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

May 2010

Oral Health Checkup: Progress in Tough Fiscal Times?

This issue brief reviews sources of dental coverage for families with low incomes and challenges these programs face. The brief discusses progress among state Medicaid initiatives in improving children's access to and use of oral health services. The brief also examines the potential effects of economic conditions on dental coverage for families with low incomes.

Shirk C. 2010. Washington, DC: National Health Policy Forum. 18 pp. The brief is available online.

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Promoting and Enhancing the Oral Health of the Public: HHS Oral Health Initiative 2010

This report describes an initiative by eight agencies of the U.S. Department of Health and Human Services (DHHS) to use a systems approach to create and finance programs to emphasize oral health promotion and disease prevention, increase access to care, enhance the oral health work force, and eliminate oral health disparities. Contents include information from nine different programs including a description of the public health significance of the program, the area of focus, and the DHHS contact.

U.S. Department of Health and Human Services. 2010. Washington, DC: U.S. Department of Health and Human Services. 11 pp. The report is available online.

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West Virginia Oral Health Plan, 2010-2015

This report presents the burden of oral disease among children and adults (including pregnant women), both nationally and within West Virginia. Topics include capacity (financing and work force), community water fluoridation, smoking, the need for surveillance, and community forums and development of the state oral health plan. The mission, objectives, and strategies of the state oral health program are also outlined.

West Virginia Department of Health and Human Resources, Bureau for Public Health. 2010. Charleston, WV: West Virginia Department of Health and Human Resources, Bureau for Public Health. 40 pp. The report is available online.

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Pediatric Oral Health-Related Quality of Life Improvement After Treatment of Early Childhood Caries: A Prospective Multisite Study

This journal article presents findings from a study to assess parent-reported oral-health-related quality of life (QOL) in children with and without early childhood caries (ECC). Children with ECC were rated by their parents as having worse oral-health-related QOL than were children without ECC. The positive effects of oral health intervention for children with ECC were significant at the 6- and 12-month follow-ups and enhanced QOL in multiple domains. Some differences between children with and without ECC persisted after treatment.

Cunnion DT, Spiro A, Jones JA, Rich SE, Papageorgiou CP, Tate A, Casamassimo P, Hayes C, Garcia RI. 2010. Journal of Dentistry for Children 77(1):4-11. The abstract is available online.

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The Risk of Enamel Fluorosis and Caries Among Norwegian Children: Implications for Norway and the United States

This journal article explores the association between early fluoride-use behaviors and subsequent dental caries in the permanent dentition. The authors describe study findings supporting the recommendation that dentists should advise use of fluoride supplementation only after performing a caries risk assessment and discussing with the parent or guardian the potential benefits of fluoride supplementation and the associated risk of enamel fluorosis. The findings also suggest that use of a pea-sized amount of fluoridated toothpaste by preschool-age children is associated with a substantial reduction in caries risk without elevating risk of fluorosis development.

Pendrys DG, Haugejorden O, Bardsen A, Wang NJ, Gustavsen F. 2010. Journal of the American Dental Association 141(4):401-414. The abstract is available online.

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