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

August 2010

Special Notice

On July 29, 2010, the Administration for Children and Families released an Information Memorandum (ACF-IM-HS-10-05) to encourage Early Head Start and Head Start grantees and delegate agencies to participate in the planning and implementation of the Maternal, Infant, and Early Childhood Home Visiting Program. More information is available online.

Foundation Collaboration: Partnering to Improve Young Children's Oral Health

This document provides an overview of CHOMPERS: Bringing Dental Care to Kids, a multifaceted initiative to bring oral health education, prevention, and treatment to young children living in central and western New York. Topics include implementing the Cavity Free Kids curriculum, engaging pediatric health professionals in applying fluoride varnish during well-child visits, and using portable dental equipment to bring oral health services to child care settings.

Slichta A, Cusick A. 2010. Washington, DC: Grantmakers in Health. 2 pp. The document is available online.

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Increasing Access to Dental Care Through Public Private Partnerships: Contracting Between Private Dentists and Federally Qualified Health Centers—An FQHC Handbook

This handbook explains contracting opportunities available to dentists in private practice and to federally qualified health center (FQHC) administrators as well as the process for leveraging these opportunities. The handbook also provides a decision chart for establishing and implementing contractual arrangements that comply with federal rules and policy. Topics include sources of funding for oral health care; service locations and applicable policies and procedures; payment mechanisms and scope of contracted services; billing patients, Medicaid, and other third parties; risks; accountability; roles for federal and state agencies; alternative dental arrangements; and technical assistance. A model contract, a decision flow chart, and a model oral health services agreement are included.

Children's Dental Health Project. 2010. Washington, DC: Children's Dental Health Project. 26 pp. The handbook is available online.

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Oral Health Directory

This document was prepared to assist in the development and expansion of oral health programs in Michigan. The document includes a state map showing counties with and without community dental clinics. A series of tables presents information about each clinic, including contact information, population served, services, and area served. Information on clinics that provide oral health services statewide is included.

Michigan Department of Community Health, Division of Family and Community Health. 2010. Lansing, MI: Michigan Department of Community Health. 125 pp. The document is available online.

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Smiles for Life: A National Oral Health Curriculum (3rd ed.)

This curriculum comprises seven 45-minute modules covering core areas of oral health for clinicians and educators. Topics include oral and systemic health, child oral health, adult oral health, acute oral health problems, oral health and pregnant women, fluoride varnish, and the oral examination. The modules may be completed online or downloaded and are suitable for individual or small group education. Information to assist clinicians in applying fluoride varnish for reimbursement by state Medicaid programs is included. Posters in English and Spanish may also be downloaded.

Douglass AB, Maier R, Deutchman M, Douglass JM, Gonsalves W, Silk H, Tysinger JW, Wrightson AS. 2010. Leawood, KS: Society of Teachers of Family Medicine, Group on Oral Health. The curriculum is available online.

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Impact of Caregiver Literacy on Children's Oral Health Outcomes

This article presents findings from a study to assess the relationship between a primary caregiver's literacy and the caregiver's child's oral health. Caregiver literacy was measured using the Rapid Estimate of Adult Literacy in Dentistry, with total scores ranging from 0 (lowest literacy) to 30 (highest literacy). Children's oral health status was determined by standardized clinical examination. Results indicated that there was a significant relationship between caregivers' literacy scores and children's oral health status. Children with mild to moderate treatment needs were more likely to have caregivers with higher literacy scores than children with severe treatment needs.

Miller E, Lee JY, DeWalt DA, Vann WF. 2010. Pediatrics 126(1):107-114. Abstract available online.

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Racial and Ethnic Disparities in Dental Care for Publicly Insured Children

This article discusses a study to explore differences in the frequency of dental visits and length of time between visits among children covered by private and public insurance in California. The study also examined differences across racial and ethnic groups. Latino and African-American children were more likely than white children either to have never had a visit or to have had longer intervals between visits. Latino and African-American children enrolled in Medicaid were significantly less likely than white children enrolled in Medicaid to have had a visit in the past 6 months. No racial or ethnic differences were observed among children enrolled in the Children's Health Insurance Program or among those with private insurance.

Pourat N, Finocchio L. 2010. Health Affairs 29(7):1356–1363. Abstract available online.

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