American Association of Public Health Dentistry (AAPHD ... · Roundtable Sessions Poster Abstracts Student Abstracts American Association of Public Health Dentistry (AAPHD) Association

Funding for this conference was made possible in part by cooperative agreement 5U58DP001695-04 from the Centers for Disease Control and Prevention (CDC). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Roundtable SessionsPoster Abstracts

Student Abstracts

American Association of Public Health Dentistry (AAPHD) Association of State and Territorial Dental Directors (ASTDD)

Presented by:

National Oral Health Conference®

April 22 – April 24, 2013VON BRAUN CENTER - Huntsville, AlabamaPre-Conference April 20-21, 2013

Exploring the Oral Health System Policy, Science and Practice

Odyssey 2013:

Continuing Education CreditsThere are two types of CE credit available at the NOHC, ADA (American Dental Association) and AGD (Academy of General Dentistry). There are specific requirements to obtain each type of CE credit. An instruction sheet with directions on how to obtain ADA and/or AGD CE credit is available at the conference registration desk. Please be sure to review the process for the CE applicable to you.

AAPHD is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.

Session Objectives Objectives for each session will be posted/announced prior to the start of each session. They will also be listed appropriately on the session evaluation.

Disclosure All participating faculty are expected to disclose to the audience any significant financial interest or other relationship with: 1) the manufacturer of any commercial products and/or provider of commercial services discussed in an educational presentation, and 2) any commercial supporters of the activity.

Table of Contents Monday Roundtable Topics ............................................................................................................................................................................... 3-12 Monday Poster Presentations .........................................................................................................................................................................13-21 Student Poster Presentations .........................................................................................................................................................................21-25 Tuesday Poster Presentations .........................................................................................................................................................................25-33 Wednesday Roundtable Topics .....................................................................................................................................................................34-38 AAPHD Student Merit Award Winners .............................................................................................................................................................39

The National Oral Health Conference is sponsored by the:

Association of State and Territorial Dental Directors American Association of Public Health Dentistry

Centers for Disease Control and Prevention

Conference Partners Include:

American Association for Community Dental Programs

American Dental Association

Corporate Partners Making SignificantContributions to the Conference:

Aseptico, Incorporated Medical Products Laboratories, Inc.

Funding for this conference was made possible in part by cooperative agreement 5U58DP001695-04 from the Centers for Disease Control and Prevention (CDC). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


April 22 – April 24, 2013VON BRAUN CENTER - Huntsville, Alabama

Pre-Conference April 20 – 21, 2013

NO PUBLIC RECORDING AND FILMING PERMITTED AT THE 2013 NATIONAL ORAL HEALTH CONFERENCE: NO AUDIO-TAPING, VIDEO-TAPING OR RECORDING OF ANY KIND IS PERMITTED WITHOUT EXPRESS WRITTEN PERMISSION FROM THE NATIONAL ORAL HEALTH CONFERENCE PRODUCERS.

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1. ALASKA TRIBAL DENTAL SEALANT PROGRAM ASSESSMENT

Suzanne Eberling, DMD, PhD; Bradley J. Whistler, DMD; Amanda Gaynor Ashley, DMD, MsEdu

The presentation will cover the major findings and recommendations for an evaluation of a Tribal dental sealant program in the North Slope region of Alaska. The evaluation utilized a retrospective chart review of dental charts for children served by the Tribal dental program in a fluoridation regional hub community and three surrounding non-fluoridated villages. The main purpose of the assessment was to look at dental sealant retention rates, sealant effectiveness at preventing dental decay on permanent first and second molars, and to see if there were differences between fluoridated and non-fluoridated communities in caries experience from the time the original sealant was placed. Analysis of the chart data on sealants also included looking at differences of sealants placed with and without use of a bonding agent and information on replaced dental sealants during the study period. Sealants are an evidence-based approach to prevent pit and fissure dental caries in permanent molars, however this assessment includes a population with a much higher prevalence of dental decay than U.S. children in general (for similar age groups).

Source of Funding: Federal funds under a cooperative agreement with the U.S. Centers for Disease Control and Prevention, Division of Oral Health (5U58DP001578)

2. MICHIGAN’S PA161: DENTAL PUBLIC HEALTH PREVENTION PROGRAM

Susan Deming, RDH, RDA, BS, Education/Fluoridation Coordinator, MDCH; Charlotte Wyche, RDH, MS, Evaluation Coordinator, MDCH

PA161: Dental Public Health Prevention Program is a Michigan law that allows dental hygienists to provide direct access to preventive oral health services for underserved populations. Programs provide preventive services in long term care facilities /nursing homes, Head Starts, schools and other venues using remote technology and collaborative agreements with a supervising dentist. Through this alternative care delivery model, in 2011 more than 50 such programs provided preventive care for more than 23,000 individuals.

Below is a list of topics that will be discussed during the Roundtable Luncheon on Monday, April 22, 2013, from 11:30 a.m. – 1:30 p.m. Please take a few moments to review this list and choose at least two topics of interest prior to the luncheon. The number listed next to the title is the table number assigned to that topic. Tables will be arranged in numerical order. Be sure to grab a box lunch before sitting down. Once attendees are settled at their tables, the first discussion will begin. After about 30-40 minutes, the moderator will direct attendees to move to a second table. We suggest that you have more than two topics chosen ahead of time since there is no guarantee you will find an open seat at your first choice. Seating will be first-come, first-seated and the maximum number of participants at a table is limited to ten.


ROUNDTABLE TOPICSMonday, April 22, 2013 – 11:30 a.m. – 1:30 p.m.

If presenter’s intent to participate was not received prior to printing, it is possible that some abstracts listed will not be presented

This presentation will provide a brief history of Michigan’s PA161 law and outline the application process for attaining PA 161 Program status, The main body of the presentation will describe several examples of PA161 programs that operate in a variety of venues, providing care for a diverse selection of underserved populations, Additional topics include use of students in these programs and discussion of the evaluation process used to identify program outcomes and successes. Source of Funding: None

3. EVERYONE WINS: A MULTI-AGENCY COLLABORATION FOR CONVENIENCE SAMPLE DATA COLLECTION ON THE ORAL HEALTH STATUS OF OLDER ADULTS IN GEORGIA

Carol Smith, RDH, BBA, MSHA; Pamela Cushenan, RDH, MS TDEV BACKGROUND: Collaboration with aging advocates

identified lack of sufficient oral health status data of older adults in Georgia; assessment plan requested and developed, including calibration development and implementation; utilization of senior dental hygiene students/faculty resulted in efficient, reliable, and valid data collection.

STUDY QUESTION: Is there a clear variation of oral health status in older adult populations? With limited resources how can we gather data?

METHODS: The Georgia Department of Public Health/MCH/Oral Health staff presented plans to state aging coordinators at an annual session, introduced data assessment opportunity at the Georgia Dental Hygienists Educator’s Association annual session; developed an advisory committee; secured funding from the CDC Oral Disease Infrastructure Grant; IRB exemption approved; a dental hygiene faculty member experienced with the geriatric population was hired as a consultant; pilot study program developed & implemented; pilot study outcomes determined; state-wide calibration provided; data gathered. CDC funding support was used for supplies, the consultant’s fee and mini-grants to the dental hygiene programs to cover program costs.

RESULTS: Convenience sampling with education programs for caregivers and/or seniors was implemented by eleven Dental Hygiene programs, dental hygiene programs participated in a public health initiative and learned more about the oral health needs of the older adult, and when the survey data is complete the state will have information on the oral health status of the

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older adult in Georgia. Good planning fulfilled many objectives with this one initiative.

PUBLIC HEALTH IMPLICATIONS: With limited resources data collection can be efficient and effective with positive outcomes.

SOURCE OF FUNDING: CDC Oral Disease Infrastructure Grant, Georgia Department of Public Health/Oral Health staff

4. ENGAGING PRIMARY CARE PROVIDERS IN THE PROMOTION OF ORAL HEALTH AND THE DELIVERY OF PREVENTIVE DENTAL SERVICES

Sheila Strock, DMD, MPH, American Dental Association Primary care providers are integral to the prevention of

oral disease across the lifespan. Within the current landscape of healthcare, in order to achieve the vision of “optimal oral health for all,” advocacy strategies must be developed within the context of political, economic, and cultural forces that collectively influence prevention, health management and both the individual’s and community’s ability to take the actions necessary for a person to improve or maintain his or her own oral health. This Roundtable will explore current efforts in public health that effectively promote and engage primary care providers in the delivery of oral health preventive services thereby promoting oral health and reducing the burden of dental disease. Join us and learn about the ADA’s interprofessional initiatives to promote engagement of primary care providers through education programs such as the Smiles for Life and other activities. Share your activities, issues, concerns and questions.

Source of Funding: Presenter is supported by the ADA

5. STATE DENTAL SEALANT PROGRAMS UNDER EXAMINATION: WHAT ARE THE BENEFITS OF A BEST PRACTICE REPORT?

Nicole Breton, RSH, BS, Maine CDC – Oral Health Program; Jill Moore RDH, BSDH, MHA, Michigan Department of Community Health

All states will naturally have different assets in which to develop and build a school-based/school-linked dental sealant program. This presentation will provide a SWOT analysis, as well as compare and contrast, the school-based dental sealant programs between Maine and Michigan to demonstrate that each state should naturally build off of their own individual assets in order to grow and expand while attempting to achieve sustainability. The presenters will also lead a discussion on the process of submitting a best practice report to the ASTDD Best Practice Committee for publication consideration, as well as the organizational benefits of being recognized as a best practice.

Source of Funding: None

6. KANSAS ELDER SMILES 2012 – LESSONS LEARNED FROM THE STATE’S FIRST BASIC SCREENING SURVEY OF SENIORS IN NURSING FACILITIES

Kansas Bureau of Oral Health, Katherine Weno DDS, JD; Jennifer Ferguson RDH; Mary Ann Percy RDH, BSDH; Jessica Herbster RDH, BSDH; Anantha Sameera Mangena BGS; Charles Cohlmia BS, MPH; Anthony Wellever, University of Kansas Medical Center, Department of Family Medicine

In 2012, Kansas completed their first oral health survey of seniors living in nursing facilities. Using the Basic Screening Survey protocols, the Bureau of Oral Health screened and administered questionnaires to 540 seniors living in 20 nursing facilities. The project was done in collaboration with the state’s oral health coalition, Oral Health Kansas. The final report, Elder Smiles 2012: A Survey of Kansas Seniors Living in Nursing Facilities

was released in December 2012. As this was the first survey done of its kind in Kansas, it was a true learning experience. This roundtable will discuss how the Kansas survey was customized based on coalition and advisory group input, how the survey was implemented, and present the report’s final results and recommendations. We will also discuss the screeners’ impressions of the survey instrument and if they felt that the data collected was reflective of the oral health of the nursing facility population. Finally, the presenter will discuss how this survey information will be used in Kansas to further policy discussions about the oral health of seniors living in nursing facilities.

SOURCE OF FUNDING: Cooperative Agreement 5U58DP002834 from the Centers for Disease Control and Prevention and the National Association of Chronic Disease Directors’ Health Aging program.

7. KANSAS SCHOOL SCREENING PROGRAM- A STATE WIDE EFFORT AT DATA COLLECTION UTILIZED FOR PROGRAM DEVELOPMENT

Kansas Bureau of Oral Health, Katherine Weno DDS, JD; Jennifer Ferguson RDH; Mary Ann Percy RDH, BSDH; Jessica Herbster RDH, BSDH

In 2007, the Kansas Bureau of Oral Health created the School Screening Program to assist schools in complying with the Kansas Statute for annual free dental inspection (K.S.A.72-5201). The Bureau created a standardized screening protocol based upon the Basic Screening Survey, and used online training for dentists and hygienists who do the screenings. We also developed a web based data entry system for schools to report the aggregated screening data back to the Bureau of Oral Health. The Program has grown from 55,000 children screened in 2008 to 140,000 screened in the 2011-12 school year. The data collected allows the Bureau to target parts of the state with the most untreated decay and the fewest dental sealants. This roundtable will discuss how Kansas’ School Screening has increased community awareness of dental needs across the state, how the program has grown, and how this data source has led to grant funding and the creation of the Kansas School Sealant Program.

SOURCE OF FUNDING: Health Resources Service Administration and the Kansas Health Foundation

8. EVOLUTION OF POLITICAL ACTION IN PINELLAS COUNTY, FLORIDA TO SAVE FLUORIDATION

Johnny Johnson, DMD, MS; Michael W. Easley, DDS, MPH Pinellas County Commissioners, after being inundated by

complaints from members of a national organized antifluoridation effort, surprised the citizens & professional community by voting to cease fluoridation at a workshop of the Commission in October 2011. Local dental professionals organized a response that included: (1) multiple attempts to encourage the Commissioners to reconsider their action; (2) extensive efforts to educate the Commissioners & the community on the scientific basis for fluoridation; (3) educational efforts aimed at the County’s major newspaper to foster better communications with the citizens & the Commissioners; (4) & finally, recruitment, education, & encouragement of 2 political candidates to oppose 2 of the incumbent antifluoride Commissioners at the next general election. After a 13-month effort, two profluoride candidates were successfully elected, followed shortly by the Commission having voted to re-establish fluoridation. A detailed explanation of the organization of the dental community’s multi-level efforts & the comprehensive political process used in the successful

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campaigns will be discussed. Tactics employed by both sides during the campaign will also be highlighted. Moreover, participating in all aspects of a campaign to elect 2 County Commissioners is probably unique among fluoridation efforts anywhere in the U.S.

SOURCE OF FUNDING: None-both authors participated as volunteers

9. DEVELOPING DASHBOARDS TO MONITOR PERFORMANCE Danielle Goldsmith, AA, DentaQuest Institute This roundtable will guide dental and administrative

leadership in understanding how to develop and utilize dashboards to evaluate and improve dental program performance. Key objectives this presentation will focus on are the following:

Determining the data that needs to be monitored and 1. whyLearning how to create a data dashboard using clinic data 2. (a sample template will be provided)Developing financial and productivity goals that are realistic, 3. results oriented and achievable based on clinic data and benchmarks

SOURCE OF FUNDING: None

10. KEY SYSTEMS FOR DENTAL PROGRAMS Caroline Darcy, BA, DentaQuest Institute Safety Net Solutions This roundtable will identify the key systems that need to

be in place for safety net dental programs. Although there are many, this discussion will focus on four areas of concentration. We will discuss the best practices that have been proven to work in public health dental programs in each of these areas. We will also discuss how to evaluate performance for each. The four areas of concentration are:

1) No-Shows 2) Scheduling 3) Billing & Collections 4) Emergencies SOURCE OF FUNDING: None

11. PERMANENT FIRST MOLAR ERUPTION AND CARIES PATTERNS IN AMERICAN INDIAN AND ALASKA NATIVE CHILDREN: CHALLENGING THE CONCEPT OF TARGETING SECOND GRADE FOR SCHOOL-BASED SEALANT PROGRAMS

Kathy Phipps, DrPH, private consultant; Patrick Blahut, DDS, MPH, Div. Oral Health, Indian Health Service

OBJECTIVE: Describe first permanent molar eruption / caries patterns among American Indian / Alaska Native (AI/AN) children to identify the appropriate target grade for school-based sealant programs.

METHODS: A stratified probability sample of Bureau of Indian Education and public/private schools where a large portion of students are AI/AN was selected. The sampling frame was generated using the U.S. Department of Education, National Center for Education Statistics, Common Core of Data. Children in kindergarten, first, second and third grade were screened by trained examiners. Data collected: grade, age, sex, race, tooth status and urgency of need for dental care. Only cavitated lesions were classified as untreated caries; teeth with any portion of the crown exposed were considered erupted. Statistical analyses were performed with SAS. Sample weights were used to produce population estimates based on selection probabilities.

RESULTS: We screened 15,611 children at 186 schools in 19 states. Percent with four erupted first molars: 27% of

kindergarten, 76% of first, 96% of second and 99% of third grade children. About 7% of kindergarteners had decayed, missing or filled molars compared to 21%, 31% and 38% of first, second and third graders respectively. Prevalence of sealants increased from 9% in kindergarten to 55% in third grade. The largest increase in mean number of molars and prevalence of decay occurred between kindergarten and first grade.

CONCLUSION: School-based sealant programs for AI/AN children should target kindergarten and first grade with follow-up programs for second grade children.


12. US NATIONAL ORAL HEALTH ALLIANCE: MEDICAL – DENTAL COLLABORATION

Douglas M. Bush, Indiana Dental Association; Caswell A. Evans, DDS, MPH, University of Illinois at Chicago, College of Dentistry; Evelyn F. Ireland, CAE, National Association of Dental Plans; Vincent C. Mayher, DMD, MAGD, General Practitioner; Steven P. Geiermann, DDS, American Dental Association

The U.S. National Oral Health Alliance embodies the spirit of collaboration by convening leadership colloquia throughout the year. Alliance Partners come together to listen to and learn from one another, while also honoring each individual’s dedication to innovative oral health improvement. Each colloquium focuses on one of the prioritized action areas identified at the 2009 Access to Dental Care Summit. This roundtable focuses on the unifying messages arising out of the Medical – Dental Collaboration Colloquium:

Stay Focused on the Overall Health of the Individual.•Oral health must be an essential and routine dimension of comprehensive health care for all people. Dedicate the entire health care system to the overall health of the individual. The paradigm must shift to ensure early intervention. Strengthen Interprofessional and Patient Education.•Strengthen health care through the interdisciplinary, cross-functional education of health care professionals – and others who interact with patients. Empower the public through oral health literacy education. Integrate Delivery and Financing Systems.•Align effective financing systems with prevention-focused, coordinated care to yield better health. Such systems may encourage a wide range of health professionals to work together. Examine the Role for Medical and Dental Records in •Patient-Centered Care.To strengthen patient-centered interdisciplinary care, coordinate medical and dental electronic health records effectively, build a common knowledge base, and strengthen communication about what works. Expand the Dialogue on Oral Health.•Replicate and expand this discussion at the local, regional, and national levels. Building on common ground, expand the national platform for medical and dental collaboration.


13. US NATIONAL ORAL HEALTH ALLIANCE: ORAL HEALTH LITERACY AS A PATHWAY TO HEALTH EQUITY

Douglas M. Bush, Indiana Dental Association; Caswell A. Evans, DDS, MPH, University of Illinois at Chicago, College of Dentistry; Evelyn F. Ireland, CAE, National Association of Dental Plans; Vincent C. Mayher, DMD, MAGD, General Practitioner; Dushanka V. Kleinman, DDS, MScD, University of Maryland, School of Public Health; Steven

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P. Geiermann, DDS, American Dental Association The U.S. National Oral Health Alliance embodies the spirit of

collaboration by convening leadership colloquia throughout the year. Alliance Partners come together to listen to and learn from one another, while also honoring each individual’s dedication to innovative oral health improvement. Each colloquium focuses on one of the prioritized action areas identified at the 2009 Access to Dental Care Summit. This roundtable focuses on the unifying messages arising out of the Oral Health Literacy Colloquium:

Develop Trust Together: • Develop a sense of empathy to meet people where they are. Listen to, learn from, and respect each other. Direct Attention to Prevention: • Help people understand prevention as the necessary priority for their oral and overall health, that of their children, and communities.Shift Policy and Financing:• Change will require paradigm shifts in policy, financing, and dental care delivery. Educate the Public: • Use simple, clear, and consistent educational messages that spur to take action for improving their oral health and overall health. Connect, Partner, and Collaborate: • Build and nurture an ever-widening base of diverse stakeholders to support oral health literacy by connecting, partnering, and identifying areas of common ground. Advocate for All People: • Effective oral health literacy requires advocacy by meeting people where they are. Advocate at the local, state, and national level to integrate oral health and overall health. Make connections, while looking for unlikely partners. Help people understand that ensuring optimal oral health for all is a social justice issue.

14. US NATIONAL ORAL HEALTH ALLIANCE: METRICS FOR IMPROVING ORAL HEALTH

Douglas M. Bush, Indiana Dental Association; Caswell A. Evans, DDS, MPH, University of Illinois at Chicago, College of Dentistry; Evelyn F. Ireland, CAE, National Association of Dental Plans; Vincent C. Mayher, DMD, MAGD, General Practitioner; Lewis Lampiris, DDS, MPH; Steven P. Geiermann, DDS, American Dental Association

The U.S. National Oral Health Alliance embodies the spirit of collaboration by convening leadership colloquia throughout the year. Alliance Partners come together to listen to and learn from one another, while also honoring each individual’s dedication to innovative oral health improvement. Each colloquium focuses on one of the prioritized action areas identified at the 2009 Access to Dental Care Summit. This roundtable focuses on the unifying messages arising out of the Metrics for Improving Oral Health Colloquium:

Develop a National Oral Health Plan: • Begin to develop a plan that puts forward a basic framework and defines oral health and oral health care needs from a national perspective. Collect Oral Health Data on an Ongoing Basis: • Ensure a standardized approach for collecting valuable oral health data.Establish Oral Health Benchmarks: • Provide tangible, meaningful oral health metrics and benchmarks that engage individuals to discuss oral health on at both the personal and professional level. Analyze metrics to understand oral health disparities and to target interventions. Tell the Story Across the Country: • Arrive at a national definition of “good oral health” that can be shared through public outreach.

Examine Finance, Cost, and Outcomes on a Continuing •Basis: Measure risk-adjusted health outcomes per dollar spent – examining volume, value, and dollars spent. Gather and analyze data to determine and make the case for the financial benefits from prevention.


15. US NATIONAL ORAL HEALTH ALLIANCE: PREVENTION & PUBLIC HEALTH INFRASTRUCTURE

Douglas M. Bush, Indiana Dental Association; Caswell A. Evans, DDS, MPH, University of Illinois at Chicago, College of Dentistry; Evelyn F. Ireland, CAE, National Association of Dental Plans; Vincent C. Mayher, DMD, MAGD, General Practitioner; Michael Monopoli, DMD, MPH, MS, DentaQuest Foundation; Steven P. Geiermann, DDS, American Dental Association

The U.S. National Oral Health Alliance embodies the spirit of collaboration by convening leadership colloquia throughout the year. Alliance Partners come together to listen to and learn from one another, while also honoring each individual’s dedication to innovative oral health improvement. Each colloquium focuses on one of the prioritized action areas identified at the 2009 Access to Dental Care Summit. This roundtable focuses on the unifying messages arising out of the Prevention and Public Health Infrastructure Colloquium:

Create an Expectation for Wellness and Health. •Supported by policies and effective leadership, promote wellness and prevention at the community, state, and national levels. Combine highly focused promotion about health and wellness with health education. Assure a System that is Equitable and Just.• Develop health incentives by integrating oral health and overall health and by establishing health equity as the norm. Build a “collective will” across this country to advance prevention by deploying policy to support and motivate prevention. Engage the Public and Increase Awareness about Oral •Health. In a clear, concise, culturally appropriate manner, deliver unifying messages, which are upheld by effective leadership at all levels. Provide guidance about oral health over a person’s lifespan, while promoting health, reducing disease disparities, and embracing a culture of inclusivity. Implement a Financing Strategy to Support Prevention.• Incentivize prevention, while recognizing that change takes time. Align finance systems with the culture of prevention, which is strengthened by messages that communicate health literacy and prevention successes. Implement innovative payment systems that allow for multiple access points.


