Spilyay Tymoo, Warm Springs, Oregon
August 20, 2014
Page 3
Change at IHS dental showing success
About this time last year
the Warm Springs Health and
Wellness Center Dental Clinic
made a big change.
The clinic began offering
an alternative way to treat
children who develop tooth
decay.
For about a year now, par-
ents have been offered the
option of having their
children’s tooth cavities
treated initially with a medi-
cation called silver nitrate.
This has been offered as
an alternative to having the
cavities filled. One year later,
the results are promising.
Warm Springs clinic Pedi-
atric Dentist Dr. Frank
Mendoza updated Tribal
Council on the program last
week.
“I’ve never seen anything
like this in my 32 years of
experience,” Dr. Mendoza
said.
The clinic will have a
clearer picture of the results
of the silver nitrate program
in another year, he said.
Meanwhile, the first year
appears to have a big success.
The program in time could
serve as a model program for
other IHS dental clinics, Dr.
Mendoza said.
Stopping tooth decay
Over the past year, the
Warm Springs dental clinic
has treated cavities of 84
young tribal members with
the silver nitrate process. The
process for each patient in-
volves up to five visits. Over
400 patient-visits at the den-
tal clinic have involved the sil-
ver nitrate application, Dr.
Mendoza said.
More than four-fifths of
the patients treated with the
silver nitrate process showed
no further tooth decay, he
said.
Eighty-four percent of the
patients who had at least three
treatments showed no further
decay, Mendoza said.
The silver nitrate process
is effective, and brings an-
other benefit: Because there
is no drilling and filling in-
volved, there is no pain or
anaesthesia for the patient.
The problem that the pro-
cedure is addressing is a seri-
ous one on the reservation,
where up to 90 percent of
young children show signs of
tooth decay by late pre-school
age.
About half of the kids
have to have in-hospital tooth
restoration or extraction.
The silver nitrate process
shows promise in greatly ad-
dressing this issue, Dr.
Tribes happy with state decision
about coal-export project at river
Tribal leaders from the
Columbia River Inter-Tribal
Fish Commission are ap-
plauding a state agency deci-
sion regarding a coal export
project at the Columbia
River.
The Oregon Department
of State Land rejected
Ambre Energy’s permit ap-
plication for its proposed
Morrow Pacific coal export
project.
“Today’s landmark deci-
sion reflects what is in the best
interest of the region, not a
company’s pocketbook,” said
Carlos Smith, CRITFC chair-
man.
“This decision is one that
we can all celebrate,” Smith
said. “It reaffirms the tribal
treaty right to fish. It’s in the
best interest of the Colum-
bia Basin’s salmon popula-
tions, and our communities.
“It is a reflection of what
is best for those who would
be forced to live with the
consequences of Ambre’s
proposal, not what is best for
those who would profit from
it. This is the beginning of
the end for this toxic
threat—the tribes will stand
with the state to protect its
sound decision.”
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The Warm Springs Recreation
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Department will host the Back to
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School
Yard Sale this Saturday,
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August
23,
at the Community Center
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front
yard.
Set-up
starts at 9 a.m.,
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and
the
sale
is
from
1-4 p.m. Call
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541-553-3243
for
more
information.
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Back to
School
yard
sale
Voc Rehab in Warm
Springs has orientations
every Monday at 3 p.m.
at their office in the in-
dustrial park. Orienta-
tions are also held on
Tuesdays at 3pm at the
Community Counseling
Center.
“No job too
big or too
small.”
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Contact
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Anthony Davis Jr.
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541-460-1664
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Handyman
& Lawn Services
Next deadline to
submit items for
publication in the
Spilyay Tymoo is
Friday, August, 29.
Thank you!
Mendoza said.
Being used again
Silver nitrate is highly ef-
fective in treating the bacte-
ria that are the cause of tooth
cavities.
“Silver nitrate has been
used for over 100 years in
the U.S.,” Dr. Mendoza said.
“This was the main way to
treat cavities until the
1950s.”
Silver nitrate is now being
used again as the initial treat-
ment—especially for young
children, so that they do not
have to experience the pain
of getting tooth fillings.
Other dentists treating chil-
dren in Central Oregon are
also now using silver nitrate
medication, Mendoza said.
