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Summary ᓇᐃᓈᖅᑕᐅᓯᒪᔪᑦ

Report ᐅᓂᒃᑳᓕᐊᑦ
Inuit Oral ᐃᓄᐃᑦ ᖃᓂᕐᒥᒍᑦ
ᑭᒍᑎᒥᒍᑦ
Health Survey ᖃᓄᐃᓂᖏᓐᓂᖏᓐᓂᒃ
2008 - 2009 ᐊᐱᖅᑯᑎᑦ ᑐᑭᓯᓂᐊᕐᓂᕐᒧᑦ
2008 - 2009
Health Canada is the federal department responsible for helping the people of Canada maintain and improve
their health. We assess the safety of drugs and many consumer products, help improve the safety of food, and
provide information to Canadians to help them make healthy decisions. We provide health services to First
Nations people and to Inuit communities. We work with the provinces to ensure our health care system serves
the needs of Canadians.

Published by authority of the Minister of Health.

Summary Report Inuit Oral Health Survey 2008 – 2009


is available on Internet at the following address:
http://www.hc-sc.gc.ca/fniah-spnia/pubs/promotion/_oral-bucco/index-eng.php

Également disponible en français sous le titre :


Summary Report Inuit Oral Health Survey 2008 – 2009

This publication can be made available on request on diskette, large print, audio-cassette and braille.

For further information or to obtain additional copies, please contact:


Publications Health Canada
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© Her Majesty the Queen in Right of Canada, represented by the Minister of Health, 2011
This publication may be reproduced without permission provided that its use falls within the scope of fair
dealings under the Copyright Act, and is solely for the purposes of study, research, criticism, review or
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Works and Government Services Canada, Ottawa, Ontario K1A 0S5 or copyright.droitdauteur@pwgsc.gc.ca.

SC Pub.: 110091
CAT. : H34-231/2-2011ES-PDF
ISBN: 978-1-100-18370-1
Table of Contents ᒫᒃᐱᒐᐃᑦ ᐃᓗᓕᖏᑦ

Oral Health . . . . . . . . . . . . . . . . . . 1 ᖃᓂᒃᑯᑦ ᑭᒍᑎᑯᓪᓗ ᖃᓄᐃᖏᓐᓂᖅ . . . . . . . . . . . . 1

Thank You . . . . . . . . . . . . . . . . . . 2 ᖁᔭᓐᓇᒦᒃ . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Executive Summary . . . . . . . . . . . . . . 4 ᐊᐅᓚᑦᑎᔨᓄᐊᖓᔪᑦ ᓇᐃᓈᖅᑕᐅᓯᒪᔪᑦ . . . . . . . . . . . 4

Highlights . . . . . . . . . . . . . . . . . . . 7 ᑐᓴᕈᒥᓇᓗᐊᖅᑐᑦ . . . . . . . . . . . . . . . . . . . . . . . 7

Background . . . . . . . . . . . . . . . . . . 8 ᖃᓄᖅ ᐱᒋᐊᖓᓚᐅᖅᓯᒪᖕᒪᖔᑦ . . . . . . . . . . . . . . . 8

Cavities . . . . . . . . . . . . . . . . . . . . 9 ᑭᒍᑎᕐᓗᖕᓂᖅ ᐊᐅᒪᓂᕐᒥᒃ . . . . . . . . . . . . . . . . . . 9

Edentulism . . . . . . . . . . . . . . . . . 11 ᑭᒍᑎᖃᕈᓐᓃᖅᑐᖅ ᑕᒪᐃᓐᓂᒃ . . . . . . . . . . . . . . . 11

Periodontal Conditions . . . . . . . . . . . . 12 ᑭᒍᑎᐅᖏᑦᑐᑦ ᖃᓂᕐᒥ ᐋᕿᐅᒪᔪᑦ . . . . . . . . . . . . . 12

Preventive Behaviours . . . . . . . . . . . . 15 ᐱᓂᕐᓗᒃᑕᐃᓕᒪᔾᔪᑎᓂᒃ ᐱᐅᓯᖃᕐᓂᖅ . . . . . . . . . . . 15

Need for Care . . . . . . . . . . . . . . . . 16 ᑲᒪᑦᑎᐊᖃᑦᑕᕆᐊᖃᕐᓂᖅ . . . . . . . . . . . . . . . . . . 16

How Do We Compare to People from ᖃᓄᐃᓕᖓᕕᑕ ᓴᓂᐊᓂ ᐊᓯᕗᑦ


Southern Canada? . . . . . . . . . . . . . . 18 ᖃᓗᓈᓃᑦᑐᑦ ᑲᓇᑕᒥᐅᑦ? . . . . . . . . . . . . . . . . . . 18

Here Are Some Comparisons . . . . . . . . . 19 ᑕᒪᔾᔭ ᑕᕝᕙ ᐊᔾᔨᒌᖏᓐᓂᖏᑦ: . . . . . . . . . . . . . . . 19

The Good News . . . . . . . . . . . . . . . 21 ᑐᓴᕐᓂᖅᐳᑦ ᑭᓯᐊᓂᑦᑕᐅᖅ ᐅᕗᓇ . . . . . . . . . . . . . . . 21

Future Steps . . . . . . . . . . . . . . . . 22 ᓯᕗᓂᒃᓴᒥ ᐱᓕᕆᐊᒃᓴᐃᑦ . . . . . . . . . . . . . . . . . . 22


Oral Health
ᖃᓂᒃᑯᑦ ᑭᒍᑎᑯᓪᓗ
ᖃᓄᐃᖏᓐᓂᖅ
Everyone is affected by their oral health. Good ᐃᓄᓕᒫᑦ ᐊᒃᑐᖅᑕᐅᓯᒪᖃᑦᑕᕐᒪᑕ ᖃᓂᒃᑯᑦ ᑭᒍᑎᑯᓪᓗ
oral health is important to a healthy life because ᖃᓄᐃᓂᕐᒥᓄᑦ . ᑭᒍᑎᖃᑦᑎᐊᕐᓂᖅ ᖃᓂᒃᑯᓪᓗ
it affects how we eat, speak and how we relate to ᖃᓄᐃᖏᓐᓂᖃᕐᓂᖅ ᐱᒻᒪᕆᐊᕗᖅ ᐃᓅᓯᖃᑦᑎᐊᕐᓂᕐᒧᑦ,
each other with confidence in our healthy smiles. ᐱᔾᔪᑎᒋᓪᓗᒋᑦ ᐊᒃᑐᐃᓂᖃᕐᓂᖏᑦ ᖃᓄᖅ
ᓂᕆᓲᖑᖕᒪᖔᑕ, ᐅᖃᓪᓚᓲᖑᖕᒪᖔᑦᑕ ᐊᒻᒪᓗ ᖃᓄᖅ
ᑲᖑᓱᖏᓐᓂᖅᓴᐅᔪᓐᓇᕐᒪᖔᑕ ᖃᓂᒃᑯᑦ ᖃᓄᐃᖏᑦᑎᓪᓗᑕ
(ᖁᖓᔮᓕᕌᖓᑦᑕᓗ) .

Pain and infection from tooth and gum diseases ᐋᓐᓂᐊᕐᓂᖅ ᐊᒻᒪᓗ ᐱᐅᔪᓐᓃᖅᓯᒪᓂᖃᕐᓂᖅ ᑭᒍᑎᒥᒃ
(oral diseases) can affect our capacity to function ᐊᒻᒪᓗ ᖃᓂᕐᒥᒃ (ᖃᓂᕐᒥ ᖃᓂᒪᓃᑦ) ᐊᒃᑐᐊᔪᓐᓇᑦᑎᐊᕐᒪᑕ
as full members of the community. For example, if ᐊᔪᖏᓂᑦᑎᓐᓂ ᐃᓅᖃᑕᐅᑦᑎᐊᕈᓐᓇᕐᓂᖅ . ᓲᕐᓗ
children cannot go to school, or if parents cannot ᐆᒃᑑᑎᒋᓗᒍ, ᓱᕈᓯᑦ ᐃᓕᓐᓂᐊᕆᐊᖏᒃᑯᓂ, ᐅᕝᕙᓗᓐᓃᑦ
get a job because of the condition of their teeth ᐊᖓᔪᖄᕆᔭᐅᔪᑦ ᐃᖃᓇᐃᔮᖅᑖᕈᓐᓇᖏᒃᑯᑎᒃ ᑭᒍᑎᖏᑦ
ᖃᓂᖏᓪᓗᓐᓃᑦ ᐱᔾᔪᑕᐅᓂᖏᓐᓄᑦ, ᑮᓇᐅᔭᓕᐅᕈᓐᓇᕐᓂᕐᒧᑦ
and mouth, then it may have economic and social
ᐃᓅᓯᕐᒧᓪᓗ ᐊᑐᐃᓐᓂᖃᕈᓐᓇᕐᒪᑦ ᑕᒪᐃᓐᓄ ᐃᓚᒌᒃᑐᑦ
impacts in everyone’ s life in the family. In some ᐃᓅᓯᖏᓐᓂ . ᐃᓚᓐᓃᓐᓇᒻᒪᕆᓗᒃ, ᖃᓂᒃᑯᑦ ᖃᓂᒪᓂᖃᕐᓂᖅ
extreme cases, oral diseases can cause severe ᐱᒻᒪᕆᐊᓗᖕᒥᒃ ᐊᔪᓕᕈᑕᐅᓯᒪᔪᖅ, ᐅᕝᕙᓗᓐᓃᑦ
disability or even death, as is the potential with oral ᐃᓅᔪᓐᓃᕈᑕᐅᓯᒪᔪᖅ, ᓲᕐᓗ ᑕᐃᒪᓕᔾᔪᑕᐅᔪᓐᓇᖅᓱᓂ
cancer. ᖃᓂᒃᑯᑦ ᑳᓐᓴᑕᖅᓯᒪᔪᑦ .

While oral conditions are important in and of ᖃᓂᒃᑯᑦ ᖃᓄᐃᖏᓐᓂᖅ ᐱᒻᒪᕆᐅᒐᓗᐊᖅᓱᑎᒃ


themselves, there is an increasing awareness ᐃᖕᒥᓃᓐᓈᖅ, ᖃᐅᔨᒪᔭᐅᓕᖅᐸᓪᓕᐊᑐᐃᓐᓇᖅᐳᖅ
regarding their contribution to the incidence and ᐱᔾᔪᑕᐅᖃᑦᑕᕐᓂᖏᓐᓂᒃ ᓴᕿᖃᑦᑕᕐᓂᖏᓐᓄᑦ ᐊᒻᒪᓗ
severity of other diseases. Conditions that may be ᐱᐅᔪᓐᓃᕈᑕᐅᓪᓚᕆᐊᓗᒍᓐᓇᕐᓂᖏᓐᓄᑦ ᐊᓯᖏᓐᓄᑦ
affected by poor oral health include such diseases ᖃᓂᒪᓂᐅᔪᓄᑦ . ᖃᓄᐃᓕᖓᓂᖏᑦ ᐊᒃᑐᖅᑕᐅᓯᒪᔪᓐᓇᖅᑐᑦ
ᐱᐅᖏᑦᑐᒥᒃ ᖃᓂᒃᑯᑦ ᖃᓄᐃᓂᕐᒧᑦ ᐃᓚᖃᕈᓐᓇᖅᐳᑦ
as diabetes, respiratory diseases and cardiovascular
ᒪᑯᓂᖓ ᖃᓂᒪᓂᕆᔭᐅᕙᒃᑐᓂᒃ, ᓲᕐᓗ ᑎᒥᒃᑯᑦ ᓱᑲᖃᕐᓂᕐᒥᒃ
health. ᓈᒻᒪᖏᓐᓂᖃᕐᓂᖅ, ᐊᓂᖅᓵᖅᑐᑦᑎᐊᕈᓐᓇᖏᓐᓂᖅ, ᐊᒻᒪᓗ
ᐆᒻᒪᑎᒧᑦ ᖃᓄᐃᔾᔪᑕᐅᔪᓐᓇᕐᓂᖅ .

For all of these reasons, it is important that Inuit ᑕᒪᒃᑯᐊᓕᒫᑦ ᐱᔾᔪᑎᒋᓪᓗᒋᑦ, ᐱᒻᒪᕆᐅᕗᖅ ᑕᐃᒪ ᐃᓄᐃᑦ
and professional policy makers become informed as ᐊᒻᒪᓗ ᐊᑐᐊᒐᓕᐅᖅᑎᒻᒪᕆᑦ ᑐᑭᓯᐅᒪᑦᑎᐊᕆᐊᖃᕐᓂᖏᓐᓂᒃ
to the extent and severity of oral health conditions ᖃᓄᑎᒋ ᑎᑭᐅᒪᖕᒪᖔᑕ ᐊᒻᒪᓗ ᖃᓄᖅ ᐱᒻᒪᕆᐅᓕᕐᒪᖔᑕ
in the Inuit Nunangat. ᖃᓂᒃᑯᑦ ᖃᓄᐃᖃᑦᑕᕐᓂᖅ ᐃᓄᖕᓂ ᓄᓇᖏᓐᓂ .

Summary Report 1 Inuit Oral Health Survey


Thank You ᖁᔭᓐᓇᒦᒃ
This report would not have been realized without the ᑖᒃᑯᐊ ᐅᓂᒃᑲᓕᐊᑦ ᓴᕿᑦᑐᓐᓇᕋᔭᓚᐅᖏᑦᑐᑦ
help of many individuals and organizations. I would ᐃᑲᔪᖅᑕᐅᓚᐅᖏᒃᑯᑎᒃ ᐊᒥᓱᒻᒪᕿᖕᓄᑦ ᐃᓄᖕᓄᑦ
like to take a moment to thank and acknowledge all ᑲᑐᔾᔨᖃᑎᒌᖕᓄᓪᓗ . ᒫᓐᓇᒥ ᖁᔭᓐᓇᒦᑲᐃᓐᓇᕈᒪᕙᒃᑲ
those who have provided their time, assistance and ᐃᓕᑕᕆᔭᐅᖁᓪᓗᒋᓪᓗ ᑕᐃᒃᑯᐊ ᐱᕕᒃᓴᕋᓱᐊᖅᓯᒪᔪᑦ,
experience to the Inuit Oral Health Survey. ᐃᑲᔪᖅᓯᒪᔪᑦ ᐊᒻᒪᓗ ᖃᐅᔨᒪᓂᖅᖃᑐᑦ ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ
ᖃᓄᐃᖏᓐᓂᖏᓐᓄᑦ ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᔪᓂᒃ .

To begin with, I would like to acknowledge ᐱᒋᐊᕈᑎᒋᓗᒋᑦ, ᐃᓕᑕᕆᔭᐅᖁᕙᒃᑲ


the immense support provided by the Inuit ᐃᑲᔪᖅᓱᖅᑕᐅᓯᒪᔪᒻᒪᕆᐊᓂᖏᑦ ᐃᓄᐃᑦ ᑎᒥᖁᑎᖏᓐᓄᑦ .
organizations. The National Inuit Committee on ᑲᓇᑕᓕᒫᒥ ᐃᓄᐃᑦ ᑲᑎᒪᔨᕋᓛᑦ ᖃᓄᐃᓂᖃᖏᓐᓂᕐᒧᑦ,
Health (NICoH), within Inuit Tapiriit Kanatami ᐃᓗᐊᓂ ᐃᓄᐃᑦ ᑕᐱᕇᑦ ᑲᓇᑕᒥ ᐃᑲᔪᖅᓯᒪᔪᑦ
(ITK) helped to draft the interview questions, found ᓴᓇᔭᐅᕙᓪᓕᐊᓂᖏᓐᓂᒃ ᑐᑭᓂᐊᖅᑕᐅᔪᓄᑦ
ᐊᐱᖁᑎᒃᓴᐃᑦ, ᓇᓂᓯᒪᓪᓗᑎᒃ ᐱᑎᑕᐅᔪᓂᒃ
the recipients for the contribution agreements to
ᑐᓂᕐᕈᓯᐊᖅᑖᖅᑎᑕᐅᓯᒪᓂᐊᖅᑐᓂᒃ ᑮᓇᐅᔭᓂᒃ ᐊᖏᕈᑎᒃᑯᑦ,
hire the community survey staff, and brought their ᐃᖃᓇᐃᔭᖅᑎᑦᑎᓂᕐᒧᑦ ᓄᓇᓕᖕᓂ ᑐᑭᓯᓂᐊᖅᑎᒃᓴᓂᒃ,
support and expertise to draft the participant’s ᐊᒻᒪᓗ ᐃᑲᔪᕐᕈᓐᓇᕐᓂᕐᒥᒃ ᐊᒻᒪᓗ ᖃᐅᔨᒪᓂᕐᒥᒃ
consent form, information brochure and poster. ᓇᒃᓴᖅᓯᒪᓚᐅᖅᑐ ᑎᑎᕋᖅᑕᐅᕙᓪᓕᐊᓂᖏᓐᓂ ᐊᖏᕈᑏᑦ
ᑕᑕᑎᕆᐊᓖᒃ, ᖃᐅᔨᒪᑎᑦᑎᔾᔪᑏᑦ ᐅᖃᓕᒫᒐᕋᓛᑦ, ᐊᒻᒪᓗ
ᐊᔾᔨᓕᐊᖑᓯᒪᔪᑦ .

Special thanks must go to the various ethics ᖁᔭᓐᓇᒦᖅᑕᐅᓗᐊᕆᐊᖃᖅᑐᑦ ᐊᒥᓱᑦ ᐊᔾᔨᒌᖏᑦᑑᑎᓂᒃ


boards such as Health Canada, Aurora Research ᐱᓕᕆᐊᖃᖅᑐᑦ ᓱᕐᓗ ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᑦ ᑲᓇᑕᒥ,
Institute, the Nunavut Research Institute and the ᐊᕈᐊᕋᒃᑯᑦ (ᐊᖅᓴᕐᓃᑦᑐᑦ) ᖃᐅᔨᓂᐊᖅᑏᑦ ᐃᖃᓇᐃᔭᕐᕕᖓᑦ,
Nunatsiavut Department of Health and Social ᓄᓇᕗᒻᒥ ᖃᐅᔨᓂᐊᖅᑏᑦ ᐃᖃᓇᐃᔭᕕᖓᑦ, ᐊᒻᒪᓗ
Development who have ensured that privacy and ᓄᓇᑦᓯᐊᕗᑦ ᐃᖃᓇᐃᔭᕐᕕᖓᑦ ᐊᓐᓂᐊᖅᑐᓕᕆᓂᕐᒧᑦ
ᐃᓄᓕᕆᔨᒃᑯᓄᓪᓗ ᐅᔾᔨᖅᑐᖅᑎᐅᓚᐅᕐᒪᑕ
confidentiality of the Survey participants was
ᑕᒪᐅᖓᑐᐃᓐᓇᖅ ᐅᖃᐅᓯᐅᓂᐊᖏᓐᓂᖏᓐᓂᒃ
respected. ᐊᒻᒪᓗ ᐃᒃᐱᒋᔭᐅᑦᑎᐊᕆᐊᖃᕐᓂᖏᑦ
ᐸᒡᕕᓴᒃᑕᐅᔭᕆᐊᖃᖏᓐᓂᖏᓐᓂᒃ ᐃᓄᐃᑦ
ᐊᐱᖅᓱᖅᑕᐅᖃᑕᐅᓚᐅᖅᑐᑦ .

