USA Dental  Statistics – looks like “C” grade states could do with some extra “preventative” support!

February 23, 2010

By Alison Young, USA TODAY

At least one in five U.S. children go without annual dental care and most states lack key policies to ensure access to cost-saving preventive treatments, according to a study released Tuesday by the Pew Center on the States.

Six states received an “A” grade from the non-profit policy analysis group for their dental health policies. But even children in those states have problems accessing care, the report said.

“Americans will be spending $106 billion on dental care this year,” said Shelly Gehshan, director of the Pew Children’s Dental Campaign. Much of that care pays for costly treatments such as fillings and root canals, which have their origins in poor childhood dental care, she said.

GRADING THE STATES: How does your state fare in dental care?

Among eight policy solutions it graded states on:

• School-based dental sealant programs. Just 17 states have programs to apply cavity-preventing sealants to children’s molars in at least 25% of schools with low-income children.

• Fluoridated water. Only 26 states have at least 75% of their citizens on community water supplies with adequate fluoride to prevent tooth decay.

• Medicaid payments. Many dentists aren’t willing to accept Medicaid reimbursement rates set below the actual cost of treatment. Only 25 states pay dentists at least 60.5% of retail fees. Medicaid is a joint state-federal program serving low-income patients, and state policies vary.

“That is a huge issue,” American Dental Association President Ron Tankersley said. In states covering actual costs, “dentists will step up to the plate and take care of these kids.”

In Rhode Island, which received an “A,” the number of dentists treating Medicaid children increased from 27 to 217 — nearly half of dentists statewide — after the state increased payments and made other program changes in 2006.

South Carolina, which ranked best in the study, has in place seven of the eight dental policies.

“The policies have definitely impacted children’s dental health,” said Christine Veschusio, South Carolina’s oral health director. “But we still have more children than we would like that are in school with untreated tooth decay.”

New Jersey ranked last with only one of eight benchmark policies. Suzanne Esterman, a state Medicaid spokeswoman, said the agency questions some measures in the report. “New Jersey has made great strides … to improve the number of children who receive care,” she said.

Grading the States

The Pew Center on the States scored states on eight policy benchmarks it considers critical to children having access to and receiving dental care. These benchmarks include cost-effective ways to prevent costly dental problems, Medicaid improvements and gathering data to improve performance. The full report is available at www.pewcenteronthestates.org/costofdelay.

“A” states: Met at least six of the eight policy benchmarks and had policies needed to improve dental care

• Connecticut
• Iowa
• Maryland
• New Mexico
• Rhode Island
• South Carolina

“D” states: Met three of the policy benchmarks

• Alabama
• District of Columbia
• Indiana
• Mississippi
• Montana
• Nevada
• Utah

“B” states: Met five of the policy benchmarks

• Alaska
• Colorado
• Idaho
• Illinois
• Maine
• New Hampshire
• Ohio
• Texas
• Washington

“F” states: Met only one or two policy benchmarks

• Arkansas
• Delaware
• Florida
• Hawaii
• Louisiana
• New Jersey
• Pennsylvania
• West Virginia
• Wyoming

“C” states: Met four of the policy benchmarks

• Arizona
• California
• Georgia
• Kansas
• Kentucky
• Massachusetts
• Michigan
• Minnesota
• Missouri
• Nebraska
• New York
• North Carolina
• North Dakota
• Oklahoma
• Oregon
• South Dakota
• Tennessee
• Vermont
• Virginia
• Wisconsin

Dr. David Samuels – periodontist, Andover, Massachusetts, U.S.A. Sherri Killins – commissioner, Department of Early Education and Care.

January 29, 2010

New York Times: By KATIE ZEZIMA

Preschools Add Brush-and-Spit to Day

HAVERHILL, Mass. — The twelve 4-year-olds sat in a corner, small hands clasping toothbrushes. Isaac and Aaron brandished them like swords, stabbing each other in the side. Jacky rubbed his into the carpet. Abigail squirmed, and Chayleece jumped up and down.

“You ready? Start brushing!” said Massiel Diaz, their teacher at the Basic Beginnings day care center. “Brush, brush your teeth — at least two times a day. Clean, clean, clean — fighting tooth decay,” Ms. Diaz sang out, as the children moved the brushes up, down and around, connecting with teeth occasionally but also with their face and nose.

