Why Seattle Must Care About Oral Health

By Dr. Ben Danielson and Diane Oakes

Do us a favor.

Next time you drive past raucous CenturyLink Field when the Seahawks are playing, imagine that stadium ‑ and a second even larger stadium – both packed with young children who suffer from preventable toothaches, cavities, and all the less obvious consequences of poor oral health.

Doesn’t that seem like a problem worth fixing?

144,000: That’s how many 7-9 year-olds in our state have preventable tooth decay.  Further, 40 percent of preschoolers already have cavities and one in six third-graders have rampant decay (cavities or fillings in 7 or more teeth), according to a recent statewide survey.

Cavities can start with the very first tooth and spread quickly becoming difficult and expensive to treat.  Plus, cavities in baby teeth often lead to cavities in permanent teeth causing lifelong oral health problems. 

When children have dental disease, they are not being set up for success.  Severe cavities can make it difficult for children to eat, sleep, play, and learn. Poor oral health affects self-image and socialization.  A child who hides her smile because she has bad teeth is a child who may have difficulty making friends or speaking up in class. 

Affluent Americans spend more than $1 billion each year on cosmetic dentistry.  They do this because a gleaming smile is one of the primary indicators of social status.  Conversely, there is a stigma associated with severe dental disease.  It is hard to get a job if you’re missing teeth. It is hard to keep a job if your teeth are the cause of chronic pain.

Disparities in quality of life have emerged as a central theme in the upcoming Seattle mayoral and city council races.  Well, some of Seattle’s most problematic disparities exist in the realm of oral health. 

In our state, 10 percent of white children have untreated preventable decay. That number is significantly higher for children who are Hispanic (15 percent), Asian (16 percent), black (18 percent), Native American (19 percent) or Pacific Islander (26 percent).  Children of color and from lower-income households had higher rates of decay and were less likely to get care than their white and more affluent counterparts.

In Seattle, the new tax on sugary beverages passed by the City Council will help reduce childhood obesity and help prevent cavities.  The tax is an acknowledgement that the city has a responsibility to safeguard the health of its citizens.  Let’s ask our candidates to do even more and prioritize health equity by closing the oral health gap.  All kids in Seattle deserve to start life with a healthy mouth.

The candidates must be willing to prioritize children’s health in their campaigns.  The winning candidates should recognize the positive impacts that preventing dental disease can have on the economics and public health of the region. The health of the teeth is inextricably linked to the health of the body, and healthy people are inextricably linked to a thriving economy.   

Preventing dental disease needs to be a priority starting with the very first tooth. Candidates should support increased access to screenings and dental sealants.  The candidates should describe at forums what they will do to support the professionals such as school nurses, dentists, hygienists, pediatricians and primary care physicians who are at the front lines fighting for our children’s teeth, and their health.

Oral health is consistently identified as a top unmet health need in Seattle. Each year there are long lines snaking around the Seattle Center as thousands of people wait hours, some overnight, to see a dentist.  If we make prevention a priority, perhaps those long lines can be a relic of the past.

Elections are about leadership and vision for our city. Let’s make sure our local elected leaders will support the thousands of children whose futures depend on better oral health. 

Ben Danielson photoBen Danielson MD, is Medical Director of Odessa Brown Children’s Clinic




Diane Oakes head shotDiane Oakes, is President & CEO of Arcora Foundation (formerly Washington Dental Service Foundation), the Foundation of Delta Dental of Washington



Featured image is a cc licensed photo attributed to Jeff Troth/ via Flickr

2 thoughts on “Why Seattle Must Care About Oral Health”

  1. I find it short sighted that Silver Diamine Fluoride was not mentioned. This is not the fluoride we have used for years. For pennies decay can be stopped.

    A clear liquid is painted on any area of decay. The decay is arrested and further decay is prevented in the rest of the mouth. This has been used in the Scandinavian countries for over 20 years, 15 – 20 years in New Zealand and Australia and all of South America for 5 years. We just got it past the FDA in the US a year ago. Much of the research came from a professor at the dental school.

    Once every 3 to 6 months it takes a couple of minutes to paint any suspected decay or defective groves. It cost less than $1 for the material. No shots, no pain and it not only stops the decay it prevents new decay on other teeth.

    It works equally well on elderly dementia patients who simply are unable to clean their teeth. It does turn the decay black but the decay is stopped and it is safe.

    It is wonderful for the dentist and on young kids who are very hard to treat. If done early and often they do not need to be sedated or placed in the hospital for general anesthesia. There are no shots, no pain and only a few minutes in the chair. The kids get to know their dentists in an non threatening, quick procedure. It has been tested in low income communities in Washington and Oregon. For pennies thousands of dollars of dental work can be prevented.

    It is one of the most exciting things I have seen come to dentistry in the 50 years I have been a dentist.

    Fred Quarnstrom DDS