The Inuit Oral Health Survey was built on the ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ ᖃᓄᐃᓂᖏᑦ ᑐᑭᓯᓂᐊᕈᑎᑦ
Oral Health Component of the Canadian Health ᐱᕈᖅᐸᓪᓕᐊᓚᐅᖅᓯᒪᔪᑦ ᐱᒋᐊᕐᕕᖃᖅᓱᑎᒃ ᖃᓂᒃᑯᑦ
Measures Survey and therefore, I would like to ᖃᓄᐃᖏᓐᓂᖃᕐᓂᕐᒥᒃ ᐃᓚᒋᔭᐅᔪᓂᒃ ᑲᓇᑕᒥ
extend my appreciation to the Oral Health Steering ᖃᓄᐃᖏᓐᓂᕐᒧᑦ ᐆᒃᑐᕋᐃᓂᕐᒧᑦ ᑐᑭᓯᓂᐊᕈᑎᓂᒃ .
Committee who helped draft the survey tools and ᑕᐃᒪᐃᓐᓂᖓᓄᑦ, ᖁᔭᓐᓇᒦᕈᒪᒋᕙᒃᑲ ᖃᓂᒃᑯᑦ
ᖃᓄᐃᖏᑦᑐᓕᕆᔨᑦ ᓯᕗᓕᐅᖅᑏᑦ ᑲᑎᒪᔨᕋᓛᖏᑦ,
the examiner manual.
ᐃᑲᔪᓚᐅᖅᑎᓪᓗᒋ ᑐᑭᓯᓂᐊᖅᑕᐅᓂᕐᒧᑦ ᓴᓇᕐᕈᑎᒃᓴᐃᑦ
ᐊᒻᒪᓗ ᕿᒥᕐᕈᐊᕐᓂᕐᒧᑦ ᐅᖃᓕᒫᒐᐃᑦ .

The survey would not have been possible without ᑖᒃᑯᐊ ᑐᑭᓯᓂᕈᑏᑦ ᑲᔪᓯᔪᓐᓇᕋᔭᓚᐅᖏᑦᑐᑦ
the dedicated efforts of the First Nations and Inuit ᐱᓇᓱᐊᖅᓯᒪᑦᑎᐊᓚᐅᖏᒃᑯᑎᒃ ᓄᓇᖃᖄᖅᑐᑦ
Health Branch of Health Canada which allowed ᐃᓄᐃᓪᓗ ᑲᒪᒋᔭᐅᕝᕕᖏᑦ ᐋᓐᓂᐊᖅᑐᓕᕆᓂᕐᒥᒃ
Regional Dental Officers to participate in the survey ᑲᓇᑕᒥ, ᐱᔪᓐᓇᕐᕕᐅᓯᒪᖕᒪᑕ ᐊᕕᒃᑐᖅᓯᒪᔪᓂ ᑭᒍᓯᕆᔨᑦ
as dentist examiners. ᐃᓚᐅᔪᓐᓇᕐᓂᖏᓐᓂᒃ ᑐᑭᓯᓂᐊᖅᑕᐅᖃᑕᐅᔪᓂ ᑭᒍᓯᕆᔩᑦ
ᖃᐅᔨᓴᖅᑕᐅᓂᖏᓐᓂ .

We are grateful to Dr. Harry Ames who calibrated ᖁᔭᓕᑦᑎᐊᖅᐳᒍᑦ ᓗᑦᑕᖅ ᕼᐊᐅᓕ ᐄᒻᓯᒧᑦ Harry Ames,
the examiner dentists to World Health Organization ᑐᓂᓯᓚᐅᕐᓂᖓᓂᒃ ᖃᐅᔨᓴᖅᑎᓂᒃ ᑭᒍᓯᕆᔨᓄᑦ ᒪᓕᒐᒃᓴᓂᒃ
(WHO) standards and who also analyzed the data ᓯᓚᕐᔪᐊᕐᒥ ᐋᓐᓂᐊᖅᑐᓕᕆᓂᕐᒧᑦ ᑲᑐᔾᔨᖃᑎᒌᒡᔪᐊᖏᓐᓄᑦ,
collected from the survey with the help of Ms. ᐊᒻᒪᓗ ᑕᐃᓐᓇ ᕿᒥᕐᕈᐊᓚᐅᕐᓂᖏᓐᓂᒃ ᖃᐅᔨᔭᐅᔾᔪᑎᓂᒃ
Suzelle Giroux from Statistics Canada. ᑲᑎᖅᓱᖅᑕᐅᓚᐅᖅᑐᓂᒃ ᐊᐱᖅᓱᖅᑕᐅᓯᒪᓚᐅᖅᑐᓂᒃ,
ᐃᑲᔪᖅᑕᐅᓪᓗᓂ ᒥᔅ ᓲᓯᐊᓪ ᔾᔨᕉᒧᑦ Suzelle Giroux,
ᓈᓴᐃᔨᕐᔪᐊᒃᑯᓐᓂᒃ ᑲᓇᑕᒥ .

Summary Report 2 Inuit Oral Health Survey


A special word of thanks must go to all those at ᖁᔭᓐᓇᒦᖅᑕᐅᔭᕆᐊᖃᕐᒥᔪᑦ ᑕᒪᕐᒥᒃ ᑕᐃᒃᑯᐊ
Health Canada for their contributions to the report, ᐊᓐᓂᐊᖅᑎᓕᕆᔨᒃᑯᓐᓃᑦᑐᑦ ᑲᓇᑕᒥ ᐃᑲᔪᓚᐅᕐᓂᖏᓐᓄᑦ
to Dr. James Leake for his enormous contribution ᐅᓂᒃᑲᓕᐊᓂᒃ, ᓗᑦᑕᖅ ᔩᒥᓯ ᓖᒃᒧᑦ James Leake,
to the final report and to Dr. Roger Bélanger, Public ᐊᖏᔪᐊᓗᖕᒥᒃ ᐃᑲᔪᖅᓯᒪᓂᖓᓂᒃ ᑭᖑᓪᓕᖅᐹᒥᒃ
Health Dentist Advisor, Nunavik Regional Board of ᐅᓂᒃᑲᓕᐊᓂᒃ, ᐊᒻᒪᓗ ᓗᑦᑖᖅ ᕌᔾᔭ ᐳᓛᓐᔭᐃ, Roger
Belanger, ᐃᓄᓕᒫᓄᑦ ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᓐᓂᒃ
Health and Social Services.
ᑭᒍᓯᕆᔨᓄᑦ ᐅᖃᐅᔾᔨᒋᐊᖅᑎ, ᓄᓇᕕᖕᒥ ᐊᕕᒃᑐᖅᓯᒪᓂᖓᓂ
ᑲᑎᒪᔨᑦ ᐋᓐᓂᐊᖅᑐᓕᕆᓂᕐᒧᑦ ᐃᓄᓕᕆᓂᕐᒧᓪᓗ .

I am especially grateful to my staff in the Office of ᐱᓗᐊᖅᑐᒥᒃ ᖁᔭᓐᓇᒦᕈᒪᔭᒃᑲ ᐃᖃᓇᐃᔭᖅᑎᒋᔭᒃᑲ,


the Chief Dental Officer and in particular to Valerie ᐃᖃᓇᐃᔭᕐᕕᓐᓂᒃ ᐊᖓᔪᖄᖑᓂᕐᒧᑦ ᑭᓯᕆᔨᓂᕐᒧᑦ ᐊᒻᒪᓗ
Malazdrewicz, Lisette Dufour and Amanda Gillis. ᐱᓗᐊᖅᑐᒥᒃ ᕚᓗᕆ ᒪᓚᔅᑐᕆᕕᑦᔅ Malazdrewicz, ᓕᓯᐊᑦ
ᑐᕗᐊ Dufour ᐊᒻᒪᓗ ᐊᒫᓐᑕ ᒋᓕᔅ Gillis .

Finally, I would like to thank all those who ᑭᖑᓪᓕᕐᒥ, ᖁᔭᓐᓇᒦᕈᒪᔭᒃᑲ ᑕᐃᒃᑯᐊ ᑕᒪᕐᒥᒃ
participated in the calibration sessions and give ᐃᒪᐅᓚᐅᖅᑐᑦ ᖃᓄᐃᓕᖓᓂᐊᕐᓂᖏᓐᓂᒃ ᑐᑭᓕᐅᕐᓂᕐᒥᒃ
a special note of thanks to the participating ᑲᑎᒪᓂᕆᔭᐅᕙᓚᐅᖅᑐᓂᒃ, ᐊᒻᒪᓗ ᐅᔾᔨᕆᔭᐅᖁᓗᐊᖅᓱᒋᑦ
communities and the 1216 Inuit, who by ᐃᓚᐅᓚᐅᖅᑐᑦ ᓄᓇᓖᑦ ᐊᒻᒪᓗ ᑕᐃᒃᑯᐊ ᐃᓄᐃᑦ
participating in the survey, made all of this possible. 1,216-ᖑᓚᐅᖅᑐᑦ, ᐊᐱᖅᓱᖅᑕᐅᓚᐅᖅᑐᑦ, ᑕᒪᒃᑯᓂᖓ
ᓴᕿᑦᑎᑦᑎᔪᓐᓇᖅᓯᓯᒪᔪᑦ .

Sincerely, ᑎᑎᕋᖅᑐᖅ,

Dr. Peter Cooney, BDS, LDM, DDPH, MSc, ᓘᑦᑖᖅ ᐲᑕ ᑰᓂ Cooney, BDS, LDM, DDPH, MSc,
FRCD(C) FRCD(C)

Chief Dental Officer, Health Canada ᐊᖓᔪᖄᖅ ᑭᒍᓯᕆᔨᓂ, ᐋᓐᓂᐊᖅᑐᓕᕆᔨᑯᑦ ᑲᓇᑕᒥ

Summary Report 3 Inuit Oral Health Survey


Executive Summary
ᐊᐅᓚᑦᑎᔨᓄᐊᖓᔪᑦ
ᓇᐃᓈᖅᑕᐅᓯᒪᔪᑦ
This report provides the results of the Inuit Oral ᐅᑯᐊ ᐅᓂᒃᑳᓕᐊᑦ ᑐᓂᓯᔾᔪᑕᐅᕗᑦ ᓴᕿᓚᐅᖅᑐᓂᒃ ᐃᓄᐃᑦ
Health Survey, 2008-2009. This survey was ᖃᓂᒃᑯᑦ ᖃᓄᐃᓂᖏᓐᓂᒃ ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᓚᐅᖅᑐᓂᒃ
conducted by the Office of the Chief Dental Officer 2008-2009−ᖑᑎᓪᓗᒍ . ᑖᒃᑯᐊ ᑐᑭᓯᓂᐊᕈᑎᑦ
of Canada in conjunction with the Inuit Tapiriit ᐊᐅᓚᑕᐅᓚᐅᖅᑐᑦ ᐃᖃᓇᐃᔭᕐᕕᖓᓐᓄᑦ ᐊᖓᔪᖃᖅ
Kanatami and the Government of Nunatsiavut, ᑭᒍᓯᕆᔨᓄᑦ ᑲᓇᑕᒥ, ᐃᓚᒋᓪᓗᒋᓪᓗ ᐃᓄᐃᑦ ᑕᐱᕇᑦ
ᑲᓇᑕᒥ ᐊᒻᒪᓗ ᒐᕙᒪᖏᑦ ᓄᓇᑦᓯᐊᕗᑦ, ᐃᖃᓇᐃᔭᕐᕕᖓᑦ
Department of Health and Social Development
ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᑦ ᐃᓄᓕᕆᔨᓄᓪᓗ (ᓂᐅᕙᓐᓛᓐ
(Newfoundland and Labrador); Nunavut Tunngavik ᐊᒻᒪᓗ ᓚᐸᑐᐊᕆ); ᓄᓇᕗᑦ ᑐᓐᖓᕕᒃᑯᑦ ᑎᒥᖁᑎᖓᑦ
Incorporated (Nunavut); and the Inuvialuit Region (ᓄᓇᕗᑦ); ᐊᒻᒪᓗ ᐃᓄᕕᐊᓗᒃ ᓄᓇᖁᑎᖓᓄᑦ ᑯᐊᐳᕇᓴᐃᑦ
Corporation (Northwest Territories). (ᓄᓇᑦᓯᐊᕐᒥ) .

The Inuit Oral Health Survey provides estimates of ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ ᑭᒍᑎᒃᑯᓪᓗ ᖃᓄᐃᓂᖏᓐᓂᒃ
tooth decay and gum disease as of 2008-09 across ᖃᐅᔨᓴᖅᑕᐅᓯᒪᔪᑦ ᓇᓚᐅᑖᕈᑕᐅᕗᑦ ᑭᒍᑎᕐᓗᒃᑐᓂᒃ ᐊᒻᒪᓗ
areas of Canada’s Arctic, except Nunavik. Although ᖃᓂᒃᑯᑦ ᖃᓂᒪᓂᖃᖅᑐᓂᒃ 2008-2009−ᖑᑎᓪᓗᒍ,
the Region of Nunavik chose not to participate in ᑕᒪᐃᓐᓂ ᓇᓂᑐᐃᓐᓇᖅ ᑲᓇᑕᐅᑉ ᐅᑭᐅᖅᑕᖅᑐᖓᓂ,
ᐱᖏᑦᑐᑑᓪᓗᓂ ᓄᓇᕕᒃ . ᑕᐃᒪᓐᓇᐅᒐᓗᐊᖅᑎᓪᓗᒍ
the survey, it is important to mention that they are
ᐊᕕᒃᑐᖅᓯᒪᓂᖓ ᓂᕈᐊᖅᓯᓯᒪᕗᑦᓄᓇᕕᒃ ᐃᓚᐅᔪᒪᓐᖏᑦᑐᖅ
in full support of the results of the Inuit Oral Health ᖃᐅᔨᓴᖅᓯᔪᓂ ᐊᐱᖅᓱᖅᑐᓂ, ᐱᒻᒪᕆᐅᕗᖅ
Survey 2008-2009. Following the standards and ᐅᖃᐅᔭᐅᓯᒪᖃᑦᑕᕈᑦᓯ ᐃᑲᔪᖅᓯᖅᑐᐃᓐᓇᐅᖕᒪᖔᑕ ᐃᓄᐃᑦ
methodology of the oral health module/component ᐅᖃᓪᓚᒡᖢᑎᒃ ᐃᓘᓯᕐᒥᒃ ᐊᐱᖅᓱᕈᓯᖃᖅᑐᑦ 2008-2009 .
of the Canadian Health Measures Survey (OHM- ᒪᓕᒃᑕᐅᓪᓗᑎᒃ ᐱᐅᓯᕆᔭᐅᔭᕆᐊᓕᒃ ᐊᔾᔨᒌᒃᑐᐃᓐᓇᐃᑦ
CHMS), trained dentist-examiners examined 1216 ᐊᒻᒪᓗ ᒪᓕᒐᐃᑦ ᖃᓂᒃᑯᑦ ᖃᓂᐃᖏᓐᓂᕐᒧᑦ ᐅᖃᓕᒫᒐᕐᓂ/
Inuit ranging in age from 3 to 40+ years. ᑎᑎᖃᖁᑎᖏᓐᓂ ᑲᓇᑕᒥ ᐊᓐᓂᐊᖅᑐᓕᕆᓂᕐᒧᑦ
ᐆᒃᑐᕋᐃᓂᕐᒧᑦ ᑐᑭᓯᓂᐊᕈᑎᒃ (ᖃᓗᓈᑎᑐᑦ OHM-CHMS−
ᑯᑦ), ᐃᓕᓐᓂᐊᖅᑎᑕᐅᓯᒪᔪᑦ ᑭᒍᓯᕆᔨᑦ ᖃᐅᔨᓴᓚᐅᖅᑐᑦ
1216-ᓂᒃ ᐃᓄᖕᓂᒃ ᐅᑭᐅᖃᖅᑐᓂᒃ 3-ᓂᒃ 40 ᐅᖓᑕᓅᑦ
ᐊᕐᕋᒍᓄᑦ .

Compared to Canadians examined for the Canadian ᓴᓂᐊᓂ ᑲᓇᑕᒥᐅᑕᐃ ᐊᓯᖏᑦ ᖃᐅᔨᓴᖅᑕᐅᖃᑦᑕᖅᑐᑦ
Oral Health Measures Survey, living south of the ᖃᓂᒃᑯᑦ ᖃᓄᐃᓂᖏᓐᓂᒃ ᐆᒃᑐᕋᖅᑕᐅᓂᐊᖅᑐᓂ
60ieth parallel, more Inuit reported poor oral ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ, ᖃᓗᓈᓃᑦᑐᑦ ᓄᓇᖑᐊᖅᑎᒍᑦ
health and higher frequency of food avoidance ᐊᑖᓂ 60 ᐊᕙᓗᐊᓂᒃ, ᐊᒥᓲᓂᖅᓴᐃᑦ ᐃᓄᐃᑦ
ᐅᓂᒃᑳᓚᐅᖅᑐᑦ ᐱᐅᖏᑐᖃᕐᓂᖅ ᑭᒍᓯᕿᓂᕐᒥᒃ
and oral pain. Half of the Inuit surveyed made a
ᐊᒻᒪᓗ ᓂᕆᑕᐃᓕᒪᖃᑦᑕᕐᓂᖅᓴᐅᔭᕆᐊᖃᕐᓂᖅ,
visit for dental care. Very few reported that costs ᐊᒻᒪᓗ ᐋᓐᓂᐊᖃᑦᑕᕐᓂᖅ ᖃᓂᕐᒥᓂ . ᓇᑉᐸᓪᓗᐊᖏᑦ
were a factor in avoiding visiting or accepting ᐃᓄᐃᑦ ᐊᐱᖅᓱᖅᑕᐅᔪᑦ ᑭᒍᓯᕆᔨᓄᐊᖃᑦᑕᖅᓯᒪᔪᑦ .
recommended treatment. ᐊᒥᓲᖏᑦᑐᒻᒪᕇᑦ ᐅᓂᖃᓛᐅᖅᑐᑦ ᐊᑭᑐᓗᐊᕐᓂᖏᓐᓂᒃ
ᑭᒍᓯᕆᔨᓄᐊᖃᑦᑕᖏᓐᓂᕐᒥᒃ ᐅᕝᕙᓗᓐᓃᑦ
ᐊᑐᖏᔾᔪᑎᖃᕐᓂᖅ ᐊᑐᖁᔭᐅᔪᓂᒃ ᑭᒍᓯᕆᔨᖏᓐᓄᑦ .