And then they swallowed the pea-size dots of toothpaste — bubblegum-flavored “Dora the Explorer” Colgate.

Massachusetts is the first state to add toothbrush time to the color-nap-snack-and-play routine of preschools, requiring that all children who eat a meal at day care, or attend for more than four hours, brush their teeth during class and be educated about oral health.

The regulations, which went into effect last week, are being praised by some parents and caregivers while causing a tempest in a toothbrush for others, according to schools and chat rooms.

“I don’t want someone’s hand in my child’s mouth,” said Sarah Brodsky, a teacher at First Path Day Care in Watertown and mother of 4-month-old Noah. “It’s a little too much” government intervention, Ms. Brodsky added.

“JG,” posting on Boston.com’s blog Moms Nation, agreed that the government might have overstepped its bounds: “We don’t need the state mandating every little thing in our lives. Let parents be parents,” adding, “The kids can’t even reach a sink.”

Parents who feel strongly about the regulation can opt out, said Sherri Killins, commissioner of the Department of Early Education and Care, which oversees day care centers and established the regulations to help stem dental disease. According to a 2003 state study, one in four Massachusetts kindergartners have dental disease.

“Poor dental care is the most common, chronic childhood ailment, and if untreated can result in pain, infection and other devastating impacts on a child’s health,” Ms. Killins said.

At the Basic Beginnings Learning and Development Center here, about 40 miles north of Boston, the director, Deborah Ramos, started training her charges in early January, so glitches would be worked out by the time the regulations went into effect.

Staff members use a soft bristle to swab the gums of infants. Like other day care centers statewide, Basic Beginnings is choosing to apply so little toothpaste that it is safe for children to swallow, a practice used in Head Start programs, which mandated tooth brushing in 2006.

Ms. Ramos said there was some apprehension, but teachers quickly worked brushing into the postlunch routine.

Dr. David S. Samuels, a periodontist in Andover and president of the Massachusetts Dental Society, which supports the rule, said in order for the program to be effective, teachers need to help children without the motor skills do it correctly. He is also worried about the spread of germs through toothbrushes and spitting.

Alexandra Picus, director of the First Path Day Care in Watertown, said she was still working out the details of how they will herd 60 preschoolers into position. “We need to start early,” Ms. Picus said. “We’re supposed to have rest time, and now we have to eat a little earlier so there’s enough time for the children to brush their teeth. It’s not the happiest moment

Teeth

Causes Stained Teeth

DATING THE INSTRUCTION “BRUSH YOUR TEETH”

The  instruction “Brush Your Teeth” has been a cause of the easily preventable oral diseases such as tooth decay, gum disease, bad breath and stained teeth since the year 1498, the year a Chinese Emperor invented the first manufactured tooth cleaning implement which he named  ‘tooth brush’.

At that point of time tooth paste had not been invented.

Assuming the proposed purpose of inventing a ‘tooth brush’ was to brush your teeth with a tooth brush I also assume the instruction would have been “Brush Your Teeth”……. with a tooth brush.

I therefore claim the instruction “Brush Your Teeth” has been an instruction since at least 1498.

HISTORY OF TOOTH CLEANING PRIOR TO 1498

For many centuries, at least for more than the five most recent centuries, an implement referred to as a ‘chew stick’ was, and in some counties remains to be, a popular device used to clean enamel surfaces of teeth.

The chew stick was not a manufactured implement in the sense of manufactured as we have know in recent Centuries. A chew stick is created very simply by breaking off from a live tree a section of a twig no thicker than a finger and about the length of our current tooth brush. Foliage was then stripped from along the length of the twig then one end was chewed. TO FRAY IT! Very simple and even now worth knowing if you are lost in a wilderness and wish to clean your teeth.

A chew stick or fingers were used in conjunction with water, if available, and salt or sand or dirt to clean the surfaces of teeth.

Teeth surfaces were also cleaned with pieces of charcoal.

HISTORICAL DEVELOPMENTS SINCE 1498

TOOTH BRUSH

1880.        Dr Scott marketed an Electric Toothbrush he claimed was permanently charged with electro-magnetic current.

1938.        Dupont developed a tooth brush with nylon bristles.

Post W.W.11   The first ‘real’ electric toothbrush was invented in Switzerland.