16. MAINTAINING YOUR SANITY AND VIABILITY AS A MEDICAID PROVIDER Steven P. Geiermann, DDS, American Dental Association

Despite misconceptions and fears associated with being a Medicaid provider, treating this population can be rewarding and contribute positively to the practice of private and public practitioners. The ADA, CMS, and other partners are actively encouraging greater provider participation by sharing promising practices intended to reduce the challenges and increase the opportunities of serving this population. This roundtable seeks to engage interested parties in sharing their advice on improving this system. Topics can include credentialing, compliance, fraud investigation, advocacy and use of state dental Medicaid

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advisory committees. How does collaboration between the state oral health director, state dental Medicaid director and the state dental society executive director make a difference in increasing access to Medicaid-eligible individuals?


17. STRATEGIES FOR ORAL HEALTH COMPETENCIES AND IMPLEMENTATION FOR NON-DENTAL HEALTH CARE EDUCATIONAL PROGRAMS

Louise T Veselicky DDS, MDS, Med West Virginia University School of Dentistry, Morgantown, WV; Gina Sharps, RDH, BS MPH Regional Oral Health Coordinator, Marshall University Huntington WV; Bobbi Jo Muto, RDH, BS, MPH Candidate Regional Oral Health Coordinator, Marshall University Huntington WV; Christina Mullins, MA, WVDHHR – Office of Maternal, Child and Family Health; Deonna Williams, MS, CHES, WVDHHR – Oral Health Program; Jason M. Roush, DDS, WVDHHR – Oral Health Program

The IOM reports on Advancing Oral Health in America and Improving Access to Oral Health Care for Vulnerable and Underserved Populations, the HHS Oral Health Initiative, AAMCs Integrating Oral Health in Medical Education Model Curriculum and the Smiles for Life Curriculum have all emphasized the need for the development of a core set of oral health competencies for non-dental health care programs and some have offered core modular based curriculum to accomplish this goal.

This Round Table will utilize the suggested topic areas from the IOM reports and recommend a core set of oral health competencies; summarize the readily available on line curriculum from AAMC as well as Smiles for Life; suggest approaches for including the oral health competencies in the competency domains as defined by the Core Competencies for Interprofessional Collaborative Practice Report from May 2011; and discuss methods that are being developed for implementation into West Virginia medical schools giving each student the ability to actively participate in the oral health educational process. Real life challenges will be discussed and participants will be encouraged to engage in designing creative solutions to meet these challenges so that key strategies for an effective implementation of a solid oral health curriculum can be utilized in multiple non dental health care programs nationwide.

SOURCE OF FUNDING: WVDHHR - WV Oral Health Program and DentaQuest OH2014

18. IMPACT CRESCENT COMMUNITY HEALTH CENTER’S DENTAL DEPARTMENT ON UTILIZATION OF ORAL HEALTH CARE FOR LOW SOCIOECCONOMIC AND MEDICAID POPULATIONS

Sharon M. Grisanti, RDH, BA Crescent Community Health Center’s (CCHC) Dental

Department recognizes barriers in oral health care lay in socioeconomic status (SES), race, insurance status, gender, age, and region. These components can place critical restrictions on access and utilization to having oral health issues met. This study will measure the effect patient characteristic have on specific dental procedures. Analyses from this study will serve as a resource for other Federally Qualified Health Center’s (FQHC) and a benchmark for CCHCs Dental Department to measure achievement in reducing oral health inequities, develop future oral health goals and aid in grant writing to further increase access to utilization of oral health services for vulnerable populations. FQHCs are a primary safety net solution for vulnerable populations and help to decrease the barriers and inequities

that at-risk populations face in accessing and utilization of oral health care. FQHCs with a dental component serve the 30% of the U S population with the greatest health disparities: ethnic and racial minorities, the uninsured, underinsured, rural residents and publically insured. FQHCs need research to evaluate efficiency, and promote oral health in minorities where financial barriers exist, and develop preventive strategies to increase access to oral health. Health Resources and Services Administration’s (HRSA), Bureau of Primary Health Care (BPHC), Uniform Data System (UDS) gives an overall analysis of medical and dental data combined for the states but little detail is given for specific dental measures and how demographics influence types of dental service utilization. This report will provide these measures.


19. COLLABORATIVE EFFORTS TO IMPROVE ACCESS TO CARE DURING PREGNANCY

Homa Amini, DDS, MPH and Beth Noel, RDH Good oral health during pregnancy is necessary for the

health of the mother and her baby. Dental care during pregnancy is safe, effective, and recommended. Access to dental services during pregnancy not only improves the overall health of pregnant women, it also provides an opportunity to counsel patients concerning harmful maternal behavior (for example, the use of tobacco, alcohol, and recreational drugs), proper oral hygiene/diet, and infant oral health. In the US, only 22% to 34% of pregnant women visit a dentist during pregnancy. Lack of perceived need, financial barriers, dentist’s reluctance and misunderstanding about safety of dental care during pregnancy, and lack of referral by prenatal care providers are among common barriers. This presentation will discuss strategies used to improve access to dental care for pregnant women in Columbus, Ohio. We will describe a community-based intervention project, program components and outcomes in addition to articulating lessons learned, including barriers and pitfalls. Oral health assessment and treatment should be part of comprehensive prenatal care for all women.

SOURCE OF FUNDING: Ohio Dental Association

20. DDE…EH…D1…D2-D3…ECC…IS IT ABOUT TIME? OR WHERE DO YOU DRAW THE LINE?

Susan G. Reed, DDS, MPH, DrPH, Associate Professor, Departments of Pediatrics, Stomatology; Carol L. Wagner, MD, Professor of Pediatrics, Associate Director MUSC Clinical and Translational Research Center, Medical University of South Carolina

Developmental defects of enamel (DDE) when scored using the Enamel Defects Index (EDI) includes categories of opacities, hypoplasia, and post-eruptive breakdown. Early childhood caries (ECC), when scored using a modified D1-D3 version of the earlier criteria, includes categories of non-cavitated (d1) and cavitated (d2- d3) lesions. With the re-discovery of enamel hypoplasia as a factor that increases the risk for ECC, there is the need to detect and score enamel hypoplasia in the primary dentition. This detection and scoring may occur from a clinical examination or from digital images. And making that decision -- is it hypoplasia or is it a cavitated lesion; is it an opacity or is it a non-cavitated lesion – is called into service as the research in this area of early childhood caries progresses. This roundtable discussion will focus on DDE, EH, d1, d2- d3, ECC and definitions and confusions. Background information and summaries of pertinent studies of the indices will be provided to assist one’s participation in the discussion. Both smooth and occlusal surfaces will be considered,

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with an emphasis on the primary dentition. Major questions for discussion include, “Is it just about time (EH to ECC)?” and “Where are the lines drawn between the definitions and how useful are these lines?” Discussion may include what roles that these indices will contribute to better understand dental caries prevention

SOURCE OF FUNDING: Thrasher Research Fund, NICHD/NIH

21. INCORPORATING ORAL HEALTH INTO HOME VISITING SERVICES: THE KANSAS STORY

Kathy Hunt, RDH, Kansas Head Start Association; Marcia Manter, MA; Oral Health Kansas

This roundtable offers participants a detailed description of the strategies and materials that make up Kansas’ comprehensive oral health home visiting initiative.

With the goal of helping families raise cavity free kids, this educational initiative provides all Kansas home visitors and their organizations with resources, knowledge and skills to incorporate oral health into their curriculum. Resources include three workshops: Teeth for Two (pregnancy) and Teeth for Tots (birth to three). Each workshop is based on a resource guide that offers a series of oral health lesson plans for family visits. The lesson plans cover individual topics relevant to establishing and maintaining good oral health. In 2012 Kansas expanded its services to include a Motivational Interviewing workshop to provide a communication strategy for increasing adoption of oral health practices that reduce oral disease.

Participants will have the opportunity to examine:Teeth for Tots, infant/toddler curriculum for parent •educators Teeth for Two, prenatal curriculum for parent educators•Results from participant back home plans and follow-up •surveyMotivational Interviewing using oral health topics•Parent oral health handout materials to reinforce evidence •based practices Successful strategies that led to the collaboration and •inclusion of all Kansas home visiting programs

SOURCE OF FUNDING: Delta Dental of Kansas Foundation, United Methodist Health Ministry Fund, REACH

22. DEMONSTRATING RETURN ON INVESTMENT TO FUNDERS AND OTHER KEY STAKEHOLDERS

Dori Bingham You received that all-important grant—now how do you

demonstrate that you made the best possible use out of the funder’s investment in your program? More than ever, funders who invest in oral health program expect their grantees to be able to document how the grant project improved oral health outcomes for the target population. Come to this roundtable to gain insights on how funders look at return on investment, how they measure success and how you can hardwire your program to ensure the results you achieve are meaningful in the eyes of funders and other key stakeholders. Learn the common missteps grantees make in documenting and reporting results and strategies for making your program shine!


23. INCREASING ACCESS TO CARE FOR OLDER ADULTS USING THE INCURRED MEDICAL EXPENSE BENEFIT

Michael J. Helgeson, DDS, Apple Tree Dental; Greg Folse, DDS, Outreach Dentistry; Sarah J. Dirks, DDS, Geriatric Dental Group

of South Texas, P.A.; Barbara J. Smith, MPH, PhD, American Dental Association

Approximately 1.3 million nursing home residents face barriers to accessing dental care. This number is expected to increase rapidly with the aging of the Baby Boomer generation. This presentation will give attendees an opportunity to learn more about the use of Incurred Medical Expense (IME) benefits that can help most nursing facility residents who are enrolled in Medicaid pay for dental care. Widely used by residents who need new eyeglasses, hearing aids or podiatry services, IME can also be applied to dental services that are medically necessary but not covered by Medicaid. The process enables nursing facility residents to use their monthly income, usually applied to their nursing home care, to receive health care services not covered under Medicaid. The session will include an overview of how the IME works, recognizing that each state will have variations in procedures for IME, and will highlight the importance of collaborating with Medicaid to educate providers about the use of the IME benefit to increase access to care for older adults.


24. THE TRIPLE AIM: RISK-BASED PREVENTION AND MANAGEMENT OF ECC AS A CHRONIC DISEASE

CMS aspires to partner with States to deliver Medicaid services in a way which achieves the triple aim: better patient care, improved population health, and reduced costs through improvement. Achieving this goal is a challenge in children’s oral health given current Medicaid benefit designs and payment structures. CMS is considering ways to support a risk-based prevention and chronic disease management approach to early childhood caries. Interested persons are invited to participate in this listening session to examine how the public health community might collaborate on this effort, and how it might be impacted.


25. WORKFORCE SURVEY OF RHODE ISLAND DENTAL HYGIENISTS

Junhie Oh, BDS, MPH, Rhode Island Department of Health Oral Health Program; Laurie Leonard, MS, Rhode Island Department of Health Oral Health Program; Marie Jones-Bridges, CDA, RDH, BS, RI Dental Hygienists’ Association; Maryellen Simas, RDH, BS, Rhode Island Dental Hygienists’ Association; Maureen Ross, RDH, BS, RI Oral Health Commission Workgroup on Oral Health Workforce, St. Joseph Health Services of RI Department of Dentistry

From July–November 2012, the Oral Health Program at the Rhode Island (RI) Department of Health conducted a statewide survey of dental hygienists in collaboration with the RI Dental Hygienists’ Association and the RI Oral Health Commission Workgroup on Oral Health Workforce. The purpose of the survey was to gather accurate and comprehensive information about RI licensed dental hygienists to facilitate RI oral health workforce planning. Questions addressed employment characteristics; practice hours; location (in-state/out-of-state); practice setting; administration and/or educational need of local anesthesia, nitrous oxide and oral-systemic health; professional satisfaction; continuation/discontinuation of practice in the next 3-5 years; and potential practice environment change that may be associated with the current economic recession. Overall, 69% of dental hygienists actively licensed in RI (650 of 944) completed the mail survey. Roundtable presenter will discuss survey findings, specific strategies and actions derived from

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the survey, and survey utilization to strengthen partnerships with stakeholders, including RI dental providers, the RI dental hygiene educational institution, state agencies and the RI Oral Health Commission.

SOURCE OF FUNDING: Health Resources and Services Administration (HRSA) State Oral Health Workforce Grant T12HP14663

26. ENHANCING CULTURAL AND LINGUISTIC COMPETENCY SKILLS AMONG ORAL HEALTH PROFESSIONALS USING E-LEARNING

Crystal L. Barksdale, PhD, SRA International, Inc.; C. Godfrey Jacobs, SRA International, Inc.; Jennifer Kenyon, SRA International, Inc.

To help address oral health inequities, the Department of Health and Human Services (HHS) Office of Minority Health (OMH) has developed an e-learning program to equip oral health professionals with the knowledge and skills necessary to provide culturally and linguistically appropriate services in order to address the oral health needs of diverse populations. OMH’s e-learning program development process includes a literature review, focus groups, and an advisory panel of stakeholder experts representing private practice, Federal agencies, and academic institutions in the dental, dental hygiene, and dental assistant professions.

This roundtable will briefly describe the development process of this e-learning program, entitled Cultural Competency Curriculum for Oral Health Professionals, with particular emphasis on partnerships with stakeholder experts. The session will present the importance of stakeholder buy-in and techniques used to achieve it for this initiative, including a series of in-person and virtual meetings. In addition, the session will detail the ways that the stakeholder feedback informed the development of the content, features, and format of this e-learning program. To highlight the final product of this process, the e-learning program itself will be presented, with a live demonstration of the Web site.

SOURCE OF FUNDING: U.S. Department of Health and Human Services’ Office of Minority Health

27. HEAD START DENTAL ASSESSMENTS – THERE’S AN APP FOR THAT!

Linda Mann, RDH, EPP, Community Outreach Coordinator, Capitol Dental Care; Karen Ayers, Program Development Coordinator, Oregon Child Development Coalition; Bruce Boyer, President, Oral Health Solutions, Inc.

Head Start requires an assessment by a health care professional to determine if a child is up to date on a schedule of age appropriate preventive and primary health care that includes oral health care. Site based and community based programs are effective ways to promote oral health and prevent oral disease through collaborative partnerships. In Oregon, the Head Start Dental Home Initiative (DHI) work group has agreed upon a standardized “Assessment form” which includes the ASTDD BSS indicators for each Head Start across the state to use. Through this process Head Start staff can determine the needs of each child to ensure the necessary oral health services are obtained in a timely manner. This form is available as a tablet-computer App that allows data to be easily captured in the field. It can be customized to each program’s needs while allowing BSS data to be easily shared and compared state wide and nationwide. The

App is currently being piloted in two counties with over 1,000 Head Start children participating. By the end of the school year nearly 3,500 visits will be entered into the system with the potential to track these children over time.

Through partnerships with local Dental Care Organizations (DCO’s) the DHI leadership team has helped to ensure dental homes for Head Start children throughout Oregon. The use of the Dental Assessment App will now ensure that meaningful data is captured in order to ensure attainment of oral health targets for children.

SOURCE OF FUNDING: Partial funding by National Institute for Health. Presenter supported by Capitol Dental Care

28. TAP IN TO YOUR HEALTH: A FLUORIDATION TOOLKIT WITH RESOURCES AND MATERIALS FOR FLUORIDATION CAMPAIGNS FROM THE ADA

Jane S. McGinley, RDH, MBA; American Dental Association; Sharon R. Clough, RDH, MS Ed; American Dental Association; Leslee Williams, BS, American Dental Association

The American Dental Association has created a tool kit containing a number of materials to support efforts to initiate or retain community water fluoridation. Many successful fluoridation campaigns are the efforts of a coalition of many community members, oftentimes including local dental societies, health organizations and local government. This tool kit, which is updated periodically, is intended to provide you with background and assistance from the American Dental Association in building a community water fluoridation campaign. Available electronically, some of the materials are general information while others are created so that they can be customized with specific local information and distributed publicly. Kit materials will be discussed including the next edition of ADA’s premier resource, Fluoridation Facts.


29. SMILES ACROSS PINAL COUNTY: ADDRESSING ORAL HEALTH DISPARITIES THROUGH A PORTABLE AFFILIATED PRACTICE SCHOOL-BASED DENTAL SEALANT PROGRAM

Michelle L. Gross-Panico, RDH, MA, DHSc; Yvette Thornton, RDH, BS; Heather A. Johnson, RDH, Med

OBJECTIVES:Describe a community-based intervention that addresses a •workforce shortage by implementing a portable Affiliated Practice school-based dental sealant programDiscuss the program evaluation process•

METHODS: In September 2011, ATSU ASDOH launched a portable Affiliated Practice (AP) school-based dental sealant program in the rural town of Apache Junction, AZ. The program is grant funded and is implemented by three AP dental hygienists. With the help of 3rd year ASDOH students and school nurses, qualifying children in 2nd, 3rd, 6th and 7th grade can receive screenings, education, sealants, and fluoride varnish treatments. The target population is children at high risk for oral disease who have low dental literacy and are from low-income families. A pre/post-tests is used to measure change in knowledge. Retention checks of sealants are performed to evaluate quality of care. A partnership with the Arizona Office of Oral Health provides the program with calibration and data reporting.

RESULTS: Since September 2011, the program has provided 445 screenings, 644 fluoride applications, 1,216 children with

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education, and 347 children with sealants. The sealant retention rate is 96% and pre/post-tests measured a 23% improvement in knowledge. The consent form return rate had been low so creative strategies were implemented to affect change.

CONCLUSIONS: This program is unique in Arizona because it utilizes Affiliated Practice to provide fluoride varnish treatments and sealant application to high-risk children and public health experience for dental students. Positive survey feedback reinforces the value of the program for AJUSD children and ASDOH students.

SOURCE OF FUNDING: Oral Health America and National Children’s Oral Health Foundation

30. A PRE-DOCTORAL DENTAL AND DENTAL HYGIENE CURRICULUM IN DENTAL PUBLIC HEALTH

Ana Karina Mascarenhas, Kathryn A Atchison, Mike Manz, Vinodh Bhoopathi

For an American Association of Public Health Dentistry (AAPHD) project funded by Health Resources and Service Administration (HRSA), a ready to use curriculum for pre-doctoral dental and dental hygiene education programs about the mission and practice of Dental Public Health is underway. In this session the authors will present at least 2-3 readily available, completely developed modules that include both power point presentations and student activities. These modules are readily available to be pilot-tested at different pre-doctoral dental and dental hygiene programs. Process involved in obtaining the module materials from AAPHD and pilot testing will be discussed. This session will also highlight the goals and objectives of this HRSA funded AAPHD project. Future directions and steps of the project will be discussed. Opportunities for AAPHD members and dental public health and public health faculty to participate in the project and in a Speaker’s Bureau will be identified.

SOURCE OF FUNDING: This program is supported by Health Resources and Service Administration grant, D83HP19949

31. CREATING A COMMUNICATION PLAN AND EVALUATING

COMMUNICATION STRATEGIES Isman, Beverly A, RDH, MPH, ASTDD; and ASTDD Communications

Committee Surveys of state dental directors in 2009 and 2012

revealed that less than 10% of respondents had developed a comprehensive communication plan for their programs. A few additional programs had developed targeted plans for specific activities or documents. In a similar vein, few states had ever evaluated the effectiveness of their communications. In 2010 the ASTDD Communications Committee created a Communication Plan Template for a Specific Communication Goal and a Summary Communication Plan Template for All Goals to help states plan and evaluate key messages, communication channels, activities, materials, timelines, resources needed and responsible parties. Although originally created for state oral health programs, the templates can be used for any type and any level of program. ASTDD committees use the template when developing documents and webinars. CDC is using a similar form for their funded states to use when planning how to communicate evaluation results. Roundtable participants will review the key components of the templates and the glossary of terms, see examples of completed plans, and start to create a plan of their own. Resources for communication planning and evaluation will be shared. SOURCE OF FUNDING: Funded by CDC Cooperative Agreement 5U58DP001695

32. OOPS! ORAL HEALTH LEFT OUT AGAIN? THE CRITICAL STEPS USED TO SEAMLESSLY INCLUDE ORAL HEALTH IN THE PATIENT CENTERED MEDICAL HOME

Mark J Doherty, DMD, MPH, CCHP Many of the Patient Centered Medical Home models have

neglected to include dental in the PCMH model in a meaningful and truly inclusive way. This discussion will center around what inclusion of dental should look like. It will discuss what the steps would be to include Oral health before the PCMH model is designed or how to integrate dental into an already designed and executed PCMH that does not include a significant dental component.

SOURCE OF FUNDING: DentaQuest Institute

33. DENTAL HYGIENE DIRECTIONS: CAREERS IN PUBLIC HEALTH

Christine Farrell, RDH, MPA; Anne Varcasio, RDH, MA; Nicole Glines, RDH, MPH ---Indian Health Services; Julianna Gelinas, RDH, BS

The American Dental Hygienists Association (ADHA) conducted an environmental scan by its members. The results demonstrated that dental hygienists were interested in dental hygiene practice settings that addressed the access to care problems. As a result, the ADHA, Council on Public Health, developed profiles of public health positions at the local, state and federal levels. This profile provides dental hygienists an overview of the education, experience and requirements necessary for these positions. This career profile is being marketed to students, dental hygiene program educators and practicing dental hygienists as a tool for dental hygienists interested in public health and/or alternative practice settings. The resource tool will be discussed and reviewed with input into the use of this resource tool and how it can be used to engage dental hygienists and students to becoming involved in public health.


34. EXPANDING INTEREST IN DENTAL PUBLIC HEALTH AMONG DENTAL STUDENTS AND FACULTY

S. N. Challa, BDS, MSPH; J. E. M. Steffensen, MPH, MCHES; A. Longoria, BA, MA; S. Shin, BS; A. Cothron, BS, MS; D. Cappelli, DMD, MPH, PhD

The University of Texas Health Science Center at San Antonio (UTHSCSA) Dental School developed symposia for students/faculty promoting opportunities in dental public health. Students organized a chapter of the American Association of Public Health Dentistry (AAPHD). OBJECTIVE: To describe a program that promotes student and faculty awareness about dental public health careers. METHODS: Speakers were invited to present a seminar to dental students and faculty. Past seminars included presentations from the Indian Health Service, Correctional Dentistry, Rural Dentistry, Community Health Center, Global Oral Health, and the specialty of Dental Public Health. Each presenter described their career in dental public health. Students who were pursuing a MPH or completed a MPH were identified to form the AAPHD student chapter.

RESULTS: An average of 44 students and faculty attended the seminars (range: 30-56). Of the attendees reporting, 88% found the information useful. Comments reinforced that this series had an impact on student perceptions. The largest number of comments focused on a positive application of the information. The AAPHD student chapter received its charter from AAPHD,

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and participated in the Health Career Expo where over 1,200 local university and high school students were introduced to health careers. The student chapter developed a presentation and activities introducing students to dental public health careers. CONCLUSION: UTHSCSA created interest in dental public health opportunities and careers through student-focused activities. This model can be used in dental schools and dental hygiene schools to increase awareness of career opportunities in dental public health. (Supported by HRSA D85HP20041).

