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S. population. Copyright © National Academy of Sciences. All rights reserved. Advancing Oral Health in America 14 ADVANCING ORAL HEALTH IN AMERICA CONCLUSION In discussions with this committee, HRSA expressed a desire for recommendations that could be acted upon quickly, but also have enough flexibility to allow HHS to choose among several methods of implementation. The approach and details of the previously outlined recommendations do just this. Many of the recommendations are not necessarily “new”; as the title of this report suggests, the challenges and strategies illuminated by Oral Health in America remain the areas that have the strongest evidence for actions by HHS to advance oral health in America.

2009). The impact of poor oral health is not limited to health alone. Costs of care can be high, and there are also costs related to lack of care, including lost work hours, lost school time, and increased cost of caring for advanced disease. In an often cited study based on the 1989 National Health Interview Survey (NHIS), the authors found that 164 million hours of work Copyright © National Academy of Sciences. All rights reserved. , 1992). In addition, they found that 51 million hours of school were missed by school-age children for dental visits or problems, with the most hours being lost by female, Hispanic, lower-income, and uninsured children.

Washington, DC: The National Academies Press. IOM. 2009a. Adolescent health services: Missing opportunities. Washington, DC: The National Academies Press. IOM. 2009b. HHS in the 21st Century. Washington, DC: The National Academies Press. IOM. 2009c. Initial national priorities for comparative effectiveness research. Washington, DC: The National Academies Press. IOM. 2009d. S. oral health workforce in the coming decade: Workshop summary. Washington, DC: The National Academies Press. Jablonski, R.

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