TOOTH PASTE

1755.        Word’s first toothpaste invented by Dr Julien Botot for Louis XV of France

MOUTHWASH

1755.        Word’s first mouthwash invented by Dr Julien Botot for Louis XV of France

DENTAL FLOSS

Dental floss is an ancient invention. Researchers have found dental floss and tooth pick grooves in the teeth of prehistoric human remains.

1815.        Levi Spear Parmly, a New Orleans dentist is credited as being the inventor of modern dental floss. Silk thread!

BUT “BRUSH YOUR TEETH” HAS NOT CHANGED

It is nothing less than AMAZING that the tooth-only-cleaning instruction, “Brush Your Teeth” has remained, virtually un-changed since 1498.

Doesn’t that ring alarm bells in your mind?

1498! “Brush Your Teeth”

Can you imagine the level of hygiene knowledge that existed then?

2001! “Brush Your Teeth”

Can you imagine how much better is our knowledge of hygiene is now?

2001!

Imagine no longer, the change has been made.

“The Perfect Oral Hygiene Instruction”

“TREAT YOUR WHOLE MOUTH”

DEFINING ORAL HYGIENE

Oral means the mouth or the oral cavity.

Hygiene means cleanliness as a means of preventing disease.

Therefore, by definition, oral hygiene is cleanliness of the mouth (or of the oral cavity) as a means of preventing disease.

The oral cavity has many more surfaces in it besides the surfaces of teeth and ALL surfaces get dirty when eating and or drinking.

Therefore oral hygiene is cleanliness of all oral surfaces as a means of preventing oral disease.

THE INSTRUCTION “BRUSH YOUR TEETH”

The instruction “Brush Your Teeth” has two major flaws.

MAJOR FLAW # 1:

Brush Your Teeth instructs you to clean surfaces of teeth. NOTHING ELSE! Therefore several surfaces in the mouth are left dirty and this dirt, with help from saliva and muscular movements, will spread back onto surfaces that have been cleaned! Not good hygiene!

MAJOR FLAW # 2:

Brush Your Teeth is almost always followed by the implied, unspoken and un-written instruction….and ‘rinse your mouth’. Rinsing your mouth rids the mouth of the cleaned-off dirt and also all the ingredients in toothpaste.

Toothpaste packaging lists the ingredients present in the toothpaste and lists text and graphics which state their claims;

prevents decay, repairs decay, makes teeth stronger,  kills bacteria, prevents plaque, prevents bad breath etc.

But rinsing IS necessary to remove the undesirables.

So it’s time for a new oral hygiene instruction.

THE PERFECT ORAL HYGIENE INSTRUCTION

The perfect oral hygiene instruction must achieve three objectives:

1. The perfect oral hygiene instruction must achieve total cleanliness of every surface in the mouth with absolutely no dirt left on any surface in the mouth.
2.  The perfect oral hygiene instruction must achieve total protection for every surface in the mouth, particularly the surfaces of teeth, gums and tongue.
3.  The perfect oral hygiene instruction must achieve prevention of all easily preventable oral diseases which are; tooth decay, gum disease, bad breath, stained teeth.

VOILA!      ONE PERFECT ORAL HYGIENE INSTRUCTION

“TREAT YOUR WHOLE MOUTH”

Read This Book. Learn How To “Treat Your Whole Mouth”

SENSATIONAL SMILES        SIMPLE ADVICE

4 YOUR SMILE 2 SHINE FROM TEENAGE TO OLD AGE”

MOUTHWISE ORAL HEALTHCARE

MouthWise Oral HealthCare’s instruction “Treat Your Whole Mouth” does all that a perfect oral hygiene instruction sets out to achieve

• No un-cleaned mouth surfaces
• All mouth surfaces protected against oral diseases
• All oral disease prevented

FOR TEETH STAIN PREVENTION
“Treat Your Whole Mouth”

MouthWise Oral HealthCare presents

the perfect book for you to learn how to “Treat Your Whole Mouth”

SENSATIONAL SMILES        SIMPLE ADVICE

4 YOUR SMILE 2 SHINE FROM TEENAGE TO OLD AGE”

My company, 4 Your Smile 2 Shine Pty Ltd, ABN 12 089 094 182, has the following websites:

www.OralHealthHelpSite.com

www.AllAboutASmile.com

www.MouthWiseLife.com

www.MouthWiseShopping.com

www.Prevent-Oral-Disease-in-Children.blogspot.com

www.DrGarthPettit.com

Please note: URL’s pointing to www.DrGarthPettit.com are; MouthWiseMouths.com, MouthWiseMembers.com, StopTheRotStopTellingChildrenBrushYourTeeth.com

The following You Tube video was an audition video I submitted for The Next Internet Millionaire contest of 2007, the brainchild of internet guru Joel Comm of adsense fame. I failed to receive enough votes to get past the end of the first stage. However it did get a lot of good, free publicity for my cause. Your rating even now will help prevent oral disease in children and would be greatly appreciated.

garths-next-internet-millionaire-audition

Click here to view the embedded video.