Based on data from Inuit Oral Health Survey, the ᒪᓕᒃᑕᐅᓪᓗᑎᒃ ᖃᐅᔨᔭᐅᓯᒪᔪᑦ ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ
prevalence of coronal caries was very high. Over ᖃᓄᐃᖃᑦᑕᕐᓂᖏᓐᓂᒃ ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᔪᓂ,
85% of preschoolers had experienced dental ᐱᑕᓕᒻᒪᕆᐊᓘᓚᐅᖅᑐᑦ ᑭᒍᑎᕐᓗᖃᑦᑕᖅᑐᑦ
caries, with an average of 8.22 primary (baby) ᓱᕋᒃᑎᓕᖅᓱᑎᒃ ᑭᒍᑎᖏᑦ . ᐅᖓᑖᓃᓚᐅᖅᑐᑦ 85
teeth affected. By the time of adolescence, 97.7% ᐳᓴᓐᑏᑦ ᐃᓕᓐᓂᐊᓂᓕᓵᖅᑐᑦ ᑭᒍᑎᕐᓗᖃᑦᑕᓚᐅᖅᑐᑦ,
ᓴᕿᐅᒪᐃᓐᓇᖅᑐᒦᓚᐅᖅᓱᑎᒃ 8 .22−ᖏᓐᓃᑦᑐᑦ
of Inuit surveyed had been affected. Among the ᓄᑕᕋᒫᑦ ᑭᒍᑖᕆᖄᖅᑕᖏᑦ ᓱᕈᖅᓯᒪᓂᖃᖅᓱᑎᒃ . ᑕᐃᒪᓕ
oldest adults, the disease had affected everyone. ᐅᕕᒃᑲᐅᓕᕋᒥᒃ ᒪᒃᑯᒃᑑᓕᕋᒥᒃ, 97 .7 ᐳᓴᓐᑎᖏᓃᓚᐅᖅᑐᑦ
ᐃᓄᐃᑦ ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᔪᑦ, ᐊᒃᑐᖅᑕᐅᓯᒪᓚᐅᖅᑐᑦ .
ᐃᓐᓇᑐᖃᕐᓂᓗᓐᓃᑦ, ᑕᒪᓐᓇ ᑭᒍᑎᕐᓗᖃᑦᑕᕐᓂᖅ
ᓱᕈᖅᓯᒪᔪᖃᕐᓂᖅ ᑕᒪᐃᓐᓂᑦᑎᐊᖅ ᐊᒃᑐᐃᓂᖃᖅᐳᖅ .

Summary Report 4 Inuit Oral Health Survey


Counts of decayed, missing, or filled permanent ᐊᒥᓲᓂᖏᑦ ᓱᕈᖅᓯᒪᔪᑦ, ᐲᖅᓯᒪᔪᑦ, ᐅᕝᕙᓗᓐᓃᑦ
teeth (DMFT) increased at every age - from 2 at age ᐃᓚᖅᑐᖅᑕᐅᓯᒪᒧᑦ ᑯᒍᑎᑦ ᐊᒥᓱᕈᒃᑲᓐᓂᖃᑦᑕᖅᐳᑦ
six to eleven years, to 9.5 for adolescents, to 15 at ᖃᖓᓕᒫᖅ ᐅᑭᐅᖃᖅᑐᓂ − ᒪᕐᕉᓂ ᐅᑭᐅᖃᓕᖅᑎᓪᓗᒋᑦ
age twenty to thirty-nine years, and over 19 DMFT 6−ᓂᒃ 11-ᓄᑦ ᐅᑭᐅᓕᖕᓄᑦ, 9 .5−ᓂᒃ ᒪᒃᑯᒃᑐᓄᑦ, 15−
among older adults. The prevalence and average ᓄᑦ ᐅᑭᐅᖃᓕᖅᑐᓂ 20−ᓂᒃ 39-ᓄᑦ, ᐊᒻᒪᓗ ᐅᖓᑖᓃ
19-ᖏᓐᓂᒃ ᐃᓐᓇᐅᓂᖅᓴᓂ . ᑕᒪᑯᐊ ᐱᑕᖃᖃᑦᑕᕐᓂᖏᑦ
DMFT counts greatly exceeded similar counts for
ᓱᕈᖅᓯᒪᔪᑦ, ᐱᖅᑐᑦ, ᐃᓚᖅᑕᐅᓯᒪᔪᓗᓐᓃᑦ
southern Canadians. ᐊᒥᓲᓂᖅᓴᒻᒪᕆᐅᓯᒪᕗᑦ ᑕᐃᒪᒃ ᐅᑭᐅᖃᖅᑎᒋᔪᓂ ᖃᓗᓈᑦ
ᑲᓇᒥᐅᑦ ᓴᓂᐊᓂ .

Further, results from the survey indicate that much ᐊᒻᒪᓗᑕᐅᖅ, ᓴᕿᓯᒪᔪᑦ ᖃᐅᔨᓂᐊᖅᑕᐅᓚᐅᖅᑐᑦ
of the disease remained untreated. As an example, ᑐᑭᓯᓇᖅᑐᑦ ᐊᒥᓱᑦ ᕿᓂᕐᒥᒍᑦ ᖃᓂᒪᓂᓖᑦ
the proportion of affected teeth that remained ᐃᑲᔪᖅᑕᐅᖃᑦᑕᖏᑦᑐᑦ . ᓲᕐᓗ, ᐆᒃᑑᑎᒋᓗᒍ, ᑭᒍᑎᑦ
decayed for adolescents and young adults was ᓱᕈᖅᓯᒪᔪᑦ ᒪᒃᑯᒃᑐᓂ ᐃᓐᓇᕐᓂᓗ 38 .1 ᐳᓴᓐᑎᒥᓚᐅᖅᑐᑦ
38.1% and 16.7% respectively, compared to 14.9% ᐊᒻᒪᓗ 16 .7 ᐳᓴᓐᑎᒥᒃ, ᐊᑐᓂ, ᓴᓂᐊᓂ 14 .9
ᐳᓴᓐᑎᓂᒃ ᐊᒻᒪᓗ 12 .6 ᐳᓴᓐᑎᓂᒃ, ᖃᓗᓈᓃᑦᑐᓂ
and 12.6% among southern Canadians. In addition,
ᓈᓴᐅᑎᖃᖅᑎᓪᓗᒋᑦ . ᐊᒻᒪᓗᑕᐅᖅ, ᐊᒥᓲᓂᖅᓴᐃᑦ ᓱᕈᖅᓯᒪᔪᑦ
more of the disease is treated by extractions among ᐱᔭᖅᑕᐅᑐᐃᓐᓇᕐᓂᖅᓴᐅᖃᑦᑕᖅᑐᑦ ᐃᓄᖕᓂ . ᒪᒃᑯᒃᑐᓂ
Inuit. Among adolescents results showed there ᓴᕿᐅᒪᔪᓂ, ᖃᐅᔨᓚᐅᖅᑐᑦ ᑭᒍᑏᖅᑕᐅᓯᒪᖃᑦᑕᕐᓂᖏᓐᓂᒃ
were 20.3 extractions per 100 teeth filled. The Oral 20 .3−ᓂᒃ, ᐊᑐᓂ 100−ᑕᒫᓂ ᑭᒍᑎᒋᔭᐅᔪᓂ . ᖃᓂᒃᑯᑦ
Health Module-Canadian Health Measures Survey ᐊᓐᓂᐊᖅᑐᓕᕆᔨᑦ ᑐᑭᓯᓂᐊᖅᑕᐅᓂᖏᓐᓂ ᖃᐅᔨᓚᐅᖅᑐᑦ
(OHM-CHMS) found that among adolescents in the ᒪᒃᑯᒃᑐᓂᓕᒫᓂ ᑲᓇᑕᒥᐅ, ᐊᓯᖏᓐᓂ ᖃᓗᓈᓃ,
general population for Canada as a whole, only 1.0 ᐊᑕᐅᓯᓐᓇᑯᓗᒃ 1 .0−ᒥᑦᑐᒥᒃ ᑭᒍᑏᖅᑕᐅᓯᒪᕗᑦ 100−ᑕᒫᓂ
tooth had been extracted per 100 filled. ᑭᒍᑎᒋᔭᐅᔪᓂ .

Root cavities were also more prevalent and less ᓄᑭᖏᑦ ᐃᓗᐊᓃᑦᑐᑦ ᑭᒍᑎᑦ
were treated compared to the findings of the OHM- ᓱᕈᖅᓯᒪᓂᖃᕐᓂᖅᓴᐅᓚᐅᕐᒥᔪᑦ ᖃᐅᔨᔭᖅᑕᐅᔪᓂ .
CHMS. On the other hand, periodontal conditions, ᐊᐃᐹᓂᒃᑕᐅᖅ, ᖃᓂᕐᓗᖕᓂᐅᕙᒃᑐᑦ
as demonstrated by the Community Periodontal ᓴᕿᐅᒪᓚᐅᖅᑐᑦ ᓄᓇᓕᖕᓂ ᖃᓂᕐᓗᖃᑦᑕᖅᑐᓂ
Index Treatment Needs (CPITN Index), seemed less ᐃᑲᔪᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂᒃ, ᐱᑕᖃᖏᓐᓂᖅᓴᐅᔪᔮᓚᐅᖅᑐᑦ
ᐊᒻᒪᓗ ᐱᒻᒪᕆᐅᖏᓐᓂᖅᓴᐅᖃᑦᑕᖅᓱᑎᒃ
prevalent and less severe among Inuit compared to
ᐃᓄᖕᓂ ᖃᐅᔨᓴᖅᑕᐅᓚᐅᖅᑐᓂ, ᐊᒻᒪᓗ ᐃᓄᖕᓂ
the findings of the OHM-CHMS and to the Alaskan ᐊᓛᓯᑲᒥᐅᑕᑐᖃᐅᔪᓂ .
Native patients.
Given that, according to the results, more ᑕᒪᒃᑯᐊ ᐃᓱᒪᒋᓪᓗᒋᑦ, ᓴᕿᑕᐅᓯᒪᔪᑦ ᑕᑯᓪᓗᒋᓪᓗ,
extractions were provided to Inuit surveyed, more ᐃᓄᐃᑦ ᑭᒍᑕᐃᔭᖅᑕᐅᓂᖅᓴᐅᖃᑦᑕᖅᐳᑦ ᖃᐅᔨᔭᐅᓯᒪᔪᓂ,
of the oldest Inuit population (21.3%) than the ᐊᒥᓲᓂᖅᓴᐃᑦ ᐃᓐᓇᐅᓂᖅᐸᑦ (ᐃᓄᐃᑦ 21 .3 ᐳᓴᓐᑎᑦ)
southern population (4.4% to 21.7%) were found ᖃᓗᓈᓂᕐᒥᐅᑦ ᓴᓂᐊᓂ (ᒃᔭᒃ ᐳᓴᓐᑎᓂᒃ 21 .7 ᐳᓴᓐᑎᓄᑦ)
to be edentulous (no natural teeth remaining). ᖃᐅᔨᔭᐅᓚᐅᖅᑐᑦ ᑭᒍᑎᖃᕈᓐᓃᕋᓂᒃᓯᒪᓂᖏᓐᓂᒃ .
ᓯᕗᓂᐊᒍᑦ ᖃᐅᔨᓴᖅᑕᐅᔪᓂ ᑭᕙᓪᓕᕐᒥᐅᓂ, ᐃᓱᒪᓇᖅᑐᖅ
Previous research in the Keewatin Region suggests
ᑭᒍᑎᖃᕈᓐᓃᖅᐸᓪᓕᐊᓂᖏᑦ ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ
that the edentulous rate among adult Inuit has ᐊᒥᓲᖏᓐᓂᖅᓴᕈᖅᐸᓪᓕᐊᔪᑦ . ᑭᓯᐊᓂ, ᖃᐅᔨᔭᐅᓯᒪᔪᑦ
decreased. However, the finding that 21.3% of ᑕᐃᒃᑯᐊ 21 .3 ᐳᓴᓐᑎᖏᑦ ᐃᓄᐃᑦ ᐃᓐᓇᐃᑦ,
older Inuit, aged 40 years+, were edentulous, is ᐅᑭᐅᖃᖅᑐᑦ 40 ᐅᖓᑕᓂᓗ, ᑭᒍᑎᖃᓚᐅᖏᑦᑐᑦ,
demonstrably lower (better) than both Galan et al. ᐊᒃᓱᓪᓗᓐᓃᖑᔪᔭᖅᐳᑦ, ᑕᒪᐃᓐᓂᒃ ᒑᓚᓐᑯᓐᓄᑦ Galan
(1993) and Rea et al, (1993) found when they ᐱᓕᕆᖃᑎᖏᓄᓪᓗ ᖃᐅᔨᓚᐅᖅᑐᓂ (1993−ᒥ) ᐊᒻᒪᓗ
surveyed just the Keewatin Region. ᕇᒃᑯᓐᓄ Rea ᐃᓚᖏᓄᓪᓗ (1993-ᒥ) ᖃᐅᔨᔭᐅᓚᐅᖅᑐᓂ
ᑭᕙᓪᓕᕐᒥᐅᑕᐃᓐᓇᕐᓂᖅ .

The finding that Inuit had more dental disease ᖃᐅᔨᔭᐅᓂᖏᑦ ᐃᓄᐃᑦ ᕿᒍᑎᒥᓄᑦ
(except for periodontal conditions) than their ᐊᓐᓂᐊᕐᓂᖃᕋᔪᖕᓂᖅᓴᐅᓂᖏᑦ (ᐱᖏᓪᓗᒋᑦ
southern counterparts is consistent with ᖃᓂᕐᓗᖃᑦᑕᕐᓂᖏᑦ) ᓴᓂᐊᓂ ᖃᓪᓗᓈᓂᕐᒥᐅᑕᓂ
international studies that indicate that indigenous ᒪᓕᑐᐃᓐᓇᑦᑎᐊᖅᐳᖅ ᓯᓚᕐᔪᐊᕐᒥ
people have a poorer oral health status compared ᖃᐅᔨᓴᖅᑕᐅᓯᒪᔪᓂ, ᓇᓗᓇᐃᖅᑕᐅᓯᒪᒐᒥᒃ
ᓄᓇᖃᖄᖅᑐᑦ ᖃᓂᕐᓗᒐᔪᖕᓂᖅᓴᐅᖃᑦᑕᕐᓂᖏᓐᓂᒃ
to that of the dominant cultures in their countries.
ᑭᒍᑎᕐᓗᒐᔪᖕᓂᖅᓴᐅᖃᑦᑕᕐᓂᖏᓐᓂᒃ ᓴᓂᐊᓂ ᐊᓯᖏᑦ
ᖃᓗᓈᑦ ᐊᓯᖏᓪᓗ ᐃᓕᖅᑯᓯᖃᑎᒋᖏᑕᖏᓐᓂᒃ
ᓄᓇᓕᒡᔪᐊᕐᓂ .

Summary Report 5 Inuit Oral Health Survey


The prevalence and severity of dental caries has ᓴᕿᐅᒪᓗᐊᖃᑦᑕᕐᓂᖏᑦ ᐱᒻᒪᕆᐊᓘᖃᑦᑕᕐᓂᖏᓪᓗ
decreased among 6 year-olds. The proportion of ᑭᒍᑎᕐᓗᖃᑦᑕᕐᓂᖅ ᐊᒥᓲᖏᓐᓂᖅᓴᐅᓕᖅᑐᖅ ᐅᑭᐅᖃᖅᑐᓂ
decayed teeth successfully treated among that 6-ᓂᒃ ᓱᕈᓯᕐᓂ . ᑕᒪᒃᑯᐊ ᐊᒥᓲᓂᖏᑦ ᑭᒍᑎᕐᓗᒃᑐᑦ
same age-group has improved from 20% reported ᐃᑲᔪᖅᑕᐅᓯᒪᑦᑎᐊᖅᑐᑦ ᑕᐃᒫᒃᓴᐃᓐᓇᖅ ᐅᑭᐅᖃᖅᑐᓂᒃ
in 1991/92 to 55% in the present survey. ᐱᐅᓯᒋᐊᖅᓯᒪᕗᖅ 20 ᐳᓴᓐᑎᒥᒃ 1991/92-ᒥᒃ, 55 ᐳᓴᓐᑎᓄᑦ
ᒫᓐᓇᐅᓕᖅᑐᖅ ᖃᐅᔨᓂᐊᖅᑕᐅᓚᐅᖅᑐᓂ .

Still, the oral health conditions cannot be treated ᑕᐃᒪᐃᒃᑲᓗᐊᖅᑎᓪᓗᒍ, ᑭᒍᑎᖃᑦᑎᐊᕐᓂᖅ


away even if more resources could be applied. ᐱᐅᓯᕙᓪᓕᖅᑎᑕᐅᓇᓱᐊᕈᓐᓇᖏᑦᑐᖅ
More emphasis on community-based primary ᑮᓇᐅᔭᒃᓴᑲᓐᓂᐅᔪᓂᒃ ᐱᑕᖃᕋᓗᐊᖅᐸᓪᓗᓐᓃᑦ .
preventive measures backed up by early detection ᓄᓇᓕᖕᒥᐅᑦ ᐱᔫᒥᓴᖅᑕᐅᓂᖅᓴᐅᔭᕆᐊᖃᖅᐳᑦ
and prompt basic treatment would appear to be the ᐱᐅᔪᓐᓃᖅᑎᑦᑎᑕᐃᓕᒪᓂᕐᒥᒃ, ᐊᒻᒪᓗ
ᖃᐅᔨᔭᐅᓵᓕᓂᖅᓴᐅᖃᑦᑕᕐᓗᑎᒃ, ᐊᒻᒪᓗ
best course to make a difference. However, these
ᓯᕗᓪᓕᖅᐹᖅᓯᐅᑎᓂᒃ ᐃᑲᔪᖅᑕᐅᒋᐊᑲᐅᑎᒋᖃᑦᑕᖅᐸᑕ,
two strategies cannot do the job by themselves. The ᑕᐃᒫᒃ ᐱᐅᓂᖅᐹᖑᔪᒥᓇᖅᑐᖅ ᐊᓯᔾᔨᖅᑕᐅᔪᓐᓇᕐᓂᕐᒧᑦ .
threats to health such as high rates of tobacco use, ᑭᓯᐊᓂ, ᒪᕐᕈᒃ ᑕᒃᑯᐊ ᖃᓄᐃᓕᐅᕆᐊᕈᑎᒃ ᐃᖕᒥᓐᓇᖅ
crowded housing and food insecurity which ᐋᖀᒍᑕᐅᔮᖏᑦᑐᑦ . ᐅᓗᕆᐊᓇᖅᑐᑦ ᓲᕐᓗ ᐊᒥᓲᓗᐊᕐᓂᖏᑦ
have been identified in earlier studies ᑎᐸᑯᑐᖃᑦᑕᖅᑐᑦ, ᐃᓄᒋᐊᓗᐊᖅᑐᓃᑦᑐᑦ, ᐊᒻᒪᓗ
need to be addressed for the preventive ᓂᕿᒃᓴᖃᑦᑎᐊᖃᑦᑕᖏᑦᑐᑦ, ᓇᓗᓇᐃᖅᑕᐅᓯᒪᖕᒪᑕ
dental efforts to have maximum ᓯᕗᓂᐊᒍᑦ ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᓂᑰᔪᓂ, ᐊᒻᒪᓗ
effect. ᐅᖃᐅᓯᐅᑦᑎᐊᕆᐊᖃᖅᓱᑎᒃ ᐱᒋᐊᖅᑎᑦᑎᑕᐃᓕᒪᓂᖅ
ᓱᕈᕐᓇᖅᑐᓂᒃ ᑭᒍᑎᓄᑦ, ᐊᑑᑎᖃᑦᑎᐊᕐᓂᐊᕈᓂ .

