National Maternal and Child Oral Health Resource Center
Oral Health Alert: Focus on Head Start

February 2010

Dental Care: Before, During and After Pregnancy

This document provides tips for women on oral hygiene and oral health care before, during, and after pregnancy. Topics include toothbrushing, flossing, eating healthy foods, and visiting the dentist. Information for women who experience nausea and vomiting is included. Infant oral hygiene, feeding practices that may contribute to oral problems in infants, and the importance of taking infants to the dentist by age 1 are also discussed.

South Carolina Department of Health and Environmental Control, Division of Oral Health. 2010. Columbia, SC: South Carolina Department of Health and Environmental Control, Division of Oral Health. 3 pp. The document is available online.

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Reimbursing Medical Providers for Preventive Oral Health Services: State Policy Options

This report is intended to help states that are considering adopting policies to increase children's access to preventive oral health services by reimbursing primary care health professionals for services such as fluoride varnish application, oral examination or screening, oral health risk assessment, and/or caregiver education. Contents include policy design and implementation considerations and lessons learned from interviews in states (Iowa, Minnesota, North Carolina, Utah, and Washington). Topics include service components and reimbursement, training, legislation and regulation, evaluation, and stakeholder collaboration.

Hanlon C. 2010. Portland, ME: National Academy for State Health Policy; Washington, DC: Pew Center on the States. The report is available online.

Editorial Note: The National Academy for State Health Policy and the Pew Center on the States will host a Webinar on Wednesday, February 24, 2010, from 2:00 to 3:30 p.m. (EST), to address design and implementation considerations for states thinking about reimbursing health professionals for fluoride varnish application or other oral health services. More information about the Webinar, titled State Policy Considerations for Reimbursing Medical Providers for Preventive Oral Health Services, is available online.

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Resource for Dental Care: Guide to Free and Low-Cost Dental Care

This guide provides information to help individuals in Oklahoma who cannot afford oral health care find free and low-cost resources, assist referral sources in helping individuals who need care to find it, and connect free and low-cost programs to one another to leverage limited resources and multiply efforts and results. The guide also provides information about Delta Dental of Oklahoma Charitable Foundation and some of its activities.

Delta Dental of Oklahoma Charitable Foundation. 2010. Oklahoma City, OK: Delta Dental of Oklahoma Charitable Foundation. 10 pp. The guide is available online.

Editorial Note: To ensure the accuracy of the content, the guide expires March 31, 2010. The latest version will be posted online.

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Caregiver Acceptability and Preferences for Early Childhood Caries Preventive Treatments for Hispanic Children

This article describes a study to determine the acceptability to parents and other caregivers of five standard treatments for preventing dental caries in Hispanic children in Head Start, as well as parents' and caregivers' treatment preferences. The treatments assessed were toothbrushing with fluoride toothpaste, fluoride varnish, and xylitol in food for children and xylitol gum and chlorhexidine rinse for mothers. All five treatments were highly acceptable; however, when choosing among treatments, parents and caregivers favored toothbrushing with fluoride toothpaste and fluoride varnish over other treatments.

Adams SH, Hyde S, Gansky SA. 2009. Journal of Public Health Dentistry 69(4):217-224. The abstract is available online.

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Dental Providers' Attitudes Regarding the Application of Fluoride Varnish by Pediatric Health Care Providers

This article describes a study conducted in Indiana to assess oral health professionals' support for medical professionals applying fluoride varnish, and how that support differs. Being a general practitioner (vs. a pediatric dentist), having clients who express dissatisfaction with fluorosis, using fluoride varnish (as opposed to another type of professionally applied fluoride), and providing fluoride treament to children without active caries significantly increased support for medical professionals applying fluoride varnish.

Swigonski NL, Yoder KM, Maupome G, Ofner S. 2009. Journal of Public Health Dentistry 69(4):242-247. The abstract is available online.

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