Oral Health Alert


National Maternal and Child Oral Health Resource Center

This and past issues of the Oral Health Alert: Focus on Head Start are available at http://www.mchoralhealth.org/alert/archives.html.

July 2007

  1. Baby Your Baby, Mind Your Mouth, See Your Dentist (videorecording)
  2. Improving MaineCare Dental Access for Maine Children: 9th Annual Report to the Joint Standing Committee on Health and Human Services (report)
  3. Medicaid Early and Periodic Screening, Diagnosis and Treatment: State Innovation Leads to Improved Oral Health Participation Rates (report)
  4. Public Health Supervision Agreement (form)
  5. Dental Screening of Preschool Children Using Teledentistry: A Feasibility Study (journal article)
  6. Development of a Word Recognition Instrument to Test Health Literacy in Dentistry: The REALD-30-A Brief Communication (journal article)

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1. Baby Your Baby, Mind Your Mouth, See Your Dentist

This digital videorecording focuses on the importance of an infant's first visit to the dentist. The videorecording was developed as a collaborative project of Utah's Baby Your Baby and Mind Your Mouth public-awareness campaigns for pregnant and parenting women. Information is presented on how the dentist can help parents take steps to develop healthy oral habits for their infants.

Contact: Utah Department of Health, Baby Your Baby Program, P.O. Box 142106, Salt Lake City, UT 84114-2106. Hotline: (800) 826-9662; Web site: http://www.babyyourbaby.org. Available at no charge from the Web site at http://www.babyyourbaby.org/infantinfo/baby_teeth.htm.

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2. Improving MaineCare Dental Access for Maine Children: 9th Annual Report to the Joint Standing Committee on Health And Human Services

This report was issued to the Joint Standing Committee on Health and Human Services in response to a legislative initiative to ensure that children enrolled in the state Medicaid program, MaineCare, have the same access to oral health care as do children who have private dental insurance. Contents include a letter to the committee from the MaineCare Program Director and information on issues in oral health care in the state, outreach efforts to members and oral health professionals, and participation in oral health forums.

Contact: Maine Department of Health and Human Services, Office of MaineCare Services, 11 State House Station, 442 Civic Center Drive, Augusta, ME 04333-0011. Telephone: (800) 606-0215; (202) 287-9202; Web site: http://www.maine.gov/bms/index.shtml. Available at no charge from the Web site at http://www.maine.gov/dhhs/bms/pdfs_doc/reports/dental_complete_report_2006.doc.

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3. Medicaid Early and Periodic Screening, Diagnosis and Treatment: State Innovation Leads to Improved Oral Health Participation Rates

This report provides an overview of child oral health screening rates and summarizes initiatives to increase children's utilization of oral health care through the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program in six states -- Alabama, Indiana, North Carolina, South Carolina, Vermont, and Washington. Data are drawn from states' reports of participation rates on the uniform EPSDT reporting form (CMS Form-416) and presented in tables. The data include the percentage of children who received a well-child screen and who received oral health services in 2004 and 2005. Steps that states have taken to implement programs and initiatives designed to increase access to oral health care for children eligible for Medicaid are presented.

Contact: National Health Law Program, Chapel Hill, N.C. Office, 211 North Columbia Street, 2nd Floor, Chapel Hill, NC 27514. Telephone: (919) 968-6308; fax: (919) 968-8855; e-mail: nhelp@healthlaw.org; Web site: http://www.healthlaw.org. Available at no chage from the Web site at http://www.healthlaw.org/library.cfm?fa=download&resourceID=98415&print.

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4. Public Health Supervision Agreement

This form is used to report to the Iowa Bureau of Oral Health a collaborative agreement between a dentist and a dental hygienist to allow the hygienist to provide services to individuals in public health settings before being seen by a dentist for an oral examination. Data include the parties of the agreement; locations where services will be provided; consultation requirements; dental records; individual considerations; and standing orders for oral prophylaxis, education services, assessment and screening, fluoride varnish, dental sealants, and other services. Additional materials are available from the Web site.

Contact: Iowa Department of Public Health, Oral Health Bureau, Lucas State Office Building, 321 East 12th Street, Des Moines, IA 50319-0075. Telephone: (515) 281-3733; fax: (515) 242-6013; Web site: http://www.idph.state.ia.us/hpcdp/oral_health.asp. Available at no charge from the Web site at http://www.idph.state.ia.us/hpcdp/common/pdf/oral_health/sample_agreement.pdf.

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5. Dental Screening of Preschool Children Using Teledentistry: A Feasibility Study

This study assessed the feasibility and reliability of using intraoral cameras and telehealth communication technology to screen preschool-age children for oral disease, in particular early childhood caries (ECC). The authors found that there was no statistically significant difference between a visual examination and an examination using an intraoral camera, thus suggesting that the intraoral camera is a feasible and potentially cost-effective alternative to a visual oral examination for dental caries screening, especially ECC screening, in preschool-age children attending childcare centers.

Kopycka-Kedzierawski DT, Billings RJ, McConnochie KM. 2007. Pediatric Dentistry 29(3):209-213. Abstract available at http://www.aapd.org/searcharticles/article.asp?ARTICLE_ID=2168.

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6. Development of a Word Recognition Instrument to Test Health Literacy in Dentistry: The REALD-30-A Brief Communication

This study aimed to develop and pilot-test a dental-word-recognition instrument. The new REALD-30 instrument displayed good reliability but only partial validity. Results suggest that dental health literacy may be distinct from medical health literacy and may have an independent effect on dental health outcomes.

Lee JY, Rozier RG, Lee SD, Bender D, Ruiz RE. 2007. Journal of Public Health Dentistry 67(2):94-98.

Readers: A related article titled Evaluation of a Word Recognition Instrument to Test Health Literacy in Dentistry: The REALD-99 is also available in the April-June 2007 issue of the Journal of Public Health Dentistry.

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The Oral Health Alert: Focus on Head Start is administered by the National Maternal and Child Oral Health Resource Center (OHRC) at Georgetown University.

This publication is made possible by grant number HIFMC06348 from the Maternal and Child Health Bureau (MCHB) (Title V, Social Security Act), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (DHHS). This funding is part of an intra-agency agreement between the Office of Head Start (OHS); Administration for Children and Families (ACF); and MCHB, HRSA. The publication's contents are the responsibility of solely the authors and do not necessarily represent the official views of or imply endorsement by ACF, DHHS, Georgetown University, HRSA, MCHB, OHS, or OHRC.

Permission is given to forward Oral Health Alert: Focus on Head Start, in its entirety, to others. For all other uses, requests for permission to duplicate and use all or part of the information contained in this publication should be sent to the address below.

We welcome your submissions, suggestions, and questions. Please contact us at the address below.

Managing Editor: Katrina Holt, M.P.H., M.S., R.D.
Writer/Administrator: Jolene Bertness, M.Ed.
Editor: Ruth Barzel, M.A.

Oral Health Alert: Focus on Head Start
National Maternal and Child Oral Health Resource Center
Georgetown University
Box 571272
Washington, DC 20057-1272
Phone: (202) 784-9771
Fax: (202) 784-9777
E-mail: OHAlertadmin@mchoralhealth.org
Internet: http://www.mchoralhealth.org/alert/index.html

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