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FAQs Glossary

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cavities: A decay lesion or hole in a tooth, usually caused by a diet that includes sugar, which allows bacteria to grow and secrete acid onto the tooth enamel.

children with special health care needs: Children who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who require health and related services of a type or amount beyond that required by children generally.

dental periodicity schedules: Schedules for well-child dental services based on guidelines developed by recognized dental organizations.

dental sealants: Plastic coatings applied to grooves of the teeth, especially back teeth, to protect them from tooth decay.

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT): Medicaid's comprehensive and preventive child health program for infants, children, and adolescents under age 21. (See "Medicaid.")

endodontist: A specialist who treats injuries, diseases, and infections of the tooth pulp (nerve tissue).

fluoride: A compound that, when ingested or applied to the teeth, hardens the teeth and prevents tooth decay.

fluoride varnish: A professionally applied preventive fluoride treatment that is applied to teeth to strengthen tooth enamel and make teeth more resistant to tooth decay. (See "tooth decay.")

gingivitis: Gum disease.

heredity: The transmission of qualities derived from ancestor to descendant through the genes.

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Medicaid: A program that pays for medical assistance for certain individuals and families with low incomes and resources.

non-oral health professional: A health professional such as a physician, physician assistant, nurse, or nurse practitioner who is not a specialist in oral health.

nonporous: Cannot be penetrated.

oral examination: A thorough dental history, a complete clinical oral assessment (lips, tongue, teeth, gums, inside of the cheeks, roof of the mouth, and throat), appropriate diagnostic testing, assessment of risk for developing oral diseases, and establishment of a prevention and/or treatment plan.

oral health screening: An inspection of the lips, tongue, teeth, gums, inside of the cheeks, roof of the mouth, and throat to identify suspected oral disease (especially tooth decay) or other oral conditions (for example, delayed tooth eruption or premature tooth loss, abscesses, or trauma).

oral hygiene: Care of the teeth and gums on a daily basis.

oral surgeon: A dentist with special training in surgery of the mouth and jaw.

orthodontist: A dentist who aligns and straightens teeth, primarily by using braces and retainers, and who monitors and treats incorrect position of biting or chewing surfaces of the upper and lower teeth.

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periodonditis: An oral disorder that results from progression of gingivitis, involving inflammation and infection of the ligaments and bones that support the teeth.

periodontist: A dentist who specializes in the diagnosis and treatment of gum disease.

permanent teeth: The second set of teeth (32 in number) that come into the mouth after the loss of the primary (baby) teeth. Also commonly called "adult teeth."

plaque: A sticky substance that forms on the surface of the teeth and harbors bacteria growth and acid formation beneath its surface, causing tooth decay. Plaque buildup can also irritate the gums and cause gum disease.

primary teeth: The first set of teeth (20 in number) that come into the mouth, usually when an infant is around 6 months old. Also commonly called "baby teeth."

Program Information Report (PIR): The PIR is the principal source of basic information about the operating characteristics of Head Start programs and the services they provide. It is an extensive survey that all Early Head Start and Head Start programs are required to complete on an annual basis.

sliding fee scale: A system in which fees are based on a family's or individual's ability to pay.

State Children's Health Insurance Program (SCHIP): A state-administered health insurance program for children who are not already insured. Each state sets its own guidelines for eligibility and services.

tooth decay: An infectious disease process of the tooth that destroys the tooth structure and produces a cavity (see "cavities").

tooth enamel: A thin, hard, glossy, white covering of the tooth crown.

topical fluoride: Fluoride that is applied to the teeth externally (see "fluoride").

well-child care: A child health program of prevention, early intervention, and treatment. The frequency of visits coincides with key developmental periods.

xylitol: A low-calorie sugar substitute used in certain chewing gums and other food products.

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