SOURCE OF FUNDING: Pre-doctoral Training in Dental Public Health, HRSA, D85HP20041

35. FORWARDING PUBLIC ORAL HEALTH WITH THEORETICALLY FRAMED PARTNERSHIPS, PLANNING, PROGRAMS, AND POLICIES

Amy Brock Martin and Christine Veschusio BACKGROUND: In 2003, the IOM called for agency-academic

partnerships to ensure public health’s future effectiveness. In 2006, South Carolina’s Department of Health and Environmental Control, Division of Oral Health (DOH) began a partnership with the South Carolina Rural Health Research Center (SCRHRC), University of South Carolina to address dental disparities.

METHODS: DOH and SCRHRC used a collaborative leadership model, engaging the SC Oral Health Advisory Council and Coalition, to develop a 5-year state oral health plan (SOHP). SCRHRC facilitated its development using PRECEDE-PROCEED as the framework. Guiding principles were adopted by partners to ensure ownership of the planning process.

RESULTS : The partnership has demonstrated oral health program and policy achievements and health status improvements during a time of government retraction. $2,315,000 in funding has been leveraged from federal and philanthropic sources. Since 2009, SC ranked among the highest nationally by Pew Center on the States. State legislation was passed calling for infrastructure to improve access to dental care. Dental treatment recommendations for pregnant women and young children were developed. The education department integrated oral health into school health and safety standards. Medicaid reimbursement policies for fluoride varnish by non-dental providers were enacted. School nurse dental screening and fluoridation advocacy trainings were conducted statewide. Rates of untreated decay and treatment urgencies among vulnerable children decreased.

CONCLUSION: SC developed a theoretically-framed SOHP to provide direction to the state’s oral health agenda. SC’s strategic public health-academic partnership has leveraged resources to demonstrably impact the oral health status of the state’s most vulnerable populations.

SOURCE OF FUNDING: Centers for Disease Control and Prevention and the DentaQuest Foundation

36. MARKETING AND COMMUNICATION STRATEGIES FOR MAXIMIZING DENTAL PROGRAM SUCCESS

Kelli Ohrenberger Marketing in a public health dental program is commonly

overlooked or avoided for a variety of reasons. However, having a solid marketing, communications and community outreach/partnership plan for patients as well as the community service area can provide many benefits for the dental program without causing a strain on a program’s resources. This roundtable will not only discuss some reasons why marketing can benefit your dental program, but also discuss strategies for using marketing

and communication (both internally and externally) to increase access to care, improve financial sustainability, and strengthen partnership with other community service organizations.


37. MATERIALS AND TRANSLATION TOOLS TO PROVIDE ORAL HEALTH EDUCATION TO NON-ENGLISH SPEAKERS

Jolene Bertness This roundtable will provide information for health

professionals about finding materials and using translation tools to provide oral health education to individuals who speak a language other than English. Topics will include best practices and standards for communicating health information, health literacy and plain language initiatives, glossaries and medical dictionaries, and tools for assessing and implementing interpretation and translation services. Information about accessing materials in non-English languages including automated translation tools (e.g., smartphone applications) will be presented. The discussion will also provide an overview of the following National Maternal and Child Oral Health Resource Center services: specialized library, materials, information requests, website, announcement and discussion lists, and social media.

SOURCE OF FUNDING: Health Resources and Services Administration, Maternal and Child Health Bureau

38. A CLOSER LOOK AT THE SYSTEMATIC SCREENING AND ASSESSMENT OF ORAL HEALTH WORKFORCE INNOVATIONS

Michelle Revels, MA (1); Karen Cheung, MPH (1); Elizabeth Jacobs, MPH (1); Mary Ann Hall, MPH (1); Kari Cruz, MPH (1); David Krol, MD, MPH, FAAP (2)

ICF International (1), Robert Wood Johnson Foundation (2) In 2012, as part of the Systematic Screening and Assessment

of Oral Health Workforce Innovations project, researchers solicited nominations of promising workforce models and convened a panel of experts to review and select innovations for evaluability assessment (pre-evaluation) site visits. The purpose of these evaluability assessments was find innovations that were ready for evaluation and highly promising in terms of effectiveness, reach to the target population, feasibility, and generalizability. Between September-December 2012, trained site visitors conducted 3-day site visits to 25 innovations and workforce models that aimed to increase access to preventive oral health services. Prior to each visit, site visitors reviewed background documents and developed a preliminary logic model summarizing their understanding of the intervention design. During the site visit, the team used semi-structured guides to interview about 9-12 program staff members and stakeholders. During the last day of the site visit, EA site visitors facilitated a debriefing session with the program director and other key staff clarify their understanding of the program, refine the draft logic model, and discuss potential evaluation questions of interest. This roundtable will describe programs that participated in the evaluability assessments and will also discuss the common themes and findings from the evaluability assessments.

SOURCE OF FUNDING: Robert Wood Johnson Foundation

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39. EVALUATION OPPORTUNITIES OF ORAL HEALTH WORKFORCE INNOVATIONS

Karen Cheung, MPH (1); Elizabeth Jacobs, MPH (1); Mary Ann Hall, MPH (1); Kari Cruz, MPH (1); Michelle Revels, MA (1); David Krol, MD, MPH, FAAP (2); Lisa Carver, MPH (1) ICF International (1), Robert Wood Johnson Foundation (2)

As part of the Systematic Screening and Assessment of Oral Health Workforce Innovations project, a team of researchers conducted evaluability assessments (pre-evaluation site visits) to 25 innovations across the country. Two key products from these evaluability assessments included: (1) logic models that describe and link program resources and activities to outcomes and (2) potential evaluation questions and evaluation design options. In this roundtable, we will share logic models from various oral health workforce innovations. Using the logic model as a tool, we will discuss how to derive suitable outcome evaluation questions. We will explore common existing data sources that may help demonstrate improved outcomes and impact and describe potential data collection efforts. In addition, we will discuss common themes from the current project that illustrate examples of outcome evaluation opportunities.

Source of Funding: Robert Wood Johnson Foundation

40. WV ADULT ORAL HEALTH PROGRAM: TAKING LITTLE AND ACHIEVING MUCH WITH COLLABORATION

Paula W. Legge, Program Manager, Adult Dental Services; Jason M. Roush, DDS; Christina R. Mullins, MA

The West Virginia Adult Oral Health Program administers two unique state dental programs for adults: Pre-Employment Dental Program and Donated Denture Project.

ROUNDTABLE TOPICS Pre-Employment is a WVWorks’ support service for the

purpose of transitioning adults from welfare to work. County family support specialists identify eligible individuals and complete a referral good for one year giving them up to $3,300 (a lifetime benefit) in covered dental services. Participating dental providers in the program agree to accept reimbursement rates as specified in the fee schedule. Since 2000, the pre-employment program has been instrumental in assisting persons in securing employment and advancement as well as improving self-esteem and oral health in general.

Donated Denture provides dentures or partials for a limited number of low-income senior citizens (65 or older with incomes below 133% of the federal poverty level) and adults with disabilities (SSI - Supplemental Security Income recipients, age 21 or older). No other dental services are provided and eligible individuals must be “denture-ready” for placement. Participating dentists volunteer their services and the program reimburses the lab fees only for dentures or partials. Dentists receive continuing education credits (ceu’s) for their services. Since 2004, the Donated Denture Project has helped thousands of indigent West Virginians improve their oral health as well as their general health and appearance. Recently, additional funding has enabled the project to assist some low income-persons (not on SSI) whose teeth were extracted due to medical conditions, and low-income workers who cannot qualify for the Pre-Employment Dental Program.

SOURCE OF FUNDING: Pre-Employment -Temporary Assistance for Needy Families (TANF), WV State Funding – Donated Denture Project

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Monday Poster Presentations (Posters 1-30)

Poster Number: 1Serial/Abstract Number: 61 USE OF RESTORATIVE PROCEDURES AMONG ALLIED DENTAL

HEALTH PERSONNEL IN MINNESOTA Jennifer J. Post, RDH, BS, Master of Dental Hygiene Candidate, (1); Jill L.

Stoltenberg BSDH, MA, REF, (1) University of Minnesota, Minneapolis, Minnesota, USA (1) OBJECTIVES: To examine the extent to which allied dental

health personnel (dental assistants and dental hygienists) use restorative expanded functions (REF) training, how the training is implemented in dental practice, and whether patients from underserved populations have benefitted from this 2003 state legislation. METHODS: A list of 387 practitioners certified in REF was obtained from the Minnesota Board of Dentistry. The survey was mailed to the entire sample of 157 registered dental assistants (RDA) and 230 registered dental hygienists (RDH). Descriptive statistics were used to summarize the data. RESULTS: There was a sixty-four percent response rate. Seventy-one percent of RDA and 18% of RDH respondents reported utilizing REF skills in clinical practice. Of those using the REF training, almost 90% received their training through a continuing education program. Over 50% were practicing outside the Minneapolis/St. Paul metropolitan area. Those practicing in greater Minnesota reported treating more children (1-12 year olds) than those in the metropolitan area (T-test; p<.05). Increased access and an increase in the number of patients treated were identified as outcomes of REF. For those not utilizing REF, the most frequently cited reason was non-delegation of these skills by the dentist. CONCLUSIONS: REF is utilized primarily by RDAs in practices that are nearly equally distributed between the Twin City metropolitan area and greater Minnesota. Perceptions of those utilizing this function indicate a positive impact on clinical practice. Consideration should be given to including REF in the curriculum of RDA programs. SOURCE OF FUNDING: None

Poster Number: 2Serial/Abstract Number: 13 ASSESSMENT AND DENTAL MANAGEMENT OF PATIENTS WITH

VON WILLEBRAND DISEASE Elif Aksoylu (1), Henry Martinez (1), Rebecca Schaffer, DDS, (1)

Arizona School of Dentistry and Oral Health, Mesa, Arizona, USA (1) OBJECTIVE: Von Willebrand Disease ( VWD) is the most

common congenital bleeding disorder, affecting approximately one per cent of the population worldwide; gingival bleeding is one of the most common symptoms. It is believed that the condition is underdiagnosed. Our objectives are to assess the dental experiences of patients with VWD for the purpose of developing dental management guidelines, and to educate dentists in screening for the disease. METHODS: A 13-question survey was administered to adults with VWD as well as parents of children with VWD at the National Outreach von Willebrand conference in February 2012. A total of 55 respondents answered questions regarding oral hygiene habits, frequency and basis of prior dental visits, bleeding events following dental visits, dentist attitudes toward treatment following disclosure of VWD, and dentist-hematologist contact prior to delivery of dental treatment. RESULTS: Eighteen percent of respondents reported being refused dental treatment upon disclosure of VWD history while 81% of respondents reported that their dentist did not consult their hematologist prior to delivering dental treatment. More than half of

those surveyed (56%) reported adverse bleeding events following dental procedures. Furthermore, the majority of respondents (67%) reported gingival bleeding, and 38% had not visited a dentist in the past 6 months. CONCLUSIONS: Our results demonstrate that dental professionals should be educated so that they can properly screen and treat patients who present with von Willebrand disease. In turn, this will improve access to care amongst individuals with this disorder. SOURCE OF FUNDING: A.T. Still University: Arizona School of Dentistry and Oral Health

Poster Number: 3Serial/Abstract Number: 22 DENTAL THERAPY PROFILES: A CLOSER LOOK AT MINNESOTA’S

NEWEST TEAM MEMBER Amanda Nagy, MPH (1)

University of Minnesota School of Dentistry, Minneapolis, MN, USA (1) OBJECTIVE: In 2011, the first cohort of dental therapists

graduated from their education programs and entered the dental workforce. The objective of this project is to understand the initial experiences of dental therapists as they find employment in various practice settings throughout the state of Minnesota. METHODS: In-depth interviews were conducted with ten dental therapists and their employers regarding practice models, general employment terms, and surprises/challenges faced. RESULTS: Collected data revealed that there is not one standard model for employing dental therapists. Each organization utilized their therapist in a manner that was unique to their clinic; taking clinic type, location and patient population into account. Clinic employers shared both benefits and challenges faced by incorporating dental therapists into the oral health team. Dentists have been able to extend dental care to more low income patients and focus on the more complex patient cases. Challenges have primarily focused around the Collaborative Management Agreement and mechanisms of billing. CONCLUSIONS: This project provides the first insight into how dental therapists are being incorporated into the dental workforce. The utilization of dental therapists in Minnesota is in its infancy. As the field evolves, it will be important to continue to understand how therapists are being utilized in different types of clinical settings. SOURCE OF FUNDING: University of Minnesota School of Dentistry

Poster Number: 4Serial/Abstract Number: 24 THE UTILIZATION OF MYSMILEBUDDY COMPUTERIZED

MOTIVATIONAL INTERVIEWING APPLICATION TO IDENTIFY ISSUES THAT MAY FACILATATE OR HINDER GOOD DIEATARY HABBITS WHICH POSSITIVELY PROMOTES GOOD ORAL HEALTH.

Stacy Stewart, DMD (1); Athanasios Zavras, DMD, MPH (1) Courtney Chinn, DMD, MPH (1); Carol Kunzel, MPH (1) Columbia University, New York, New York, USA (1)

OBJECTIVE: To see if guardians to children age 6 and under can recall their goal and action plan, what barriers and or facilitators of implementation occurred, and whether the plan was implemented 1 week later after motivational interviewing utilizing MSB. Additionally this project aims to identify several diet-related risk factors for ECC, including associations between ECC and consumption of specific foods and dietary intake patterns among participants. METHODS: The primary care-giver or parent will receive dietary counseling through the MySmileBuddy IPad application and be asked to

Abstracts for Poster & Student PresentationsAbstracts for Oral Presentations are published in the Program Book.

If presenter’s intent to participate was not received prior to printing, it is possible that some abstracts listed will not be presented.

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set dietary goals to improve their diet and thus improve their oral health. They will be called by telephone in 1 week time post interview to investigate if they can recall their goals and action plan, what barriers and or facilitators of implementation occurred, and whether the plan was implemented. RESULTS: Motivational Interviewing promotes patient awareness, dietary counseling, and issues face that influence their ability to achieve their dietary goals.

CONCLUSION: This unique and modernized usage of computerized application to identify dietary risk factors that results in ECC and identifying the barrier faced by the parents or primary caregivers, helps health care providers and policy makers develop strategic plans to eliminate such obstacles thus improve the quality of life for United States Children. SOURCE OF FUNDING: None

Poster Number: 5Serial/Abstract Number: 40 WEST VIRGINIA’S DENTAL AND DENTAL HYGIENE WORKFORCE

SURVEY: A BUILDING BLOCK TO UNDERSTANDING STATE WORKFORCE ISSUES

Richlyn Yond, MPH (1); Gina Sharps, MPH, RDH (2); Christina Mullins, MA (1); Jason Roush, DDS (1) West Virginia Department of Health and Human Resources, Charleston, WV, USA (1), Marshall University School of Medicine, Huntington, WV, USA (2)

OBJECTIVE: To gain insight on clinically active dentists and dental hygienists working in West Virginia along with assessing the retirement plans, barriers to practice, and other key factors in the decision to continue offering clinical services. METHODS: The West Virginia Dental and Dental Hygiene Workforce surveys were created by the West Virginia University School of Dentistry and the Oral Health Program. These optional surveys were distributed to West Virginia dentists and dental hygienists during the 2012 license renewal by the West Virginia Board of Dental Examiners (WVBDE). The WVBDE sent 1,236 surveys to dentists seeking license renewal with a return rate at 57% (n=706) and 1,335 surveys were sent to dental hygienists with a return rate of 53% (n=708). RESULTS: The survey results demonstrated that the vast majority of dentists were educated at West Virginia University (81%); however, the proportion of dental school graduates that remain in the State after the completion of their degree is decreasing. Additionally, 37% of dentists in West Virginia plan to retire in the next ten years and 17% of dentists are interested in recruiting a dentist to replace them after retirement. CONCLUSION: This study will help guide future activities to assure the availability of a qualified oral health workforce well into the future. SOURCE OF FUNDING: None

Poster Number: 6Serial/Abstract Number: 29 ASSESSMENT OF SEALANT RETENTION IN A SCHOOL-BASED

SEALANT PROGRAM: IS CHILD AGE A FACTOR? Olubunmi Adekugbe DMD, MPH (1) Andreas Pinto, DMD, MPH, FDS

RCSEd (1) Joan Gluch RDH, PhD (1); Robert Collins, DMD, MPH (1); Jill Klischies, RDH, BSDH (1); Scott Kim, BS (1); Ellen Witsch, RDH (1) University of Pennsylvania, Philadelphia, PA, USA (1)

OBJECTIVE: School-based sealant programs are recommended as a population-based strategy to prevent dental caries. Less than 28 percent of US children, aged 6-9 years, have at least one sealant on a permanent tooth. This study evaluates the school-based sealant program of the University of Pennsylvania, School of Dental Medicine (UPSDM). We further assessed the association between age of child at placement and sealant retention.

METHOD: In 2009-2010, the UPSDM piloted a sealant program. The program was extended to 2010-2011 and since inception 189 high-risk

children in six elementary schools have received sealants. Follow-up and screening were done on available children approximately 12 months after placement to assess teeth for sealant retention. Yield (Total number of returned consents divided by total number of consents sent out) for each of the schools was determined. The tooth level retention of the sealants placed was determined.

RESULT: Overall yield for the schools was 14.4% (Mean 15.1%). Mean age of children in program was 8.4 years. Since 2009, 610 permanent molars in 189 children have received sealants. At 12 months from placement 58 children were available for follow-up. One hundred and two of these 205 molars with sealants had partially or fully retained the sealants. Overall retention rate of 49.7% was determined. No association was noted between the child’s age and sealant retention. (OR 1.405, CI 0.999 – 1.967, p 0.0504)

CONCLUSION: Several factors such as operator experience, isolation technique, child behavior and duration of follow-up may play a role in sealant retention.


Poster Number: 7Serial/Abstract Number: 31 DENTAL STUDENTS, GLOBAL HEALTH, AND CAREER: A

QUALITATIVE ANALYSIS Brittany Seymour, DDS, MPH (1); Sawsan Salih, BDS,MPH (1); Hope

Johnson, DMD Candidate (1) Harvard School of Dental Medicine, Boston, USA (1)\

OBJECTIVE: Recent major reports have demonstrated the importance of oral health to global health. In order to manage emerging global trends, students must be better prepared to address them. The aim of this study was to understand the process students undergo in developing an interest in professional global oral health, and to determine how to use this process to guide them toward success.

METHODS: The study was designed as a qualitative study using a combination of focus group discussions, and individual interviews. Data gathered from focus groups informed changes to the interview guide used in the following individual interviews. The sample size was not pre-selected, and interviews continued until saturation was reached. Data analysis was done during collection, and was completed using transcription and inductive coding.

RESULTS: Most students in the study had very limited knowledge of global health, but did show interest in it. This study highlights unique challenges dentistry may face in preparing global health leaders. These challenges include: 1) limited student perception of the role of dentists in the field of global health, 2) a belief that global health is exclusively international, restricted to poor countries, and 3) perceptions of lifestyle differences between global health and other fields of dentistry.

CONCLUSIONS: The challenges highlighted must be integrated into the dental school curriculum, so that today’s students may be better prepared to become tomorrow’s leaders in addressing global health challenges of the 21st century.

SOURCE OF FUNDING: Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine

Poster Number: 8Abstract/Serial Number: 56

EMBRACING THE EVIDENCE-BASED DENTISTRY PARADIGM: AN EVALUATION OF THE EFFECT OF AN EVIDENCE BASED DENTISTRY CURRICULUM ON THE ABILITY OF DENTAL RESIDENTS TO PRACTICE EVIDENCE-BASED ORAL HEALTH CARE

Ngozi Ubu, DDS, MPH (1,2); Victor Badner, DMD, MPH (1,3); Jayanth Kumar, DDS, MPH (1); Paul Gates, DDS, MBA (2) New York state Dental Public Health Residency Program, Bureau of Dental Health, New York State Department of Health, Albany, New York,

Abstracts for Poster & Student Presentations

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USA (1),Bronx-Lebanon Hospital Center, Bronx, New York, USA (2), Jacobi Medical Center, Bronx,NewYork, USA (3)

OBJECTIVES: 1) To assess the impact of an integrated evidence based dentistry curriculum on the knowledge, skills and attitudes of dental residents to the practice of evidence based oral healthcare (EBOHC) 2) To explore the residents utilization of this training and its impact on their clinical practice six months after course completion.

METHODS: Over six months, 32 first year General Practice and Pediatric Dental residents received a structured evidence based dentistry curriculum. A questionnaire measured pre and post-test knowledge of and attitudes about evidence based dentistry (EBD). EBD skills were measured by enactment of evidence based practice steps during patient encounters. A comparative analysis of pre and post test scores of knowledge, skill and attitude was conducted. A follow-up survey was conducted six months post training to determine curricular impact on residents’ clinical practice.

RESULTS: Pre and post-test assessments showed statistically significant increases with mean increases from 39.7 % to 65.6%, 45.2% to 78.5%, and 32.35 to 36.55 for knowledge, skills and attitude respectively (p<. 05). There was a significant increase in the residents’ confidence level from a pre-test mean of 14.29 to a post-test mean of 16.68(p<.05). At six months post training, descriptive analysis revealed high confidence levels in the skills for practicing EBD and high utilization rates of EBD training in clinical practice (90.5%).

CONCLUSION: Integration of an EBD curriculum in a dental residency program improved the ability of dental residents to practice EBOHC and resulted in increased utilization of evidence based principles in their subsequent clinical practice.


Poster Number: 9Serial/Abstract Number: 72 EVALUATION OF A SCHOOL-BASED PREVENTION PROGRAM

ALONG THE TEXAS-MEXICO BORDER Jane E. M. Steffensen, MPH, CHES (1); Carolina Diaz Guillory, DDS, MPH

(1) Annaliese Cothron, BS, MS (1); Andrea Longoria, BA, MA (1); David Cappelli, DMD, MPH, PhD

(1) University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

The University of Texas Health Science Center at San Antonio, Dental School provided preventive dental services to schools in United Independent School District, Laredo, TX.

OBJECTIVE: The objective is to plan, develop, implement, and evaluate a model school-based oral health program addressing access to oral health care along the Texas-Mexico border.

METHODS: Miles of Smiles-Laredo is a school-based oral disease prevention program providing limited oral examinations and fluoride varnish to children in kindergarten (K), second (2), and third (3) grades using the ASTDD Basic Screening Survey protocol. Dental sealants are applied to second grade children. Schools with 75% of children enrolled in the free and reduced lunch program were included. Data were directly entered into a unique data entry program, SmilesMaker. Descriptive analytical findings were compared to key oral health indicators in Texas, US, and national oral health objectives.

RESULTS: Of the students, 75.6% of eligible children returned consent forms, and 64.1% (school range: 40.9%-78.1%) participated in the program. Overall, 66.9% of second grade children were sealed in the program. Nationally, 25.5% of children have sealants and 23% in Texas with national targets of 50% (2010) and 28.1% (2020). Of children seen, 2.9% had urgent oral health care needs (K=1.6%, 2=4.8%, 3=2.4%). From the consent form, 18.6% of kindergarten, 24.7% of second, and 24.6% of third grade children had no dental insurance.

CONCLUSION: Miles of Smiles-Laredo provides preventive services to children with limited access to dental services and promotes the achievement of Healthy People 2020 OBJECTIVES (Supported: HRSA T12HP19338).

