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“A Collaborative, Community-Based Oral Health Disparities Initiative” Mission: Family Oral and General Health Improvement To improve oral health literacy, reduce oral health disparities and improve the oral and general health of families in rural Kentucky and other underserved populations of Kentucky. 2020 KENTUCKY VISION RURAL DENTAL EDUCATION PUBLIC SERVICE AND RESEARCH UK College of Dentistry Kentucky Oral Health Network (KOHN) (Distributed Campus – Regional Oral Health Networks) ↕ “Appalachian Oral Health Network” ↕ Community of Practice (COP) Education Partners Universities Colleges Communities and Technical Colleges (KCTCS) Community Partners Community Health Organizations/Providers • Public Health Departments • Regional Medical Centers • Community Health Centers • Private Health Practitioners Oral-Systemic Diseases Translocated Translocated Translocated Altered Mic robiota Translocated Altered Mic robiota Infection Altered Mic robiota Infection Infection Inc reas ed Pathogenic ity robiota Altered Mic Inc reased ed Pathogenic Pathogenicity ity Inc reas Infection Altered Inflammation Altered Inflammation ity Pathogenic Inc reas ed Altered Inflammation Altered Inflammation Diabetes Diabetes Diabetes Diabetes CVD CVD CVD CVD Endothelium Endothelium && & Atherosclerotic Atherosclerotic Endothelium Atherosclerotic altered vascular changes altered vascular changes altered vascular changes responses responses responses Coronary Artery Coronary Artery Artery Coronary Disease (MI) Disease (MI) Disease (MI) PTB/IUGR Systemic Systemic Systemic Inflammatory Inflammatory Inflammatory Mediators Mediators Mediators Systemic Inflammatory Mediators PTB/IUGR Endothelium &PTB/IUGR Atherosclerotic altered vascular changes responses PTB/IUGR Alzheimer’s Disease Coronary Artery Disease (MI) "Hidden Costs" of Oral Infections Across the Life Span Children Normal Growth & Development Nutrition Sleep Pain Ability to Learn Missed School Days Self-image / Appearance Employees High Out-of-Pocket Costs Lost Work Days Caregiving Adverse Birth Outcomes Presenteeism - Productivity Impact on general health Diabetes, CVD, Stroke, Respiratory infections "Hidden Costs" of Oral Infections Across the Life Span Employers Direct costs of dental benefits/treatment Absenteeism Presenteeism - Productivity Retiree health care costs Senior Citizens/Retirees High out-of-pocket costs Lack of dental insurance No outpatient Medicare benefits Impact on general health Lost years of quality of life and lifespan