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

March 2009

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Special Notices:

The Office of Head Start's Early Childhood Learning and Knowledge Center has updated its oral health Web page, which contains resources for Head Start administrators and staff and for families. The Web page is available at http://eclkc.ohs.acf.hhs.gov/hslc/ecdh/Health/Oral%20Health.

The Maternal and Child Health Bureau is hosting a series of Webcasts on oral health. Topics include: accessing oral health care through WIC (March 10), oral health and Medicaid portability (March 18), medical/dental interface (April 6) and perinatal oral health (April 16). Register or access Webcast archives at http://www.MCHcom.com.
  1. ASTDD Basic Screening Survey for Children Planning and Implementation Packet
  2. Increasing Access to Dental Care in Medicaid: Targeted Programs for Four Populations (policy brief)
  3. We Like Our Teeth (book)
  4. Topical Fluoride Recommendations for High-Risk Children: Development of Decision Support Matrix–Recommendations from MCHB Expert Panel
  5. The Association Between Antibiotics Usage in Early Childhood and Early Childhood Caries (journal article)
  6. Parental Attitudes on Restorative Materials as Factors Influencing Current Use in Pediatric Dentistry (journal article)
  7. The Pediatric Nurse Practitioner's Role in Reducing Oral Health Disparities in Homeless Children (journal article)
  8. Providing Dental Care to Pregnant Patients: A Survey of Oregon General Dentists (journal article)

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1. ASTDD Basic Screening Survey for Children Planning and Implementation Packet

This packet contains information for planning and conducting an oral health screening of preschool- or school-age children. Contents include a CD, a DVD, and a set of three reference guides. The CD contains a planning guide, a presentation for examiner training, Epi Info files for data entry and analysis, and guidance and resources on Institutional Review Board and HIPAA compliance. The DVD contains examiner training videos for oral- and non-oral-health professionals. The reference guides, one each for preschool, school-age, and adult dentition, present oral health indicators and color photos of the scoring criteria.

Association of State and Territorial Dental Directors. 2008. New Bern, NC: Association of State and Territorial Dental Directors. 5 items. Available at no charge at http://www.astdd.org/index.php?template=basic_screening.html (order form).

Note: The CD and DVD may be replicated if you need additional copies. Please specify the number of each of the reference guides needed if you need more than one set. The planning guide is also available separately, at no charge, at http://www.astdd.org/docs/BSSChildrensManual2008forwebsite.pdf.

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2. Increasing Access to Dental Care in Medicaid: Targeted Programs for Four Populations

This policy brief describes strategies that several states have used to address the oral health needs of Medicaid beneficiaries, including young children, pregnant women, people with developmental disabilities, and people living in rural areas. The brief also examines ways that California's state agencies (including Denti-Cal, the state's Medical dental program), dental associations, and universities have explored these issues, and additional steps the state might take to build on its efforts.

Snyder A. 2009. National Academy for State Health Policy. 34 pp. Available at http://www.nashp.org/files/Dental_Reimbursements.pdf.

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3. We Like Our Teeth

This picture book encourages young children to care for their teeth. Images show infant and adult animals celebrating their own strong, healthy teeth. The rhyming text presents readers with the basics of good oral hygiene. One version is in English only, and another has parallel text in English and Spanish. The book is part of a series on health promotion for families with young children.

Contact: Elyse April. Hohm Press, P.O. Box 2501, Prescott, AZ 86302. Telephone: (800) 381-2700; fax: (928) 717-1779; e-mail: Elyse_April@yahoo.com; Web site: http://www.HohmPress.com. First copy available at no charge; additional copies (2-44) available at $5.97 plus shipping and handling; quantity discounts also available.