SOURCE OF FUNDING: Texas Oral Health Workforce Grant, HRSA, D85HP20041

Poster Number: 10Serial/Abstract Number: 45

FILTERED TAP WATER: USE BY LATINO AND NON-LATINO PARENTS OF PEDIATRIC DENTISTRY PATIENTS FROM A DENTAL SCHOOL IN THE CHICAGO AREA

Linda Kaste, DDS, MS, PhD (1); Maribel Reyes de Lobos, DDS, MS (1) University of Illinois at Chicago, Chicago, USA (1)

OBJECTIVES: While commonly thought that immigrants use bottled water more than tap water due to their perceptions of water safety in their home land, little attention has been given to their utilization of filtered tap water. This analysis from a larger study of water utilization of UIC COD Pediatric Dentistry patients and their parents questions whether Chicago area parents who are Latino use more filtered tap water than other populations groups.

METHODS: Parents or guardians of pediatric dentistry patients were asked to complete a 22-question survey (English or Spanish) about their water utilization. This analysis includes a subset of questions contrasting characteristics for those respondents who reported drinking filtered tap water at home versus those who did not. Respondents were categorized as being Latino upon self-identification or if not identified, the survey was completed in Spanish. Total n = 213.

RESULTS: Crude Latino vs. Non-Latino comparison showed Latino to have 2.5 times (1.4-4.4 95% CI) the likelihood of report of filtered tap water use. The odds dropped to 1.7 (0.9-3.4) when adjusted for respondent gender, whether born outside US, level of education, and whether lives in Chicago. However, contrasting Latino born outside the US versus all others showed a crude OR of 2.7 (1.5-4.8) which remained elevated, 2.6 (1.4-5.0), when adjusted for gender, education and Chicago residence. High correlation of other acculturation measures limited additional exploration.

CONCLUSIONS: Further research is warranted of factors associated with different sources of water consumed by Latinos and non-Latinos along with immigration and acculturation status.


Poster Number: 11Serial/Abstract Number: 67 COLLABORATIVE PREPARATION FOR A STATE COMMUNITY

FLUORIDATION LAW REVISION David Rindal, PE (1); Merry Jo Thoele, MPH, RDH (1)

Minnesota Department of Health, Saint Paul, MN, USA OBJECTIVE: To maintain the oral health benefits provided to

Minnesotans through community drinking water fluoridation while preventing risk of excessive exposure.

METHODS: The Minnesota Department of Health (MDH) utilized several parallel processes in preparation for an imminent Minnesota Fluoridation Law revision: facilitation of a fluoride advisory committee of statewide oral health stakeholders; engagement with and education of public water supplies; collection and application of best available scientific evidence; development of community engagement strategies and messages.

RESULTS: MDH community fluoridation stakeholders from Oral Health, Drinking Water Protection, and Health Risk Assessment programs cooperatively reviewed information with an advisory committee formed in collaboration with the Minnesota Oral Health Coalition. Public water supplier education was optimized through frequent water operator


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Abstracts for Poster & Student Presentationstraining session presentations. Coordination of activities by the MDH community fluoridation stakeholders was necessary to apply available scientific evidence to prepare an optimal fluoride concentration with acceptable tolerances. Increased community engagement became necessary due to inquiries regarding joint January 7, 2011 U.S. Health and Human Services and Environmental Protection Agency community fluoridation announcements as well as a desire to provide current, consistent and relevant public health messages throughout the lifetime of the revised rule.

CONCLUSIONS: Announcements of several scientific summaries and recommendations regarding fluoridation benefits and health effects necessitated multiple agency processes prior to state fluoridation regulation revision proposal. The outcomes of these activities contribute to a Statement of Need and Reasonableness (SONAR) in support of a rule revision and will also provide more accurate and timely fluoridation information to various audiences.

SOURCE OF FUNDING: Health Resources and Services Administration T12HP14659 and Centers for Disease Control and Prevention RFA-DP08-802.

Poster Number: 12Serial/Abstract Number: 57 THE STATE OF FLUORIDATION Sharon Clough, RDH, MS Ed (1); Jane McGinley (1), RDH, MBA

American Dental Association, Chicago, IL, USA (1) OBJECTIVE: To determine the extent of activities in the U.S. to

initiate, retain or defeat water fluoridation programs. METHODS: In 2012, the ADA implemented an informal survey to

determine the extent of nationwide activities to initiate, retain or defeat water fluoridation. An Internet change detection and notification system was used to track communities that experienced water fluoridation activities between January 2011 and December 2012. Additionally, the ADA/ASTDD/CDC Community Water Fluoridation Awards Brochure aided in the identification of communities that retained or initiated a community water fluoridation program. State dental directors and/or the executive director of the state dental association from states that appeared to have no fluoridation activity were contacted to confirm the absence of fluoridation activities in their states.

RESULTS: 43 states experienced some type of fluoridation activity. While in some cases the activity did not end in a vote, the activity did require some type of action by professionals and/or local coalitions.

CONCLUSIONS: The survey confirmed that fluoridation related activities are widespread and indicated a need for states and local communities to remain vigilant about issues related to water fluoridation. Those opposed to community water fluoridation used the initial 2011 US Department of Health and Human Services notice of intent to create doubt, and in some cases fear in the minds of decision makers and the public. Noting this trend, it is anticipated there will be an increase in antifluoridation activities when the final recommendation is released.



HEALTHY TEETH, HEALTHY KIDS – USING HEALTH LITERACY AND SOCIAL MARKETING TO INCREASE ORAL HEALTH AWARENESS IN AT-RISK POPULATIONS

John Welby (1), MS Maryland Office of Oral Health, Baltimore, MD, USA (1)

OBJECTIVE: To reach out to pregnant women and mothers of at-risk children age 0 – 6 in Maryland with appropriate messaging that will increase oral health awareness and lead to reduced oral disease and improved access to dental care.

METHODS: Develop, launch, implement and evaluate an oral health literacy social marketing campaign. Campaign methods included; conducting audience research, creating a network of partners to provide guidance and support, developing a comprehensive communication plan, developing appropriate messaging, holding focus groups to test literacy levels and creative approach, launching advertising, public relations, social media and community outreach programs and conducting pre-post campaign surveys.

RESULTS: There was a 13% increase in awareness of key campaign messaging in the post campaign survey. Strategies utilized to implement the campaign, such as television and radio were found to be highly effective. Two thirds of the post campaign respondents reported having heard of Healthy Teeth Healthy Kids and 50% of post campaign survey respondents recall receiving an oral health kit from their health center. 100% of post campaign survey respondents say they used the products in the oral health kit they received.

CONCLUSIONS: The campaign increased oral health awareness in its target audience and provided results that support the need to continue to sustain the campaign moving forward, periodically reevaluating it for effectiveness.

SOURCE OF FUNDING: Centers for Disease Control and Prevention

Poster Number: 14Serial/Abstract Number: 51 THE NEW DRINK PYRAMID...DRINKING SMART WITH CAL THE

COW! IMPROVING ORAL HEALTH THROUGH CHANGES IN DRINK BEHAVIORS OF FIRST GRADERS IN HOPKINS COUNTY, KENTUCKY

Laura Hancock Jones, DMD; Jamie Knight; Bernice Crook

Hopkins County Health Department, Madisonville, KY, USA (1), University of Louisville West AHEC, Madisonville, KY, USA (2), University of Kentucky College of Dentistry, Madisonville, KY, USA (3)

OBJECTIVE: To assemble a group of oral health partners to promote healthy drink choices using the New Drink Pyramid campaign materials and oral health.

METHODS: The Hopkins County Health Department, West AHEC, and University of Kentucky College of Dentistry Dental Outreach Team (Madisonville) are partnering to educate all first grade students residing in Hopkins County, Kentucky regarding the New Drink Pyramid designed by the Western Kentucky Regional Dental Coalition to improve oral health through changes in drink behaviors. All children participating in the program will receive educational material on the drink pyramid, a sticker, educational material on good dental health, supplies that include a toothbrush, toothpaste, dental floss, 2-minute timer, drink pyramid magnet and a drink pyramid cup. The goal is to have a 25% increase in the number of children indicating they will incorporate healthier dental habits during an on site survey.

RESULTS: Only two of the 8 sites have had completed dental visits from the community partners at this time. All visits are anticipated to be completed in February 2013 during children’s dental health month.

CONCLUSIONS: This process is providing our local dental coalition information to improve oral health literacy and to coordinate activities to prevent duplication of dental educational services. Children are learning more about healthy drink choices and the consequences to their oral health if poor behaviors are not addressed in a fun and positive environment. We hope more children will Drink Smart: water whenever, milk with meals, juice just once, and pop at parties!

SOURCE OF FUNDING: Heidi Badgett Fund, Hopkins County Health Department, West AHEC, UK College of Dentistry Dental Outreach (Madisonville)

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Abstracts for Poster & Student PresentationsPoster Number: 15Serial/Abstract Number: 34 KNOWLEDGE OF RISK FACTORS FOR ORAL CANCER AMONG

ADULT IOWANS Stella Chukwu, DDS (1); Daniel Caplan, DDS, PhD (1), Michelle R.

McQuistan, DDS, MS (1); Alice M. Horowitz, PhD (2); Christopher Squier, PhD (1); Fang Qian, PhD (1) University of Iowa, Iowa City, IA, USA (1),University of Maryland, College Park, MD, USA (2)

OBJECTIVE: To gather baseline data from adult Iowans regarding their knowledge, opinions and practices about oral cancer (OC) prevention and early detection; with a focus on their knowledge of risk factors for OC.

METHODS: A statewide, computer assisted random-digit dial telephone survey was conducted to gather information about OC prevention and early detection among Iowans age 18 and older. The survey contained 36 questions and lasted about ten minutes per respondent. Telephone numbers included landline and cell phone sampling lists provided by a private survey research firm.

RESULTS: Of the 89 % of respondents that answered “yes” when asked if they had ever heard of OC, 54% had high OC risk factor knowledge; while of the eleven percent of those who said they had never heard of OC, 33% had high knowledge (p=0.003). Those that had an OC exam were more likely to have high OC risk factor knowledge (59%) compared with those that answered “no or don’t know” to having had an OC exam (45%; p=0.002). Those that were “very or extremely” confident filling out medical forms were more likely to have high OC risk factor knowledge compared to respondents who were “not at all, slightly or moderately” confident filling out forms (54% vs. 45 %; p=0.097).

CONCLUSIONS: The results suggest strongly that educational interventions are needed to increase knowledge of OC risk factors, early signs of OC, and the need to promote comprehensive OC examinations by healthcare providers.

SOURCE OF FUNDING: Delta Dental of Iowa Foundation

Poster Number: 16Serial/Abstract Number: 9 ADDRESSING THE ADULT NEEDS-A DEMONSTRATION PROJECT Mary Beth Shea, AA, RDH, BA (1); Richard Wittberg, PhD (1)

Mid-Ohio Valley Health Department, Parkersburg, WV, USA (1) OBJECTIVES: Reduce the number of adult patients with dental

pain and infection, reduce the number of emergency room visits for oral health crisis, expansion of the model to other areas of the state. Provide a more regular model of care instead of a once a year Mission of Mercy type clinic.

METHOD: Adult screening and referral through the Mid-Ohio Valley Health Department. Public Helath Practice dental hygienists, screen, x-ray, educate clients and place with area dentists who volunteer from their private office. Proof of income required and some may pay on sliding scale. Most records transmitted electronically a form of teledentistry. Model based on dentist/provider input.

RESULTS: Year one 536 clients screened, 623 total dental visits and 918 volunteer hours. $317,688 in donated dental services. 23 area dentists, 10 RDH’s and 1 lab tech participating.

CONCLUSIONS:A cost effective model to provide “most needed” dental treatment. 30% reduction in emergency room visits for dental pain and infection. Safety net where none existed in the past.

SOURCE OF FUNDING: West Virginia Department of Health and Human Resources, The Claude Worthington Bendum Foundation, Sisters of St. Joseph Charitable Fund, Community Resources, Inc., Blennerhassett Dental Society.

Poster Number: 17Serial/Abstract Number: 76 ASSESSMENT OF THE MONTGOMERY COUNTY, MARYLAND,

DENTAL SAFETY NET FOR THE POOR AND UNINSURED Raul Barrientos, DDS, MPH, (1,2); Ronke Akinkugbe, BDS, MPH, (3); Evelyn

Lucas-Perry, DDS, MPH, (4); Isabel Garcia, DDS, MPH, (1); Maria-Rosa Watson, DDS, MS, DrPH (2) NIDCR, Bethesda, MD, USA (1), Primary Care Coalition of Montgomery County, MD, Silver Spring, MD, USA (2),

Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA (3), Department of Health Policy, George Washington University, Washington D.C., USA (4)

Montgomery County, Maryland, has approximately 121,000 poor adults and children who are medically uninsured or underinsured. OBJECTIVES: In anticipation of the implementation of the Patient Protection and Affordable Care Act (PPACA), a plan was put in place -- including a targeted survey of existing programs and services, to facilitate developing local priorities and an actionable list of oral health strategies to expand dental access and serve more members of this currently under served community.

METHODS: A one-on-one survey interview was planned with each of 16 local program “key-informants.” The survey included questions related to (1) the demographics of the populations served; (2) sources of current funding; (3) referral mechanisms in place; (4) perceived gaps in existing services and an inventory of OH services offered --such as types of dental services provided (preventive and/or treatment); and (5) the current dental/oral health care safety net capacity (staff and infrastructure). RESULTS: 14 or 87.5% of the pre-selected key informants agreed to complete the interview to provide details of their services. These included seven programs serving children and seven programs serving adults and/or seniors. Additional local advocacy programs were also included.

CONCLUSIONS: Data presented has facilitated and assessment of the current capacity of the Montgomery County dental safety net, including the determination of gaps in the system. The information gathered is being used to develop actionable recommendations to expand and improve the capacity of the safety net, as well as to develop pilot programs to test these strategies. Some examples are presented.


Poster Number: 18Serial/Abstract Number: 20 INTEGRATING WIC INTO ORAL HEALTH - A STAFF MODEL

APPROACH LeeAnn Cooper, RDH, BS, (1)

University of Washington, Seattle, WA, USA (1) PROJECT OBJECTIVE: To contribute to reductions in early

childhood caries by integrating Snohomish Health District WIC Program with early oral health care visits (N= ~10,000K pregnant women and children under age five). Initial data found that while 74.8%of WIC clients had Medicaid coverage and 46% had a family dentist, only 24% of children under age three actually made a dental visit.

METHODS: Snohomish Health District, non-WIC, staff provide an oral health visit, consistent with WIC nutritional guidance policy, 2 days a week, at WIC. The program was approved in 2009 and implemented in 2011. WIC staff offer clients a dental visit as a second nutritional education visit option. Baseline Surveys: 300 parent surveys found 80% of Head Start children reported using WIC before age 2. 400 WIC waiting room interviews found less than 2% felt their children were at risk for tooth decay. Snohomish Health District WIC serves over 30% of children under age 3 in Snohomish County. Oral health staff can impact oral health for WIC enrollees. The program is nearly cost-neutral with Washington State’s Medicaid fee-for-service. Program development was supported by MCHB.

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Abstracts for Poster & Student Presentations RESULTS: Year One 2011 to 2012: Dental visits increased 10-15%

for Medicaid covered WIC clients: Pregnant women, infants and children. Projected Program Dental visits: 132 visits a month. Actual 79 visits a month.

CONCLUSIONS: Oral health programs can support WIC Program through understanding of WIC policy and procedures. Improving oral health status for HeadStart children may be significant with consistent early childhood oral health education in WIC.

SOURCE OF FUNDING: Maternal Child Health BlockGrant, Local Capacity Funds


GEOGRAPHIC ACCESSIBILITY AND UTILIZATION OF ORTHODONTIC SERVICES AMONG MEDICAID CHILDREN

Susan McKernan, DMD, MS, PhD, (1); Raymond Kuthy, DDS, MPH, (1); Elizabeth Momany, PhD, MA, (1); Michelle McQuistan, DDS, MS, (1); Paul Hanley, PhD, (1); Michael Jones, PhD, MA, (1); Peter Damiano, DDS, MPH, (1) University of Iowa, Iowa City, IA, USA (1)

OBJECTIVES: To describe rates of Medicaid funded services provided by orthodontists in Iowa to children and adolescents, identify factors associated with utilization, and describe geographic barriers to care. METHODS: We analyzed enrollment and claims data from the Iowa Medicaid program for a three-year period, January 2008 through December 2010. Descriptive, bivariate, and multivariable logistic regression analyses were performed with utilization of orthodontic services as the main outcome variable. Service areas were identified by small area analysis in order to examine regional variability in utilization. RESULTS: The overall rate of orthodontic utilization was 3.1-percent. Medicaid enrollees living in small towns and rural areas were more likely to utilize orthodontic services than those living in urban areas. Children who had an oral evaluation by a primary care provider in the year prior to the study period were more likely to receive orthodontic services. Service areas with lower population density and greater mean travel distance to participating orthodontists had higher utilization rates than smaller, more densely populated areas. CONCLUSIONS: Rural residency and increased travel distances do not appear to act as barriers to orthodontic care for this population. The wide variability of utilization rates seen across service areas may be related to workforce supply in the form of orthodontists who accept Medicaid-insured patients. Referrals to orthodontists from primary care dentists may improve access to specialty care for Medicaid enrollees.

SOURCE OF FUNDING: This research was supported by the National Institute of Dental and Craniofacial Research, T32 grant DE-014678, and grant T12HP14992 from the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA).

Poster Number: 20Serial/Abstract Number: 17 TRENDS IN GEOGRAPHIC VARIATION IN MEDICAID CLAIMS FOR

DENTAL PROCEDURES IN NEW YORK STATE: AN ANALYSIS OF 2005 – 2010 MEDICAID CLAIMS DATA

Jayanth Kumar, DDS, MPH, (1); Ismail Jolaoso, BDS, MPH, (1); Olubunmi Adekugbe, DDS, MPH, (2); Mark Moss, DDS, MS, PhD, (1) Bureau of Dental Health, New York State Department of Health, Albany, New York, USA (1), University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA (2)

OBJECTIVE: To evaluate the trends in the geographic variation in claims reimbursed for caries-related services in the New York State Medicaid program from 2005 – 2010.

METHODS: Medicaid claims data for the years 2005 – 2010 was used to determine the average number of claims-per-recipient in each

county for caries and non-caries related procedures in children less than 21 years. Water fluoridation coverage for each county was obtained from the CDC Water Fluoridation Reporting System (WFRS). The status of each county was categorized based on population covered as non-fluoridated (<=30%), mixed (31-69%) and fluoridated (=>70%). The Spearman Rank correlation coefficient between the claims-per- recipient and the percent of the population covered by fluoridation was calculated.

RESULTS: The number of recipients in the Medicaid program increased from 645,595 in 2005 to 795,027 in 2010. The average claims-per-recipient for caries-related services in fluoridated counties was around 1.32 whereas it varied from a low of 1.60 to a high of 1.79 in non-fluoridated counties. Such consistently higher claims-per-recipient were not observed with respect to non-caries related services. The percentage difference in the mean claims-per-recipient between fluoridated counties and non-fluoridated counties varied from 20% to 36%. The average claims-per-recipient for caries-related services was correlated with fluoridation coverage (p<0.001) for each year. No such correlation was observed for non-caries related services.

CONCLUSION: This analysis of the claims for restorative services showed that fluoridation may in part explain the geographic variation observed in the NYS Medicaid program.

SOURCE OF FUNDING: HRSA Maternal and Child Health Block Grant HRSA Residency Training in Dental Public Health Grant (1D5GHP160760100)

Poster Number: 21Abstract/Serial Number: 63 A SOCIO-DENTAL APPROACH TO ORTHODONTIC TREATMENT

PRIORITY SETTING Keyvan Sohrabi, DDS, (1); Mary Tavares, DMD, MPH, (1); Veerasathpurush

Allareddy, BDS, MMSc, PhD, (1) Harvard School of Dental Medicine, Boston, MA, USA (1)

INTRODUCTION: The primary aim of this study was to test and implement a socio-dental approach to orthodontic treatment priority setting. The secondary aim of this study was to determine the impact of malocclusion on children’s oral health related quality of life in a sample of children from orthodontic practices in the Boston area.

METHODS: This cross-sectional study surveyed patients aged 8-26 years in the offices in which they were receiving orthodontic treatment. Medicaid- eligible children were included. The Child-OIDP questionnaire was administered in the waiting room, in order to collect information on socio-dental impacts and patient OHRQoL.Demographic information, parental perceptions for need, oral hygiene habits, behavioral propensity, as well information on compliance with treatment and missed appointment were also collected. Clinical data on orthodontic treatment need were collected using the Peer Assessment Rating Index.

RESULTS: 180 patients (50% male, female) took part in our study. Over 50% reported at least one oral impact due to their problems with teeth. The most common impact observed in patients over 18 was problems with smiling. Younger children complained of problems with eating. There were some differences between need as evaluated by the orthodontists and the patients ‘perceptions, however it did not reach significance.

CONCLUSION: Our socio-dental approach to orthodontic treatment priority setting was efficient. Majority of patients and orthodontists agreed on need for treatment. Adding a validated oral health-related quality of life measure to the clinical indices of orthodontic need will serve as important surrogate for patients’ perceptions of need and eligibility for treatment.


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Abstracts for Poster & Student PresentationsPoster Number: 22Serial/Abstract Number: 70 EMERGENCY ROOM USE FOR NON-TRAUMATIC ORAL AND

DENTAL CARE AMONG CHILDREN LESS THAN 18 YEARS OF AGE, GEORGIA 2006-2010

Hyacinte Kabore, DDS, MPH, (1); Carol Smith, RDH, MSHA, (1) Georgia Department of Public Health, Atlanta, GA, USA (1)

OBJECTIVES: To assess the characteristics of children using the Emergency Room (ER) for non-traumatic oral and dental care and the costs associated with such utilization.

METHODS: The Office of Health Information and Planning (OHIP), Georgia Department of Public Health (DPH) maintains a repository for Emergency Room data. Data was extracted from the OHIP database using the International Classification of Diseases, 9th Revision (ICD-9) codes “520” through “529” excluding “525.11” for children less than 18 years, residents of Georgia. Analysis was conducted with SAS 9.2.

RESULTS: There were 33,817 children’ visits to the ER for oral or dental care during 2006-2010, an average of 6,763 visits per year. The majority (64%) was children 1-12 years. The rate of ER visits for African-American children was significantly higher than the rate among white (Rate Ratio= 1.89; 95% CI: 1.85-1.93) and the rate among Hispanic Children was 16% higher than the rate among non-Hispanic (Rate Ratio=1.16; 95% CI: 1.09-1.22). While the number of ER visits did not change noticeably over the study period, the cost for utilization increased 55% from $ 2.35 million in 2006 to $ 3.65 million in 2010. Almost 3/4 of children were uninsured or Medicaid patients.

CONCLUSIONS: There are disparities in ER use for oral and dental care among Georgia children, underlining disparities in access to dental care. Prevention efforts targeting the elimination of barriers to dental care will decrease the use of ER for dental care.