Summary Report 6 Inuit Oral Health Survey


Highlights
ᑐᓴᕈᒥᓇᓗᐊᖅᑐᑦ
The results from the Inuit Oral Health Survey ᓴᕿᓯᒪᔪᑦ ᐃᓄᐃᑦ ᑭᒍᓯᕆᔭᐅᓂᖏᓐᓂᒃ
demonstrate that: ᖃᓄᐃᓕᖓᓂᖏᓐᓂᒃ ᓴᕿᑦᑎᓚᐅᖅᑐᑦ ᒪᑯᓂᖓ:

• 65% of Inuit reported good to excellent oral


health;
• 65 ᐳᓴᓐᑎᑦ ᐃᓄᐃᑦ ᐅᖃᐅᓯᐅᓚᐅᖅᑐᑦ ᐱᐅᔪᓂᒃ
ᐱᐅᔪᒻᒪᕆᐊᓗᖕᓂᒃ ᖃᓂᒃᑯᒃ ᑭᒍᑎᑯᓪᓗ
ᖃᓄᐃᖏᓐᓂᖃᕐᓂᖅ

• 30% of Inuit reported staying away from


certain types of food because of problems with
• 30 ᐳᓴᓐᑎᑦ ᐃᓄᐃᑦ ᐅᖃᓚᐅᖅᑐᑦ ᐃᓚᖏᓐᓂᒃ
ᓂᕆᑦᑕᐃᓕᒪᖃᑦᑕᕐᓂᖏᓐᓂᒃ ᓂᕿᓂᒃ
their mouth; ᐊᑲᐅᖏᓕᐅᕈᑎᖃᕐᓂᖏᓐᓄᑦ ᕿᓂᕐᒥᓄᑦ, ᑭᒍᑎᒥᓄᑦ;

• 30% of Inuit reported they had ongoing pain


in their mouth;
• 30 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᐅᓂᒃᑳᓚᐅᖅᑐᑦ ᕿᓂᕐᒥᓂ
ᐋᓐᓂᐊᕐᓂᖃᐃᓐᓇᖃᑦᑕᕐᓂᕐᒥᓂᒃ;

• Half of Inuit in the survey reported they had


made a visit to a dental professional within
• ᓇᑉᐸᖏᑦ ᐃᓄᐃᑦ ᐊᐱᖅᓱᖅᑕᐅᔪᑦ ᐅᖃᓚᐅᖅᑐᑦ
ᑭᒍᓯᕆᔨᒧᐊᖅᓯᒪᓚᐅᕐᓂᕐᒥᓂᒃ ᐊᕐᕋᒍᑉ ᐊᑐᖅᑑᑉ
the last year. Children tended to have the ᐃᓗᐊᓂ . ᓱᕈᓰᑦ ᑭᒍᓯᕆᔨᓄᐊᕋᔪᖕᓂᖅᐹᖑᓚᐅᖅᑐᑦ
highest visit rates (58%) and oldest adults, (58 ᐳᓴᓐᑎᑦ) ᐊᒻᒪᓗ ᐃᓐᓇᑐᖃᐅᓂᖅᐸᑦ ᐃᓄᐃᑦ,
ᑕᑯᓂᐊᕋᔪᖏᓛᖑᓪᓗᑎᒃ (33 ᐳᓴᓐᑎᑦ) .
the lowest (33%).

Some of the tooth decay results from the Inuit Oral ᐃᓚᖏᑦ ᑭᒍᑎᕐᓗᖃᑦᑕᖅᑐᓂᒃ ᓴᕿᓯᒪᔪᑦ ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ
Health Survey are as follows: ᑭᒍᑎᑯᓪᓗ ᖃᐅᔨᓂᐊᖅᑕᐅᓂᖏᓐᓂᒃ, ᐃᒪᐃᓕᖓᓚᐅᖅᐳᑦ:

• 85% of 3-5 year olds have or have had a


cavity.
• 85 ᐳᓴᓐᑏᑦ ᐅᑭᐅᓕᑦ 3-5−ᓂᒃ ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ
ᑭᒍᑎᕐᓗᒃᓯᒪᔪᖅ

• 93% of 6-11 year olds have or have had a


cavity.
• 93 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ 6-11-ᓂᒃ ᐅᑭᐅᓖᑦ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᑭᒍᑎᕐᓗᒃᓯᒪᔪᑦ

• 97% of 12-19 year olds have or have had a


cavity.
• 97 ᐳᓴᓐᑎᖏᑦ ᐅᑭᐅᓖᑦ 12-19−ᓂᒃ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᑭᒍᑎᕐᓗᒃᓯᒪᔪᑦ

• 99% of 20-39 year olds have or have had a


cavity.
• 99 ᐳᓴᓐᑎᖏᑦ ᐅᑭᐅᓖᑦ 20-39-ᓂᒃ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᑭᒍᑎᕐᓗᒃᓯᒪᔪᑦ

• 100% of 40 year olds and up have or have


had a cavity.
• 100 ᐳᓴᓐᑎᖏᓂᑦᑐᑦ ᐅᑭᐅᓕᑦ 40−ᓂᒃ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᑭᒍᑎᕐᓗᒃᓯᒪᔪᑦ

• One Inuk out of 5 in the 40 year olds and up


category have lost all of their teeth.
• ᐊᑕᐅᓯᖅ ᐃᓄᒃ ᑕᓪᓕᒪᓂᒃ ᐅᑭᐅᓕᖕᓂ 40-ᓂᒃ
ᖁᓛᓂᓗ ᑕᒪᐃᓐᓂᒃ ᑭᒍᑎᖃᕈᓂᖅᓯᒪᕗᑦ .

Summary Report 7 Inuit Oral Health Survey


Background
ᖃᓄᖅ
ᐱᒋᐊᖓᓚᐅᖅᓯᒪᖕᒪᖔᑦ
By collecting information related to the health of ᑲᑎᖅᓱᖅᑕᐅᒍᑎᒃ ᖃᐅᔨᒪᔾᔪᑏᑦ ᐱᔾᔪᑎᖃᖅᑐᑦ ᖃᓄᐃᓂᕐᒧᑦ
the mouth, teeth and gums, this survey will help: ᖃᓂᑯᑦ, ᑭᒍᑎᒃᑯᑦ, ᑭᒍᑏᓪᓗ ᑐᖓᕕᖏᓐᓂᒃ, ᑖᒃᑯᐊ
ᑐᑭᓯᓂᐊᕈᑏᑦ ᐃᑲᔪᕐᓂᐊᖅᐳᑦ:

• Identify future oral health and oral health care


challenges;
• ᓇᓗᓇᐃᖅᓯᓂᖅ ᓯᕗᓂᒃᓴᒥ ᖃᓂᒃᑯᑦ/ᑭᒍᑎᓄᓪᓗ
ᖃᓄᐃᖏᓐᓂᕐᒧᑦ ᐊᒃᓱᕈᕐᓇᕐᓂᐊᖅᑐᓂᒃ;

• Provide essential information to those involved


in making important decisions about oral
• ᐱᑕᖃᕆᐊᓕᒻᒪᕆᖕᓂᒃ ᖃᐅᔨᒪᔾᔪᑕᐅᓂᐊᖅᑐᑦ
ᐱᒻᒪᕆᐅᔪᓂᒃ ᐃᓱᒪᓕᐅᕐᓂᕐᒧᑦ ᑭᒍᓯᕆᓂᕐᒥᒃ/
health care policies and programs for the Inuit ᖃᓂᒃᑯᓪᓗ ᖃᓄᐃᓂᖃᕐᓂᕐᒧᑦ ᐊᑐᒐᓕᐅᕐᓂᕐᒧᑦ
population; and ᐊᒻᒪᓗ ᐊᑐᒐᒃᓴᓕᐅᖅᓯᒪᓂᕐᒧᑦ ᐃᓄᖕᓄᑦ; ᐊᒻᒪᓗ

• Provide a baseline for noting any improvement


that may occur as a result of new oral health
• ᑐᖓᕕᒋᔭᐅᔪᓐᓇᕐᓗᑎᒃ ᖃᐅᔨᒪᓂᕐᒧᑦ
ᐱᐅᓯᒋᐊᖅᓯᒪᔪᓂᒃ ᓴᕿᓚᕿᓯᒪᓂᖏᓐᓄᑦ ᓄᑖᑦ
promotion and disease prevention initiatives ᑭᒍᑎᖃᑦᑎᐊᕈᑎᑦ ᐊᒻᒪᓗ ᖃᓂᒪᓂᖅᑖᖅᑕᐃᓕᒪᔾᔪᑏᑦ
such as the Children’s Oral Health Initiative ᐱᒋᐊᖅᑎᑕᐅᓯᒪᓂᖏᑦ ᓱᕐᓗ ᓱᕈᓯᕐᓄᑦ
(COHI). ᑭᒍᑎᖃᑦᑎᐊᕈᑎᓄᑦ ᐱᒋᐊᖅᑎᑕᐅᓯᒪᔪᑦ .
The survey was conducted in six sites across the ᑐᑭᓯᓂᐊᖅᑕᐅᓚᐅᖅᑐᑦ ᐊᑐᖅᑕᐅᓚᐅᖅᐳᑦ 6−
country. The interviews and examinations occurred ᖑᔪᓂ ᓄᓇᓕᖕᓂ ᓇᓂᑐᐃᓐᓇᖅ ᑲᓇᑕᒥ . ᐃᓄᐃᑦ
over a period of 8 months from November 2008 ᐊᐱᖅᓱᖅᑕᐅᓚᐅᖅᑐᑦ ᐊᒻᒪᓗ ᖃᐅᔨᓴᖅᑕᐅᓪᓗᑎᒃ 8−ᖑᔪᓂ
to June 2009. The survey-teams visited each ᑕᕿᓂᒃ ᐊᑐᕐᓂᖏᓐᓂᒃ, ᓄᕕᐱᕆ 2008−ᒥᒃ ᔫᓐ 2009−
community for approximately two weeks. ᒧᑦ . ᑐᑭᓯᓂᐊᖅᑎᐅᓚᐅᖅᑐᑦ ᐱᓕᕆᔨᑦ ᐳᓚᕋᓚᐅᖅᑐᑦ
ᓄᓇᓕᖕᓄᑦ ᐊᑐᓂ ᐃᒻᒪᖄ ᒪᕐᕈᖕᓂᒃ ᐱᓇᓱᐊᕈᓯᖕᓂ .
Staff from Health Canada trained interviewers and ᐃᖃᓇᐃᔭᖅᑏᑦ ᐊᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᓐᓂᒃ ᑲᓇᑕᒥ
recorders from each participating community to ᐃᓕᓐᓂᐊᖅᑎᑦᑎᓚᐅᖅᑐᑦ ᐊᐱᖅᓱᖅᑎᒃᓴᓂᒃ ᐊᒻᒪᓗ
help with the collection of the IOHS interview and ᓂᐱᓕᐅᖅᑎᒃᓴᓂᒃ ᐊᑐᓂ ᐃᓚᐅᔪᓂ ᓄᓇᓕᖕᓂ
examination phases. ᐃᑲᔪᖅᑕᐅᓂᖏᓐᓂ ᑲᑎᖅᓱᖅᑕᐅᓂᖏᑦ ᑭᒍᓯᕆᓂᖅ/
ᖃᓂᒃᑯᓪᓗ ᖃᓄᐃᓂᕐᒥᒃ ᐊᐱᖅᓱᖅᑕᐅᔪᓂ ᐊᒻᒪᓗ
ᖃᐅᔨᓴᖅᑕᐅᔪᓂ .
Specially trained dentists performed the oral ᐃᓕᓐᓂᐊᖅᑎᑕᐅᓯᒪᓪᓗᑐᖅᑐᑦ ᑭᒍᓯᕆᔩᑦ ᐱᓕᕆᓚᐅᖅᑐᑦ
health clinical examinations to the same standards ᖃᓂᒃᑯᑦ ᖃᐅᔨᓴᖅᑕᐅᑎᑦᑎᓂᖅ ᑕᐃᒫᒃᓴᐃᓐᓇᖅ
as the Oral Health Component of the Canadian ᒪᓕᒃᓱᑎᒃ ᒪᓕᒐᕐᓂᒃ ᐊᔾᔨᖏᓐᓂᒃ ᖃᓂᒃᑯᑦ/ᑭᒍᑎᒃᑯᓪᓗ
Health Measures Survey that was administered to ᐊᓐᓂᐊᖅᑐᓕᕆᓂᕐᒥᒃ ᐊᑐᖅᑕᐅᕙᒃᑐᓂ ᑲᓇᑕᒥ
participants from the rest of Canada. ᐋᓐᓂᐊᖅᑐᓕᕆᔨᒃᑯᑦ ᖃᓄᐃᓐᓂᕐᒧᑦ ᑐᑭᓯᓂᐊᖅᐸᒃᑕᖏᓐᓂᒃ,
ᐊᐅᓚᑕᐅᓯᒪᔪᓂ ᐊᓯᖏᓐᓂ ᑲᓇᑕᒥᐅᑕᐅᓂ .

Summary Report 8 Inuit Oral Health Survey


ᑭᒍᑎᕐᓗᖕᓂᖅ
Cavities ᐊᐅᒪᓂᕐᒥᒃ
Even if tooth decay can be prevented, it remains ᑭᒍᑎᕐᓗᓕᕐᓂᖅ ᓄᖃᖅᑎᑕᐅᒐᓗᐊᖅᐸᓪᓗᓐᓃᑦ, ᓱᓕ
the number one chronic disease among the Inuit ᓯᕗᓪᓕᖅᐹᖑᔪᖅ ᑕᐃᒪᖓᑦ ᖃᓂᒪᓂᕆᔭᐅᔪᖅ ᐃᓄᖕᓂ
population. ᐱᑕᖃᐃᓐᓇᐅᔭᖅᑐᓂ .

Tooth decay (or what is commonly referred to as ᑭᒍᑎᕐᓗᖕᓂᖅ ᖃᓂᒪᓂᐅᖕᒪᑕ ᐊᐅᒪᓂᖃᕐᓂᖅ


cavities) is a disease that damages the tooth. The ᓱᕈᐃᕙᓪᓕᐊᓲᖅ ᑭᒍᑎᒥᒃ . ᓱᕈᖅᐸᓪᓕᐊᓕᖃᑦᑕᖅᐳᑦ
decay starts by attacking the tooth’s protective ᐲᔭᖅᑕᐅᕙᓪᓕᐊᓕᖅᓱᓂ ᑭᒍᑎᐅᑉ ᖄᖓ,
coating, also known as enamel, and causes a hole ᖄᒃᓴᔭᖓᐅᓂᕋᖅᑕᐅᓲᖅ, ᐊᒻᒪᓗ ᐊᖕᒪᔪᖃᓕᕈᓐᓇᖅᓱᓂ
(cavity) to occur. If the cavity is not repaired, it can (ᐊᖕᒪᖅᓯᒪᔪᖅ) . ᑕᐃᓐᓇ ᐊᖕᒪᖅᓯᒪᔪᖅ ᐋᕿᒃᑕᐅᖏᒃᑯᓂ,
ᐊᖏᒡᓕᕙᓪᓕᐊᔪᓐᓇᕐᒪᑦ, ᐋᓐᓂᐊᕐᓇᕈᓐᓇᖅᓱᓂ ᐊᒻᒪᓗ
get bigger, may cause pain, and may also lead to ᑭᒍᑕᐃᖅᑕᐅᔭᕆᐊᖃᕈᓐᓇᖅᓱᓂ .
the loss of the tooth.
The Inuit Oral Health Survey collected information ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ ᑭᒍᑎᑯᓪᓗ ᖃᓄᐃᓂᖏᑦ
on cavities in two ways: ᑐᑭᓯᓂᐊᖅᑕᐅᑎᓪᓗᒋᑦ, ᖃᐅᔨᒪᔾᔪᑎᑦ ᑲᑎᖅᓱᖅᑕᐅᓚᐅᖅᑐᑦ
ᑭᒍᑎᒃᑯᑦ ᐊᖕᒪᔪᖃᕐᓂᖏᓐᓂᒃ ᖃᐅᔨᓴᖅᓱᑎᒃ,
ᒪᕐᕈᐃᓕᖃᖓᔫᖕᓂᒃ ᐊᑐᖅᓱᑎᒃ:

First, it collected information on the average ᓯᕗᓪᓕᕐᒥ, ᑲᑎᖅᓱᖅᑕᐅᓚᐅᖅᑐᑦ ᖃᐅᔨᒪᔾᔪᑏᑦ


number of baby teeth that were either decayed (d), ᑕᐃᒪᐃᒐᔪᒃᑐᑦ ᐊᒥᓲᓂᖏᑦ ᓄᑕᕋᓛᓂ ᑭᒍᑏᑦ ᓱᕈᖅᓯᒪᔪᑦ
missing (m), or filled (f). This is known as the dmft (ᓱ), ᐊᒥᒐᖅᑐᑦ (ᐊ), ᐅᕝᕙᓗᓐᓃᑦ ᐃᓛᖅᑕᐅᓯᒪᔪᑦ (ᐃ) .,
count*. The dmft is an indicator of the severity of ᑕᒪᓐᓇ ᑕᐃᔭᐅᕙᒃᑐᖅ ᓱ−ᐊ−ᐃ-ᒥᒃ ᓈᓴᖅᑕᐅᓯᒪᔪᓂᒃ* .
the disease. For example, a dmft of 7 means that ᑕᒪᒃᑯᐊ ᓱ−ᐊ−ᐃ−ᒥᒃ ᓇᓗᓇᐃᖅᑕᐅᓯᒪᔪᑦ
ᓇᓗᓇᐃᖅᓯᔾᔪᑕᐅᓲᖑᕗᑦ ᖃᓄᑎᒋ ᖃᓂᒪᓂᖃᕐᒪᖔᑕ .
there are 7 teeth that are either decayed, missing
ᓱᕐᓗ ᐆᒃᑑᑎᒋᓗᒍ, ᓱ−ᐊ−ᐃ-ᒥᒃ 7-ᓚᓯᒪᔪᖃᖅᐸᑦ, ᑕᒪᓐᓇ
or filled in the same mouth. ᑐᑭᖃᖅᑐᖅ 7-ᖑᓂᖏᓐᓂᒃ ᑭᒍᑏᑦ, ᓱᕈᓯᖅᒪᔪᓗᓐᓃᑦ,
ᐊᒥᒐᖅᑐᓪᓗᓐᓃᑦ ᐅᕝᕙᓗᓐᓃᑦ ᐃᓚᖅᑐᖅᑕᐅᓯᒪᔪᑦ
ᑕᒡᕙᓂᒃᓴᐃᓐᓇᖅ ᖃᓂᕐᒥ .