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4. Topical Fluoride Recommendations for High-Risk Children: Development of Decision Support Matrix—Recommendations from MCHB Expert Panel

This report summarizes recommendations on the use of topical fluoride in preventing and controlling tooth decay from an expert panel convened on October 22–23, 2007, in Washington, DC. The matrix was developed primarily for a non-oral-health audience—program staff and non-oral-health professionals in public health settings (e.g., child care centers, Head Start programs, WIC, primary care) who work with infants and young children from birth to age 6 who are at high risk for tooth decay. Contents include background information, guiding questions, the development process, and conclusion and next steps. Topical fluoride recommendations for children are provided as appendices. The matrix offers recommendations on the use of topical fluoride—toothpaste, varnish, mouth rinses, gels, and foams.

Altarum Institute. 2009. Washington, DC: Altarum Institute. 20 pp. Available at http://www.mchoralhealth.org/PDFs/TopicalFluorideRpt.pdf (full report) and http://www.mchoralhealth.org/PDFs/TopicalFluorideMatrix.pdf (decision support matrix).

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5. The Association Between Antibiotics Usage in Early Childhood and Early Childhood Caries

This study assessed whether infants' and young children's intake of systemic antibiotics was associated with an increased risk for early childhood caries (ECC). The authors found that infants given systemic antiobiotics between birth and age 1 and children given systemic antibiotics between ages 13 and18 months had a significantly greater risk for ECC compared to those who were not given antibiotics during these periods.

Alaki SM, Burt BA, Garetz SL. 2009. Pediatric Dentistry 31(1):31–37. Abstract available at http://www.ingentaconnect.com/content/aapd/pd/2009/00000031/00000001/art00005.

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6. Parental Attitudes on Restorative Materials as Factors Influencing Current Use in Pediatric Dentistry

This study assessed pediatric dentists' practice patterns and the dentists' perceptions of parental attitudes toward the materials used in children's dentistry. The authors found that many pediatric dentists acquiesce to parents' wishes when challenged about the material they had chosen to restore a posterior primary tooth. Dentists in practices using less amalgam (relative to other practices) reported less pressure from parents to place other materials. Dentists reported that parents' chief concern when considering the restoration of posterior primary teeth was esthetics. Pediatric dentists' perceptions of contraindications for use of tooth-colored restoration material differed widely.

Zimmerman JA, Feigal RJ, Till MJ, Hodges JS. 2009. Pediatric Dentistry 31(1):63–70. Abstract available at http://www.ingentaconnect.com/content/aapd/pd/2009/00000031/00000001/art00010.

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7. The Pediatric Nurse Practitioner's Role in Reducing Oral Health Disparities in Homeless Children

This article presents the critical oral health needs of children who are homeless and illustrates how pediatric nurse practitioners (PNPs) can address those needs. Topics include the epidemiology of oral health among children who are homeless, characteristics of children who are homeless, disparities in access to and utilization of oral health services, public insurance, the oral health work force, and dental caries. A description and discussion of a project to provide oral health care for underserved populations (including women and children who are homeless), lessons learned, and implications for PNP practice are also presented.

DiMarco MA, Huff M, Kendra MA. 2009. Journal of Pediatric Health Care 23(2):109–116. Abstract available at http://www.journals.elsevierhealth.com/periodicals/ymph/article/S0891-5245(07)00494-4/abstract.

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8. Providing Dental Care to Pregnant Patients: A Survey of Oregon General Dentists

This article presents findings from a statewide survey of general dentists regarding dental treatment and anticipatory guidance for pregnant women. Most dentists (91.7 percent) agreed that dental treatment should be part of prenatal care. Two-thirds of dentists (67.7 percent) were interested in receiving continuing dental education (CDE) on care for pregnant women. Recent graduates (dentists who had graduated within the past 10 years) were more likely to agree that it was worth their time to counsel pregnant women about the transmission of caries-causing bacteria, compared to non-recent graduates. Recent graduates were also more likely to have received CDE on a pregnancy-related topic.

Huebner CE, Milgrom P, Conrad D, Lee RSY. 2009. Journal of the American Dental Association 140(2):211–222. Abstract available at http://jada.ada.org/cgi/content/abstract/140/2/211.

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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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