Oral Health Alert


The Oral Health Alert: Focus on Head Start is a monthly newsletter that provides timely information about national campaigns and initiatives, materials, and journal articles. Past issues are available at http://www.mchoralhealth.org/alert/archives.html

February 2009

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Special Notices:

In recognition of National Children's Dental Health Month, the Office of Head Start (OHS) will conduct a Webcast to inform the Head Start community about the importance of oral health to children’s overall development. The Webcast will be held on Thursday, February 26, 2009, from 2:00 to 3:30 p.m., EST. More information is available at http://www.fc-tv.com/clients/headstart/oralhealth/registration.asp.

OHS hosted a series of Webinars on the Oral Health Initiative (OHI). The Webinars provided a venue for OHI grantees to share strategies for implementing projects and offered information about the American Academy of Pediatric Dentistry's Head Start Dental Home Initiative. Topics included access to oral health services, partnerships and capacity building, and oral health education. Audiorecordings, PowerPoint presentations, and other resources are available at http://www.hsnrc.org/HSRC/?WM=49&WT=2.

The National Institute of Dental and Craniofacial Research has launched a new Spanish-language Web site. The Web site was developed for individuals who speak primarily Spanish and are seeking oral health information as well as for individuals who are bilingual and are seeking information for their Spanish-speaking family members and friends. Both the content and the graphic design of the Web site are tailored to U.S. Hispanics/Latinos. The Web site is available at http://www.nidcr.nih.gov/Espanol.
  1. Keep Kansas Smiling: Oral Health in the Sunflower State -- Kansas Oral Health Grading Project 2009 (report)
  2. The Role of Physicians in Children's Oral Health (policy brief)
  3. Guideline on Fluoride Therapy (clinical guidelines)
  4. Association Between Early Childhood Caries and Behavior as Measured by the Child Behavior Checklist (journal article)
  5. Caregiver's Perception of Child's Oral Health Status Among Low-Income African Americans (journal article)
  6. Evaluation of an Early Childhood Caries Prevention Program at an Urban Pediatric Clinic (journal article)

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1. Keep Kansas Smiling: Oral Health in the Sunflower State -- Kansas Oral Health Grading Project 2009

This report provides an overview of oral health in Kansas, using mostly primary data sources and additional information collected through conversations with the state's Office of Oral Health and Oral Health Kansas. Grading categories are intended to call greater policy attention to oral disease prevention, access to care, infrastructure, health status, and oral-health-related laws.

Rogers, E. 2009. Chicago, IL: Oral Health America. 20 pp. Available at http://www.oralhealthamerica.org/Kansas_Report_LowRes_Spreads.pdf

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2. The Role of Physicians in Children's Oral Health Health

This policy brief presents findings from two recent surveys on the characteristics of Medicaid programs that reimburse primary care physicians for performing basic preventive oral health care on young children during regular office visits, as well as on the extent to which the programs reimburse for such care. The brief includes a discussion of the importance of oral health care in childhood and physicians' role in evaluating young children's oral condition and performing basic preventive services. Topics include the application of fluoride varnish and additional services such as risk assessments, oral examinations, and anticipatory guidance.

Cantrell C. 2008. Washington, DC: National Academy of State Health Policy. Available at http://www.nashp.org/files/Fluoride%20Varnish%20Monitor.pdf

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3. Guideline on Fluoride Therapy

This guideline is intended to help practitioners and parents make decisions concerning appropriate use of fluoride as part of comprehensive oral health care for infants, children, and adolescents, including those with special health care needs. Recommendations on systematically administered fluoride supplements, professionally applied topical fluoride treatment, and fluoride-containing products for home use are provided.

American Academy of Pediatric Dentistry, Council on Clinical Affairs. 2008-2009. Pediatric Dentistry 30(7, Suppl.):121-124. Content available at http://www.aapd.org/media/policies_guidelines/g_fluoridetherapy.pdf

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4. Association Between Early Childhood Caries and Behavior as Measured by the Child Behavior Checklist

This study used the child behavior checklist to study the relationship between children's (ages 30-59 months) behavior and dental caries. Sleep problems, anxiety/depression, aggressive behavior, attention deficit/hyperactivity problems, and total behavior problems were significantly more prevalent in children with caries than in caries-free children.

Williamson R, Oueis H, Casamassimo PS, Thikkurissy S. 2008. Pediatric Dentistry 30(6):505-509.

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5. Caregiver's Perception of Child's Oral Health Status Among Low-Income African Americans

This study compared caregivers' perception of their children's (ages 5 and younger) oral health status with clinical findings. The study also investigated the influence of caregivers' attitudes, beliefs, and knowledge concerning dental caries development and oral health on their perception of their children's oral health status. Significant determinants of a caregiver's perception of a child's oral health status included (1) the child's untreated cavitated caries lesions, (2) number of filled tooth surfaces, (3) number of missing teeth due to caries, (4) the child's difficulty chewing foods, and (5) the caregiver's perception of his or her own oral health.

Sohn W, Taichman LS, Ismail AI, Reisine S. 2008. Pediatric Dentistry 30(6):480-487.

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6. Evaluation of an Early Childhood Caries Prevention Program at an Urban Pediatric Clinic

This study evaluated a risk-based early childhood caries prevention program conducted by oral health professionals at a pediatric primary care clinic serving primarily individuals with low incomes. Children in the prevention group had significantly fewer cavitated carious lesions at their last recall than did children in the comparison group at their initial visit. Mean oral mutans streptococcus values were 8.3 times higher in comparison group children at their initial visit than in prevention group children at their last recall.

Minah G, Lin C, Coors, S. Rambob, I, Tinanoff N, Grossman LK. 2008. Pediatric Dentistry 30(6):499-504.

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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) located 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: OHAlert@mchoralhealth.org
Internet: http://www.mchoralhealth.org/alert/index.html

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