Second, the survey looked at the percentage of ᑐᒡᓕᖅᐹᒥ, ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ ᑕᑯᓂᐊᖅᑕᐅᓚᐅᖅᑐᑦ


Inuit who have a dmft of at least 1. A dmft score ᐃᓄᐃᑦ ᓱ−ᐊ−ᐃ−ᖃᖅᑐᑦ ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ . ᑖᒃᑯᐊ
that is bigger than 1 means that active decay is, or ᓇᓗᓇᐃᒃᑯᑕᖏᑦ ᓱ−ᐊ−ᐃ-ᖏᓐᓂᒃ, 1-ᒥᑦᑐᑦ, ᑐᑭᖃᖅᐳᑦ
was, present in the mouth. ᓱᕈᖅᐸᓪᓕᐊᔪᖃᓪᓚᕆᖕᓂᖏᓐᓂᒃ ᐱᑕᖃᓚᐅᖅᑐᒥ ᑕᐃᑲᓂ
ᖃᓂᕆᔭᐅᔪᒥ .
*NOTE: dmft (small letters) is used to refer to baby teeth and *ᖃᐅᔨᒪᔭᐅᓂᐊᖅᐳᖅ: ᓱ−ᐊ−ᐃ-ᖏᑦ ᖃᓗᓈᑎᑐᑦ ᑎᑎᖃᕋᓛᑦ dmft−
DMFT (big letters) is used to refer to adult teeth. ᐊᑐᖅᑕᐅᔭᕌᖓᑕ, ᐅᖃᐅᓯᐅᕙᒃᐳᑦ ᓄᑕᕋᓛᑦ ᑭᒍᑎᖏᑦ, ᐊᒻᒪᓗ ᑎᑎᖃᐃᑦ
ᐊᖏᔪᑏᑦ ᖃᓗᓈᑎᑐᑦ DMFT−ᖑᔪᑦ ᐊᑐᖅᑕᐅᒐᖓᒥᒃ ᐅᖃᐅᓯᖃᖅᐳᑦ
ᐃᓐᓇᐃᑦ ᑭᒍᑎᖏᓐᓂᒃ .

Young children, 3-5 years of age ᓱᕈᓯᑦ ᒪᒃᑯᒃᑐᑦ ᐅᑭᐅᓖᑦ 3-5−ᓂᒃ


Children who are between the ages of 3 to 5 years ᓱᕈᓰᑦ ᐅᑭᐅᓖᑦ ᐊᑯᓐᓂᖏᓐᓂ 3−5−ᓂᒃ ᑭᒍᑎᖃᓪᓗᐊᖅᐳᑦ
ᑭᓯᐊᓂ ᓄᑕᕋᓛᑦ ᑭᒍᑎᖏᓐᓂᒃ . ᑕᐃᒪᐃᓐᓂᖓᓄᑦ,
of age should only have baby teeth. Therefore,
ᓇᓗᓇᐃᒃᑯᑕᖃᖃᑦᑕᕐᓂᖏᑦ ᓴᕿᐅᒪᔪᓂᒃ dmft−
the score of decay is demonstrated in dmft (small ᖑᔪᓂ ᑎᑎᖃᓂᒃ ᑎᑎᕋᖅᑕᐅᓯᒪᖃᑦᑕᖅᐳᑦ ᑎᑎᖃᐃᑦ
letters). ᒥᑭᓐᓂᖅᓴᐃᑦ ᖃᓗᓈᑎᑐᑦ ᐊᑐᖅᑕᐅᓪᓗᑎᒃ .

• The survey found that 85% of Inuit children


aged 3-5 years of age have a dmft count of at
• ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ ᖃᐅᔨᓚᐅᖅᑐᑦ 85
ᐳᓴᓐᑎᖏᓃᓐᓂᖏᑦ ᐃᓄᐃᑦ ᓱᕈᓰᑦ ᐅᑭᐅᖃᖅᑐᑦ
least 1. 3-5−ᓂᒃ ᓇᓗᓇᐃᒃᑯᑕᖃᖃᑦᑕᖅᐳᑦ ᓱ−ᐊ−ᐃ-ᖏᓐᓂᒃ
(dmft−ᖏᓐᓂᒃ) ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ .

• The average number of baby teeth that were


decayed, missing, or filled in this age category
• ᓴᕿᒐᔪᒃᑐᑦ ᐊᒥᓲᓂᖏᑦ ᓄᑕᕋᓛᓂ ᑭᒍᑎᓂ ᑕᐃᒃᑯᐊ
ᓱ−ᐊ−ᐃ-ᖏᑦ, ᓱᕈᖅᓯᒪᔪᑦ, ᐊᒥᒐᖅᑐᑦ, ᐅᕝᕙᓗᓐᓃᑦ
was 8.22. ᐃᓛᖅᑐᖅᓯᒪᔪᑦ 8 .22−ᒥᒐᔪᒃᑐᑦ .

• Half of these teeth were still decayed at the


time of the survey.
• ᓇᑉᐸᓪᓗᐊᖏᑦ ᑖᒃᑯᐊ ᑭᒍᑎᖏᑦ ᓱᓕ
ᓱᕈᖅᓯᒪᓂᖃᓚᐅᖅᑐᑦ ᖃᐅᔨᓂᐊᖅᑕᐅᔪᑦ
ᐱᒋᐊᖅᓯᒪᓕᖅᑎᓪᓗᒋᑦ .

Summary Report 9 Inuit Oral Health Survey


Children 6-11 years of age ᓱᕈᓰᑦ ᐅᑭᐅᓕᑦ 6-11−ᓂᒃ
Children who are between the ages of 6 and ᓱᕈᓰᑦ ᐅᑭᐅᓕᑦ ᐊᑯᓐᓂᖏᓐᓂ 6 ᐊᒻᒪᓗ 11
11 have a mix of baby teeth and adult teeth in ᑭᒍᑎᖃᓕᓲᖑᕗᑦ ᐊᑯᓯᒪᔪᓂᒃ ᓄᑕᕋᓛᒃ ᑭᒍᑎᖏᓐᓂᒃ
their mouth. Therefore, dmft and DMFT scores ᐃᓚᖏᓐᓂᒃ ᐊᒻᒪᓗ ᐃᓚᖏᓐᓂᒃ ᐃᓐᓇᐃᑦ
were collected on both sets of teeth and then a ᑭᒍᑎᒋᓕᖅᑕᖏᓐᓂᒃ . ᑕᐃᒪᐃᓐᓂᖏᓐᓄᑦ ᓇᓗᓇᐃᒃᑯᑕᖏᑦ
combined dmft + DMFT score was determined. ᖃᓗᓈᑎᑐᑦ ᓱ−ᐊ−ᐃ-ᖏᑦ dmft ᐊᒻᒪᓗ DMFT−ᖏᑦ
ᓇᓗᓇᐃᒃᑯᑕᐃᑦ ᑲᑎᖓᓪᓗᑎᒃ ᑕᒪᕐᒥᒃ ᐊᑐᖅᑕᐅᕙᒃᐳᑦ .

Baby teeth ᓄᑕᕋᓛᑦ ᑭᒍᑎᖏᑦ


• The survey found that 71% of Inuit children
aged 6-11 years of age had a dmft count of at
• ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ ᖃᐅᔨᓚᐅᖅᑐᑦ 71
ᐳᓴᓐᑎᖏᓃᓐᓂᖏᓐᓂᒃ ᐃᓄᐃᑦ ᐅᑭᐅᓖᑦ 6-11−
least 1. ᓂᒃ ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ dmft−ᖃᓚᐅᖅᑐᑦ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓂᑦ .
• The average number of baby teeth that were
decayed, missing, or filled was 5.08.
• ᓴᕿᒐᔪᓚᐅᖅᑐᑦ ᐊᒥᓲᓂᖏᑦ ᓄᑕᕋᓛᑦ ᑭᒍᑎᖏᑦ
ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ, ᓱᕈᖅᓯᒪᔪᓂᒃ, ᐊᒥᒐᖅᑐᓂᒃ
ᐅᕝᕙᓗᓐᓃᑦ ᐃᓚᐅᔭᓯᒪᔪᓂᒃ 5 .08−ᒦᑦᑐᓐᓂᒃ .

Permanent (or adult) teeth ᐃᓐᓇᐃᑦ ᑭᒍᑎᖏᑦ


• Nearly 60% of Inuit children aged 6 – 11
years of age had a DMFT count of at least 1
• ᖃᓂᒋᔭᖏᑦ 60 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᓱᕈᓰᑦ
ᐅᑭᐅᓖᑦ 6-11−ᓂᒃ ᑭᒍᑎᖏᑦ ᓱ−ᐊ−ᐃ-
ᖑᓂᖃᓚᐅᖅᑐᑦ DMFT−ᒥᒃ ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ
ᓇᓗᓇᐃᖅᑕᐅᓯᒪᓚᐅᖅᐳᑦ .

• The average number of permanent teeth that


were Decayed, Missing, or Filled is 2.01
• ᓴᕿᒐᔪᓚᐅᖅᑐᑦ ᐊᒥᓲᓂᖏᑦ
ᑭᒍᑎᒌᓐᓇᕐᓂᐊᓕᖅᑕᖏᑦ ᓱᕈᖅᓯᒪᔪᑦ, ᐊᒥᒐᖅᑐᑦ
teeth. ᐃᓛᖅᑐᖅᑕᐅᓯᒪᔪᓪᓗᓐᓃᑦ 2 .01−ᒥᑦᑐ .

Combined primary and permanent teeth ᑕᒪᕐᒥᒃ ᑲᑎᓪᓗᒋᑦ ᐊᑯᓯᒪᔪᑦ ᓯᕗᓪᓕᖅᐹᑦ


ᐊᒻᒪᓗ ᐊᑕᐃᓐᓇᕐᓂᐊᓕᖅᑐᑦ ᑭᒍᑏᑦ
• 93% of Inuit children aged 6 - 11 years of
age had a combined dmft + DMFT count of at
• 93 ᐳᓴᓐᑎᖏᓐᓂᑦᑐᑦ ᐃᓄᐃᑦ ᓱᕈᓰᑦ ᐅᑭᐅᓖᑦ
6-11-ᓂᒃ ᐊᑯᓯᒪᔪᓂᒃ ᑭᒍᑎᓕᑦ ᓄᑕᕋᖅᓯᐅᑎᓂᒃ
least 1. ᐃᓐᓇᖅᓯᐅᑎᓂᒡᓗ ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ
dmft + DMFT-ᖏᓐᓂᒃ ᓇᓗᓇᐃᖅᓯᒪᓚᐅᖅᑐᑦ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ .

• The average number of teeth that had a dmft


+ DMFT was 7.08 primary or permanent
• ᓴᕿᒐᔪᓚᐅᖅᑐᑦ ᐊᒥᓲᓂᖏᑦ ᑭᒍᑎᓕᑦ
ᓄᑕᕋᖅᓯᐅᑎᓂᒃ ᐃᓐᓇᖅᓯᐅᑎᓂᒡᓗ ᓱ−
teeth. ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ dmft + DMFT-ᖏᓐᓂᒃ
ᓇᓗᓇᐃᖅᓯᒪᓚᐅᖅᑐᑦ 7 .08-ᒦᓚᐅᖅᑐᑦ .

• At the time of the survey, 32.1% of teeth in


this age category still had cavities.
• ᑐᑭᓯᓂᐊᖅᑕᐅᓕᖅᑎᓪᓗᒋᑦ, 32 .1 ᐳᓴᓐᑎᒦᓚᐅᖅᑐᑦ
ᑭᒍᑎᖏᑦ ᑖᒃᑯᓇᓂ ᐅᑭᐅᖃᖅᑐᓂ ᓱᓕ
ᑭᒍᑎᕐᓗᖕᓂᖃᓚᐅᖅᑐᑦ .

Adolescents (12-19 years of age) ᒪᒃᑯᒃᑐᑦ ᐅᕕᒃᑲᐃᑦ (12-19−ᓂᒃ ᐅᑭᐅᓖᑦ)


The Decayed Missing Filled Teeth (DMFT) scores ᓱ−ᐊ−ᐃ-ᖃᕐᑎᒋᓚᐅᕐᓂᖏᑦ, ᐊᐅᒪᓂᓕᑦ ᐊᒥᒐᖅᑐᑦ,
for an adolescent are calculated on the permanent ᐃᓚᔭᐅᓯᒪᔪᓗᓐᓃᑦ, ᐅᕕᒃᑲᕐᓂᖅ ᒪᒃᑯᒃᑐᓄ
teeth. The survey found: ᓈᓴᖅᑕᐅᓯᒪᖃᑦᑕᖅᐳᑦ ᓈᓴᖅᑕᐅᓪᓗᑎᒃ ᐃᓐᓇᖅᓯᐅᑎᖏᑦ
ᑭᒍᑎᖏᑦ . ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ ᖃᐅᔨᓚᐅᖅᐳᑦ ᒪᑯᓂᖓ:

• 97% of Inuit adolescents aged 12 to 19 years


of age had a DMFT count of at least 1.
• 97 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓄᐃᑦ ᒪᒃᑯᒃᑐᑦ ᐅᑭᐅᓕᑦ
12-19−ᓄᑦ ᓱ−ᐊ−ᐃ-ᖑᓂᖃᓚᐅᖅᑐᑦ ᓱ−ᐊ−ᐃ-
ᖃᓚᐅᖅᑐᑦ ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ .
• The average number of DMFT was 9.49 teeth
in adolescents.
• ᓴᕿᒐᔪᓚᐅᖅᑐᖅ ᐊᒥᓲᓂᖏᓐᓂᒃ ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ
DMFT−ᖏᑦ 9 .49−ᓂᒃ ᑭᒍᑎᖏᓐᓂ ᒪᒃᑯᒃᑐᓂ .

Summary Report 10 Inuit Oral Health Survey


Edentulism
ᑭᒍᑎᖃᕈᓐᓃᖅᑐᖅ ᑕᒪᐃᓐᓂᒃ
(Complete loss of all natural teeth)
The edentulous rate of Inuit refers to the ᑭᒍᑎᖃᕈᓐᓃᖅᓯᒪᓂᖏᑦ ᑕᒪᐃᓐᓂᒃ ᐃᓄᐃᑦ
percentage of people in the three Inuit Regions ᐅᖃᐅᓯᖃᖅᐳᑦ ᐳᓴᓐᑎᖏᓐᓂᒃ ᐃᓄᐃᑦ, ᐱᖓᓱᓂᒃ
represented in this survey who no longer have ᐊᕕᒃᑐᖅᓯᒪᓂᖏᓐᓂ, ᐃᓚᐅᓚᐅᖅᑐᓂ ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ,
any of their natural teeth. Inuit who do not have ᓇᖕᒥᓂᖅ ᑭᒍᑏᕈᑎᓯᒪᔪᑦ . ᐃᓄᐃᑦ ᑭᒍᑎᖃᕈᓂᖅᑐᑦ
any of their own teeth, have usually lost them ᑭᒍᑏᕈᑎᓯᒪᒐᔪᒃᑐᑦ ᓱᕈᖅᓯᒪᓗᐊᕐᓂᖏᓐᓄᑦ ᐅᕝᕙᓗᓐᓃᑦ
ᐱᐅᖏᑦᑐᒪᕆᖕᓂᒃ ᐊᑲᐅᖏᓕᐅᕈᑎᖃᕐᓂᖏᓐᓄᑦ ᖃᓂᕐᒥᓂ,
due to extensive cavities or as a result of very bad ᑭᒍᑎᖏᑦᑕ ᐊᕙᓗᐊᓂ .
problems with the gums around their teeth.

Not having any natural teeth can cause eating ᑭᒍᑎᖃᕈᓐᓃᖅᓯᒪᓂᖅ ᓂᕆᑦᑎᐊᕈᓐᓇᐃᓇᕈᓐᓇᕐᒪᑕ,
problems, which can affect how many nutrients ᐊᒃᑐᖅᓯᓯᒪᔪᓐᓇᖅᓱᑎᒃ ᓂᕿᑦᑎᐊᕙᖃᕈᓐᓇᕐᓂᖓᓂᒃ
a person gets in their body. Edentulism can also ᐃᓅᑉ ᑎᒥᒥᓂ . ᑭᒍᑎᖃᕈᓃᖅᑎᓪᓗᒋᑦᑕᐅᖅ,
affect the way a person talks. ᐅᖃᓪᓚᑦᑎᐊᕈᓐᓇᐃᓕᖃᑦᑕᕆᕗᑦ ᐃᓄᐃᑦ .

The survey found that: ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᔪᓂ, ᖃᐅᔨᔭᐅᓚᐅᖅᑐᑦ ᐃᒫᒃ:

• Almost 10% of Inuit adults (20 years of age and


up) no longer have any of their natural teeth.
• 10 ᐳᓴᓐᑎᑲᓴᐃᑦ ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ (ᐅᑭᐅᓕᑦ 20-ᓂᒃ
ᐅᖓᑖᓃᓗ) ᓇᖕᒥᓂᖅ ᑭᒍᑎᖃᕈᓂᖅᑐᑦ .

• 22% of Inuit adults from the ages of 40 and


up were found to be edentulous.
• 22 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓄᐃᑦ ᐃᓐᓇᐃᑦ ᐅᑭᐅᓖᑦ 40−
ᓂᒃ ᖁᓛᓂᓗ ᑭᒍᑎᖃᕈᓂᖅᓯᒪᔪᑦ .

Adults still get cavities ᐃᓐᓇᐃᑦ ᓱᓕ ᑭᒍᓯᕆᓲᖑᒋᕗᑦ


Adults (aged 20 years of age and up) can develop ᐃᓐᓇᑐᐃᑦ (ᐅᑭᐅᓖᑦ 20-ᓂᒃ ᖁᓛᓂᓗ) ᒪᕐᕈᖕᓂᒃ
two different types of cavities. ᐊᔾᔨᒌᖏᖐᑦᑐᓂᒃ ᑭᒍᓯᕆᓂᖅᑖᓲᖑᕗᑦ .
The first type is called a coronal cavity. A coronal ᓯᕗᓪᓕᖅᐹᖅ ᑕᐃᔭᐅᕙᒃᑐᖅ ᐊᖕᒪᔪᖃᕐᓂᖅ . ᑕᒪᓐᓇ
cavity is a cavity that develops anywhere on the ᐊᖕᒪᔪᖃᕐᓂᖅ ᐊᖕᒪᔫᓂᐅᕗᖅ ᓇᓂᑐᐃᓐᓇᖅ ᐱᕈᖅᑐᖅ
tooth except on the root. ᑭᒍᑎᒥ, ᐱᖏᑕᑐᐊᕆᓪᓗᒍ ᑭᒍᑎᐅᑉ ᐃᓱᐊ ᐃᓗᐊᓃᑦᑐᖅ .

• 99% of adults aged 20 to 39 (who have


teeth) had a coronal DMFT of at least 1 with
• 99 ᐳᓴᓐᑎᖏᓐᓃᑦᑐᑦ ᐃᓐᓇᐃᑦ ᐅᑭᐅᓕᑦ 20−ᓂᒃ
39−ᓄᑦ (ᑭᒍᑎᓕᑦ ᓱᓕ) ᖃᓂᕐᒥᒍᑦ ᓱ−ᐊ−ᐃ-
an average number of coronal DMFT of 16.8 ᖃᓚᐅᖅᑐᑦ ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ, ᓈᓴᐅᑎᖃᕋᔪᒃᓱᑎᒃ
teeth. ᖃᓂᕐᒥᓂ ᓱ−ᐊ−ᐃ-ᒥᒃ ᓇᓗᓇᐃᖅᑕᐅᓯᒪᔪᒥᒃ 16 .8−
ᓂᒃ ᑭᒍᑎᓂᒃ ᐊᒥᓲᓂᓕᖕᓂᒃ .

• 100% of adults aged 40 years and up had a


coronal DMFT of at least 1 with an average
• 100 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ ᐅᑭᐅᓖᑦ
40-ᓂᒃ ᐅᖓᑖᓃᓗ ᑭᒍᑎᒥᒍᑦ ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ
number of coronal DMFT of 19.5. ᐊᑕᐅᓯᕐᒦᓗᓐᓃᑦ, ᓴᕿᒐᔪᖕᓂᖅᓴᐅᓪᓗᑎᒃ ᑭᒍᑎᒥᓂ
ᓱ−ᐊ−ᐃ-ᖃᓚᐅᖅᑐᑦ 19 .5-ᒦᓚᐅᖅᓱᑎᒃ .