SOURCE OF FUNDING: Georgia Department of Public Health

Poster Number: 23Serial/Abstract Number: 44 OB/GYN RESIDENTS’ COMFORT IN ADDRESSING ORAL HEALTH AS

PART OF PRENATAL PATIENT CARE Hillary Guenther, BA, (1); Heather A.B. Anaya, DO, FACOG, (2); John

Warren, DDS, MS The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA, USA (1), Rush University Medical Center, Chicago, IL, USA (2)

OBJECTIVES: Oral health strongly influences general health, particularly for expectant mothers. The objectives of this study were to evaluate the overall comfort level Obstetrics and Gynecology (OB/GYN) residents have in counseling patients regarding oral health, and to assess the need for further oral health education in OB/GYN residency programs.

METHODS: A 28-question electronic survey containing questions regarding the training, clinical practice, and comfort level in addressing oral health as part of prenatal care was sent to 231 directors of US OB/GYN training programs, and was then forwarded to their residents. Data were collected without identifying individuals, and were analyzed using Fisher’s Exact Tests with a dichotomous comfort measure (somewhat/very comfortable vs. somewhat/very uncomfortable) as the dependent variable.

RESULTS: Fifteen program directors (6.5% response rate) and 48 residents responded to the survey. The majority of residents were female (70%), affiliated with a university (95%) and did not obtain oral health education during residency (74%). Those respondents without oral health education during residency felt less comfortable counseling patients regarding oral health care than those who had had some training (p=.089). Practice board questions and clinical scenarios were associated with a higher comfort level (p= .018 and p= .040, respectively).

Eighty-eight percent of residents were interested in continuing medical education (CME) on oral health care.

CONCLUSIONS: OB/GYN residents with less training in oral health applications were less comfortable counseling their patients regarding oral care than those with training. There is an interest in more oral health education in OB/GYN residency programs.

SOURCE OF FUNDING: Student Research Program, the University of Iowa College of Dentistry.

Poster Number: 24Serial/Abstract Number: 50 MARYLAND’S MOUTHS MATTER: FLUORIDE VARNISH AND ORAL

HEALTH SCREENING PROGRAM FOR EPSDT MEDICAL PROVIDERS Stacy Costello, MPH, CHES, (1); Teresa Burke, BS, (2); Harry Goodman,

DMD, MPH, (1) Maryland Department of Health and Mental Hygiene, Office of Oral Health, Baltimore, Maryland, USA (1)

LEARNING OBJECTIVE: To discuss the impact of integrating oral health care into the medical community.

METHODS: Currently, over one-quarter of children ages 2 to 4 have had dental caries. Of these children, approximately 20 percent have untreated decay. It is critical that young children have access to oral health care to ensure that oral disease, including dental caries, is prevented, or, if it already exists, that it is treated. Because medical providers see young children earlier and more frequently than do oral health providers, they can have a major impact on young children’s oral health. In June 2009, a statewide program was designed to train EPSDT medical providers to conduct caries risk assessments, perform oral health screenings, apply fluoride varnish, provide anticipatory guidance and refer children to a dental home.

RESULTS: As of November 2012, over 390 EPSDT medical providers were eligible to bill Medicaid for fluoride varnish applications. Nearly 36% percent of providers eligible to bill have incorporated the prevention program into their practices, and Medicaid has provided reimbursement for nearly 68,000 fluoride varnish applications.

CONCLUSIONS: EPSDT medical providers in Maryland are receptive to learning about oral health screenings and fluoride varnish applications and incorporating them into well-child visits for infants and young children ages 9 to 36 months.


Poster Number: 25Serial/Abstract Number: 10 JACKSON COUNTY SENIOR SMILES SURVEY: MICHIGAN ORAL

HEALTH PILOT PROJECT FOCUSED ON THE AGING Beth Anderson, MPH, (1); Jill Moore, RDH, BSDH, MHA, (1); Chris Farrell,

RDH, MPA, (1); Adrienne Nickles, MPH, (1) Michigan Department of Community Health, Lansing, Michigan, USA

OBJECTIVE: The Jackson County Senior Smile Survey was a pilot project that focused on identifying the best techniques to gather oral screening data from Michigan adults 65 years and older in Jackson County.

METHODS: Michigan utilized the ASTDD Basic Screening Survey for Older Adults tool kit, that includes two surveys (screening form and the patient survey), along with three evaluation forms created by Michigan for the pilot. Congregate meal sites were used for the screening events. Screened participants received quality oral health aids as incentives. Survey data were entered in Survey Monkey and analyzed in SPSS.

RESULTS: In an 18-month period, 192 adults received oral health screenings at 13 sites. The majority were female (74.0%) and white (90.1%). In total, 37 screened adults were edentulous and 22.9% had severe dry mouth. Thirteen needed periodontal care and four needed urgent treatment. Almost three-quarters (71.9%) thought their oral

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Abstracts for Poster & Student Presentationshealth was good or better. Fifty-four reported that had not seen a dentist in the past 3 years; the top reason for not going was due to cost (43.8%).

CONCLUSIONS: Congregate meal sites proved locations to reach older age groups, perform oral health screenings, and gather oral health data. Fifty-four adults were able to get oral health screening who had not had any in three years because of this pilot. The next step for Michigan is to launch the survey statewide.

SOURCE OF FUNDING: National Association of Chronic Disease Directors

Poster Number: 26Serial/Abstract Number: 14 IMPROVING BACHELOR DEGREE COMPLETION RATES IN THE

DENTAL HYGIENE WORKFORCE TO EXPAND ACCESS TO CARE Tami Grzesikowski, RDH, BS, Med, (1); Eugene Anderson, PhD, (1); Karen

Novak, DDS, PhD, (1); Gloria Gonzalez, PhD, (1); Evelyn Lucas-Perry, DDS, MPH American Dental Education Association, Washington, DC, USA

“Oral Health in America: A Report of the Surgeon General” (2000) emphasized that “the public health infrastructure for oral health is insufficient to address the needs of disadvantaged groups, and the integration of oral and general health is lacking.” The objectives include expansion of current dental programs, increases in program director positions, and the need for a well-educated public health workforce. In order to meet these needs and prepare for the future needs, it is critical to expand pathways to earn bachelor degrees for allied health professionals such as dental hygienists. These individuals will be the future leaders in community health centers, serve as advanced practitioners, and provide a pool of qualified educators.

A brief, “Bracing for the Future: Opening up Pathways to the Bachelor’s Degree for Dental Hygienists” outlined the need for improved articulation agreements in allied health professions. This presentation will provide an overview of this brief including the objectives and methods of the study. The results will provide an summary of transfer and articulation policies in the U.S., their purpose and development, as well as various barriers to their implementation. State-by-state policy guidelines will be provided for dental hygiene as well as model programs from three states demonstrating how various policies can provide ease in transfer and articulation. In conclusion, six recommendations will be offered to improve bachelor degree completion rates thus increasing the workforce and improving access to care for the underserved


Poster Number: 27Serial/Abstract Number: 55 UTILIZATION OF DENTAL PROFESSIONALS IN NURSING

EDUCATION Jadwiga Hjertstedt, DDS, MS, (1); Stacy Barnes, MGS, (1); Lesley Boaz,

APNP, PhD (1) Marquette University, Milwaukee, WI, USA (1) OBJECTIVE: Investigate the use of dental professionals in nursing

education. METHODS: A cross-sectional online survey conducted of all US

nursing schools, excluding territories. Survey dissemination occurred in two waves in 2011 (CCNE accredited schools) and in 2012 (NLNAC accredited schools).

RESULTS: The sample included 414 nursing schools in the US of which 28 had a school of dentistry affiliated with their university or college. 65.2% of respondents indicate that across all nursing courses four hours or less is devoted to oral health content, primarily in 1-2 required courses. Less than 2% of respondents utilize dental professionals as guest lecturers or advisory consultants to the course director. No respondents

indicated that dental professionals are conducting hands-on skills demonstrations in the classroom.

CONCLUSIONS: The skills and expertise of dental professionals are not fully utilized in educating other health professionals who also provide oral health care and conduct assessments of patients. Schools that have access to dental faculty are not using them and therefore, further research is needed to investigate the reasons and barriers for this disconnect.

SOURCE OF FUNDING: Funding was provided in part by a grant from the Health Resources and Services Administration (grant # UB4HP19062).

Poster Number: 28Serial/Abstract Number: 41 RETAILER KNOWLEDGE REGARDING TOBACCO SALES AND INDIAN

TOBACCO CONTROL LEGISLATION Vinay Gupta, MDS, (1)

King George Medical University, Lucknow, India (1) OBJECTIVE: Assessment of Retailers knowledge regarding tobacco

sales, its health risks & Indian tobacco control legislation. METHODS: The study population comprised of retailers of tobacco

product. The study was conducted in 280 shops around a Medical College in Lucknow, India. The researchers asked the questions to retailers about the product, their habit, its health risks & Indian tobacco control legislation. Researcher sent 14 year old boy to every shop under study to purchase tobacco product to ascertain whether retailers would ask for identification to verify that they were at least 18 years old.

RESULTS: 70% retailer themselves used tobacco in one and other form and in that only 51.4% knew about the harmful effect of tobacco. 53.6% of retailer did not know that tobacco shop should not be opened in 100 yard of hospital, school etc. 65.4% retailer knew that tobacco should not be sold below 18 years.77.9% retailer answered that female were coming to buy tobacco product. 98.6% do not have license to open shop. 97.5% of retailer thought that there is no effect of pictorial warning on consumers. Very interestingly, 65% retailer gave response to completely ban on tobacco product.

CONCLUSIONS: This study found that many retailers in India do not know the relative health risks of different tobacco products and are not aware of Indian tobacco control legislation.


Poster Number: 29 EMERGENCY DEPARTMENT VISITS FOR CHILDREN’S HEALTH

CARE: ROLE OF MEDICAL HOME AND HEALTH PROFESSIONALS’ REFERRALS

Astha Singhal, BDS, MPH (1); Peter Damiano, DDS, MPH (1) University of Iowa (1) OBJECTIVES: To examine the role of having a medical home and

health professionals’ referral on emergency department (ED) visits made by children.

METHODS: A cross-sectional observational study was conducted using the 2010 Iowa Child and Family Household Health Survey, which is a survey of a sample representative of the population of the state of Iowa. Descriptive bivariate analysis was performed to examine the characteristics of those children who visited an ED for health care, those children who were referred by a health care provider and those who had a medical home versus not. Finally, logistic regression was used to model the probability of being referred by a health professional to visit an ED for health needs.

RESULTS: About 80% of parents reported that their children have a medical home while 26% of children in Iowa visited an ED at least once in the past year. Of those who had an ED visit, 35% of the parents

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Abstracts for Poster & Student Presentationsreported that a doctor, nurse or emergency personnel referred them to an ED for care. Also, 71% of parents whose children visited an ED for care reported that they felt care could have been provided in a clinic/ doctor’s office, if it was available.

CONCLUSIONS: The health care providers play a significant role in children’s visits to ED. It is of importance to recognize this in the context of medical home, especially to avoid potentially non-urgent ED visits.


AAPHD Foundation Grant Award 2012Poster Number: 30 EFFECTS OF ENVIRONMENTAL TOBACCO SMOKE ON THE ORAL

HEALTH OF ADOLESCENTS LIVING IN NEVADA Christina A. Demopoulos, DDS, MPH, (1); David P. Cappelli, DMD, MPH, PhD,

(2); Connie Mobley, PhD, RD, (3); Marcia M. Ditmyer, PhD, MCHES, (3) University of Nevada, Las Vegas (UNLV) School of Dental Medicine/ Nevada

State Health Division (1), University of Texas Health Science Center at San Antonio (UTHSCSA) School of Dentistry (2), University of Nevada, Las Vegas (UNLV) School of Dental Medicine (3)

OBJECTIVES: Tobacco use is the leading cause of preventable death. Tobacco related deaths will exceed 8 million people by 2030. Exposure to environmental tobacco smoke (ETS) is a recognized factor for increased incidence of tobacco-related diseases. This study examined a potential relationship between exposure to ETS and untreated dental decay using mean Decayed, Missing and Filled Teeth (DMFT) scores.

METHODS: Retrospective data was obtained from an ongoing statewide, school-based, oral health screening initiative that was conducted in middle/high schools in Nevada from 2002/2003-2009/2010 (minimum six years participation). Data from 45,000 adolescents between the ages of 13-18 years were analyzed. . Self-reported data was collected on tobacco/marijuana use. Descriptive statistics and linear regression findings were reported.

RESULTS: The prevalence of untreated decay in the target population was 30.7% compared to 43.6% in the population exposed to ETS. These findings demonstrated a higher rate of untreated decay in females compared to males (31.9% vs. 29.5%, respectively), with even higher rates of untreated decay in both groups (females: 52.9%, males: 47.1%) exposed to ETS. The mean DMFT score for the target population was 2.84. The mean DMFT score for students exposed to ETS was 1.15 compared to a rate of 1.69 for those not exposed to ETS.

CONCLUSIONS: Exposure to ETS negatively affected untreated dental decay, but did not demonstrate the same negative effect with mean DMFT scores. Findings from this study can identify the need for increased evidence-based health promotion and prevention strategies relating to tobacco use and exposure to ETS.

SOURCE OF FUNDING: The AAPHD Foundation provided funding for this project

Student Abstracts (Poster 31-44)Poster Number: 31 COMPARATIVE EFFECTIVENESS OF PREVENTIVE ORAL HEALTH

SERVICES PROVIDED IN MEDICAL AND DENTAL SETTINGS FOR YOUNG MEDICAID-ENROLLED CHILDREN

Ashley Kranz (1) Gillings School of Global Public Health, University of North Carolina at Chapel Hill (1)

BACKGROUND: Most state Medicaid programs reimburse primary care providers for providing preventive oral health services to young children in the medical office. Since 2000, North Carolina (NC) Medicaid has reimbursed these services through the Into the Mouths of Babes (IMB) program. To understand how the provider and setting of these services may affect children’s subsequent oral health-related outcomes, we compared children enrolled in NC Medicaid who received only IMB visits, only dentist visits, both IMB and dentist visits, and neither before 3 years of age.

METHODS: Using a combination of NC administrative and public health surveillance data, this study used regression METHODS to examine the following outcomes occurring after a child’s third birthday: (1) time to a dentist visit; (2) receipt of caries-related treatment (CRT) and associated payments; (3) and the number of decayed, missing, and filled teeth (dmft) and proportion of untreated decayed teeth.

RESULTS: Most children did not receive any preventive oral health services before age three; those who did were more likely to have IMB visits than dentist visits. Children who had only IMB visits had a longer time to a dentist visit following their third birthday, fewer CRT, and lower CRT payments than children who visited only dentists before age 3. Children who had multiple IMB or dentist visits had a similar number of dmft in kindergarten, but children with only IMB visits had a higher proportion of untreated decayed teeth.

CONCLUSIONS: Although few children received preventive oral health services before age 3, those who did were more likely to have IMB visits than dentist visits. The similar dmft count of children with repeat IMB or dentist visits suggests that the setting and provider do not influence the effectiveness of these services. However, children with only IMB visits may encounter challenges to obtaining follow-up treatment for tooth decay as these children experienced a longer time a dentist visit following their third birthday and had more untreated decayed teeth. Results support the dissemination of this innovative model developed in NC, but also suggests enhancements are needed in linking medical and dental providers.

SOURCE OF FUNDING: This study was supported by grant numbers R01 DE013949 and R03 DE017350 from the National Institute of Dental and Craniofacial Research (NIDCR). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIDCR or the National Institutes of Health (NIH). Ashley Kranz was partially supported by a National Research Service Award Pre-Doctoral Traineeship from the Agency for Health Care Research and Quality sponsored by the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Grant No. T32-HS000032.

Poster Number: 32 EPIDEMIOLOGY OF DENTAL FLUOROSIS IN THE UNITED STATES:

EXAMINING THE ROLE OF PARTIAL REPORTING PROTOCOLS (PRPS) IN REPORTING DENTAL FLUOROSIS

Aderonke Akinkugbe, BDS, MPH, (1) National Institute of Dental and Craniofacial Research, Department of Health and Human Services (1)

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Abstracts for Poster & Student Presentations OBJECTIVES: Describe the tooth and person-level epidemiology

of dental fluorosis in the United States and assess associations between selected socio-demographic factors and dental fluorosis. To assess the role of partial recording protocols (PRPs) in reporting prevalence and severity of dental fluorosis.

METHODS: Data from National Health and Nutrition Examination Survey (NHANES) 1999-2004 were analyzed with Stata® v.11. Using the Dean’s Fluorosis Index, weighted proportions of tooth and person-level dental fluorosis prevalence and severity were estimated. Four subsets of teeth were identified of which their respective prevalence and severity were calculated and compared to the gold standard (28 teeth) measure of prevalence and severity. Sensitivity, Negative Predictive Value (NPV), absolute bias, relative bias of subsets and correction factors were also calculated and compared against gold standard estimates.

RESULTS: The prevalence of dental fluorosis among 13-49 year olds was 20.8%. There was a statistically significant lower cases of dental fluorosis among age groups older than 20 years. Poverty-income-ratio had no significant association with dental fluorosis.

All subsets identified underestimated prevalence albeit to varying degrees. The subsets with prevalence and severity closest to the gold standard were the all premolars and all molars subsets. The all-molar subset (8 teeth) had the highest sensitivity (84.8%) and the lowest bias (4%). Although the maxillary canine to canine subsets underestimates prevalence by 10.7%, including the maxillary first premolars in the span improved prevalence estimates by as much as 5%.

CONCLUSION: This study provides tooth and person level description of dental fluorosis for the United States. While the majority of dental fluorosis in the United States is very mild, concerns related to its growing prevalence underscores the need for careful monitoring. The use of PRPs offers an alternative method for assessment, with the validity of reported prevalence and severity dependent on choice of subset.

SOURCE OF FUNDING: National Institute of Dental and Craniofacial research, National Institutes of Health

Poster Number: 33 FACTORS RELATED TO THE USE OF ATRAUMATIC RESTORATIVE

TREATMENT (ART) AS A DENTAL CARIES MANAGEMENT TECHNIQUE: AN EXAMPLE OF THE USE OF CONJOINT ANALYSIS IN ORAL HEALTH RESEARCH

Elham Kateeb, BDS, MPH, PhD, (1) The University of Iowa (1) OBJECTIVES: Atraumatic Restorative Treatment (ART) was

developed as affordable, patient -friendly dental caries management procedure that does not need extensive operator training or special skills; however, it is not believed to be widely used in the US. Little is known about the factors related to the use of (ART) among pediatric dentists. The aim of this study was to determine factors that influence pediatric dentists’ decision to use ART with their pediatric patients.

METHODS: A conjoint survey was sent to a random sample of 2237 AAPD members registered as specialists. Each of the 3 factors (age of the child, level of cooperation, and type of insurance) was varied across three levels to create nine clinical scenarios. We were then able to elicit weights practitioners place on these factors. Factors such as lesion location, depth and extension were fixed for all scenarios. RESULTS: Seven-hundred twenty three pediatric dentists completed the survey (32%). Age of the child had the highest degree of importance in pediatric dentists’ decisions to use ART (46%) compared to level of cooperation (41%) and type of insurance coverage (11%). For the age factor, age of two years had the greatest utility (0.55) compared to age 4 (-0.09) and age 6 (-0.46). For types of insurance coverage, having no insurance (0.124) had the greatest utility compared to having public insurance (-0.119).

CONCLUSIONS: Although insurance coverage was the least important among other factors, being without insurance along with being very young and uncooperative child seems to be good 3 reasons to receive ART when participants needed to tradeoff between different levels of different factors using the conjoint design. This study also demonstrates the feasibility of using methods from marketing research and economics, such as conjoint analysis, to determine the relative importance practitioners and others place on various factors when making treatment decisions.

SOURCE OF FUNDING: This project was a part of a dissertation work towards my PhD degree and it was funded by NIH/NIDCR T32 grant DEO 14678-06

Poster Number: 34 THE IMPACT OF THE GREAT ECONOMIC RECESSION ON

UNTREATED DENTAL CARIES AMONG CHILDREN IN NORTH CAROLINA

Rania Abasaeed, BDS, MPH, (1) Gillings School of Global Public Health, University of North Carolina at

Chapel Hill (1) OBJECTIVES: To determine the impact of the Great Recession on

untreated dental caries in kindergarten (K) children in North Carolina (NC).

METHODS: From 2003-04 to 2009-10, 608,339 K students were assessed for untreated decayed primary teeth (dt) as part of the statewide public health surveillance system. We aggregated observations to the school-level and matched 7,660 school-year observations for 1,215 schools to National School Lunch Program (NSLP) participation rates, our primary economic indicator of the Recession. County-level economic indicators (income, unemployment, poverty, Supplemental Nutrition Assistance Program [SNAP] enrollment) and control variables (dentist supply, Medicaid enrollment) were included in the analysis. OLS regression with school and year fixed effects examined the association of predictor variables with the proportion of children screened with >0 dt for all schools and for schools with >10% increase in NSLP participation after 2007. Sample predictions of the proportion with >0 dt in 2009 were compared to predictions calculated assuming no increase in NSLP rates after 2007.

RESULTS: The mean proportion of K students with >0 dt per school decreased from 0.236 in 2003 to 0.166 in 2009. Economic indicators suggest a weakening economy during the 7 years, with the largest change during 2007-2009. A small, but statistically significant association was found between the proportion of children in the school participating in the NSLP and the proportion of K students having >0 dt (B=0.033; P-value=0.045). The NSLP effect (B=0.068; P-value=0.073) in schools that experienced >10% increase in participation (n=239) from 2007 to 2009 was twice that of the estimate for the total population. Assuming no increase in NSLP after 2007 in these schools, the predicted proportion with >0 dt in 2009 would have been 0.148 instead of 0.157.

CONCLUSION: The Great Recession slowed recent gains that have been made in the treatment of dental caries in NC children.

SOURCE OF FUNDING: Funded through a Dental Public Health Training Grant from the Health Resources and Services Administration. [Grant # D13HP15295]

Poster Number: 35 GEOGRAPHIC ACCESSIBILITY AND UTILIZATION OF

ORTHODONTIC SERVICES AMONG MEDICAID CHILDREN AND ADOLESCENTS

Susan C. McKernan, DMD, MS, PhD, (1) University of Iowa College of Dentistry (1) OBJECTIVES: To describe rates of Medicaid funded services

provided by orthodontists in Iowa to children and adolescents, identify

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Abstracts for Poster & Student Presentationsfactors associated with utilization, and describe geographic barriers to care.

METHODS: I analyzed enrollment and claims data from the Iowa Medicaid program for a three-year period, January 2008 through December 2010. Descriptive, bivariate, and multivariable logistic regression analyses were performed with utilization of orthodontic services as the main outcome variable. Service areas were identified by small area analysis in order to examine regional variability in utilization.

RESULTS: The overall rate of orthodontic utilization was 3.1-percent. Medicaid enrollees living in small towns and rural areas were more likely to utilize orthodontic services than those living in urban areas. Children who had an oral evaluation by a primary care provider in the year prior to the study period were more likely to receive orthodontic services. Service areas with lower population density and greater mean travel distance to participating orthodontists had higher utilization rates than smaller, more densely populated areas.

