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

June 2009

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  1. Help Wanted: A Policy Maker's Guide to New Dental Providers (report)
  2. National Smile Month Handbook 2009 (public-awareness campaign tool)
  3. Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program (distance-learning module)
  4. Body Mass Index of Children with Severe Early Childhood Caries (journal article)
  5. CenteringPregnancySmiles: Implementation of Small Group Prenatal Care Model with Oral Health (journal article)
  6. Effect of Having a Personal Healthcare Provider on Access to Dental Care Among Children (journal article)
  7. Infant Oral Health Examinations: Pediatric Dentists' Professional Behavior and Attitudes (journal article)
  8. Preventive Dental Service Utilization for Medicaid-Enrolled Children in New Hampshire: A Comparison of Care Provided by Pediatric Dentists and General Dentists (journal article)
  9. Use of Emergency Departments for Conditions Related to Poor Oral Healthcare: Implications for Rural and Low-Resource Urban Areas for Three States (journal article)

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1. Help Wanted: A Policy Maker's Guide to New Dental Providers

This report presents findings from a literature review and interviews with experts in several states about existing proposals for new oral health professionals. The report explores three proposed oral health professional types: dental therapists, community dental health coordinators, and advanced dental hygiene practitioners. Topics include research needed to develop a new oral health professional type, options for new oral health professionals, implementation steps for developing new provider models, and tools for work force development. An issue brief is also available.

Pew Center on the States, National Academy for State Health Policy. 2009. Philadelphia, PA: Pew Charitable Trusts. 2 items; 60 pp. report, 10 pp. issue brief. Available at no charge from the Web site at http://www.pewcenteronthestates.org/uploadedFiles/Dental_Report_final_Low%20Res.pdf (report) http://www.pewcenteronthestates.org/uploadedFiles/Dental_IssueBrief_final.pdf (issue brief)

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2. National Smile Month Handbook 2009

This handbook provides information and resources to help dental practices, schools, programs, and community groups plan a strategy for National Smile Month, a public-awareness campaign conducted each June to promote the importance of toothbrushing, good nutrition, and regular dental visits among individuals of all ages. Contents address developing campaign messages and budgets, planning a date and venue for an event, and promoting and registering an event. Activity ideas, research and statistics, postcards, teaching aids, and other educational materials are provided.

Oral Health America. 2009. Chicago, IL: Oral Health Ameica. 12 pp. Available at no charge from the Web site at http://www.oralhealthamerica.org/NSMsmallHandbook.pdf

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3. Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program

This online module is designed to raise awareness among pediatricians and health professionals about the importance of oral health in infants, children, and adolescents; to increase their competence in providing oral health guidance and preventive care; and to encourage a shared responsibility for oral health. The module includes the following topics: basic anatomy, oral development, screening, dental caries, preventive care, fluoride, special needs, oral habits, pathology, injury, oral findings, systemic diseases, and adolescent health.

Editorial Note: The module has been approved by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

American Academy of Pediatrics. 2009. Chicago, IL: American Academy of Pediatrics. Available at no charge from the Web site at http://www.aap.org/oralhealth/pact/index.cfm

Editorial Note: The module has been approved by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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4. Body Mass Index of Children with Severe Early Childhood Caries

This study was designed to clarify the association between severe early childhood caries (S-ECC) and body weight in healthy children undergoing dental rehabilitation for S-ECC. The authors found that (1) children with S-ECC did not have a typical weight distribution; (2) a significant number of children with S-ECC were underweight; and (3) age- and gender-specific body mass index percentile was not correlated with decayed, missing, or filled teeth or with the number of pulp-involved teeth.