The second type of cavity that an adult can develop ᑐᒡᓕᖅᐹᖅ ᑭᒍᓯᕆᓂᐅᕙᒃᑐᖅ ᓴᕿᑦᑐᓐᓇᕐᒥᔪᖅ
is called a root cavity. A root cavity is a cavity that ᑕᐃᔭᐅᕗᖅ ᐃᓗᐊᓂ ᓱᕈᖅᓯᒪᔪᖃᕐᓂᖅ . ᐃᓗᐊᓂ ᐃᓱᐊᓂ
is found along the root (or the part of the tooth that ᓱᕈᖅᓯᒪᓂᖅ ᓱᕈᖅᓯᒪᓂᐅᖕᒪᑦ ᐱᑕᖃᓲᖅ ᓄᕗᐊᑕ ᐃᓗᐊᓂ
is usually hidden by the gums) of a tooth. A root (ᐃᓚᖓᓂ ᑕᑯᒃᓴᐅᖏᑦᑐᒥ ᑭᒍᑎᒥ, ᖃᓂᕐᒦᑦᑐᒥᒃ) . ᑖᓐᓇ
cavity is difficult to find on the tooth and can be ᐃᓗᐊᓃᑦᑐᖅ ᓄᕕᐊᑕ ᐃᓗᐊᓃᑦᑐᖅ ᐊᔪᕐᓇᕐᓂᖅᓴᐅᕙᒃᑐᖅ
ᖃᐅᔨᔭᐅᔪᓐᓇᕐᓂᖓ ᐊᒻᒪᓗ ᐊᔪᕐᓇᕐᓂᖅᓴᐅᓲᖑᓪᓗᓂ
more difficult to treat as well.
ᐃᑲᔪᖅᑕᐅᔪᓐᓇᕐᓂᖅ .

• 44% of Inuit adults (20 years of age and up)


had at least 1 decayed or filled root cavity.
• 44 ᐳᓴᓐᑎᖏᑦ ᐃᓄᐃᑦ ᐃᓐᓇᑐᐃᑦ (ᐅᑭᐅᓖᑦ 20-
ᓂᒃ ᖁᓛᓂᓗ) ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᓇᓂᔭᐅᓯᒪᕗᑦ
ᓱᕈᖅᓯᒪᔪᒥᒃ ᐅᕝᕙᓗᓐᓃᑦ ᐃᓚᖅᑐᖅᑕᐅᓯᒪᔪᖃᖅᑐᑦ
ᑭᒍᑎᖏᑕ ᐃᓗᐊᓂ ᐃᓱᐊᓂ .

Summary Report 11 Inuit Oral Health Survey


• Inuit adults had an average of 1.52 Root,
Decayed or Filled teeth (RDFT).
• ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ ᑕᑯᔭᐅᒐᔪᒃᑐᑦ 1 .52−ᒥᑦᑐᑦ
ᑭᒍᑎᖓᑕ ᐃᓱᐊᓂ, ᓱᕈᖅᓯᒪᔪᑦ ᐅᕝᕙᓗᓐᓃᑦ
ᐃᓚᖅᑐᖅᓯᒪᔪᑦ .

Older Adults ᐃᓐᓇᐅᓂᖅᓴᐃᑦ ᐃᓄᐃᑦ


• Older Inuit adults (40 year of age and up) had
more root cavities (53%) than adults 20 to 39
• ᐃᓐᓇᐅᓂᖅᓴᐃᑦ ᐃᓄᐃᑦ (ᐅᑭᐅᓖᑦ 40−ᓂᒃ
ᐅᖓᑖᓃᓗ) ᐃᓗᐊᒍᑦ ᑭᒍᑏᑦ ᓱᕈᖅᓯᒪᔪᖃᖅᐳᑦ
years of age (39%). (53 ᐳᓴᓐᑏᑦ ᐃᓐᓇᐃᑦ ᐅᑭᐅᓕᑦ 20-ᓂᒃ 39−ᓄᑦ
ᐅᑭᐅᓖᑦ ᓴᓂᐊᓂ (39 ᐳᓴᓐᑎᑦ) .

Untreated Coronal and Root Cavities ᖃᓄᐃᓕᐅᖅᑕᐅᓯᒪᖏᑦᑐᑦ ᑭᒍᑎᕐᓗᒃᑐᑦ


ᐊᒻᒪᓗ ᑭᒍᑎᖏᑦ ᓄᑮᔭᖅᑕᐅᓯᒪᔪᑦ
• 3 Inuit adults out of 5 (60%) had cavities that
needed a filling.
• ᐱᖓᓱᑦ ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ ᑕᓕᒪᔪᓂᒃ (60 ᐳᓴᓐᑎᑦ)
ᐊᐅᖕᓂᖃᓚᐅᖅᐳᑦ ᐃᓚᖅᑐᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂᒃ .
• 44% of Inuit adults (20 years of age and up)
had a root cavity that needed a filling.
• 44 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᐃᓐᓇᐃᑦ (ᐅᑭᐅᓕᑦ
20−ᓂᒃ ᐅᖓᑖᓂᓗᓐᓂᑦ) ᑭᒍᑎᒥᒍᑦ
ᓄᑮᔭᖅᑕᐅᔪᖃᕆᐊᖃᓚᐅᖅᑐᑦ .

Periodontal
Conditions ᑭᒍᑎᐅᖏᑦᑐᑦ
ᖃᓂᕐᒥ ᐋᕿᐅᒪᔪᑦ
Periodontal refers to the structures that surround ᑭᒍᑎᐅᖏᑦᑐᑦ ᐅᖃᐅᓯᖃᖅᐳᑦ ᖃᓂᕐᒦᑦᑐᓂᒃ ᐊᕙᓗᐊᓂ
teeth to keep them in place, such as gums, bone ᑭᒍᑏᑦ, ᐋᕿᐅᒪᔾᔪᑏᑦ, ᓲᕐᓗ ᐅᕕᓂᖓ, ᓴᐅᖓᓂ,
and the tissue (called the periodontal ligament) ᐊᒻᒪᓗ ᓄᑮᑦ ᐊᑕᔪᑦ ᑭᒍᑎᓄᓪᓗ ᓴᐅᓂᕐᒧᓪᓗ . ᑕᒪᒃᑯᐊ
that attach the teeth to the bone. These periodontal ᖃᓂᕐᒦᑦᑐᑦ ᖃᓄᐃᓕᖓᓂᖏᑦ ᐊᒃᑐᖅᑕᐅᓯᒪᔪᓐᓇᕐᒪᑕ
structures can be affected by disease which can ᖃᓄᐃᓕᔾᔪᑕᐅᔪᓐᓇᖅᑐᑦ ᑭᒍᑎᓄᑦ ᐊᒃᑐᐊᔪᓄᑦ
ᐊᒻᒪᓗ ᐊᕙᓗᐊᓃᑦᑐᓄᑦ ᖃᓂᕐᒧᑦ . ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ
affect the health of affected teeth and surrounding
ᑲᑎᖅᓱᖅᑕᐅᓚᐅᖅᑐᓂ ᐃᓚᖃᓚᐅᖅᑐᑦ ᓱᕈᕐᓇᖅᑐᖃᕐᓂᕐᒥᒃ,
tissue. The information collected as part of the (ᑯᒃᑭᖕᓂᒃ), ᖃᐅᓪᓗᖅᑐᒥᒃ ᒥᖑᖕᒥᒃ, ᐊᐅᓈᕈᓐᓇᕐᓂᕐᒧᑦ,
survey included debris, calculus, gingivitis, pocket ᐃᓗᑐᓂᖏᓐᓄᑦ ᐊᒻᒪᓗ ᐊᑕᔪᓐᓃᕐᓂᖏᓐᓄᑦ ᑭᒍᑏᑦ .
depth and Loss of Attachment (LOA).

Debris and Calculus ᓱᕈᕐᓇᖅᑐᖃᖅᑐᑦ ᐊᒻᒪᓪᓗ ᓯᑎᒃᑎᐸᓪᓕᐊᓲᑦ


Debris is the soft, cream-coloured build-up, or ᓱᕈᕐᓇᖅᑐᑦ ᐊᕿᑦᑑᕗᑦ, ᖃᐅᓪᓗᔮᖅᑐᑦ, ᐃᔾᔪᖅᑎᑉᐸᓪᓕᐊᓲᑦ
stains, that can be found on teeth. ᐅᕝᕙᓗᓐᓃᑦ ᕿᕐᓂᖅᓯᓕᕈᑕᐅᓲᑦ, ᑭᒍᑎᓄᑦ .

Calculus is the hard material that can develop on ᒥᖑᒃ ᓯᑎᔪᖅ ᐱᕈᕈᓐᓇᕐᒥᔪᖅ ᑭᒍᑎᒥ
the tooth (also known as tartar). ᓯᑎᒃᑎᑉᐸᓪᓕᐊᔪᓐᓇᖅᑐᖅ .

• 20% of Inuit adults in the survey were found


to have calculus scores in the highest range.
• 20 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓐᓇᐃᑦ ᐃᓄᐃᑦ
ᖃᐅᔨᓴᖅᑕᐅᓚᐅᖅᑐᖅ ᓯᑎᒃᑎᓯᒪᔪᖃᖅᑐᑦ ᒥᖑᖕᒥᒃ
ᐊᒥᓲᓂᖅᐹᖑᖃᑕᐅᔪᓃᑦᑐᓂᒃ .

Both of these conditions can be prevented by ᑕᒪᕐᒥᒃ ᑕᒪᒃᑯᐊ ᓴᕿᑕᐃᓕᒪᑎᑕᐅᔫᓐᓇᖅᑐᑦ


brushing or flossing, but calculus can only be ᑭᒍᑎᓯᐅᖃᑦᑕᕐᓗᑎᒃ ᐅᕝᕙᓗᓐᓃᑦ ᑯᒃᑮᔭᖃᑦᑕᕐᓂᕐᒥᒃ, ᑭᓯᐊᓂ
removed by a dental professional. Neither debris ᓯᑎᒃᓯᒪᓪᓚᕆᒃᑐᑦ ᒥᖑᕕᓂᑦ ᐲᔭᖅᑕᐅᔪᓐᓇᓲᖑᕗᑦ ᑭᓯᐊᓂ
nor calculus is a measure of disease, but they can ᑭᒍᓯᕆᓪᓚᕆᖕᒧᑦ . ᑕᒪᒃᑯᐊ ᓱᕈᕐᓇᖅᑐᑦ ᐅᕝᓗᓐᓃᑦ ᒥᖑᐃᑦ
increase the risk for the development of gingivitis. ᖃᓂᒪᓂᓪᓚᕆᐅᖏᑦᑑᒐᓗᐊᑦ, ᑭᓯᐊᓂ ᐱᕈᕈᑕᐅᓕᕈᓐᓇᕐᒥᔪᑦ
ᐊᐅᓈᓕᖃᑦᑕᕐᓂᕐᒧᑦ ᐅᕝᕙᓗᓐᓃᑦ ᐳᕕᓕᕆᓐᓇᕐᓂᕐᒧᑦ ᖃᓂᕐᒧᑦ .

Summary Report 12 Inuit Oral Health Survey


Gingivitis ᖃᓂᒃᑯᑦ ᐊᐅᓈᖃᑦᑕᕐᓂᖅ ᐅᕝᕙᓗᓐᓃᑦ
ᐳᕕᓕᖃᑦᑕᕐᓂᖅ
Gingivitis is a reversible form of gum disease and ᖃᓂᒃᑯᑦ ᐊᐅᓇᖃᑦᑕᕐᓂᖅ ᐱᕕᓕᖃᑦᑕᕐᓂᕐᓗ
refers to inflammation of the gum tissue. Gingivitis ᐋᕿᒋᔪᓐᓇᖃᑦᑕᖅᑐᖅ ᐱᐅᓯᑎᑕᐅᔪᓐᓇᖅᓱᓂ,
begins with the build-up of plaque on the teeth. ᑕᒪᓐᓇ ᐅᖃᐅᓯᓕᒃ ᐳᕕᓕᖃᑦᑕᕐᓂᖏᑦ ᑭᒍᑏᑦ
The bacteria in plaque produce materials that can ᑐᖓᕕᖏᑦ . ᖃᓂᕐᓗᖃᑦᑕᕐᓂᖅ ᐱᒋᐊᓲᖑᕗᑦ ᑭᒍᑎ
make the gums swell and bleed. ᖄᒥᐅᑕᖃᐃᓐᓇᓕᖅᑎᓪᓗᒍ . ᖁᑉᐱᕈᖃᓕᕈᓐᓇᕐᒪᑦ
ᖄᒥᐅᑕᖃᓕᖅᑎᓪᓗᒍ, ᐳᕕᓕᕈᑕᐅᔪᓐᓇᖅᑐᓂᒃ ᖃᓂᕐᒧᑦ .

• Over 30% of Inuit adults (20 years of age and


up) have moderate to severe gingivitis.
• ᐅᖓᑖᓃᑦ 30 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᐃᓐᓇᐃᑦ
(ᐅᑭᐅᖃᖅᑐᑦ 20−ᓂᒃ ᖁᓛᓂᓗ) ᖃᓄᐃᓗᐊᖏᑦᑐᓂᒃ
ᐱᒻᒪᕆᐊᓗᖕᒧᑦ ᑎᑭᒪᐅᔪᓂᒃ ᖃᓂᕐᓗᖃᑦᑕᖅᐳᑦ .

Summary Report 13 Inuit Oral Health Survey


Loss of attachment (LOA) is the distance (in ᐊᑕᔪᓐᓃᕐᓂᖅ ᑭᒍᑎᑦ ᐱᔾᔪᑎᖃᖅᑐᖅ ᐅᖓᓯᖕᓂᖏᓐᓂᒃ
millimetres) between the point where the enamel ᒥᓕᒥᑕᑎᒍᑦ ᓄᕗᐊᓂᒃ ᑭᒍᑎᐅᑉ ᖄᖓ ᑎᑭᐅᒪᑎᓪᓗᒍ
of the tooth meets the root, and the bottom of the ᐃᓱᐊᓄᑦ ᐊᒻᒪᓗ ᐊᑖᓂ ᓄᕗᐊᓄᑦ ᑭᒍᑎᐅᑉ . ᐊᑕᔪᓐᓃᕐᓂᖅ
pocket between the gum tissue and the tooth. LOA ᐃᓱᒪᒋᔭᐅᓲᖑᕗᖅ ᓱᓕᓂᖅᐹᒥᒃ ᐆᒃᑐᕋᐅᑎᒥᒃ
is considered the true measure of the effects of ᖃᓄᐃᓕᔾᔪᑕᐅᓂᖓᓂᒃ ᖃᓂᒪᓂᖅ ᖃᓂᕐᒥ ᐋᕿᐅᒪᔪᓂ .
disease on the periodontal structures.
A person with an LOA of 3mm or less is considered ᑭᓇᑐᐃᓐᓇᖅ ᐊᑕᔪᓃᕐᓂᓕᒃ 3 ᒥᓕᒦᑕᓂᒃ
to be healthy. ᒥᑭᓂᖅᓴᓂᒡᓗᓐᓃᑦ ᖃᓄᐃᖏᓐᓂᕋᖅᑕᐅᕙᒃᐳᖅ .

A person with an LOA of 4 – 5mm is considered to ᑭᓇᑐᐃᓐᓇᖅ ᐊᑕᔪᓐᓃᕐᓂᖃᖅᑐᖅ 4-5 ᒥᓕᒦᑕᓂᒃ


have, or have had, moderate disease. ᐃᓱᒪᒋᔭᐅᕗᖅ ᐱᓯᒪᓂᖅ ᐱᓯᒪᓚᐅᕐᓂᕐᓗᓐᓃᑦ ᖃᓂᒪᓂᕐᒥᒃ
ᐱᐅᖏᑑᓗᐊᖏᑦᑐᒥᒃ .
A person’s ability to chew can be affected at an ᑭᓇᑐᓐᓇᐅᑉ ᑕᒧᐊᔪᓐᓇᕐᓂᖓ ᐊᒃᑐᖅᑕᐅᓯᒪᔪᓐᓇᖅᑐᖅ
LOA of 5mm or greater. ᐊᑕᔪᓐᓃᖅᑐᖅᖃᖅᓯᒪᒍᓂ 5 ᒥᓕᒥᑕᓂᒃ ᐅᖓᑕᓃᓗᓐᓃᑦ .

A person with an LOA of 6mm or more is ᑭᓇᑐᐃᓐᓇᖅ ᐊᑕᔪᓐᓃᕐᓂᖃᖅᑐᖅ 6 ᒥᓕᒦᑕᓂᒃ


considered to have, or to have had, severe disease. ᐅᖓᑕᓃᓗᓐᓂᑦ, ᐃᓱᒪᒋᔭᐅᕗᖅ ᐱᓯᒪᓂᖅ,
ᐱᓯᒪᓚᐅᕐᓂᕐᓗᓐᓃᑦ ᐱᒻᒪᕆᐊᓗᖕᒥᒃ ᖃᓂᒪᓂᖃᕐᓂᕐᒥᒃ .

A person is at risk of loosing their tooth if the LOA ᑭᓇᑐᐃᓐᓇᖅ ᑭᒍᑏᑐᐃᓐᓇᕆᐊᖃᓕᓲᖅ ᐊᑕᖏᓐᓂᖃᓕᕈᓐᓂ
is 6 mm or greater. ᐊᖏᓂᓕᖕᒥᒃ 6 ᒥᓕᒦᑕᓂᒃ ᐅᖓᑕᓃᓗᓐᓃᑦ .