The process
Silver nitrate can be used
for almost any tooth that has
a cavity, though it works best
when the tooth decay is not
too deep.
When applied early in the
decay process, this can com-
pletely stop the decay in that
cavity so it will not get deeper.
Usually it takes several ap-
plications of the medication
to eliminate the infection in
the tooth that is causing the
decay. However, it takes only
Options after treatment
Applying the silver ni-
trate to the tooth cavity
will kill all the infection,
and will turn the cavity
very dark in color: This
is good.
It means the cavity will
not get deeper. At this
point there are options
for the parents of the
child:
Option no. 1
Fill the tooth cavity
with a material called
glass ionomer cement
(GIC) that the War m
Springs Dental Clinic has
been using for several
years.
The GIC is tooth col-
ored, and acts like a fast-
acting glue or cement. A
few minutes after the
GIC has been put into
the tooth cavity, it be-
comes almost as hard as
about five minutes for each
application, and the child
does not get any shots.
This new program is be-
ing coordinated by Lula
Smith, Expanded Functions
Coffee Shop for Sale
For sale by the Warm Springs Community
Action Team. $14,750 minimum bid. Turn-key
business-ready to open immediately. Call
541-553-3148. Bidding begins at noon this
Wednesday, August 20, and ends of Wednes-
day, Aug. 27 at 4 p.m. Payment must be re-
ceived by Wednesday, Sept. 10.
20’x10’ building, in very good shape, ap-
proximately 15 years old. Plenty of cabinet,
drawer and counter space, with a 3-bay sink.
Comes complete with La Marzocco Espresso
machine, two refrigerators, ice cream freezer,
microwave, toaster oven and morel.
If interested, a showing can be arranged.
Please call Lori Switzler, Gerald Danzuka or
Chris Watson at the above phone number.
Only serious offers considered. Buyers must
show evidence of adequate financial capac-
ity, either through cash on hand or loan, to
make purchase.
the tooth enamel.
If all the tooth decay
has been stopped, most of
the time this does not re-
quire the child to receive
a shot to make the gums
numb.
The GIC is applied
like a paste to fill the cav-
ity, and this takes the den-
tist only a couple of min-
utes.
In many cases, this
GIC will remain in the
tooth cavity until the
child naturally has the
tooth come out as the
permanent teeth come in
later.
If the GIC needs to be
replaced later, this can also
be done in just a few min-
utes with no shots.
Option no. 2
Do not do any addi-
tional treatment.
Dental Auxiliary (EFDX).
Contact Lula or Dr.
Mendoza at the War m
Springs Dental Clinic at 541-
553-2462, if you have any
questions.
Update
on IHS
transition
Last summer the
Warm Springs clinic
made a transition to
better serve patients
at the clinic.
This transition has
meant that the pri-
mary physician at the
clinic no longer pro-
vides medical care
when the patient is
admitted to a hospi-
tal.
The patient in the
hospital is treated in-
stead by another phy-
sician, such as a Ma-
dras physician, work-
ing closely with the
Warm Springs pro-
vider.
“This was a big
transition for us,” said
Carol Prevost, clinic
director.
The change so far
has been good, while
there is always room
for improvement,
Prevost said at Tribal
Council last week.
The purpose of
the change is to allow
the War m Springs
physicians to focus
on outpatient care at
the War m Springs
Clinic.
Farmers market on campus
The Warm Springs Farm-
ers Market is now open on
Fridays as well as Saturdays,
from 10 a.m.–4 p.m.
The market is held on cam-
pus on the corner of Paiute
Avenue and Wasco Street.
Vendors are invited to set
up for free. The new market
managers are Jamie Scott and
Gerald Danzuka.
They can be contacted at
the Community Action Team
Office, 541-553-3148.
Your garden
companion
teaming with nature
teeming with life
Yvonne Bobb
Big yard sale on Saturday
There will be a yard sale this Saturdy, August
23, at JP and Anna Patt’s, 2234 Elliot Heights
Rd., 10 a.m.-4 p.m. Futon, daybed, TV & elec-
tronics, fishing gear, household items, and lots
more. Don’t miss out!
451-480-6997
yvonne@yourgarden
companion.com