Sheller B, Churchill SS, Williams BJ, Davidson B. 2009. Pediatric Dentistry 31(3):216-221. Abstract available at http://www.ingentaconnect.com/content/aapd/pd/2009/00000031/00000003/art00007

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5. CenteringPregnancySmiles: Implementation of Small Group Prenatal Care Model with Oral Health

This article describes preliminary outcomes of CenteringPregnancySmiles, a program to integrate oral health education and treatment into prenatal care. The program was implemented in a rural health care clinic in western Kentucky. Program findings include improved oral health status of pregnant women at 34-38 weeks' gestation and possible benefits for birth outcomes (rates of preterm birth and low birthweight).

Skelton J, Mullins R, Langston LT, Womack S, Ebersole JL, Rising SS, Kovarik R. 2009. Journal of Health Care for the Poor and Underserved 20(2):545-553. Abstract available at http://muse.jhu.edu/journals/journal_of_health_care_for_the_poor_and_underserved/summary/v020/20.2.skelton.html

Editorial Note: The University of Kentucky has posted a video about what CPS means to new parents at http://www.uky.edu/PR/Flash/Centering_Pregnancy_Smiles.html

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6. Effect of Having a Personal Healthcare Provider on Access to Dental Care Among Children

This study examined the relationship between having a personal health professional (PHP) and a child's receipt of preventive dental visits or any dental visits during the preceding year. The study also examined whether the PHP relationship ameliorates disparities between children living in rural areas vs. those living in urban areas. The authors found that children with a PHP were more likely to have received preventive oral health services and less likely to have lacked care during a 12-month period. Children living in rural areas, regardless of PHP status, were less likely than those in urban areas to have received preventive care and more likely to have had no dental visit during a year.

Martin AB, Probst J, Wang J-Y, Hale N. 2009. Journal of Public Health Management and Practice 15(3):191-199. Abstract available at http://journals.lww.com/jphmp/Abstract/2009/05000/Effect_of_Having_a_Personal_Healthcare_Provider_on.4.aspx

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7. Infant Oral Health Examinations: Pediatric Dentists' Professional Behavior and Attitudes

This study explored the professional behaviors and attitudes of American Academy of Pediatric Dentistry (AAPD) members concerning infant oral health examinations. While approximately 84 percent of the respondents supported AAPD’s policy and agreed that they perform these examinations, only 53 percent reported that they see children ages 1 and younger.

Malcheff S, Pink TC, Sohn W, Inglehart MR, Briskie D. 2009. Pediatric Dentistry 31(3):202-209. Abstract available at http://www.ingentaconnect.com/content/aapd/pd/2009/00000031/00000003/art00005

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8. Preventive Dental Service Utilization for Medicaid-Enrolled Children in New Hampshire: A Comparison of Care Provided by Pediatric Dentists and General Dentists

This study assessed preventive oral health service use among children enrolled in the New Hampshire Medicaid program. The study compared preventive care received by children who saw a pediatric dentist with care received by those who saw a general dentist. The authors found that children who saw a pediatric dentist were significantly more likely than those who saw a general dentist to have had preventive oral health care.

Chi D, Milgrom P. 2009. Journal of Health Care for the Poor and Underserved 20(2):458-472. Available to subscribers at http://muse.jhu.edu/journals/journal_of_health_care_for_the_poor_and_underserved/v020/20.2.chi.html

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9. Use of Emergency Departments for Conditions Related to Poor Oral Healthcare: Implications for Rural and Low-Resource Urban Areas for Three States

This study examined oral health care-seeking patterns in emergency departments (EDs) in Utah, Vermont, and Wisconsin. The authors found that between 1 and 3 percent of all ED visits that do not result in inpatient care are due to oral health problems. Many of the problems could have been prevented if oral health care had been received earlier or were of low severity, suggesting a nonemergent concern. The authors also found that there were significant differences by state in factors that motivate individuals to seek oral health care in the ED.

Shortridge EF, Moore JR. 2009. Journal of Public Health Management and Practice 15(3):238-245. Abstract available at http://journals.lww.com/jphmp/Abstract/2009/05000/Use_of_Emergency_Departments_for_Conditions.10.aspx

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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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