Age is an important factor when looking at loss ᐅᑭᐅᖃᖅᑎᒋᓂᖅ ᐱᒻᒪᕆᐊᓘᕗᖅ ᑕᑯᓪᓗᒋᑦ


of attachment. For example, a 70 year old with ᐊᑕᔪᓐᓃᖅᐸᓪᓕᐊᓂᖏᑦ . ᓲᕐᓗ ᐆᒃᑑᑎᒋᓗᒍ, 70−ᓂᒃ
an LOA of 4mm may be considered to have aged ᐅᑭᐅᓕᒃ ᐅᓐᓇᖅ ᐊᑕᔪᓃᕐᓂᖃᖅᑐᖅ 4 ᒥᓕᒦᑕᓂᒃ
successfully, but a 20 year old with an LOA of ᐃᓐᓇᕈᑦᑎᐊᖅᓯᒪᓂᕋᖅᑕᐅᓇᔭᖅᑐᖅ, ᑭᓯᐊᓂ ᐅᕕᒃᑯᑦ
4mm would seem to be at increased risk for losing ᒪᒃᑯᒃᑐᕐᓗᓐᓃᑦ ᐅᑭᐅᓕᒃ 20−ᓂᒃ ᐊᑕᔪᓐᓃᕐᓂᓕᒃ
4 ᒥᓕᒦᑕᓂᒃ ᐅᓗᕆᐊᓇᖅᑐᒦᓐᓂᐊᕋᓱᒋᔭᐅᕙᒃᐳᖅ
the tooth.
ᑭᒍᑏᕈᑎᓂᐊᓕᕐᓂᖅ .
• The survey found that 83.5% of Inuit adults
(who have teeth) are considered to be healthy
• ᖃᐅᔨᓂᐊᖅᑕᐅᔪᓂ ᖃᐅᔨᓚᐅᖅᑐᑦ 83 .5
ᐳᓴᓐᑎᖏᓃᖏᓐᓂᒃ ᐃᓄᐃᑦ ᐃᓐᓇᑐᐃᑦ
in terms of LOA (LOA = 0-3mm) (ᓱᓕ ᑭᒍᑎᓕᑦ) ᖃᓄᐃᖏᓐᓂᕋᖅᑕᐅᓂᖅ
ᐊᑕᔪᓐᓃᕐᓂᖃᕐᓂᖏᑦ ᑕᑯᔭᐅᖃᑦᑕᖅᓱᑎᒃ
(ᐊᑕᔪᓐᓃᖅᓯᒪᓂᖏᑦ = 0-3 ᒥᓕᒦᑕᓃᑦᑐᓂ)
• 3.9% of Inuit dentate adults have had severe
disease (LOA of 6mm or more).
• 3 .9 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᑭᒍᑎᓖᑦ ᓱᓕ ᐱᒻᒪᕆᐊᓗᖕᒥᒃ
ᖃᓂᒪᓂᖃᖅᐳᑦ (ᐊᑕᔪᓃᖅᓯᒪᓂᖃᖅᑐᑦ 6 ᒥᓕᒥᑕᓂᒃ
ᐅᖓᑖᓂᓘᓐᓃᑦ) .

It is important to note that LOA is usually not ᐱᒻᒪᕆᐅᕗᖅ ᖃᐅᔨᒪᓂᖅ ᐊᑕᔪᓐᓃᖅᓯᒪᓂᖃᕐᓂᖅ


reversible, but can be prevented through good oral ᖃᓄᐃᑦᑐᓐᓃᖅᑎᑕᐅᔪᓐᓇᕋᔪᖏᒻᒪᑦ, ᑭᓯᐊᓂ
hygiene habits including brushing and flossing, ᓴᕿᑎᑦᑕᐅᑦᑕᐃᓕᒪᔪᓐᓇᖅᑐᖅ ᐱᐅᔪᒥᒃ ᖃᓂᕐᒥᒃ
professional care, and avoiding tobacco. ᑲᒪᑦᑎᐊᖃᑦᑕᕐᓂᖅ, ᓲᕐᓗ ᑭᒍᑎᓯᐅᑦᑎᐊᖃᑦᑕᕐᓂᖅ,
ᑯᒃᑮᔭᑦᑎᐊᖃᑦᑕᕐᓂᖅ, ᑭᒍᓯᕆᔨᒧᐊᑦᑎᐊᖃᑦᑕᕐᓂᖅ, ᐊᒻᒪᓗ
ᑎᐹᑯᑐᖅᑕᐃᓕᒪᓂᖅ .

Oral lesions are any open sores, lumps, bumps, ᖃᓂᕐᒥ ᐋᓐᓂᐊᕆᔭᐅᔪᑦ ᖃᓄᐃᑐᑐᐃᓐᓇᐅᕗᑦ
or red or white patches in the mouth. Oral lesions ᐊᖕᒪᔪᓕᑦ ᐊᓐᓂᐊᕐᓇᖅᑐᑦ, ᐳᕕᑦᑐᑦ, ᖁᑎᒃᑐᑦ,
can develop on the lips, tongue, cheeks or gums. ᐊᐅᐸᓗᒃᑐᑦ ᖃᐅᓪᓗᖅᑑᓪᓗᓐᓃᑦ ᖃᓂᕐᒦᑦᑐᑦ . ᖃᓂᕐᒥ
An oral lesion could be minor or could be a sign of ᐋᓐᓂᐊᕐᕈᑏᑦ ᓴᕿᑦᑐᓐᓇᖅᑐᑦ ᖃᓂᕐᒥ, ᐅᖃᖅᒥ,
larger health issues. It is important to have any oral ᐅᓗᐊᕐᓂ ᐅᕝᕙᓗᓐᓃᑦ ᑭᒍᑏᑦ ᐊᕙᓗᐊᓂ . ᖃᓂᒃᑯᑦ
ᐊᓐᓂᐊᖅᑐᖃᕐᓂᖅ ᐱᒻᒪᕆᐅᖏᑦᑑᔪᓐᓇᖅᑐᖅ ᐅᕝᕙᓗᓐᓃᑦ
lesions checked by a dental professional. ᓇᓗᓇᐃᒃᑯᑕᐅᔪᓐᓇᖅᑐᖅ ᐊᖏᓂᖅᓴᒥᒃ ᐊᓐᓂᐊᕐᓂᕐᒧᑦ
ᑕᒪᐃᓐᓂᒃ ᑎᒥᑯᑦ ᐃᓱᒪᓘᑕᐅᔪᒥᒃ . ᐱᒻᒪᕆᐅᕗᖅ ᑕᒪᒃᑯᐊ
ᓇᓗᓇᖅᑐᑦ ᓇᒻᒪᖏᑦᑐᑦ ᑕᑯᔭᐅᖃᑦᑕᕆᐊᖃᕐᓂᖏᑦ
ᑭᒍᓯᕆᔨᒻᒪᕆᖕᓄᑦ .

• 9.9% of Inuit adults have at least one oral


lesion.
• 9 .9 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓄᐃᑦ ᐃᓐᓇᐃᑦ
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ ᖃᓂᕐᓘᑎᖃᖅᓯᒪᔪᑦ .

Summary Report 14 Inuit Oral Health Survey


Preventive Behaviours
ᐱᓂᕐᓗᒃᑕᐃᓕᒪᔾᔪᑎᓂᒃ
ᐱᐅᓯᖃᕐᓂᖅ
Brushing your teeth twice a day and flossing once a ᑭᒍᑎᓯᐅᖃᑦᑕᕐᓂᖅ ᒪᕐᕈᐃᖅᑕᕐᓗᓂ ᐅᓪᓗᑕᒫᖅ ᐊᒻᒪᓗ
day are two key recommended actions to maintain ᑯᒃᑮᔭᑦᑎᐊᖃᑦᑕᕐᓂᖅᓂ ᐊᑕᐅᓰᕐᓗᓂ ᐅᓪᓗᑕᒫᖅ, ᒪᕐᕉᓪᓗᑎᒃ
a healthy mouth. ᐱᒻᒪᕆᐅᓂᖅᐹᖑᔪᑦ ᐊᑐᓕᖁᔭᐅᓯᒪᔪᑦ ᖃᓄᐃᖁᓇᒍ ᖃᓃᑦ .

According to the Inuit Oral Health Survey results: ᒪᓕᒃᑕᐅᓪᓗᑎᒃ ᐃᓄᐃᑦ ᖃᓂᕐᒥᒍᑦ ᑭᒍᑎᒃᑯᓪᓗ
ᖃᓄᐃᓂᖏᓐᓂᒃ ᖃᐅᔨᓴᖅᑕᐅᔪᓂ, ᓴᕿᓚᐅᖅᑐᑦ ᒪᑯᐊ:

• 42% of Inuit aged 3 and up said they brush


twice a day
• 42 ᐳᓴᓐᑎᖏᓃᑦᑐᑦ ᐃᓄᐃᑦ ᐅᑭᐅᓕᑦ 3−ᓂᒃ
ᐅᖓᑖᓂᓗ ᐅᖃᓚᐅᖅᑐᑦ ᑭᒍᑎᓯᐅᖃᑦᑕᕐᓂᕐᒥᓂᒃ
ᒪᕐᕈᐃᖅᓱᑎᒃ ᐅᓪᓗᑕᒫᖅ

• 36% of Inuit aged 3 and up said they floss at


least 5 times a week
• 36 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᐅᑭᐅᓕᑦ ᐅᑭᐅᓕᑦ 3−ᓂᒃ
ᐅᖓᑖᓂᓗ ᐅᖃᓚᐅᖅᑐᑦ ᑯᒃᑮᔭᖃᑦᑕᕐᓂᕐᒥᓂᒃ
ᑕᓪᓕᒪᐃᑕᖅᓱᑎᒡᓗᓐᓃᑦ ᐱᓇᓱᐊᕈᓯᑕᒫᖅ

Sealants are clear or tinted plastic coverings placed ᖄᓕᐊᖑᓯᒪᔪᑦ ᕿᓪᓚᔪᑭᐊᒃᓴᔭᖕᒥᒃ ᓴᓇᓯᒪᔪᑦ
on the chewing surfaces of permanent molar (back) ᖄᓕᐊᕆᔭᐅᓲᑦ ᑕᒧᐊᔾᔪᑎᓄᑦ ᑭᒍᑎᓄᑦ ᑐᓄᐊᓃᑦᑐᓄᑦ .
teeth. A sealant provides a barrier and keeps food ᖄᓕᐊᖑᕙᒃᑐᑦ ᐅᓕᒃᓯᓯᒪᓱᑦ ᐊᒻᒪᓗ ᓂᕿᓂᒃ
from getting stuck in the grooves and pits of a tooth. ᐊᒃᑐᐃᓐᓇᖏᑦᑐᑦ ᐊᔪᓕᕐᕕᐅᓲᓂᒃ ᑯᑭᓯᒪᓇᖅᑐᓂ
This helps to keep teeth free from decay. Sealants ᐃᓗᑐᓂᐅᔪᓂ ᑭᒍᑎᒥ . ᑕᒪᓐᓇ ᐃᑲᔪᕐᓂᖃᓲᖑᕗᖅ ᑭᒍᑏᑦ
ᐊᐅᒪᖏᓐᓂᖅᓴᐅᔪᓐᓇᕐᓂᖏᓐᓄᑦ . ᖄᓕᖅᑎᖅᑕᐅᔪᓐᓇᖅᐳᑦ
can be applied to a tooth by a dental professional as
ᑭᒍᓯᕆᔨᒻᒪᕆᖕᒧᑦ ᑭᒍᑎᑖᑐᐊᖅᐸᑦ ᕿᓂᕐᒥ .
soon as the tooth appears in the mouth.
ᐊᑐᖅᑕᐅᓂᖏᑦ ᖄᓕᐊᖑᓯᒪᓲᑦ ᐊᒥᓲᓚᐅᖏᑦᑐᑦ
The use of sealants was too low to be reported. ᐅᖃᐅᓯᐅᔪᓂ .

Summary Report 15 Inuit Oral Health Survey


Need for care
ᑲᒪᑦᑎᐊᖃᑦᑕᕆᐊᖃᕐᓂᖅ
At the end of each dental examination, the dentist ᐃᓱᐊᓂ ᑭᒍᓯᕆᔨᒧᑦ ᖃᐅᔨᓴᖅᑕᐅᓚᐅᕐᓗᓂ, ᑭᒍᓯᕆ
recorded whether the respondent/patient needed ᑎᑎᕋᓲᖑᕗᖅ ᑲᒪᒋᔭᖓ ᑲᒪᑦᑎᐊᕆᐊᖃᕐᓂᐊᕐᒪᖓᑦ,
care and, if so, what kind. It was also noted if the ᐊᒻᒪᓗ ᖃᓄᖅ . ᑎᑎᕋᖅᑕᐅᖃᑦᑕᕐᒥᔪᖅ ᑖᓐᓇ ᑲᒪᒋᔭᖅ
case was urgent (i.e. treatment necessary within a ᑐᐊᕕᕐᓇᖅᑑᖕᒪᖔᑦ (ᓱᕐᓗ ᐱᓇᓱᐊᕈᓯᐅᑉ ᐃᓗᐊᓂ
week). ᑲᒪᒋᔭᐅᔭᐊᓕᒃ) .

From the assessments and evaluation of the ᖃᐅᔨᓴᖅᑕᐅᔪᓂ ᑭᒍᓯᕆᔨᓄᑦ, ᓯᕗᓪᓕᖅᐹᖑᑎᑕᐅᖁᔭᐅᔪᑦ


dentists, a priority list was created ranging from ᐱᒋᐊᓚᐅᖅᑐᑦ ᐱᒻᒪᕆᐅᓂᖅᐹᖑᔪᓂᒃ, ᓲᕐᓗ
most severe, such as a life-threatening conditions ᐃᓅᓯᕐᒧᑦ ᐅᓗᕆᐊᓇᖅᓯᔪᓂᒃ (ᐱᓗᐊᖅᑐᒻᒪᕇᑦ
(i.e. severe infection or suspected oral cancer) and ᐊᖕᒪᔪᓖᑦ ᐅᕝᕙᓗᓐᓃᑦ ᑳᓐᓴᖃᕋᓱᒋᔭᐅᔪᑦ ᖃᓂᒃᑯᑦ)
ᐊᒻᒪᓗ ᐋᓐᓂᕐᓇᖅᑐᒪᕆᐅᔪᑦ; ᑭᖑᓪᓕᐅᓂᖅᓴᓂ
severe pain; to lower priorities, such as a required
ᓯᕗᓪᓕᐅᑎᑕᐅᔪᒃᓴᓂ ᓲᕐᓗ ᐃᓛᖅᑐᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂ
filling or improvements to oral health regimes. The ᐅᕝᕙᓗᓐᓃᑦ ᐱᐅᓯᒋᐊᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂᒃ ᖃᓂᕐᒥᓂᒃ
latter conditions could be dealt with over a longer ᓴᓗᒪᑎᑦᑎᖃᑦᑕᕐᓂᖅ . ᑕᒪᒃᑯᐊ ᑭᖑᓪᓕᐅᓂᖅᓴᐃᑦ
period of time. ᖃᓄᐃᓕᐅᕆᐊᖅᑕᐅᕙᓪᓕᐊᔪᓐᓇᕐᒪᑕ ᐊᑯᓂᐅᔪᒥ .

More specifically, the priority list included: urgent ᐱᓗᐊᖅᑐᒥᒃ, ᓯᕗᓪᓕᐅᑎᑕᐅᔭᕆᐊᖃᖅᑐᑦ


needs; surgical needs; root canals; fillings; crown ᒪᑯᓂᖓ ᐃᓚᖃᓚᐅᖅᐳᑦ: ᑐᐊᕕᕐᓇᖅᑐᓂᒃ,
and bridge work; gum care; braces, a group of ᐱᓚᒃᑐᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂᒃ; ᑭᒍᑎᐅᑉ ᐃᓗᐊᓃᑦᑐᑦ
services including problems with the jaw, aesthetics ᐲᔭᖅᑕᐅᔭᕆᐊᖃᕐᓂᖏᑦ ᓄᑭᖏᑦ; ᑭᒍᑎᐅᑉ
and soft tissues. ᐊᕙᓗᐊ ᑲᒪᒋᔭᐅᑦᑎᐊᕆᐊᖃᕐᓂᖅ, ᑭᒍᓯᕆᔭᐅᓂᖏᑦ
ᐊᑲᐅᖏᓕᐅᕈᑕᐅᔪᑦ ᐊᓪᓕᕈᐊᖏᑦ, ᑕᑯᒥᓇᕈᒪᔪᑦ, ᐊᒻᒪᓗ
ᐊᕿᒃᑐᑦ ᓂᕿᖏᑦ ᖃᓂᕐᒥ .

The list ended with those requiring no dental help. ᐃᓱᓕᑦᑎᓯᒪᓚᐅᖅᑐᑦ ᑕᐃᒃᑯᓂᖓ ᑭᒍᓯᕆᔨᓄᑦ
ᐃᑲᔪᖅᑕᐅᔭᕆᐊᖃᖏᑦᑐᓂᒃ .

Some patients have several conditions of varying ᐃᓚᖏᑦ ᑕᑯᔭᐅᔪᑦ ᐱᒻᒪᕆᐊᓗᖕᓂᒃ ᖃᓄᐃᓂᖃᓲᖑᖕᒪᑕ
urgency to be treated. ᐊᔾᔨᒋᖏᑦᑐᓂᒃ ᑐᐊᕕᑯᕐᓇᕈᑎᖃᖅᐸᒃᓱᑎᒃ .

39.3% Distribution of Needs


40
ᖃᓄᐃᓕᖓᓂᖏᑦᑰᐃᑲᔪᖅᑕᐅᔭᕆᐊᓕᑦ
35

30 27.4%
25 22.9%
Percentage

20
ᐳᓴᓐᑎᑎᒍᑦ

15

10
5.7%
5 2.0%
0
Restorations No treatment Surgery Prosthodontics Endodontics
ᓄᑖᕈᖅᑎᖅᑕᐅᒃᑲᓐᓂᖅᑐᑦ ᖃᓄᐃᓕᔭᐅᖏᑦᑐᑦ ᐱᓚᒃᑐᖅᑕᐅᔪᑦ ᑭᒍᑎᖑᐊᖅᑖᖅᑎᑕᐅᔪᑦᓚ
ᒍ ᐃᓗᐊᒍᑦ
ᓴᕕᒐᐅᔭᓕᖅᑎᖅᑕᐅᔪᑦᓚ
ᒍ ᓄᑮᔭᖅᑕᐅᓂᖏᑦ
ᐃᓚᔭᐅᔪᑦ ᑭᒍᑏᑦ

Treatment Needs ᐃᑲᔪᖅᑕᐅᔭᕆᖃᕐᓂᖏᑦ


Inuit Oral Health Survey 2008/2009 ᐃᓄᐃᑦᑦᖃᓂᒃᑯᑦᑦᑭᒍᑎᒃᑯᓪᓗᑦ
ᖃᓄᐃᓂᖏᓐᓂᒃᑦᑐᑭᓯᓂᐊᖅᑕᐅᔪᑦᑦ/00! 2/00!

Summary Report 16 Inuit Oral Health Survey


Of the needs identified, half were for fillings ᐱᔭᕆᐊᖅᑐᓂ ᓇᓗᓇᐃᖅᑕᐅᓯᒪᔪᓂ, ᓇᑉᐸᓪᓗᐊᖏᑦ
(restoration), one quarter were for surgical services ᐱᔾᔪᑎᖃᓚᐅᖅᑐᑦ ᐃᓗᓕᖅᑎᖅᑕᐅᔪᓂᒃ
and the other quarter were for other services such (ᓄᑖᕈᕆᐊᖅᑕᐅᔪᓂᒃ), ᐊᑕᐅᓯᖅ ¼ ᐱᔾᔪᑎᖃᓚᐅᖅᑐᖅ
as dentures, gum care, root canals, etc. ᐱᓚᒃᑐᖅᑕᐅᔭᕆᐊᖃᖅᑐᓂᒃ ᐊᒻᒪᓗ ᐱᖃᑎᖓ ¼-ᑲᓐᓂᖅ
ᓱᓕ ᐱᔾᔪᑎᖃᓚᐅᖅᑐᖅ ᑭᒍᑎᖑᐊᓕᕆᓂᕐᒥᒃ, ᑭᖑᑎᑦ
ᐊᕙᓗᓕᕿᓂᕐᒥᒃ, ᓄᑮᔭᖅᑕᐅᓂᖏᓐᓂᒃ ᑭᒍᑦ, ᐊᓯᖏᓐᓂᒡᓗ .
• 27.4% of dentate Inuit ages 3 and up needed
no treatment.
• 27 .4 ᐳᓴᓐᑎᑦ ᑭᒍᑎᓕᑦ ᐃᓄᐃᑦ ᐅᑭᐅᓖᑦ 3−ᓂᒃ
ᖁᓛᓂ ᓱᔭᐅᔭᕆᐊᖃᓚᐅᖏᑦᑐᑦ

• Nearly 40% of dentate Inuit ages 3 and up


required some kind of fillings.
• ᖃᓂᒋᔭᖏᑦ 40 ᐳᓴᓐᑎᑲᓴᐃᐃᑦ ᐃᓄᐃᑦ
ᑭᒍᑎᓕᑦ ᐅᑭᐅᓖᑦ 3−ᓂᒃ ᖁᓛᓂᓗ ᐃᓚᖏᓐᓂᒃ
ᐃᓛᖅᑐᖅᑕᐅᓯᒪᔭᕆᐊᖃᓚᐅᖅᑐᑦ

• 22.9% of dentate Inuit ages 3 and up


required some type of surgical services, such
• 22 .9 ᐳᓴᓐᑎᖏᑦ ᐃᓄᐃᑦ ᑭᒍᑎᓕᑦ ᐅᑭᐅᓖᑦ 3−ᓂᒃ
ᖁᓛᓂᓗ ᐱᓚᒃᑕᐅᓯᒪᔭᕆᐊᖃᓚᐅᖅᑐᑦ ᖃᓄᐃᑐᓐᓇᖅ,
as a tooth extraction. ᓲᕐᓗ ᑭᒎᑏᖅᑕᐅᔭᕆᐊᓕᑦ .