MouthWise Oral HealthCare education resources had their origins when, in January 1997, I was accepted for the position of District Dental Officer, East Arnhem Land in the North-West of the Northern Territory of Australia.

Until my departure from East Arnhem Land in June 2002 I was kept happily, very busy, visiting the main, remote, greatly-scattered Aboriginal communities in that wonderful, unique part of Australia.

It was during my visit in early 2001 to the Aboriginal community of Numbulwar when I first became aware that the instruction “Brush Your Teeth” was flawed, a cause of oral diseases and needed a major overhaul. So was born my 21st Century oral hygiene instruction “Treat Your Whole Mouth”.

I have many wonderful memories of East Arnhem Land and of it’s inhabitants. When Australian aboriginals live on their natural bush tucker diet they have one of the most beautiful dentitions in the world.

They are wonderful people and have a great sense of humour as you will note in this video.

Frank Djirrimbilpilwuy from Milingimbi has been in the Indigenous Media Industry for many years and has been a long-standing member and supporter of the Top End Aboriginal Bush Broadcasting Association, TEABBA Radio. He has worked Independently in Music and Film for many years also.

As the man behind the camera and release of the video, Frank is also representing the dance group who call themselves “The Chooky Dancers”. Frank has said that he filmed the footage at this years Ramingining Festival on the 30th September 2007 and knew it would be “something special” as soon as he saw the boys rehearsing. “The crowd went wild as you can see in the video, and the classic song Zorba the Greek has now become a hit overnight in the communities and now it seems, everywhere else too” Frank said.

In just one week of being released onto “You Tube” by the staff at TEABBA Media Services, the video has received rave reviews been given a 5 star rating and has now been viewed well over 15,000 times.

“The phones have not stopped ringing at the TEABBA offices, all from people who want to know more about the footage,” a TEABBA staff member has said “even the honorable Kon Vatskalis with the Territory Labour party has commented on the video and suggested that they perform at the Greek Glenti next year.”

The Chooky Dancers are a group of 10 energetic young men who had healthy living in mind when they choreographed the performance. Franks son Lionel is the lead dancer in the video footage at front and center.

“They (the Chooky Dancers) begun working on this just after this years Garma Festival in Gukula and worked very hard on it, they also do a Bollywood style performance which is also fantastic” Frank said. It seems that talent runs in Frank’s family, with Franks Daughter also in an all Indigenous Line Dance Group also who Frank actively plays a role in.

The “Zorba” video, which has not yet been given an official title, is just a sample of Franks works “I edited that footage on “imovie” at the TEABBA Media Services video workshop and now have plans to make a documentary about my Yolngu families connections to the Greek culture”. Franks feelings towards the Greek culture have been reinforced by his daughter Pricilla, who requires constant care and is currently being cared for by a woman of Greek heritage in Darwin. “Lillian is a selfless woman, who cares for my daughter” Frank said ” she takes Priscilla to church, weddings and all kinds of functions within the Greek community and they are all lovely people with strong cultural identity also which Yolngu people can identify to. I want to show through this documentary how 2 cultures can mix and this dance video is a fabulous start”, Frank said.

If anyone would like to enquire about Frank’s work or “The Chooky Dancers”, Frank can be reached on f_garawirrtja@yahoo.com or 0427 801 699 or if difficulties are experienced with getting through, messages can be left with TEABBA Radio on 89 390 400.

The Chooky Dancers will appear on Channel 7s Australia’s Got Talent which is currently screening on Tuesday nights.

I was educated at Port Lincoln Kindergarten, then Port Lincoln Primary School, then Port Lincoln High School. I attended Adelaide High School for the Leaving Honours Certificate before beginning my university career at Adelaide University, Faculty of Dentistry in 1949 and graduated as a dentist in November 1953.