DISCUSSION: Rural residency and increased travel distances do not appear to act as barriers to orthodontic care for this population. The wide variability of utilization rates seen across service areas may be related to dentist availability and accessibility of orthodontists who accept Medicaid-insured patients. Referrals to orthodontists from primary care dentists may improve access to specialty care for Medicaid enrollees.

SOURCE OF FUNDING: Support for this research was partially provided by National Institutes of Health/National Institute of Dental and Craniofacial Research T32 grant DE014678 and Health Resources and Services Administration grant T12HP14992.

Poster Number: 36 CREATING JACKSON FREE DENTAL CLINIC: SEVERING THE

UNDERPRIVILEGED AND UNDERSERVED PEOPLE IN INNER CITY JACKSON

Brian Jackson (1) The University of Mississippi Medical Center School of Dentistry (1) The Jackson Free Clinic is a non-profit medical clinic operated by the

medical students at the University of Mississippi Medical Center. After a renovation project, the clinic has expanded to offer dental services. It was my responsibility to establish the dental clinic at the Jackson Free Clinic. Over the past year, equipment and instruments have been obtained, a frame-work for operations has been created, several sources of funding have been identified and obtained, the dentists across the state and the population of Jackson have been informed about the clinic, and finally the dental clinic has begun treating patients.

SOURCE OF FUNDING: The Jackson Free Clinic operates from donations and grants. The dental clinic has received its funding from state dentists and corporations. We have applied for grants through the American Dental Association. In addition, a capital campaign has been created and will soon be sent to every dentist in the state.

Poster Number: 37 “BEAT THE PUMPKIN” WALK/ RUN FOR PEDS ABSTRACT Katherine Blair Jones (1)

University of Louisville School of Dentistry (1) The vision of this community service project was to fundraise

money through a Halloween Costume walk/run for the Department of Pediatric Dentistry at the University of Louisville School of Dentistry (ULSD). The money collected was used to provide much needed dental care for families who cannot afford it. The Blackerby Grant sponsored the event and provided all financial support. This grant awards funds for community service projects compiled by pre-doctoral dental students at ULSD that support the greater Louisville community. The proposal was reviewed and funds were rewarded based on the proposed budget. The event took about 6 months of planning and involved a multitude

of sub committees. The event raised $2400 for the U of L Department of Pediatric Dentistry through its 110 participants and charitable donors. This has been an annual event for the past four years and collected over $10,000 for the Pediatric Department. It has provided a model for others to following when creating events to help the Louisville community. But overall has made a measurable impact on the Department of Pediatric Dentistry’s ability to reach out to children and families in most need of dental care.

SOURCE OF FUNDING:

Poster Number: 38 CAREER EXPLORATIONS IN DENTISTRY AND PEER-LED ORAL

HEALTH EDUCATION AMONG YOUTH OF THE MAKAH INDIAN TRIBE

Todd Billington (1) School of Dentistry University of Washington (2)

Neah bay, WA is a small, rural fishing village on the Makah Indian Reservation served by the Sophie Trettevick Indian Health Clinic, a joint medical and dental provider. Due to the remote location, the dental clinic has historically experienced a rapid turnover rate of dentists and auxiliary staff. In addition, American Indians are greatly underrepresented in the profession of dentistry. A career exploration event was carried out with a group of students, exposing them to the profession of dentistry. At the end of the event, two students indicated a strong consideration for a potential career in dentistry, along with an increased interest measured in the group collectively. These students will continue to be encouraged to pursue a dental career, so that after educational training they may go back to their community and become long-lasting leaders of the community’s oral health.

A project to address the concerns of early childhood caries was also implemented. Collaboration with two local high school students lead to the development of an oral hygiene instruction (OHI) presentation for a group of pre-school aged children, as well as a the production of an OHI video and other resources to be used in the future. The outcome was a culturally and age relevant presentation that modeled oral hygiene to children susceptible to early childhood caries.

SOURCE OF FUNDING: This project was funded by the Washington Service Corps, part of the national service AmeriCorps program administered by the Washington State Employment Security Department, and the Washington Dental Service Foundation, a non-profit funded by Washington Dental Service, committed to lasting approaches to improving the oral health of Washington’s residents. Housing was provided by the Makah Indian Tribe arranged for by the Sophie Trettevick Indian Health Center

Poster Number: 39 THE SHAREWOOD DENTAL PROJECT Danielle Currier (1)

Tufts University School of Dental Medicine (1) The Sharewood Dental Clinic is student-led organization that

operates through the Tufts University School of Dental Medicine. The dental clinic runs in collaboration with Tufts Medical School’s Sharewood Project, which is also partnered with residents and doctors from the Cambridge Health Alliance. The clinic is a free walk-in service open to anyone and provides a number of services ranging from primary care to sexual health counseling. Students of the Tufts University School of Dental Medicine conduct patient oral health evaluations, perform oral cancer screenings, educate patients on oral hygiene, and assist in referrals for treatment.

The dental health needs patients come in for are diverse, but the stories for why they have been unable to seek or receive care have a common trend. Sharewood has been visited by individuals who have been hugely impacted by the economy and have suffered job losses

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Abstracts for Poster & Student Presentationsor drastic income cuts, to immigrants who don’t have an adequate understanding of how to access the care they need. Many of them have not been seen by a dentist for an extended period of time, have oral health conditions which are debilitating and precarious, or are completely unaware of their current oral health status all together. Furthermore, with the cuts in MassHealth Dental coverage and the convoluted health care structure our patients are faced with, this population is left underserved and unrepresented.

During the Sharewood Dental Project’s 3 ½ years of operation, attempts have been made to expand and improve its services. The main goals of the project have been to address the oral and general healthcare needs of an underserved population from the Boston area, while providing pre-dental and dental students with an opportunity to practice basic patient management and communication skills, and to enhance clinical and diagnostic skills. Lastly, the project has made attempts to act as a public health outreach opportunity for students to cultivate an appreciation for health care service and advocacy as part of their dental education and professional development.

SOURCE OF FUNDING: The Sharewood Dental Project is currently funded through monetary donations from the Tufts Alumni and Senior Class gift of which $3,982 were given to Sharewood Dental services. Additional funds were awarded by the Tisch Civic Engagement fund in 2011 in the amount of $1000.

Poster Number: 40 GRANT WRITING FOR JACKSON FREE CLINIC: FREE DENTAL CARE

FOR THE UNDERPRIVILEGED OF JACKSON, MISSISSIPPI Suzanna Ellzey (1) The University of Mississippi Medical Center School of Dentistry (1) The Jackson Free Clinic is a free healthcare clinic that aims to provide

free medical services to the underprivileged citizens of Jackson, MS. Last November, two dental exam rooms were added onto the clinic. For the past several months, dental students have been working towards building the dental aspect of JFC by acquiring needed equipment and funding and organizing everyday operations. Because the clinic is solely funded by private donations and grants, grant writing is a vital part of the clinic’s success. As grant writer for the dental facilities at JFC, I have the privilege of writing about a new facility that aims to better serve the dental needs of the homeless and uninsured. Since its opening, the dental clinic has been very successful in providing free dental care to those in need and in providing a venue for dental students to learn and practice dentistry under the supervision of a licensed volunteer dentist. As the dental clinic continues to grow, students are continually improving every aspect of patient care, learning valuable dental skills, and continually applying for grants and funding.

SOURCE OF FUNDING: The project’s main funding has come from grant writing and private community donations through the students’ capital campaign. Corporate donations and dentist sponsorships have also provided essential items to begin work in this clinic.

Poster Number: 41 ASSESSMENT OF WIC PROVIDERS’ PERCEPTIONS OF ORAL HEALTH

COUNSELING AND AVAILABILITY OF ASSOCIATED RESOURCES Tiffany Mendryga (1)

University of Michigan (1) BACKGROUND: It has been identified in scientific literature

that children from low-income families and ethnic minority groups are associated with an increased risk of developing dental disease. Those from such high risk populations are often enrolled in the Women, Infants, and Children (WIC) nutritional program. It has been an intention of the Michigan Department of Community Health (MDCH) Oral Health Program to collaborate with community programs

like WIC to provide preventive oral health resources and education to their population. This project focused on meeting the strategic goals of the MDCH Oral Health Program by collaborating with WIC to achieve these goals outlined in the 2010 State Oral Health Plan. OBJECTIVES: Develop a survey about the availability of oral health education and resources for WIC providers. Analyze the survey findings and develop recommendations for both the MDCH Oral Health Program and WIC. PROCEDURES: A 19 question survey was designed to identify any gaps existing in oral health counseling and availability of associated resources in Michigan WIC agencies. This survey was disseminated to 56 WIC agencies throughout Michigan. The results were analyzed and compiled in a report and shared with the MDCH Oral Health Program and WIC. RESULTS: Currently WIC providers perceive oral health risk assessment to be important and are asking oral health questions during certification and re-certification appointments. Seventy-nine percent of participants indicated that they never had prior training in oral health counseling and seventy-nine percent indicated that they would be interested in oral health training to better answer oral health related questions and counsel WIC families. WIC agencies are interested in resources including oral health pamphlets, toothbrushes and toothpaste, and oral health education modules for their clients. CONCLUSIONS: The 2010 State Oral Health Plan’s goals recognized the need for oral health related resources and education within community-based programs like WIC. The results of the survey indicate the need for additional oral health counseling and associated resources in Michigan WIC agencies. This information will be used to help the MDCH Oral Health Program find ways to address these gaps.


Poster Number: 42 DEVELOPING AN EDUCATIONAL TRAINING VIDEO FOR HOME

HEALTH AIDES Li Chen (1); SM Mauriello (1); J Peek (1) Dental Hygiene Program, UNC School of Dentistry, University of North

Carolina (1) Approximately five percent of older adults are homebound and

experience limited access to dental care. Anders and Mauriello suggested training home health aides to function as an early gateway to dental care. Although the findings from that study showed an increase of knowledge through a home study educational program, there was not a change in the behaviors of the home health aide discussing oral health care. PURPOSE: The purpose of this study was to develop a video component depicting home health aide/client scenarios to enhance the home study educational manual and teach home health aides how to incorporate oral health into the services they provide. METHODS: A video was developed that depicted scenarios of a home health aide interacting with a client regarding three oral health issues and referral. In addition, a video entitled Oral Care for Older Adults was included. Content was distributed on DVDs with the manual. At a monthly meeting, home health aides were recruited from a local home health agency located in a suburb of a metropolitan city. Subjects were given a pretest and then the written manual and DVD were distributed for home review. After four weeks, subjects took a post-test and completed a five-item written survey. Data were analyzed using descriptive statistics. RESULTS: Sixty-two percent completed the study. Sixty-nine percent of the subjects watched the video and all of them reported the scenarios were helpful and provided useful information. Of those responding (n=14), sixty-four percent reported they preferred combined learning formats with 43% preferring a video combination. CONCLUSION: A combination learning format was preferred by the majority of participants with almost half preferring a video combination. This pilot study suggests a video/written educational program may be a

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Abstracts for Poster & Student Presentationssuccessful method of educating home health aides on oral health issues of older adults.

SOURCE OF FUNDING: UNC School of Dentistry (In Kind)

Poster Number: 43 HELEN TUCKER CENTER RIPLEY, TENNESSEE Angela Haynes, RDH, BS, (1)

College of Clinical Rehabilitative Health Sciences East Tennessee State University (1)

This student driven project was developed to provide oral health assessment, educational and clinical services, and evaluation and follow-up to a group of developmentally disabled adults. Nineteen of the 24 residents (or 79 percent) served by the center were not receiving dental care. The program objective was to restore these clients to dental health and establish continuing care on a regular basis. Group presentations were provided for clients and staff at the center focusing on nutrition and brushing and flossing. Transportation to a private dental office where the student worked was provided by the center. Oral assessments were provided for each client, along with individualized patient education based on their abilities. Caregivers were also provided oral health instruction based on each client’s needs. It was found that half the group needed a prophy, 21 percent of them needed periodontal therapy, and a third needed restorative care. All were appointed and seen by a local dentist who completed the needed services for each client. Twelve clients received routine cleanings, five received periodontal scaling and smoking cessation was discussed with two. The eight who needed restorative dentistry were also taken care of. All 19 were reevaluated

Poster Number: 45Serial/Abstract Number: 36 A COST BENEFIT ANALYSIS OF CLINDAMYCIN VERSUS UNASYN

IN THE TREATMENT OF PEDIATRIC FACIAL CELLULITIS OF ODONTOGENIC ORIGIN

Evan Hershkowitz, DDS, (1); Untray Brown, DDS, (1); Stacy Stewart, DDS, (1) Columbia University, NY,NY, USA (1)

OBJECTIVE: To analyze the cost benefits of treatment with two different antibiotics in a hospital setting of pediatric patients who present with facial swelling secondary to dental caries.

METHODS: Utilizing the most recent data compiled from the AHRQ Kids Inpatient Database survey, the costs associated with hospital stays, data on C. Dificile admissions were compiled. Clinical data on antibitoic efficacy and Clindamycin induced C. dificile were obtained from recent studies obtained by a review of the literature. Antiobiotic costs, dosages and data was obtained from the John Hopkins Medical Center Formulary. A cost benefit analysis was performed utilizing the standard methodology.

RESULTS: The use of Unasyn in treatment of facial swelling in children was shown to be the more cost effective solution. This result was determined by looking at the potential complications and increased costs associated with Clindamycin use.

CONCLUSION: By analyzing the clinical outcomes and budgetary impact of the two antibiotics being studied, it can be determined that using IV Unasyn should become the standard protocol for the treatment of dental infections in the pediatric population


and found to have better overall hygiene and to be caries free. The two smokers had cut back on the number of cigarettes smoked per day. All clients have been reappointed for either 4 or 6 month recare visits. The student hygienist has agreed to visit the center on an annual basis and the local dentist has agreed to continue to provide care for the clients. There was no funding provided for this project. All supplies were donated as were the several thousand dollars worth of dental treatment.


Poster Number: 44 COMMUNITY ORAL HEALTH PROGRAM

Sarah Lansdell (1); Kelly Morgan (1) Southern Illinois University (1)

For this project, our class discussed the elderly population and their relation to dental services. We discovered that the elderly population was underserved, while having and increased risk of oral cancer. We visited a local adult day center and performed screenings on the clients there. We took a look at the data collected and created a program that would help serve the needs of that population. We decided to perform intra and extra oral exams, prosthesis cleanings, fluoride varnish applications, referrals, and oral health education. Southern Illinois University’s Dental Hygiene Program provided the funding and supplies for this program. This program was able to refer two clients for suspicious oral cancer lesions, along with treating and referring other clients for various reasons. This program was very beneficial for the population served.


Tuesday General Poster Presentations (Posters 45-70)

Poster Number: 46Serial/Abstract Number: 49 FACTORS AFFECTING PRESENCE OF MUTANS STREPTOCOCCI (MS)

IN INFANTS AND TODDLERS Tejasi Avasare, BDS, (1); John Warren, DDS, MS, (1); Fang Qian, PhD, (1);

Karin Weber-Gasparoni, PhD, (1); Teresa Marshall, PhD, (1); David Drake, PhD, (1) University of Iowa, Iowa City, IA, USA (1)

OBJECTIVE: The study aimed at identifying socio-demographic, dietary, and behavioral factors associated with presence of Mutans Streptococci (MS) in WIC enrolled infants and toddlers in Iowa.

METHODS: 212 children aged 6 to 24 months enrolled in the WIC program in Muscatine, Iowa were included in the study and followed for 18 months. Clinical examinations were conducted at 3 time points - baseline, 9 months, and 18 months, when detailed oral examination with dmfs score recording was done and salivary samples of the children were collected to obtain MS counts. The parents answered questionnaires related to beverage consumption and oral health related behavior of the children at the same time. Based on the MS counts from the salivary samples, the children were placed into 3 groups -1) No MS at any time during the study; 2) MS at baseline; and 3) Acquired MS during the study period. This paper reports on baseline comparison of these groups.

RESULTS: There were significant differences among groups, with lower proportion of children in Group 1 consuming juice drinks, sugared beverages made from powder, regular pop, sports drink, and other sugared beverages (p <0.05). Hispanic ethnicity was significant with the highest proportion of Hispanics being in Group 2. Children in Group 1 were younger with mean age of 10.8 months as compared to Group 2 with mean age of 16.7months.

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Abstracts for Poster & Student Presentations CONCLUSION: Age and sugar intake were significantly associated

with MS status at baseline. Future longitudinal analyses will further explore these relationships.

SOURCE OF FUNDING: This research was supported by NIH grant R21-DE015008


TEMPORAL DISCOUNTING, RISK AVERSION AND DENTAL DECISIONS

Chong Shao, BS, (1), Michelle McQuistan, DDS, MS, (1); William Hedgcock, BA, PhD, (1); Linnea Polgreen, BS, MA, PhD, (1); Cheryl Straub-Morarend, DDS, (1); Natoshia Askelson, PhD, MPH, (1) University of Iowa, Iowa City, IA, USA

OBJECTIVE: To assess the association between making dental related decisions with general economic decisions.

METHODS: A 35-item on-line survey was developed that presented dental scenarios pertaining to retaining or extracting teeth and general economic questions pertaining to temporal discounting and risk aversion. A convenience sample of US adults was recruited via Amazon Mechanical Turk, an on-line service that matches workers with tasks, to complete the survey. Data were analyzed using SAS 9.3.

RESULTS: N=147. All dental scenarios were associated (p<0.001). As the amount of money respondents were willing to pay to retain a tooth increased, the number of weeks respondents were willing to be in pain prior to treatment increased. Additionally, payment and risk associated with retaining the tooth were positively associated. As payment increased, respondents were willing to accept higher potential failure rates and were willing to retain the tooth in the mouth post-treatment without complications for shorter periods of time. In contrast, retention of the tooth post-treatment without complications was negatively correlated with duration of pain pre-treatment and failure rate. As the number of months increased that respondents desired the tooth remain complication-free post-treatment, the number of weeks respondents were willing to be in pain pre-treatment decreased. Similarly, the potential failure rate the respondents were willing to accept also decreased. None of the dental scenarios were associated with temporal discounting or risk aversion.

CONCLUSION: The results of this study suggest that patients may use different thought processes for making dental related decisions compared to general economic decisions.

SOURCE OF FUNDING: University of Iowa Dows Research Award

Poster Number: 48Serial/Abstract Number: 19 MINING COLORADO DENTAL INSURANCE DATA TO INFLUENCE

PUBLIC POLICY Diane Brunson, RDH, MPH, (1); Sara Schmitt, MA, (1)

University of Colorado School of Dental Medicine, Aurora, CO, USA OBJECTIVE: To describe the inequity of dental insurance status

versus health insurance status of Colorado residents; the impact on utilization of oral health care services; and using data to influence policy.

METHODS: Dental-specific data from the Colorado Health Access Survey (CHAS) conducted in 2009 and 2011 was requested. The CHAS is a random-digit-dialed, computer assisted telephone interview, with a representative sample of 10,352 households participating. Previous publication of health insurance data highlights the growing numbers of Coloradans without health insurance and the impact on access. Dental insurance data was analyzed to illustrate the disparities between health and dental insurance among all age groups.

RESULTS: An initial brief was published by an MPH student as part of a capstone project in March 2012 with a more detailed brief prepared for release to the media by the Colorado Health Institute in December 2012 and January 2013. Key findings: 1) the number of Coloradans without dental insurance (40%) increased 17% from 2009 - 2011; 23% did not get needed dental care in the previous 12 months, citing cost, but 37% of these HAD dental insurance; and 3) seniors 65 and older had the highest rate of dental uninsurance at 61%. Fourteen media outlets highlighted the data, and state legislators received a targeted briefing for the 2013 legislative session.

CONCLUSIONS: While dental insurance does not guarantee access, it is a needed component. Dental insurance trend data, aligned with comparable health insurance status, helps the public and policy makers understand the importance.


Poster Number: 49Serial/Abstract Number: 18 TRENDS IN NON-TRAUMATIC DENTAL RELATED VISITS TO

HOSPITAL EMERGENCY DEPARTMENTS AND AMBULATORY SURGERY FACILITIES AND ITS ASSOCIATED CHARGES IN NEW YORK STATE

Vinicius Tavares, DDS, MPH, (1); Jayanth Kumar, DDS, MPH, (1); Mark Moss, DDS, MS, PhD, (1)

Bureau of Dental Health, New York State Department of Health, Albany, NY, USA (1)

OBJECTIVE: To determine trends and the charges associated with Emergency Department (ED) and Ambulatory Surgery (ASF) visits for non-traumatic dental conditions in New York State.

METHODS: Data were obtained from the Statewide Planning and Research Cooperative System (SPARCS) in New York State. Data on non-traumatic dental visits - oral related diagnosis - in seven age groups (0-6, 7-14, 15-20, 21-34, 35-49, 50-64, 65+) were analyzed. Descriptive statistics and rates by selected indicators were calculated along with the treatment charges.

RESULTS: In 2008, there were 110,414 oral related diagnosis visits to Emergency Departments (ED) and Ambulatory Surgical Facilities (ASF) in New York State. A total of 97,654 (88%) of visits were at Emergency Departments alone. Self-pay charges were the major source of all payments collected. A five year preliminary analysis (2004 - 2008) showed an increase from 27,222 to 47,443 in the number of ED and ASF visits specifically related to caries and pulpal conditions. Treatment charges associated with those visits increased from $42.1 million to $74.1 million.

CONCLUSIONS: Non-traumatic dental related visits to emergency departments and ambulatory surgical facilities have higher costs, and in most cases require additional visits to dental offices for proper treatment. There should be focus on interventions that shift individuals from seeking dental treatment at Emergency Departments and Ambulatory Surgery Facilities to primary care settings.

SOURCE OF FUNDING: HRSA Residency Training in Dental Public Health Grant (1D5GHP160760100)

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Abstracts for Poster & Student PresentationsPoster Number: 50Serial/Abstract Number: 32 PREVENTIVE ORAL HEALTH KNOWLEDGE OF PEDIATRIC

RESIDENTS: A SURVEY OF UNITED STATES PEDIATRIC MEDICINE PROGRAMS

Edna Perez, DMD, (1); Marcio Guelmann, DDS, (1); Scott L. Tomar, DMD, MPH, DrPh, (1) University of Florida College of Dentistry, Gainesville, Florida, USA

OBJECTIVES: To assess the oral health knowledge of residents in general pediatric medicine during their training programs.

METHODS: A 16-question survey for residents in pediatrics was developed, which covered oral biology, caries etiology, prevention advice for caregivers, and recommendations for first dental visit. Additional questions assessed the residents’ postgraduate year (PGY) and oral health training during their medical and graduate training programs. The electronic survey was sent via email to 198 directors of accredited U.S. Pediatric Residency Programs. The directors were asked to distribute the questionnaire. Knowledge subscores were calculated for dental caries etiology (8 items) and caries prevention and management (7 items), and were analyzed by PGY level. All analyses were conducted by using SAS v. 9.3 software.

RESULTS: 248 surveys were returned. Most pediatric residents (78%) did not consider themselves to have adequate knowledge about oral health. The majority of respondents (62%) did not have training on oral health topics during their medical school education. Residents had a mean score of 78.4% on the caries etiology knowledge index, and a mean caries prevention and management score of 65.7%. Although the proportion of residents that received training on oral health topics during their residency programs increased from 44% among 1st year residents to 57% among 2nd year residents and 77% among 3rd year residents (P< .0001), the residents did not demonstrate an increase in knowledge about prevention of caries (p= .19).

