Canadian Federal Government Urged to Take Action Over Sioux Lookout’s “Dental Crisis”

The Sioux Lookout region is in the midst of a “dental crisis”, according to a local health authority. The federal government has subsequently been urged to intervene and provide much-needed support to the area. The region is home to a large indigenous population – a group that has long-faced difficulties in accessing healthcare.

The Sioux Lookout First Nations Health Authority (SLFNHA) have called on the federal government to step in and provide help for a situation that they have described as a “dental crisis” [1].

The SLFNHA have frequently levelled allegations of a lack of care from the government towards the Sioux Lookout region in recent years.

Sioux Lookout has a large indigenous population, and this situation is arguably indicative of a wider problem for indigenous people in terms of trying to access dental care.

Sioux Lookout

Sioux Lookout is a region in Northwestern Ontario, with a population of around 5,000. Many people know the area as a summer holiday destination, or as a location with many rivers and beaches.

But the region is also home to a large proportion of indigenous people [2]. The indigenous people have a long history in the region, dating back hundreds of years.

Sioux Lookout has a large demand for healthcare services, though these needs are rarely met, with healthcare resources in the area stretched – especially dental services [3].

The Crisis

As mentioned, the SLFNHA have called the current oral health situation in Sioux Lookout a “dental crisis”.

The Covid-19 pandemic has had a huge impact on dental services across Canada, with the Sioux Lookout area amongst the worst hit areas.

In line with government guidance and advice, dental services were restricted to emergency and urgent needs only throughout much of 2020 due to Covid-19.

The problems have got so bad in Sioux Lookout, that one resident actually died after their dental infection was not treated properly, leading to an eventual death through sepsis [4].

Dr. Terri Farrell is the medical director of the SLFNHA, and she stated that the death was “preventable”, and was caused by the “appalling lack of dental services for the communities served by SLFNHA” [4].

Farrell went on to say that hundreds of children “are in pain” and “becoming malnourished due to an inability to eat” – something caused by a growing waitlist for dental operations for children in the area [4].

The struggles facing indigenous people

As mentioned, Sioux Lookout has a large proportion of indigenous people. Dr. Farrell is correct in stating that there are problems facing children in the area, which is contributing to the dental crisis.

These problems have been long-standing too, but exacerbated by the Covid-19 pandemic. A 2004 study found approximately 70% of indigenous children living on reserves in Canada have experienced tooth decay by the time they turn 3 years old, a number that increases to 87% by the time they have turned 5 [5].

These results were backed up by the findings of a 2010 study, which concluded that 86% of First Nations children between the ages of 3 and 5 have experienced a form of tooth decay [6].

The problems don’t just apply to children. Indigenous people all across Canada face barriers to getting much-needed healthcare. Studies show that these barriers include racism, discrimination and cost [7].

With 1.7million people in Canada identifying as indigenous, this is clearly a problem that affects a huge amount of people. The dental crisis means that a huge number of people are in desperate need of dental operations.

Response

The federal government has stated that they are working with the SLFNHA and other health partners to try and support and improve dental services in the area.

Indigenous Services Canada (ISC) is an organisation that is responsible for the management of policies relating to the indigenous population of Canada.

The ISC have been heavily criticised by the SLFNHA, who have stated that the ISC have backtracked on a plan to create a new dental clinic in Sioux Lookout [4].

The ISC have defended themselves however, pointing to a recent increase in service levels, including providing care to over 7,000 patients in the region from November 2020 to June 2021 [8].

The problems caused by poor oral health

As mentioned above, there is a large oral health problem facing this region. Oral health problems are not just limited to this part of Canada though, with professionals stating that the dental industry is facing a “dental disaster”(click here to read more).

Covid-19 has led to regular dentist appointments to be suspended, with urgent and emergency cases prioritized. This has meant many people will have undetected dental problems.

Poor oral health can cause a range of problems, including cavities, gum disease, and potentially even mouth cancer.

It is therefore very important for us to all brush our teeth at least twice a day, floss regularly, have a nutritious diet, and attend regular dental check-ups – typically a minimum of two per-year.

What we offer our patients at Savanna Dental

Here at Savanna Dental, we provide a range of services suited to the needs of our patients. We provide a relaxing and comfortable environment for our patients in a convenient location within Calgary, Alberta, Canada.

Among the services offered at Savanna Dental include regular check-ups, cavity fillings, root canals and dentures among other services. We also offer some cosmetic dentistry treatments too, such as teeth whitening.

Through regular check-ups, problems can be detected and treated accordingly. When further treatment is needed, we provide a tailored treatment plan to our patients, and ensure that they have a voice in their treatment options.

Our Calgary-based dental practice also adheres to the Alberta Dental Fee Guide, which allows us to provide affordable care to our patients. With cost being a barrier to accessing dental services for many people, having full knowledge of fees ahead of an appointment can be very useful.

Summary

Sioux Lookout is facing a very difficult dental health situation, with these problems being replicated across Canada. As we gradually return to normal life, the aim is to provide the much-needed oral care to the Canadian population.

We would love you to visit our Calgary dental clinic Savanna Dental! We care deeply about our patients, and our staff are always on-hand to help. Click here to visit our website https://savannadentalclinic.ca, where you can see the range of services and treatments we provide our patients with.

• [1] CBC News. (2021). Dental crisis facing area First Nations, says Sioux Lookout health authority. Available: https://www.cbc.ca/news/canada/thunder-bay/dental-care-sioux-lookout-first-nations-1.6075320. Last accessed: 26 June 2021.
• [2] The Mayors Truth and Reconciliation Committee. (2017). The Municipality of Sioux Lookout. Available: https://www.siouxlookout.ca/en/your-local-government/resources/Appended-Doc-2-First-Annual-Report-of-the-Mayors-Committee-on-Truth-and-Reconiliation-Nov-2017.pdf. Last accessed: 24 June 2021.
• [3] Janis, M. (2011). A Dental Hygienist Who’s A Lakota Sioux Calls For New Mid-Level Dental Providers. Health Affairs. 30 (10), p2013-2016.
• [4] Rinne, G. (2021). Sioux Lookout-area First Nations in ‘dental crisis’, health authority says. Available: https://www.tbnewswatch.com/local-news/sioux-lookout-area-first-nations-in-dental-crisis-health-authority-says-3880775. Last accessed: 24 June 2021.
• [5] Lawrence, H. P., Romanetz, M., Rutherford, L., Cappel, L., Binguis, D., & Rogers, J. B. (2004). Oral Health of Aboriginal Preschool Children in Northern Ontario. PROBE. 38 (4), p172-190.
• [6] First Nations Information Governance Centre. (2010). Report on the findings of the First Nations Oral Health Survey 2009–10.
• [7] Nelson, S. E., & Wilson, K. (2018). Understanding barriers to health care access through cultural safety and ethical space: Indigenous people’s experiences in Prince George, Canada. Social Science & Medicine. 218 (1), p21-27.
• [8] Rinne, G. (2021). Indigenous Services Canada working with First Nations to improve dental services. Available: https://www.tbnewswatch.com/local-news/indigenous-services-canada-working-with-first-nations-to-improve-dental-services-3895766. Last accessed: 25 June 2021.