporary issues affecting oral
Department of Health and Human ages. Yet, as there have been some health and the promise of science to
Services, the Office of the Surgeon successes in integrating oral health into
transform the oral health of the nation;
General, the National Institutes of the broader health care system in the
(4) outline a vision for future directions;
Health, and the National Institute of United States, many still view oral
health care as a supplemental benefit, and (5) educate, encourage, and call
Dental and Craniofacial Research, the upon all Americans to take action.
U.S. Public Health Service’s Oral Health and not a priority benefit. This separate
Coordinating Committee announces the view of oral health negatively impacts Potential Areas of Focus: Areas of
commission of a Surgeon General’s our nation in a variety of ways. focus in the report may include a
Report presenting prominent issues including the increasing use of description of the epidemiology of
affecting oral health. The report will emergency departments at substantial diseases and conditions that affect the
document progress in oral health in the cost to treat dental pain and related craniofacial complex; a review of health
twenty years since the 2000 Surgeon conditions. Finally, the increasing promotion and disease prevention
General’s Report on Oral Health, problems of substance misuse and use activities; factors that affect the etiology
identify existing knowledge gaps, and disorders during the past two decades of poor oral health at the individual and
articulate a vision for the future. have impacted oral health at the patient, population level; social determinants of
community, and provider level, which health and their influence on oral health
FOR FURTHER INFORMATION CONTACT:
has raised awareness of the need to disparities; biological factors including
Bruce A. Dye, DDS, MPH, Dental
address dental provider prescribing the microbiome; social, economic, and
Epidemiology Officer, Office of Science patterns and pain management
Policy and Analysis, NIDCR, NIH, 31 health consequences of poor oral health;
practices. mental health, substance misuse and
Center Drive, Room 5B55, Rockville, The first Surgeon General’s report on
MD, 20892. Phone: 301–496–7765, addiction impact on the oral health of
oral health addressed determinants for
Email: bruce.dye@nih.gov. oral health and disease. Twenty years individuals, providers, and
SUPPLEMENTARY INFORMATION: later, the knowledge gained from communities; the state of oral health
Scope of Problem: The charge for the science and technology has continued to care access and coverage as it relates to
first Surgeon General’s report on oral provide a better understanding of the prevention and treatment for dental
health in 2000 was to define, describe, etiology and natural history of oral and diseases and related conditions;
and evaluate the interaction between craniofacial diseases and conditions, integration of oral health into primary
oral health and health and well-being and we have gained a better health care settings; organization and
(quality of life), through the lifespan in understanding of these determinants. financing of the provision of dental care
the context of changes in society. The This knowledge has led to therapeutic within the health care system; ethical,
overarching message from that report interventions that have improved oral legal, and policy issues; and the
clearly communicated that oral health is health over the past two decades. application of scientific research in the
essential to the general health and well- Ongoing research is improving our field, including methods, challenges,
amozie on DSK3GDR082PROD with NOTICES1
being of all Americans and can be understanding of the biological and current and future directions.
achieved by all. In the intervening two influences on oral health, the Dated: July 21, 2018.
decades, oral health has improved for relationship between oral diseases and
Lawrence A. Tabak,
many Americans, but not for all. Many general health, the role of technology
Americans are retaining more of their and advanced materials in improving Deputy Director, National Institutes of Health.
natural teeth, complete tooth loss among dental care, and the benefits of good oral [FR Doc. 2018–16096 Filed 7–26–18; 8:45 am]
older adults is at the lowest level ever health to overall well-being and the BILLING CODE 4140–01–P
VerDate Sep<11>2014 17:38 Jul 26, 2018 Jkt 244001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\27JYN1.SGM 27JYN1](https://thefederalregister.org/doc/83_FR_35809/page/1.svg)
Document Created: 2018-07-27 04:06:01
Document Modified: 2018-07-27 04:06:01
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Contact | Bruce A. Dye, DDS, MPH, Dental Epidemiology Officer, Office of Science Policy and Analysis, NIDCR, NIH, 31 Center Drive, Room 5B55, Rockville, MD, 20892. Phone: 301-496- 7765, Email: [email protected] | |
| FR Citation | 83 FR 35664 |
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