CONCLUSION: Pediatric residents may not have adequate knowledge on the appropriate prevention or management of dental caries in their patients.


Poster Number: 051Serial/Abstract Number: 46 SMOKELESS TOBACCO PREVENTION AND CESSATION

ADVOCACY: FRAMEWORK FOR COLLABORATION BETWEEN DENTAL PROFESSIONALS AND CERTIFIED HEALTH EDUCATION SPECIALISTS

Ronald Williams, PhD, CHES, (1); Marie Arick, MS, (1); Barry Hunt, EdD, (1); Timothy Day, BS (1) Mississippi State University, Starkville, MS, USA

OBJECTIVES: Access to smokeless tobacco prevention and cessation is an underserved area of health promotion. The objective of this presentation is to highlight the potential impact of collaborative efforts between Certified Health Education Specialists (CHES) and dental professionals in the prevention and cessation of smokeless tobacco.

METHOD: A comprehensive review of literature was conducted to understand the potential for collaborative efforts to prevent smokeless tobacco use. Literature from the fields of health care and health promotion was examined. Additionally, qualitative interviews were conducted with health professionals with expertise in tobacco prevention and cessation.

RESULTS: Many smokers mistakenly view smokeless tobacco as a safer alternative to smoking despite the relationship between smokeless tobacco and oral cancer. Furthermore, the National Youth Tobacco Survey indicates the rate of smokeless tobacco use among adolescents is increasing. While dental professionals are in a unique

position to promote smokeless tobacco prevention and cessation, common barriers to speaking with patients include lack of self-efficacy in tobacco education skills, lack of insurance reimbursement, perceived lack of success, perceived low patient interest, and fear of offending patients. CHES can assist by developing health education curricula to assist dental professionals in tobacco education skill-building. CHES should also actively recruit dental professionals to join advocacy campaigns that promote tobacco-free schools, workplaces, and community venues. Additionally, CHES and dental professionals can work together to develop youth-targeted health education and prevention campaigns.

CONCLUSIONS: There is significant promise for smokeless tobacco prevention and cessation through collaboration between dental professionals and CHES.

SOURCE OF FUNDING: Mississippi State University Office of Research and Economic Development

Poster Number: 52Serial/Abstract Number: 75 PUBLIC HEALTH APPROACH FOR EARLY ORAL CANCER

DETECTION Deepthi Shetty, BDS, MPH, (1); Athanasios Zavras, DMD, MS, DrMSc, (1) Columbia University College of Dental Medicine, New York, NY, USA (1)

OBJECTIVES: Develop a risk assessment tool for Oral Cancer by conducting meta-analysis of epidemiological studies. Risk factors such as alcohol and tobacco use, dietary factors, Human Pappiloma Virus and occupational exposures were included in the risk algorithm.

METHODS: Appropriate studies were identified and reviewed. Data extracted from all studies were converted to single measurement of exposure for standardization. Comprehensive Meta Analysis software was used to perform meta-analysis, effect size was computed in terms of odds ratio’s and confidence intervals. Overall odds ratio was generated for each risk factor with appropriate weightage to each study. Random effects model was used as instead of fixed effects model. Odds ratio for risk assessment was estimated in 3 ways: overall odds ratio for each risk factor, odds ratio by exposure level for continuous values and odds ratio by exposure levels categorized into low, medium, high categories. To calculate odds ratio for continuous values of exposure levels, regression analysis was performed for each risk factor. A separate algorithm was developed when patients had exposure to alcohol and tobacco.

RESULTS: Meta-analysis revealed the following odds ratios: tobacco - 2.80, alcohol - 2.01, combined effect of both tobacco and alcohol -8.07 and HPV- 2.16. Meta-analytic effects were incorporated into a spreadsheet risk algorithm for clinical use where individual patients are categorized into low, medium or high risk.

CONCLUSIONS: Oral Cancer risk algorithm is a good intervention tool for early Oral Cancer risk assessment. Results will help in patient education and increasing awareness.


Poster Number: 53Serial/Abstract Number: 12 A SIX YEAR OUTCOME COMPARISON OF AN ORAL HEALTH

PROGRAM FOR ELEMENTARY AND PRESCHOOL CHILDREN IN A RURAL HEALTH DEPARTMENT DISTRICT IN CENTRAL NEBRASKA

Charles Cone (1), Holly Mann, RN, BSN, (1) Loup Basin Public Health Department, Burwell, NE, USA (1)

ABSTRACT: Loup Basin Public Health Department (LBPHD) is a nine county, 7,000 plus square mile health department district in central Nebraska which has a sparse population of just over 30,000 residents. According to the Nebraska Rural Health Advisory Commission, eight of the nine counties are state-designated shortage areas for general dentistry. In 2005, LBPHD established the Loup Basin Smiles dental

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Abstracts for Poster & Student Presentationsprogram for preschool and elementary students in the district. This program offers an oral screening and fluoride varnish application by registered dental hygienists and provides immediate referrals for abnormal and chronic oral health conditions.

OBJECTIVE: To compare data from school year one (2006-07) against school year six (2011-12) to evaluate program effectiveness.

METHODS: LBPHD has collected data each year since the program inception which includes the number of children in each school, forms returned, oral screenings, fluoride varnish applications and immediate referrals. In year one, 1,168 students returned permission forms compared to 1,749 students in year six.

RESULTS: The percentage of children screened needing an immediate referral to a dentist has been reduced from 17.1% in year one to 11.1% in year six, resulting in a 35% overall decrease. Meanwhile, the number of children screened has increased from 1,086 students in year one to 1,415 students in year six.

CONCLUSION: The Loup Basin Smiles program has been effective in improving the oral health of children that participated in the program as demonstrated by the 35% decrease in immediate referrals made to local Dentists from year one to year six.

SOURCE OF FUNDING: General health department funds.

Poster Number: 54Serial/Abstract Number: 23 PREVENTIVE DENTAL PROGRAM FOR PRIMARY SCHOOL

CHILDREN IN DAMMAM AND KHOBAR (SAUDI ARABIA) Asim Al-Ansari, BDS, MDSc, DScD, (1); Adel Alagl, BDS, CAGS, DScD, (1)

College of Dentistry, University of Dammam, Dammam, Saudi Arabia (1) OBJECTIVES: To reduce dental caries among high risk primary

school children in Saudi Arabia (KSA) through the application of pit and fissure sealants and fluoride varnish.

METHOD: This is a two-year school-based program. A convenient sample of 16 public primary schools will be visited. All first and second graders will be examined for caries, receive fluoride varnish, and have their teeth sealed where indicated. The consent of the guardians will be granted. Students with active dental caries will be referred to recieve the appropriate treatment. The number of students expected to benefit from this program is 4500 which represents 5% of all elementary school children in the eastern province of KSA.

RESULTS: This program is still in progress. Schools had been contacted and 1500 consent forms were granted. School visits will start late January 2013. By the end of the program, following will be reported: The number of children who received pit and fissure sealants and fluoride varnish, the number and percentage of children with untreated caries, and the number and percentage of children with pain, swelling, or infection.

CONCLUSIONS: Dental caries in KSA can be reduced using school-based dental programs. More resources should be directed to such programs.

SOURCE OF FUNDING: This project is funded through a grant from the Deanship of Scientic Research, University of Dammam, Saudi Arabia.

Poster Number: 55Serial/Abstract Number: 66 TEACHING WITH TEETH: ORAL HEALTH PROMOTION FOR

STUDENTS IN CHICAGO PUBLIC SCHOOLS Heidi Johnson (1), Kimberly Bartolomucci (1)

Chicago Community Oral Health Forum, Chicago, IL, USA (1) OBJECTIVES: Develop an oral health curriculum for Pre-

Kindergarten through High School students in Chicago Public Schools. In five age-specific lesson plans, include recommendations on oral hygiene, dental visits, diet, trauma prevention, and—for older ages—oral cancer

prevention. Include instructions for presenters on how to teach brushing and flossing using a 3 times life-size model set of teeth.

METHOD: Research the web sites of major dental professional organizations for curriculum content. Include recommendations from the American Dental Association and the American Academy of Pediatric Dentistry. Search PubMed and other online databases for the most up-to-date research and recommendations regarding oral hygiene and oral health care for children and adolescents.

RESULTS: Curriculum approved by Chicago Public Schools Health & Wellness Materials Review Committee. As this is currently the only oral health curriculum approved for use in Chicago Public Schools, any other organization that seeks to teach oral health in Chicago Public Schools must use this curriculum or go through the entire review process to have the organization’s own curriculum approved.

Students show increased oral health knowledge as a result of the lesson, measured by pre-tests and post-tests administered to fifth graders. Teachers give feedback in surveys indicating they believe lessons are effective and worthwhile.

CONCLUSIONS: It is possible to develop a 20 minute comprehensive and engaging oral health lesson plan for a specific age group. Classroom interventions can serve to increase children’s awareness of the importance of oral health and increase children’s oral health knowledge.

SOURCE OF FUNDING: Wm. Wrigley Jr. Company Foundation

Poster Number: 56Serial/Abstract Number: 39 WEST VIRGINIA SCHOOL-COMMUNITY BASED SEALANT PROJECT Bobbi Muto, RDH, BS, MPH, (1,2); Stephanie Montgomery (1), Richard

Crespo, PhD, (1); Ashley Logan, RDH, (1); Jason Roush, DDS, (2); Deonna Williams (2) Marshall University School of Medicine, Huntington, WV, USA (1), WV DHHR Oral Health Program, Charleston, WV, USA (2)

OBJECTIVE: Purposes of this workshop are to describe a sustainable model for providing oral health preventive services to West Virginia school children, with a web-based system for efficient data entry and management.

METHODS: Describe how school-based oral health screening and preventive services can be organized by giving an overview of WV and the oral health issue faced along with the various models and best practices in school oral health delivery health. Analyze the factors that have contributed to the sustainability of the model presented in this workshop. Adaption of the CDC/ASTDD recommended data collection criteria regarding oral health. And additionally describing the key elements of a successful program: community involvement, collaboration among key stakeholders, and etc.

RESULTS: Some of the key findings are that in 2010-11 there were 5,200 visits, 649 sealants were applied, and 74 children were referred for immediate care. By the NOCH in 2013, midyear data will be available.

CONCLUSIONS: This project is a partnership between the Appalachian Regional Commission, the Claude Worthington Benedum Foundation, Marshall University and 28 school-community partnerships. Its goal is to mobilize community resources to create sustainable preventive oral health programs within the school setting. A secondary goal is to establish a dental home for students without one. With only start-up funding, 13 of the 17 original communities continue to expand their programs after three years. Of these 13, six have expanded services to other schools. This poster will describe the project’s history and the factors which have contributed to its sustainability.

SOURCE OF FUNDING: Appalachian Regional Commission, Claude Worthington Benedum Foundation

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Abstracts for Poster & Student PresentationsPoster Number: 57Serial/Abstract Number: 71 PREVALENCE OF ORAL DISEASE IN CHILDREN PARTICIPATING IN

A SCHOOL-BASED PREVENTION PROGRAM ALONG THE TEXAS-MEXICO BORDER

Jane E. M. Steffensen, MPH, MCHES, (1); Carolina Diaz Guillory, DDS, MPH, (1); Annaliese Cothron, BS, MS, (1); Andrea Longoria, BA, MA, (1); David Cappelli, DMD, MPH, PhD, (1) University of Texas Health Science Center at San Antonio, San Antonio, TX, USA (1)

The University of Texas Health Science Center at San Antonio, Dental School provided preventive dental services to schools in United Independent School District, Laredo, TX.

OBJECTIVE: The objective is to plan, develop, implement, and evaluate a model school-based oral health program to address access to oral health care along the Texas-Mexico border. METHODS: Miles of Smiles-Laredo is a school-based oral disease prevention program providing limited oral examinations of children in kindergarten, second, and third grades using ASTDD Basic Screening Survey protocol. Schools with 75% of children enrolled in the free and reduced lunch program were included. Data were entered into SmilesMaker. Descriptive findings were compared to key oral health indicators in Texas, US, and national objectives.

RESULTS: Of the eligible children, 75.6% of children returned consent forms and 64.1% (school range: 40.9%-78.1%) participated in the program. Overall, 17.1% of children in kindergarten, 29.8% of children in second grade, and 25.2% of children in third grade (total: 24.1%) experienced untreated tooth decay compared to 28.8% in the US and 44% in Texas with the Healthy People objective of 28.1%. The survey showed that 52.6% of kindergarten children, 71.8% of second grade, and 70.9% of third grade children had caries experience (all students: 65.1%) compared to 54.4% nationally, 68% in Texas, and the national target of 49% in 2020.

CONCLUSION: Miles of Smiles-Laredo identified oral health care needs among children, and that earlier access to preventive services may reduce the caries experience among these children. (Supported by HRSA T12HP19338).

SOURCE OF FUNDING: Texas Oral Health Workforce Grant, HRSA T12HP19338

Poster Number: 58Serial/Abstract Number: 30 DENTAL REFERRALS OF HEAD START CHILDREN IN LANE COUNTY,

OREGON, DURING 2002-2012 Wael Sabbah, BDS, DDPH, PhD, (1); Valerie Haynes, RN, BSN, (2); Katelyn

Nichols, BSc, (1); Eli Schwarz, DDS, MPH, PhD, (1) Oregon Health & Science University, Portland, Oregon, USA (1),2Head Start of Lane County, Lane County, Oregon, USA (2)

OBJECTIVES: (1) To describe trends in dental referrals among low-income preschool children (Head Start) in Lane County, Oregon, over a period of 10 years; (2) To examine selected parental characteristics associated with type of dental referrals.

METHODS: Dental referral data collected by registered dental hygienists during the first annual screening of 7280 Head Start children in Lane County were analyzed. We assessed trends of referral for routine/ check up dental examination versus referral for urgent or emergency dental treatment during the years 2002-2004, 2005-2007, 2008-2009, and 2010-2012. Finally, we examined whether parental employment status (employed vs. unemployed) and language spoken at home were associated with type of dental referral.

RESULTS: Overall, 6896 children were referred to dental check-up/ treatment over the period from 2002 to 2012. The percentages

of children referred for emergency/ urgent dental care were 19.7, 26.6, 15.8, 6.6 and 18.1 percent, for the periods 2002-2004, 2005-2007, 2008-2009, and 2010-2012, respectively. Children whose parents language was Spanish or other Languages were more likely to be referred for emergency/ urgent treatment (20.5% and 35.7%, respectively) than those whose language was English (17.5%). There was no difference in dental referral between children whose parents were employed or unemployed.

CONCLUSIONS: A large percentage of preschool children from low-income families were referred to urgent dental treatment at their first time screening by a dental hygienist in Lane County, Oregon. The results implied that the need for emergency/urgent dental services were higher among children of immigrants.


Poster Number: 59Serial/Abstract Number: 4 STATE ORAL HEALTH INFRASTRUCTURE AND CAPACITY: ONE

ELEMENT FOR ADDRESSING ORAL HEALTH DISPARITIES Kathy Phipps, MPH, DrPH, (1); Beverly Isman, RDH, MPH, ELS, (1); Reginald

Louie, DDS, MPH, (1); Kathy Mangskau, RDH, MPA, (1); Don Marianos, DDS, MPH, (1); BJ Tatro, PhD, (1)

Association of State and Territorial Dental Directors, Sparks, Nevada, USA (1) OBJECTIVES: Despite improvements in oral health for the

population, disparities still exist for many groups. The purpose of this project was to identify components of state oral public health infrastructure and capacity (I/C) associated with reduced disparities.

METHODS: The Association of State and Territorial Dental Directors completed a review of state oral health program I/C. The review included trends and investments across federal capacity building initiatives, elements key to program success and factors that impede progress. Using data from the ASTDD infrastructure report along with data from the National Oral Health Surveillance System we compared states with and without improvements in child oral health to identify I/C elements unique to states where oral health has improved. An improvement in oral health was defined as a decrease in the prevalence of untreated decay or an increase in the prevalence of sealants in 3rd graders.

RESULTS: Nine states reported improvements in oral health. The common factors identified were; a state oral health program with diversified funding; a continuous, strong leader with the ability to leverage assets; ongoing, high quality oral health surveillance with broad dissemination; a comprehensive oral health plan with an evaluation component; multi-sectoral collaborations inside and outside the agency; and evidence-based local programs with quality guidance from the state. Healthy People 2020 established building public health infrastructure as a national goal and includes oral health infrastructure OBJECTIVES.

CONCLUSION: This project suggests that a strong public health I/C may be one ingredient to reducing oral health disparities at the state level.

SOURCE OF FUNDING: Funded by CDC Cooperative Agreement 5U58DP001695.

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Abstracts for Poster & Student PresentationsPoster Number: 60Serial/Abstract Number: 5 PRECEPTOR EXPERIENCES OF A DENTAL PRE-DOCTORAL RURAL

SERVICE LEARNING PROGRAM Kimberly McFarland, DDS, MHSA, (1); Preethy Nayar, MD, PhD, (2); Brian

Lange, PhD, (1); Diptee Ojha, Graduate Research Assistant, (2) University of Nebraska Medical Center (UNMC) College of Dentistry, Lincoln, NE, USA (1), University of Nebraska Medical Center (UNMC) College of Public Health, Omaha, NE, USA (2)

OBJECTIVE: To examine preceptors’ perspectives on the effectiveness of a rural service learning program regarding the competencies of senior dental students.

METHODS: An electronic survey was fielded to the 43 preceptors (dentists) in the UNMC College of Dentistry Pre-doctoral Rural Service Learning Program.

RESULTS: Thirty (69.76%) preceptors responded to the survey. For the domain of Critical Thinking, 4 respondents (13.3%) rated the program’s effectiveness as Excellent, 11 (36.7%) as Very Good, 3(10%) as Good and 1(3.3%) as Fair. Regarding Professionalism, 9 (30%) of the respondents rated the program’s effectiveness as Excellent, 6 (20%) as Very Good and 3 (10%) as Good. For Health Promotion, 9 (30%) rated the program as Excellent, 5 (16.7%) as Very Good and 4 (13.3%) as Good. A total of 5 (16.7%) respondents rated the program’s effectiveness in improving the student’s competencies in Communication as Excellent; 9 (30%) as Very Good, 3 (10%) as Good and 1 (3.3%) as Fair. Six (20%) rated Practice Management as Very Good, 9 (30%) as Good and 3 (10%) as Fair. A total of 6 (20%) rated Patient Care: Diagnosis as Excellent, 8 (26.7%) as Very Good, and 4 (13.3%) rated the program as Good. Nine (30%) of the respondents rated the program’s effectiveness in improving student’s competencies in Patient Care: Maintenance of Oral Health as Excellent, 6 (20%) responded as Very Good, 2 (6.7%) as Good and 1 (3.3%) as Fair.

CONCLUSION: The dental preceptors’ perceive the Rural Service Learning program as being effective in improving dental student competency.

SOURCE OF FUNDING: HRSA Grant # D85HP20046

Poster Number: 61Serial/Abstract Number: 37 INTERNET REMEDIES FOR TOOTHACHE Kari Hexem, MPH, (1); Jordan Seetner, BS, (1); Janet Sung, BA, (1); Rayna

Strong, BA, (1); Elliot Hersh, DMD, PhD, (1); Joan Gluch, RDH, PhD, (1); Andres Pinto, DMD, MPH, (1) University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA

OBJECTIVE: To describe the non-professional information available on the Internet for a person with a self-diagnosed toothache. METHOD: Internet searches for “toothache pain” and related terms (i.e.”toothache emergency”; “dental pain”) were undertaken using the two largest search engines, Google and Bing. The first two pages of resultant websites were classified by website type (professional or lay). Then, lay websites were read and coded according to the qualitative methods of Grounded Theory. Codes were compiled into categories to generate a multi-leveled descriptive analysis of website content. Four coders evaluated search engine results and website contents. Then, through conversation with dental and pharmacological experts and through a literature review, remedy categories were evaluated as potentially beneficial, harmful, or lacking in a scientific evidence base. RESULTS: Most lay website postings did not include definitions for toothache, although many postings mentioned nighttime pain. Potentially beneficial remedies included going to the dentist, common dental products (i.e. rinses, topical benzocaine), and standard home remedies such as salt water and improved brushing and flossing.

Potentially harmful remedies included drinking alcohol, chewing tobacco, and placing crushed aspirin against the aching tooth. Remedies lacking in a scientific evidence base included many foods and herbal supplements such as garlic, cayenne pepper, and vanilla extract.

CONCLUSION: A multiplicity of lay websites with a great variety of suggested remedies exist for persons seeking advice for toothache on the Internet. More information is needed to determine why people choose specific websites and how people choose among the remedies presented.


Poster Number: 62Serial/Abstract Number: 3 ORAL HEALTH ASSESSMENTS OF NEW HAMPSHIRE’S OLDER

ADULTS, 2012 Nancy Martin, MS, RDH, (1); Ludmila Anderson, MD, MPH, (1); Heather

Brown, MPH, RDH, (1) NH DHHS, Concord, NH, USA (1)

OBJECTIVES: The number of older Americans is increasing. By 2030, New Hampshire adults 65 years and older will represent about 20% of the state’s population. There are limited NH-specific data on the oral health of older adults. The objective of our study was to determine prevalence of edentulism, denture use, adult caries, root fragments, periodontal disease, and treatment needs.

METHODS: We utilized the Association of State and Territorial Dental Directors Basic Screening Survey- Older Adults, and selected a convenience sample of older adults attending six geographically dispersed senior centers and congregate meal sites. Through a brief non-invasive assessment, dental hygienists evaluated the prevalence of selected oral health indicators. Data were recorded on standardized forms, entered into a database and analyzed to provide proportions.

RESULTS: Assessments took place between February and June 2012. Altogether, 129 individuals from 51 to 94 years participated in the screenings. Sixty-six percent of participants were females, 97% reported that they are white, and 16% were edentulous. Fifty-seven percent had no functional posterior contacts, and 45% needed urgent or early dental care. Among dentate participants, 43% had untreated caries, 30% had root fragments, and 12% had obviously mobile teeth.

CONCLUSIONS: While our sample does not represent the general NH older adult population, we gained valuable experience working with older adults, and have a better insight into the prevalence of dental disease among this segment of our population. We seek partnerships with other public and private professionals to address identified oral health needs of NH’s older adults.

SOURCE OF FUNDING: This project was funded by the National Association of Chronic Disease Directors.

Poster Number: 63Serial/Abstract Number: 25 WEST VIRGINIA PRE-KINDERGARTEN ORAL HEALTH

SURVEILLANCE PROJECT Bobbi Muto, RDH, BS, MPH, (1,2); Deonna Williams, MS, BS, CHES, (2);

Jason Roush, DDS, (2); Stephanie Mongomery (1); Richlyn Yond (2); Ashley Logan (1); Richard Crespo, PhD, (1) Marshall University School of Medicine, Huntington, WV, USA (1),

WVDHHR-Oral Health Program, Charleston, WV, USA (2) OBJECTIVE: Recognizing that dental caries affects children in the

US more than any other chronic infectious disease and that untreated tooth decay causes pain and infections that may lead to problems with eating, speaking, and learning, WV conducted this surveillance project. The purpose was to collect baseline data on the prevalence of decay for the WV pre-kindergarten age population.

