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.

November 2007

  1. Access to Dental Services for Medicaid Children in Maryland: A Report of the Dental Action Committee (report)
  2. Oral Health and Access to Dental Care for Ohioans, 2007 (report)
  3. SCHIP Dental Benefits (newsletter)
  4. Cooperation Predictors for Dental Patients with Autism (journal article)
  5. The Dental Care of U.S. Children: Access, Use and Referrals by Nondentist Providers, 2003 (journal article)
  6. Strategic Partnerships Between Academic Dental Institutions and Communities: Addressing Disparities in Oral Health Care (journal article)

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1. Access to Dental Services for Medicaid Children in Maryland: A Report of the Dental Action Committee

This report presents a comprehensive series of recommendations developed by the Maryland Dental Action Committee to help guide the Maryland Department of Health and Mental Hygiene in increasing access to oral health services for children enrolled in Medicaid. Contents include an executive summary, a purpose statement, topic area summaries, an evaluation and oversight section, and a conclusion. Topics include Medicaid rates and alternate models; public health strategies; education and outreach for parents and other caregivers; and provider participation, capacity, and scope of practice. Committee recommendations, subcommittee reports, Medicaid data, and background materials are included as appendices.

Contact: National Maternal and Child Oral Health Resource Center, Georgetown University, Box 571272, Washington, DC 20057-1272. Telephone: (202) 784-9771; fax: (202) 784-9777; e-mail: info@mchoralhealth.org; Web site: http://www.mchoralhealth.org. Available at no charge from the Web site at http://www.mchoralhealth.org/PDFs/DentalActionCmteReport.pdf.

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2. Oral Health and Access to Dental Care for Ohioans, 2007

This brief highlights oral health findings from four recent surveys in Ohio: the 2004 Ohio Family Health Survey; the 2004 Ohio Behavioral Risk Factor Surveillance System survey; Make Your Smile Count! A Survey of the Oral Health of Ohio Schoolchildren, 2004-2005; and the 2002-2003 Ohio survey of the oral health status of children enrolled in Head Start (based on the Basic Screening Surveys model). Topics include child and adult oral health status and access to care, oral health infrastructure, and dentist participation in Medicaid.

Contact: Ohio Department of Health, 246 North High Street, Columbus, OH 43216. Telephone: (614) 466-3543; Web site: http://www.odh.state.oh.us/. Available at no charge from the Web site at http://www.odh.ohio.gov/ASSETS/976ABA16928C443B90E13F7FC6481D4C/OralAccessBooklet2ndprinting.pdf.

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3. SCHIP Dental Benefits

This inaugural issue of the State Health Policy Monitor examines the status of dental benefits in State Children's Health Insurance Programs (SCHIPs) in 2007. Selected topics include cost-sharing and annual payment caps. A map presents data on the number of states with separate programs that also include dental benefits.

Contact: National Academy for State Health Policy, 50 Monument Square, Suite 502, Portland, ME 04101. Telephone: (207) 874-6524, (202) 903-0101; fax: (207) 874-6527; e-mail: info@nashp.org; Web site: http://www.nashp.org. Available at no charge from the Web site at http://www.nashp.org/Files/shpmonitor_SCHIPdental.pdf.

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4. Cooperation Predictors for Dental Patients with Autism

This study evaluated potential predictors of cooperation during dental appointments for children with autism. Data were collected from 108 parent-child pairs and their dentists. The authors found that five questions answered by a caregiver may indicate a child’s cooperative potential. Preappointment inquiry about toilet training, toothbrushing, haircuts, academic achievement, and language can give the dentist insight into the child’s ability to respond positively to behavior guidance techniques based on communication.

Marshall J, Sheller B, Williams BJ, Mancl L, Cowan C. 2007. Pediatric Dentistry 29(5):369-376. Abstract available at http://www.aapd.org/searcharticles/article.asp?ARTICLE_ID=2190.

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5. The Dental Care of U.S. Children: Access, Use and Referrals by Nondentist Providers, 2003

This article examines the practices of nondentist health professionals as measured by their providing advice to children and adolescents, ages 2 through 17, to obtain a dental checkup and the relationship of this advice with actual dental checkups, dental checkups in the context of family income, and other sociodemographic characteristics. Among children and adolescents who had been advised by a nondentist health professional to have a dental checkup, checkup rates for those from families with middle or high incomes were higher than rates for those from families with low or middle incomes. The authors conclude that additional effort is warranted to ensure that all children and adolescents get needed or recommended oral health care.

Chu M, Sweis LE, Guay AH, Manski RJ. 2007. Journal of the American Dental Association 138(10):1324-1331. Abstract available at http://jada.ada.org/cgi/content/abstract/138/10/1324.

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6. Strategic Partnerships Between Academic Dental Institutions and Communities: Addressing Disparities in Oral Health Care

This article seeks to demonstrate how partnerships between academic dental institutions and communities can serve the oral health needs of the public and also augment the educational objectives of the academic dental institution. Among key stakeholders in geographically diverse locations, there was virtually unanimous agreement that such partnerships are desirable and valued. The authors conclude that it is reasonable and possible for academic institutions to develop partnerships that help address disparities in oral health care while enhancing the clinical educational experience of their students and maintaining financial viability.

Johnson, BR, Loomer, PM, Siegel, SC, Pilcher ES, Leigh JE, Gillespie MJ, Simmons RK, Turner SP. 2007. Journal of the American Dental Association 138(10):1366-1371. Abstract available at http://jada.ada.org/cgi/content/abstract/138/10/1366.

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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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