Since then I have practiced dentistry in Australia, then in the U.K. then back in Australia until I retired in November 1992. Shortly before retiring I Received a Graduate Diploma in Management from the University of Central Queensland subjects on economics and finance were my stumbling blocks to continue through to a Master of Business Administration.

But the most interesting years for me have been between January 1997 and coming up to the end of 2008. In these years I have been back at dentistry again for all but 2 years and 6 months. WITH A PASSIONATE PURPOSE!

Over the past 12 years I have devoted my time to creating The MouthWise Oral HealthCare Education Resources. Resources for all age groups to educate how to prevent the easily preventable oral diseases such as tooth decay, gum diseases, bad breath and stained teeth.

I do feel very passionately about condemning the 500 + year old tooth cleaning instruction as a cause of oral diseases and equally passionately about introducing the totally oral, oral hygiene instruction “Treat Your Whole Mouth”. The very first totally oral, oral hygiene instruction ever!

P.S. Wondering about the inventor? You’ll find the information here. At the time there were an estimated 10,000 million vinyl records sold every year. That was also the time when new technology was about to be introduced. Compact Discs were about to hit the market and interest in vinyl records was predicted to dwindle so the invention became a non-profit venture, however not a waste of time, money or effort because I have since then benefited personally from many valuable lessons I learned by attempting that venture. The success of my twelve year-long venture to prevent oral diseases in children will be due in no small way to applying capacities for patience, perserverence and persistence, by applying the abilty to use visionary powers to achieve goals and not the least by recognizing and applying the power of that which is morally correct when setting goals.

(WO/1983/000252) IMPROVED PERIPHERAL RIM FOR DISC RECORDS

Chinese Emperor Invents Tooth Brush

To The Chinese Emperor Who Patented, on 26 June 1498, The World’s First Tooth Brush Made With Bristles and the bristles set at right angles to the handle…..

Dear Chinese Emperor, 

A HAPPY, HAPPY Anniversary Emperor to You Emperor and to Your Wonderful Toothbrush Invention.

Hello Emperor, my name is Dr Garth Pettit, I am dentist and specialize in oral healthcare education. You will be very happy to know that your invention is still going along strongly in 2008, but with minor changes….your bristles were from a hog’s neck whereas now bristles are a synthetic named nylon….and your handle was either bone or bamboo whereas now handles are synthetic plastic.

Having dabbled in inventions myself I can put myself into your mind as it was working at the time. You studied the implement that had been used for many centuries to clean teeth. It was a ‘chewing stick’, a stick from a special tree (or was it trees?), one end of the stick having been chewed to loosen the fibers to give the stick a frayed end at one end. You must have studied the fibers at the end and noted they were in line with the handle of the stick. You must have said to yourself, ”what if the fibers were not in line with the handle, but at right angles to the handle”? You then searched for a handle that could be drilled with holes and also searched for something to replace the fibers, Your invention became the toothbrush made with bristles taken from the back of a hog’s neck set into a handle that was either bamboo or bone. A truly marvelous invention!

But, Emperor, you will be delighted to know that little else has changed in the intervening 510 years. Can you imagine that people now, in the 21st Century are still being advised to “Brush Your Teeth”, just like you helped others to advise people back in your era. Probably the most significant change since then Emperor has  beenthe invention of toothpaste in the 18^th Century.

I have added a postscript below which confirms the current popularity of your toothbrush invention… in a 2003 survey for the invention people can least do without your toothbrush came first, ahead of automobiles, personal computers, cell phones and microwave ovens.  More congratulations Emperor.

However I am certain you will be saddened to know that despite your wonderful invention, designed with the purpose of preventing teeth from rotting, that it has been an almost total failure. Teeth are still rotting at an alarming rate. The sad truth Emperor is that people simply do not know the most effective way how to use a toothbrush, let alone toothpaste.

You may be interested to know that in 2008 we also think about cleaning other surfaces in the mouth besides teeth surfaces. But we still use toothbrushes and the good old instruction “Brush Your Teeth”.

I would love to sit around a table with you and talk about oral hygiene, ’cause most folks down here are so busy doing all sorts of so many things they don’t have time to sit around tables let alone talk about “Brush Your Teeth”.  Quite honestly you would think folks would love to know more about oral hygiene because I see  rot in people’s mouths every day. The rot has got out-of-hand!