• 5.7% of Inuit aged 40 years old and up need


some kind of prosthodontic services such as
• 5 .7 ᐳᓴᓐᑏᑦ ᐃᓄᐃᑦ ᐅᑭᐅᓕᑦ 40−ᓂᒃ ᐅᖓᑕᓃᓗ
ᐃᓚᒃᓴᖅᑖᕆᐊᖃᓚᐅᖅᐳᑦ, ᓲᕐᓗ ᑭᒍᑎᖑᐊᖅᑕᕐᓗᑎᒃ .
dentures.

Summary Report 17 Inuit Oral Health Survey


How do we compare
with people from
Southern Canada?
ᖃᓄᐃᓕᖓᕕᑕ ᓴᓂᐊᓂ
ᐊᓯᕗᑦ ᖃᓗᓈᓃᑦᑐᑦ ᑲᓇᑕᒥᐅᑦ?
The results of the Inuit Oral Health Survey indicate ᓴᕿᓯᒪᔪᑦ ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ ᑭᒍᑎᒃᑯᓪᓗ ᖃᓄᐃᓂᖏᓐᓂᒃ
that in the Inuit population, tooth decay, a chronic ᑐᑭᓯᓂᐊᖅᑕᐅᔪᓂ ᑐᑭᓯᓇᖅᑐᑦ ᐃᓄᖕᓂ ᒫᓐᓇᐅᔪᖅ,
disease which is preventable, is 2 to 3 times worse ᑭᒍᑎᕐᓗᖃᑦᑕᕐᓂᖅ, ᐱᑕᖃᐃᓐᓇᓕᕈᓐᓇᖅᑐᖅ ᖃᓂᒪᓇᖅᑐᖅ
than that of the average Canadian. ᓴᕿᑎᑕᐅᑦᑕᐃᓕᒪᔪᓐᓇᕋᓗᐊᖅᑎᓪᓗᒍ, ᒪᕐᕈᐃᖅᑕᖅᓯᒪᔪᒥᒃ
ᐱᖓᓱᐃᖅᑕᖅᓯᒪᔪᒥᒡᓗᓐᓃᑦ 2-3−ᖏᖅᑕᖅᓯᒪᔪᒥᒃ
ᐱᐅᓂᖅᓴᐅᓂᖃᖅᑐᖅ ᓴᓂᐊᓂ ᐊᓯᕗᑦ ᑲᓇᑕᒥᐅᑕᐃᑦ .

Summary Report 18 Inuit Oral Health Survey


Here are some comparisons: ᑕᒪᔾᔭ ᑕᕝᕙ ᐊᔾᔨᒌᖏᓐᓂᖏᑦ:

Canadian
Health ᑲᓇᑕᒥ Inuit Oral
ᖃᓄᐃᖏᓂᖅ ᐃᓄᐃᑦ ᖃᓂᒃᑯᑦ
Measures ᐆᒃᑐᕋᖅᑕᐅᔪᑦ Health ᑭᒍᑎᒃᑯᓪᓗ
Survey ᖃᐅᔨᓂᐊᖅᑕᐅᓯᒪᔪᑦ Survey ᑐᑭᓯᓂᐊᖅᑕᐅᔪᑦ
INDICATOR ᓇᓗᓇᐃᒃᑯᑦ 2007-2009 2007-2009 2008-2009 2008-2009

Visiting the Oral ᑕᑯᓂᐊᖅᓯᒪᔪᑦ


Health Professional in ᑭᒍᓯᕆᔨᒥᒃ ᐊᕐᕋᓂ 74% 74 ᐳᓴᓐᑎᑦ 50% 50 ᐳᓴᓐᑎᑦ
the last year
% children 6-11 ᐳᓴᓐᑎᑎᒍᑦ ᓱᕈᓰᑦ
years of age who have ᐅᑭᐅᓕᑦ 6-11−
or had at least one ᓂᒃ ᑭᒍᑎᒃᑯᑦ
cavity (dmft/DMFT) ᐊᐅᒪᓂᖃᖅᑐᑦ (dmft/ 57% 57 ᐳᓴᓐᑎᑦ 93% 93 ᐳᓴᓐᑏᑦ
DMFT) ᐊᑯᓯᒪᓪᓗᑎᒃ
ᐃᓐᓇᖅᓯᐅᑎᑦ
ᓱᕈᓯᖅᓯᐅᑏᓪᓗ ᑭᒍᑎᖏᑦ

Average number of ᑕᑯᒃᓴᐅᒐᔪᒃᑐᑦ


Decayed, Missing, ᐊᒥᓲᓂᖏᑦ ᓱᕈᖅᓯᒪᔪᓕᑦ,
Filled teeth (dmft/ ᐃᓚᑯᓕᑦ, (dmft/DMFT) 2.48 2 .48 7.08 7 .08
DMFT) on children (6 ᓱᕈᓯᕐᓂ (ᐅᑭᐅᓖᑦ 6-11-
-11years of age) ᓂᒃ)

% teenagers (12-19 ᐳᓴᓐᑎᖏᑦ ᐅᕕᒃᑲᐃᑦ


years of age) who (ᐅᑭᐅᓕᑦ 12-19)
have or had at least ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ 58.8% 58 .8 ᐳᓴᓐᑏᑦ 96.7% 96 .7 ᐳᓴᓐᑎᑦ
one cavity (DMFT) ᐊᐅᒪᓂᖃᖅᓯᒪᔪᑦ
(DMFT−ᒥᒃ)

Average number of ᐊᒥᓲᓂᕆᔭᐅᒐᔪᒃᑐᑦ


Decayed, Missing, ᓱᕈᖅᓯᒪᔪᓖᑦ,
Filled teeth (DMFT) ᐊᒥᒐᖅᓯᖅᑐᑦ,
on teenagers (12-19 ᐃᓚᔭᐅᓯᒪᔪᖃᖅᑐᓗᓐᓃᑦ 2.49 2 .49 9.49 9 .49
years of age) ᑭᒍᑎᒥᓂ . (DMFT−ᒥᒃ
ᐅᕕᒃᑲᕐᓂᖅ ᐅᑭᐅᓕᖕᓂ
12-19-ᓂᒃ)

% of adults (who ᐳᓴᓐᑎᑎᒍᑦ


have teeth) who have ᐃᓐᓇᐃᑦ (ᑭᒍᑎᓕᑦ)
ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ 95.9% 95 .9 ᐳᓴᓐᑏᑦ 99.4% 99 .4 ᐳᓴᓐᑎᑦ
or had at least one
cavity ᐊᐅᒪᓂᖃᖅᓯᒪᔪᑦ

Average number of ᑕᑯᔭᐅᒐᔪᒃᑐᑦ ᐊᒥᓲᓂᖏᑦ


Decayed Missing ᐊᐅᒪᓂᓖᑦ, ᐃᓚᑯᓕᑦ,
Filled Teeth (DMFT) ᐃᓚᔭᐅᓯᒪᔪᓕᓗᓐᓃᑦ 10.7 10 .7 16.8 16 .8
in adults who have ᑭᒍᑎᒥᒃ (DMFT−ᖏᑦ)
teeth ᐃᓐᓇᕐᓂ ᑭᒍᑎᓕᖕᓂ

% adults with root ᐳᓴᓐᑎᖏᑦ ᐃᓐᓇᐃᑦ


decayed or filled ᓄᑭᒥᓂ ᑭᒍᑎᑦ
20.3% 20 .3 ᐳᓴᓐᑎᑦ 44.3% 44 .3 ᐳᓴᓐᑎᑦ
ᓱᕈᖅᓯᒪᔪᓕᑦ ᐅᕝᕙᓗᓐᓃᑦ
ᐃᓚᔭᐅᓯᒪᔪᓖᑦ

Edentulism: % of ᑭᒍᑎᖃᕈᓂᖅᑐᑦ:
adults who have lost ᐳᓴᓐᑎᖏᑦ ᐃᓐᓇᐃᑦ
6.4% 6 .4 ᐳᓴᓐᑎᑦ 9.7% 9 .7 ᐳᓴᓐᑎᑦ
all their teeth ᑭᒍᑎᖃᕈᓃᖅᑐᑦ
ᑕᒪᐃᓐᓂᒃ

Summary Report 19 Inuit Oral Health Survey


The Good News…
ᑐᓴᕐᓂᖅᐳᑦ
ᑭᓯᐊᓂᑦᑕᐅᖅ ᐅᕗᓇ...
The rate of edentulism on Inuit aged 40 years old ᑭᒍᑎᖃᕈᓂᖅᐸᓪᓕᐊᑎᒋᓂᖏᑦ ᐃᓄᐃᑦ ᐅᑭᐅᖃᖅᑐᑦ
and up is lower (improved) than measured in 1993. 40−ᓂᒃ ᐅᖓᑖᓂᓗ ᐊᒥᓲᔪᓐᓃᖅᐹᓪᓕᐊᖅᓯᓚᑦ
(ᐱᐅᓂᖅᓴᐅᓕᖅᑐᑦ) ᑕᐃᒃᑯᓇᖓᑦ ᖃᐅᔨᓴᖅᑕᐅᓚᐅᖅᑐᓂᒃ
ᖃᐅᔨᔭᐅᓚᐅᖅᑐᓂᒃ 1993−ᒥ .

The closest comparison may be with results of the ᖃᓂᓛᖑᔪᒃ ᐊᔾᔨᒌᖏᓐᓂᖏᓐᓂᒃ ᖃᐅᔨᔭᐅᓯᒪᔪᓐᓇᖅᑐᑦ
1990-91 survey of Canada’s Aboriginal children, ᐱᔾᔪᑎᖃᖅᐳᑦ ᖃᐅᔨᓴᖅᑕᐅᓯᒪᓂᖏᓐᓂᒃ ᑲᓇᑕᒥ
using the numbers found for the Northwest ᓄᓇᖃᖃᖅᑐᑦ ᓱᕈᓯᑦ, ᓈᓴᖅᑕᐅᓯᒪᓪᓗᑎᒃ ᓄᓇᑦᓯᐊᕐᒥᐅᑦ .
Territories (NWT). At that time, the NWT included ᑕᐃᔅᓱᒪᓂ, ᓄᓇᑦᓯᐊᖅ ᐃᓚᖃᓚᐅᖅᓯᒪᖕᒪᑕ ᓄᓇᕗᒻᒥ,
the Nunavut territory and 84% of the examined ᐊᒻᒪᓗ 84 ᐳᓴᓐᑏᑦ ᖃᐅᔨᓴᖅᑕᐅᔪᑦ 6−ᓂᒃ ᐅᑭᐅᓕᑦ
ᐃᓅᓚᐅᖅᐳᑦ . 1990-91-ᒥ ᖃᐅᔨᓴᖅᑕᐅᔪᓂ, 95
6 year-old children were Inuit. In the 1990-91
ᐳᓴᓐᑎᖏᓃᓚᐅᖅᑐᑦ 6-ᓂᒃ ᐅᑭᐅᓕᑦ, ᐊᑕᐅᓯᕐᒥᒡᓗᓐᓃᑦ
survey, 95% of 6 year-olds had one or more dmft+DMFT-ᖃᓚᐅᖅᑐᑦ ᐊᑲᐅᖏᓕᕈᒻᒥᒃ, ᓴᓂᐊᓃᓕᖅᑐᓂᒃ
dmft+DMFT compared to 86% in the current 86 ᐳᓴᓐᑎᖏᓃᓕᖅᑐᓂᒃ ᒫᓐᓇᐅᔪᖅ ᐅᓂᒃᑲᓕᐊᓂᒃ .
report. Mean counts of teeth affected were also ᓈᓴᖅᑕᐅᓯᓚᒪᐅᖅᑐᑦ ᑭᒍᑎᓂᒃ ᐊᒃᑐᖅᑕᐅᓯᒪᓂᖃᖅᑐᑦ
lower: 8.9 in 1990-91 compared with 8.3 in ᐊᒥᓲᖏᓐᓂᖅᓴᐅᓚᐅᕐᒥᔪᑦ: 8 .9 1990-91−ᒥ, ᓴᓂᐊᓂ 8 .3
2009. In 2009, 4.5 or 55% of the teeth were 2009−ᖑᓚᐅᖅᑐᒥ . 2009-ᖑᑎᓪᓗᒍ, 4 .5 ᐅᕝᕙᓗᓐᓃᑦ 55
successfully restored compared to 1.8 or 20% of ᐳᓴᓐᑏᑦ ᑭᒍᑎᑦ ᖃᓄᐃᑦᑐᓃᖅᑎᑕᐅᓚᐅᖅᑐᑦ ᓴᓂᐊᓂ
the affected teeth in 1990/91. 1 .8 ᐅᕝᕙᓗᓐᓃᑦ 20 ᐳᓴᓐᑎᖏᓃᑦᑐᓂᒃ ᑭᒍᑎᓂᒃ
ᐊᒃᑐᖅᑕᐅᓚᐅᖅᑐᓂ 1990/91-ᒥ .

First
Nations ᓄᓇᖃᖃᖅᑐᑦ Inuit Oral
and Inuit ᐃᓄᐃᓪᓗ ᖃᓂᒃᑯᑦ Health ᐃᓄᐃᑦ ᖃᓂᑯᑦ
Oral Health ᑭᒍᑎᑯᓪᓗ Survey ᑭᒍᑎᑯᓪᓗ
Survey ᑐᑭᓯᓂᐊᖅᑕᐅᓯᒪᓂᖏᑦ 2008- ᑐᑭᓯᓂᐊᖅᑕᐅᓂᖏᑦ
INDICATOR ᓇᓗᓇᐃᒃᑯᑦᖁ 1990-1991 1990-1991 2009 2008-2009

% children ᐳᓴᓐᑎᖏᑦ ᓱᕈᓯᑦ


aged 6 only ᐅᑭᐅᓕᑦ 6−ᓂᒃ
who have or ᐊᑕᐅᓯᖅᓱᑎᒡᓗᓐᓃᑦ
ᐊᐅᒪᓂᖃᓚᐅᖅᑐᑦ 95% 95 ᐳᓴᓐᑎᑦ 86% 86 ᐳᓴᓐᑎᑦ
had at least
one cavity (dmft/DMFT-ᖏᑦ)
(dmft/DMFT)

Teeth ᑭᒍᑎᖏᑦ
affected by ᐊᒃᑐᖅᑕᐅᓯᒪᓚᐅᖅᑐᑦ
decay on ᓱᕈᕐᓇᖅᑐᓄᑦ 8.9 8 .9 8.3 8 .3
children ᐅᑭᐅᓕᖕᓂ ᑭᓯᐊᓂ
aged 6 only 6-ᓂ

Decay teeth ᑭᒍᑎᕐᓗᒃᑐᑦ


filled on ᐃᓚᐅᔭᐅᓯᒪᔪᑦ
ᓱᕈᓯᕐᓂ ᐅᑭᐅᓕᑦ 1.8 1 .8 4.5 4 .5
children
aged 6 only 6-ᓂ ᑭᓯᐊᓂt

Summary Report 21 Inuit Oral Health Survey


Future Steps
ᓯᕗᓂᒃᓴᒥ ᐱᓕᕆᐊᒃᓴᐃᑦ
Preventative programs are effective, but work ᓴᕿᑎᑦᑎᑕᐃᓕᒪᔾᔪᑏᑦ ᐊᑐᒐᒃᓴᓕᐊᕆᔭᐅᔪᑦ ᐊᑑᑎᖃᖅᐳᑦ,
remains to reduce the decay rate. Greater emphasis ᑭᓯᐊᓂ ᓱᓕ ᐊᐅᒪᓂᖃᖃᑦᑕᕐᓂᖅ ᒥᑭᒡᓕᒋᐊᕆᐊᖃᖅᐳᖅ .
on community-based preventive measures, early ᓄᓇᓕᖕᒥᐅᓂ ᐱᓕᕆᐊᖑᓂᖅᓴᐅᔭᕆᐊᓖᑦ
detection, and quick basic treatment seem the best ᓴᕿᑎᑦᑎᑕᐃᓕᒪᔾᔪᑏᑦ, ᖃᐅᔨᔭᐅᓵᓕᖃᑦᑕᕐᓗᑎᒃ
way to make a difference. However, these strategies ᐊᒻᒪᓗ ᓱᒃᑲᔪᑦ ᓯᕗᓪᓕᖅᐹᖅᓯᐅᑏᑦ ᐃᑲᔫᑏᑦ
ᐊᓯᔾᔨᖅᓯᔾᔪᑕᐅᑦᑎᐊᕐᓂᖅᐹᖑᔫᔭᖅᑐᑦ . ᑭᓯᐊᓂ, ᑕᒪᒃᑯᐊ
aren’t enough. Health threats -- from tobacco use,
ᖃᓄᐃᓕᐅᕆᐊᕈᑎᑦ ᓱᓕ ᓈᒻᒪᖏᑦᑐᑦ . ᖃᓄᐃᓐᖏᓐᓂᕐᒧᑦ
overcrowding, and food insecurity -- must also ᐅᓗᕆᐊᓇᖅᑐᑦ−−−ᑎᐸᑐᖃᑦᑕᕐᓂᖅ, ᐃᓄᒋᐊᒃᑐᒦᓗᐊᕐᓂᖅ,
be addressed for oral health prevention to have ᓂᕆᔭᒃᓴᖃᑦᑎᐊᖃᑦᑕᖏᓐᓂᖅ−−−ᐅᖃᐅᓯᐅᔭᕆᐊᖃᕆᕗᑦ
maximal effect. ᖃᓄᐃᓕᐅᕆᐊᕈᑕᐅᓂᐊᕈᑎᒃ ᖃᓂᒃᑯᑦ ᑭᒍᑎᒃᑯᓪᓗ
ᖃᓄᐃᓕᑕᐃᓕᒪᓂᖅ, ᐊᔪᕐᓇᖏᓂᓕᒫᖓᒍᑦ .

Summary Report 22 Inuit Oral Health Survey

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