Anyhow Emperor, you set the world on fire all those years ago with your invention and you have every reason to be very proud of it. Very few people now-a-days are interested in talking about a tooth brush or even about “Brush Your Teeth”. They are all too busy doing other things.

Actually I’ve been telling people that it’s time to banish the instruction “Brush Your Teeth” because I believe this instruction has been causing oral diseases since it was first created back in or before your time. It really was only a tooth cleaning instruction then. We know a lot more about oral hygiene now-a-days Emperor.

I invented, in the year 2001, a better instruction, more suited to this century and called it “Treat Your Whole Mouth”. It’s been hard going spreading the word  but, slowly, I’m getting there! And I’ll never give up trying ’cause, especially our children, everyone is owed a moral right to know nothing but the best about every instruction they are given.

Will you be at the 2008 Olympic Games in Beijing?\

Your friend forever Emperor,

Dr Garth Pettit

P.S.

Toothbrush beats out car and computer as the invention Americans can’t live without, according to Lemelson-MIT Survey

January 21, 2003

While it may seem that cell phones, computers and other technology gadgets are Americans’ most coveted items, teens and adults agree that the toothbrush is the one invention they cannot live without.

The 2003 Lemelson-MIT Invention Index, an annual survey of Americans’ perceptions about inventing and innovating, found that technologically advanced items significantly lag in importance behind the toothbrush, which was developed in the 15th century.

When asked to select the invention they could not live without from among five choices–toothbrush, automobile, personal computer, cell phone and microwave–more than a third of teens (34 percent) and almost half of adults (42 percent) cited the toothbrush. The automobile ranked a close second, getting votes from 31 percent of teens and 37 percent of adults.

Of the remaining choices, teens ranked the personal computer third (16 percent), the cell phone fourth (10 percent) and the microwave last (7 percent). Adults deemed the remaining choices equally important; the personal computer (6 percent), microwave oven (6 percent) and the cell phone (6 percent) tied for third.

Two Revolutions Will Start on Thursday 1 May 2008

Thursday 1 May 2008 is book release date for:

SENSATIONAL SMILES

SIMPLE ADVICE 4 YOUR SMILE 2 SHINE

FROM TEENAGE TO OLD AGE

ISBN: 978-1-60037-282-7

AUTHOR: Dr Garth Pettit

PUBLISHER: Morgan James Publishing, New York

DISTRIBUTOR: Ingram Publishing Services

WORLWIDE INTERNET DISTRIBUTORS: Amazon

REVOLUTION # 1. The Death Knell For The 500+ Years Old, Past-It’s-Use-By-Date, Instruction “Brush Your Teeth”

The simple advice in SENSATIONAL SMILES will revolutionize the way everyone thinks about their oral hygiene and have everyone wondering…..why didn’t someone tell me this before?

The advice IS simple. So simple, that everyone I tell reacts with…that makes sense…that’s so logical….I never thought of it like that before…. why didn’t someone tell me this before?

SIMPLE? Yes very simple….It’s simply HOW to use bristles and HOW to use paste to achieve TOTAL ORAL HYGIENE. Just simple things you will never have been told of before. I wonder why?

TOTAL ORAL HYGIENE is the only way you will ever prevent the easily preventable oral diseases such as; tooth decay, gum diseases, bad breath and stained teeth.

The advice given in SENSATIONAL SMILES is never follow the 500+ year old tooth cleaning instruction “Brush Your Teeth”, for total oral hygiene follow my advice and “Treat Your Whole Mouth”.

REVOLUTION # 2. Mandatory Oral HealthCare Education for Children Based on “Treat Your Whole Mouth”

The “Sensational Smiles Petition” announced in SENSATIONAL SMILES is a petition to gather support for, as the petition reads, “Oral Health Education Based on “Treat Your Whole Mouth”, Not Based on ‘Brush Your Teeth’ Should be Mandatory For All Children”.

I am convinced that readers of SENSATIONAL SMILES , after switching to “Treat Your Whole Mouth”, will be as enthusiastic and passionate as I am about helping children to prevent easily preventable oral diseases ….to enjoy oral health, with all it’s benefits, for life.

Dr Garth Pettit BDS GDM

Oral HealthCare Educator

Author of MouthWise Oral HealthCare Education Resources.