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Abstracts for Poster & Student Presentations METHODS: Screenings were conducted by a brief visual assessment

where licensed dental professionals who received training during the 2011-2012 school-year. Screeners looked for existing restorations, sealants and obvious decay. Thirty-five classrooms throughout WV were randomly selected to participate using a probability proportional to size sampling scheme, representative of the entire state. A total of 504 preschool children participated.

RESULTS: Results demonstrate that the at least one-third (34%) of preschool children have had caries experience and one-fourth (21%) have untreated decay. The most profound finding was that 21% of those screened were in need of early/urgent dental treatment.

CONCLUSIONS: The West Virginia Oral Health Program is utilizing data from this surveillance to develop new programs and strengthen and improve existing ones. Programs such as: oral health education services/supplies to schools in all 55 counties, school-based dental sealant program, 30-week fluoride rinse for public schools. Noting that early intervention that includes an initial dental visit at age 1 could dramatically reduce the prevalence of tooth decay in this young age group, WV is promoting a model that is a combination of routine dental visits, good oral hygiene, dental sealants and fluoride.


Poster Number: 64Serial/Abstract Number: 26 DENTAL INSURANCE COVERAGE IN WEST VIRGINIA: A CONSUMER

PERSPECTIVE Jason Roush, DDS, (1); Deonna Williams, MS, CHES, (1); Richlyn Yond,

MPH, (1) WVDHHR Oral Health Program, Charleston, WV, USA (1)

OBJECTIVE: To determine the number of people in West Virginia who have dental insurance and insurance type; develop a better understanding of dental care in West Virginia; and gather data that will assist in the development of population specific programs and messaging to meet the needs of the State.

METHODS: A 40-question survey was conducted by Repass & Partners of Cincinnati, Ohio. A multi-modal methodology was utilized during the survey thus resulting in interviews with a broader base of respondent ages, income and other demographics. The data was adjusted to take into account the complex sampling scheme and non-response. Data analysis, which included frequencies and 90% confidence intervals, was completed using SAS version 9.3.

RESULTS: West Virginians generally viewed dental health as important with nine out of ten people saying that regular dental care is important. Although consumers believed that regular dental care is important, about a quarter described their oral health as being fair or poor. In addition, two-thirds of West Virginians had lost at least one permanent tooth, and one-third lost a permanent tooth which has not been replaced.

CONCLUSIONS: Lack of dental insurance was a major impediment cited by consumers. Only half of West Virginians have dental insurance. Of those with dental insurance, most received it via their employer, but one-third did not know how much they pay as a deductible. A quarter of consumers hadn’t seen a dentist in 2 or more years, citing costs as the primary reason.

SOURCE OF FUNDING: This project was made possible by the U.S. Department of Health and Human Services (HHS) Level One Establishment Grant funding by virtue of a memorandum of understanding with the West Virginia Offices of the Insurance Commissioner.

Poster Number: 65Serial/Abstract Number: 27 WEST VIRGINIA ADULT ORAL HEALTH SURVEILLANCE PROJECT Bobbi Muto, RDH, BS, MPH, (1,2); Deonna Williams (2); Jason Roush,

DDS, (2); Gina Sharps, RDH, BS, MPH (1,2); Richlyn Yond (2); Stephanie Mongomery (1); Richard Crespo, PhD, (1); Ashley Logan, RDH, (1) Marshall University School of Medicine, Huntington, WV, USA (1), WVDHHR- Oral Health Program, Charleston, WV, USA (2)

OBJECTIVE: The purpose of this assessment was to identify the prevalence of tooth decay and loss of natural teeth, and to identify gaps in insurance coverage.

METHODS: The method used for this assessment was to screen a convenience sample of adults at Federally Qualified Health Centers (FQHC’s). FQHCs serve one in five West Virginians and provide services in all 55 counties. Additionally, these centers serve everyone regardless of their ability to pay, thus capturing the full spectrum of patients by insurance coverage. FQHCs were randomly selected using a probability proportional to size sampling scheme to assure a sample representative of the entire state. Screenings were conducted by trained examiners, a total of 403 adults participated in the screening.

RESULTS: Some key findings:Prevalence of untreated decay: 30%•Prevalence of completely edentulous (those without any of natural •teeth): 12%Prevalence of need for dental treatment (early/urgent): 33%•Of the 81% with medical coverage, only 43% had an option to •purchase supplemental DENTAL coverage with their existing plan, of the 262 (65%) reporting they have a dentist that they usually go to for advice:73% had been seen in the past 12 months •18% had a need for dental treatment •

A complete summary of findings will be presented on the poster CONCLUSIONS: West Virginia’s oral health survey provides essential

information about the oral health of the adult West Virginian helps to identify oral healthcare issues and can guide future practice and policy.


Poster Number: 66Serial/Abstract Number: 28 OLDER ADULT/SENIOR SURVEILLANCE PROJECT: WEST VIRGINIA Bobbi Muto, RDH, BS, MPH, (1,2); Gina Sharps, RDH, BS, MPH, (1,2); Ashley

Logan, RDH, BS, (1); Jason Roush, DDS, (2); Richard Crespo, PhD, (1); Deonna Williams, MS, BS, CHES, (2)

Marshall University School Of Medicine, Huntington, WV, USA (1), WV Oral Health Program, Charleston, WV, USA (2)

OBJECTIVE: WV’s older adult/senior oral health survey provides essential information about the oral health of the older adult WV, helps to identify oral healthcare issues and can guide future practice and policy.

METHODS: The target population examined was those referred to as “well elderly”, adults living independently and seeking services at a congregate meal site. A random convenience sampling strata of the meal sites was used to assure a representative sample of the entire state. Trained, calibrated dental professionals conducted screenings on 400 individuals at the sites in 15 counties.

RESULTS: Some key findings:Prevalence of untreated decay: 27%•Prevalence of completely edentulous (those without any of natural •teeth): 44%Prevalence of need for dental treatment (early/urgent): 21%•Those who have not visited a dentist in over 5 years: 40%, Of those •40%, 91% had NO dental insurance

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Abstracts for Poster & Student Presentations Complete summary findings on poster CONCLUSIONS: According to WV Senior Services, 34.3% of West

Virginia’s older adults live on less than $15,000 annually, and 12.1% live at or below the federal poverty level - choosing to pay for dental care out of pocket versus paying for medications may not be realistic. West Virginia is estimated to have the third highest median age in the nation at 40.3%, and the Census Bureau indicates that by the year 2025, individuals age sixty and older will represent more than 30% of the State’s population. WV Oral Health Program must be prepared to address these needs.


Poster Number: 67Serial/Abstract Number: 54 ASSOCIATION BETWEEN SELF-REPORTED TOOTH LOSS, SMOKING

AND DIABETES: FINDING FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM

Sai Kurmana, MD, MPH, (1); Rodolfo Vargas, MS, (1); Dionne Richardson, DDS, MPH, (1) Mississippi State Department of Health, Jackson, MS, USA (1)

BACKGROUND: Numerous epidemiological studies show an increasing trend of tooth loss due to tooth decay and periodontal disease. Some health conditions make people more likely to have tooth loss. Having an annual dental examination is a national goal of Healthy People 2020. Our objective was to examine whether an association exists between self-reported tooth loss, smoking and diabetes among adult population in Mississippi who participated in the Behavioral and Risk Factor Surveillance. METHODS: We used data from the 2010 Mississippi Behavioral Risk Factor Surveillance System to examine the association between self-reported tooth loss, smoking and diabetes among 8,089 survey respondents. We used multivariate regression modeling to investigate the cross-sectional association between self-reported tooth loss, diabetes and smoking. RESULTS: Mean age was 55.8 ± 13.9 years, with 47.6% males and 52.4% females. In a multivariable model adjusting for age, sex and annual dental visits, there was a significant association between tooth loss and diabetes (AOR = 1.55, 95%CI = 1.15-2.01 and between tooth loss and smoking (AOR= 1.83, 95%CI = 1.38-2.44) among the survey participants. The association is stronger among current smokers who are also diabetics and who experienced tooth loss (AOR= 1.88, 95% CI 1.06-3.43). CONCLUSIONS: An association between tooth loss, smoking and diabetes was evident among adults in Mississippi. Due to limitations of the available variables in the present databases, further studies including caries experience, hypertension prevalence and its confounders should be conducted to examine whether smoking and diabetes are true risks of tooth loss in adults.


Poster Number: 68Serial/Abstract Number: 73 FIVE YEARS CARIES PREVALENCE AMONG CHILDREN UNDER 24

MONTHS TREATED IN A NEW YORK CITY PUBLIC HOSPITAL Untray Brown, DDS, (1); Athanasios Zavras, DDS, MSc, ScD, (1)

Columbia University, New York, NY, USA (1) This study examines the extent to which dental caries prevalence

is underestimated in children younger than 24 months. We based this study on an age group not reported in the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994, which focused on children from 2 to 18 years. The lower age limit in NHANES was defined as 2 years to reflect the developmental status considerations of the primary dentition. Our study population consisted of children younger than 24 months attending the Bellevue Hospital Pediatric Dental Clinic from 2007 to 2011. These children are considered high risk for dental

disease due to low socioeconomic and recent immigration status. A review of approximately 900 dental records was conducted to determine the prevalence of Early Childhood Caries in this population. The data was extracted from Dentrix dental record software. The data was filtered by age, dental procedure and diagnosis, de-identified and then transferred into Excel for analysis. The analysis will include descriptive statistics such as mean, median, mode, standard deviation and percentages. Appropriate stratification of the data will be used to portray various demographics of the Bellevue pediatric population. Chi square statistic will be used to explore the significance of the demographic variables on the dental caries prevalence.

SOURCE OF FUNDING: HRSA

Poster Number: 69Serial/Abstract Number: 35 COLLABORATIVE EFFORT TO IMPROVE ORAL HEALTH ACCESS IN

CHICAGOLAND Alejandra Valencia, DDS, MPH, MS, (1); Anne Clancy, RDH, MBA, (1); Mona

Van Kanegan, DDS, MS, (1) Chicago Community Oral Health Forum, Chicago, IL, USA (1)

OBJECTIVE: To develop a collaborative public/private strategy to address disparities affecting Chicago-area residents using a systems-change framework that aligns Chicago efforts to National/State initiatives for improving access to oral health care and education.

METHODS: The Chicago Community Oral Health Forum (CCOHF), a community-centered initiative created to address oral health disparities in Chicagoland, is leading a system-wide plan for change with the support of important local stakeholders. The plan includes a framework that guided an Oral Health Summit where over 60 high-level organizational leaders met to develop a 5-year Oral Health Plan. The draft plan resulted in three goals, six objectives and approximately 15 action items to complete in the first year of the initiative, requiring collaborations to accomplish each of the goals. Goals and objectives align with Healthy People 2020, the Institute of Medicine reports, and the State Health Improvement Plan.

RESULTS: The First Chicago-Area Oral Health Plan focused all activities and efforts on three main goals: monitor the use of the oral health care system, expand oral health infrastructure and develop/expand oral health promotion. Activities in the first year include: the collection of baseline data, developing an oral health curriculum for Chicago Public Schools, educating non-oral health professionals about the importance of oral health, and strengthening collaboration with organized dentistry.

CONCLUSION: The CCOHF’s coordinated efforts have mobilized partners and stakeholders in a common mission: advocating for improved leadership and strategy, stronger service and educational infrastructure, and the responsible allocation of additional resources that improve access to care in Chicagoland.

SOURCE OF FUNDING: The Otho S. A. Sprague Memorial Institute, DentaQuest Foundation, The Wm. Wrigley Jr. Foundation

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Poster Number: 70Serial/Abstract Number: 33 CONTINUED PROGRESS ON A NATIONAL PLATFORM TO BUILD

TRUST AND FORGE COMMON GROUND TO ACHIEVE OPTIMAL ORAL HEALTH FOR ALL: THE U.S. NATIONAL ORAL HEALTH ALLIANCE

Nathan Ho, BA, (1,2); Michael Monopoli, DMD, MPH, MS, (2,1); Steven Geiermann, DDS, (3,1)

US National Oral Health Alliance, Boston, MA, USA (1), DentaQuest Foundation, Boston, MA, USA (2), American Dental Association, Chicago, IL, USA (3)

OBJECTIVES: To provide a national platform for a diverse network of stakeholders to forge common ground through collective impact and create viable solutions for improved oral health through prevention and treatment for vulnerable populations in the US.

METHOD: The U.S. National Oral Health Alliance engages partners in a leadership Colloquium model designed to deepen and widen the discourse among diverse stakeholders. Partners enhance their own work by participating in Alliance Colloquia in ways that draw on and benefit from the experiences of other partners. Individual work continues to evolve from learning with others, while internalizing their own experiences and reflecting on those experiences with other committed people.

RESULTS: The Alliance has hosted four Colloquia since 2011. The Colloquia have focused on four of the six Alliance priority areas. Each Colloquium involved more than 100 diverse participants. Common ground messages from each Colloquium have been published. Post-Colloquia participant evaluations have continued to be positive. The Alliance is planning Colloquia around the two remaining priorities, a plan for continued success, and has developed an online social network to strengthen engagement and growth between Colloquia.

CONCLUSIONS: This model of interaction and convening shows promise to align efforts among a diverse network of stakeholders and develop solutions that improve oral health. A majority of Participants continue to state that they were highly likely or likely to participate in future Colloquia. A network analysis of the development of relationships, through the Colloquia model, that support the collective impact of the Alliance will be presented.

SOURCE OF FUNDING: DentaQuest Foundation, Kellogg Foundation


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AMERICAN ACADEMY OF PEDIATRICS: ORAL HEALTH INITIATIVES C Eve J Kimball, MD, Oral Health, American Academy of Pediatrics For more than 10 years, the AAP has been working to bring oral

health into primary care. There have been a number of initiatives to train pediatricians and others on how to provide oral health services including our Chapter Oral Health Advocates, advocacy for payment of caries prevention services in primary care by Medicaid, development of oral health risk assessment and other practice tools, and more recently advocacy around community water fluoridation. The AAP has also developed a number of policies on children’s oral health that have become recognized as the standard of care for oral health within the primary care setting. AAP has endorsed Smiles for Life and works collaboratively with many local, state, and national groups to advance children’s oral health from policy implementation to grass roots training and family education.


AMERICAN ACADEMY OF PEDIATRIC DENTISTRY: AAPD AND HSHC ACTIVITIES TO IMPROVE CHILDREN’S ORAL HEALTH Jan Silverman, MS, MSW, American Academy of Pediatric Dentistry An advocate for children’s oral health, the American Academy of

Pediatric Dentistry (AAPD) has a history of advocating for improved oral health outcomes for our country’s most vulnerable children, including promotion of a dental home/age one dental visit for all children. In 2011, the AAPD formed a research and policy center to perform research and policy analysis that advances and promotes optimal children’s oral health care. In the public policy arena, the AAPD works to improve Medicaid dental programs. Approximately 70 percent of pediatric dentists accept Medicaid patients. The AAPD has also led efforts over the past fifteen years that have doubled the number of pediatric dentist training positions. Most recently, the AAPD has worked closely with the ADA to make sure that pediatric dental insurance offerings in state health insurance exchanges under the ACA are robust in terms of benefits covered, have adequate provider networks, and are a mandatory purchase. The AAPD also recently launched a Public Policy Advocates program, which supports advocacy efforts at the state level. To improve oral health literacy, the AAPD partnered with the Dental Trade Alliance and other dental organizations as part of the Partnership for Healthy Mouths, Healthy Lives to create the Ad Council campaign on children’s oral health that was launched in 2012 (2MINX2). The AAPD’s charitable foundation, Healthy Smiles, Healthy Children (HSHC), operates an Access to Care grant program that provides funds to organizations to increase access to quality oral health care to underserved and disadvantaged children.


AMERICAN ASSOCIATION FOR COMMUNITY DENTAL PROGRAMS (AACDP) Myron Allukian Jr, DDS, MPH, Immediate Past President, American

Association for Community Dental Programs The American Association for Community Dental Programs

(AACDP) is a national organization comprised of oral health professionals and other interested individuals who work in local and county health departments and community-based dental programs. There are over 2,900 local health departments in the U.S. The organization supports those interested in serving the oral health needs of vulnerable populations at the community level. Our vision is to promote and protect the oral health of the United States by stimulating, improving, and maintaining city, county, and community-based oral health programs. The AACDP values the pursuit of innovation, collaboration, leadership,

research, and advocacy to reduce oral disease. AACDP benefits include annual meetings, publications, and subscription to the Community Oral Health Programs discussion list. Membership is free.

On our website, http://www.aacdp.com/, AACDP offers resources including: Seal America: The Prevention Invention, 2nd edition (2007), that assists health professionals in initiating and implementing a school-based dental sealant program; A Guide for Developing and Enhancing Community Oral Health Programs (2006), that provides guidance to local public health agencies in developing, integrating, expanding, or enhancing community oral health programs; and A Model Framework for Community Oral Health Programs Based Upon the Ten Essential Public Health Services (2006), that describes the integration of oral health into the 10 essential public health services. The AACDP also issues a publication, The Bellwether: Leading Local Efforts to Improve the Nation’s Oral Health, for the membership that discusses topics relevant to oral health, highlights of innovative or promising programs, and information about AACDP activities.

SOURCE OF FUNDING: No regular source

AMERICAN ASSOCIATION FOR DENTAL RESEARCH: THE ROLE OF RESEARCH IN REDUCING ORAL HEALTH DISPARITIES Christopher H Fox, DMD, DMSc, Executive Director, American Association

for Dental Research The International and American Associations for Dental Research

(IADR/AADR) have outlined the role of oral health research in the push to decrease health inequalities around the globe. Through direction from its elected leadership as well as participation from the general membership, IADR and AADR have spearheaded: (1.) publication of “IADR-Global Oral Health Inequalities: The Research Agenda® (IADR-GOHIRA®),” (2.) Formation of the IADR GOHIRA Scientific Network, (3.) an AADR 2011 Fall Focused Symposium “Oral Health Disparities Research and the Future Face of America,” (4.) ongoing dialogue with the National Institute of Dental and Craniofacial Research, and (5.) the inclusion of an oral health research component within U.S. Representative Barbara Lee’s 2012 Health Equity and Accountability Act. AADR is also a member of the National Partnership (NPA) to End Health Disparities of the DHHS Office of Minority Health. During the roundtable discussion, IADR/AADR activities will be discussed, with details offered on how participants can engage efforts currently underway, and suggestions would be welcome on how IADR/AADR can strengthen our efforts to reduce oral health disparities.

SOURCE OF FUNDING: IADR and AADR funds

AMERICAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY: THE ROLE OF AAPHD IN IMPROVING THE ORAL HEALTH OF VULNERABLE POPULATIONS Julie Janssen, RDH, MA, Executive Council Member, American Association

of Public Health Dentistry There is a prevalent misconception that being a member of

the “dental public health workforce” means that “you treat the poor.” Never has that definition been more wrong. Dental Public Health is for the ENTIRE public, not just underserved populations. The American Association of Public Health Dentistry (AAPHD) encourages a diverse, multidisciplinary approach to improving the public’s oral health. With the specialty board (ABDPH); the Foundation supporting advances in research, scholarship, student chapters, and workforce; a world renowned journal; and where you can join us in supporting and advocating for oral health, and thereby overall health, will be the focus. The time is right for this discussion. With the upcoming implementation of the Affordable Care Act giving more Americans access to dental care; with barriers to

National Organization and Federal Agency RoundtablesWednesday April 24, 2013 11:30-12:45

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National Organization and Federal Agency Roundtablesevidenced-based dental public health practices of community water fluoridation and school-based sealant programs; and with heightened awareness and debate about the make-up of the dental workforce by policy makers, what should our consistent message be? How is AAPHD influencing these discussions? In this presentation you will learn the true meaning of what it is to be member of the dental public health workforce, how we make a difference and where AAPHD fits into the equation.

SOURCE OF FUNDING: Volunteers are attending the meeting at their own expense.

AMERICAN DENTAL ASSOCIATION: CALL TO ACTION FOR ORAL HEALTH Kathleen O’Loughlin, DMD, MPH, Executive Director, American Dental

Association Improving oral health is a top priority for the ADA and our members.

In fact, for years, many of our members –through their own efforts or through their state dental associations – have been committed to working with their local leaders to identify and advance solutions that improve oral health. Following the lead of our members, the ADA is working to refocus the discussion on access to oral health care through promotion of a suite of active policy initiatives, which aim to prevent disease, provide oral care to underserved populations, use the safety net effectively and increase oral health literacy. The ADA is launching this effort with a Call to Action for Oral Health. We have identified eight initiatives that offer real answers to real problems. They are evidence-based, affordable and measurable solutions to improve access. There are success stories to share. The Initiatives address: long-term care, emergency room diversion, expanding Medicaid coverage for children and adults, community water fluoridation, involving elected officials with Give Kids A Smile and Mission of Mercy programs, expanding the use of community dental health coordinators, encouraging Federally Qualified Health Centers to contract with private dentists, and increasing collaboration with non-dental (medical) professionals. SOURCE OF FUNDING: None

AMERICAN DENTAL HYGIENISTS’ ASSOCIATION: DEVELOPING YOUR STRATEGIC PLAN FOR THE ENVIRONMENT Ann Battrell, MSDH, American Dental Hygienists’ Association This presentation will show how ADHA, as a national association,

has aligned its resources and is impacting policies and initiatives, many of which impact the issue of access and the underserved. Ann Battrell, ADHA Executive Director, will discuss how an environmental scan aided in the development of ADHA’s strategic plan; further, how the strategies contained in the strategic plan are affecting the work that we do across the country, all of this guided by ADHA policy. Highlights will include the association’s efforts in the areas of:

Enhancing collaborative partnerships with corporations, •foundations, funding entitiesIncreasing organized dental hygiene’s involvement in the •development of new workforce modelsSupporting efforts to increase access to oral health care.•


AMERICAN NETWORK OF ORAL HEALTH COALITIONS: THE IMPORTANCE OF YOUR STATE ORAL HEALTH COALITION Alexandra V Eichenbaum, American Network of Oral Health Coalitions The American Network of Oral Health Coalitions (ANOHC) exists to

create a reliable place for state oral health coalitions to share information, ask questions, and leverage time and resources. ANOHC members are statewide oral health coalitions that promote lifelong oral health by shaping policy, promoting prevention, and educating the public. With 28 member states, ANOHC has developed into an important voice in national oral health policy. The relationship between state oral health

programs and coalitions is an important one. Because of tight budgets and restrictions on state agencies, public health professionals must now get creative to make a measurable impact on oral health. As a result, state coalitions have become an integral part of oral health infrastructure. With access to diverse memberships and the ability to leverage outside funding, state coalitions are now more important than ever in promoting oral health. For instance, with the abundance of anti-fluoridation activity across the country, state coalitions are serving as the first line of defense against the removal of fluoride from community water systems. With upcoming ACA implementation, state coalitions are acting as important advocates for oral health services. The goal of this session is to educate NOHC attendees on the importance of state coalitions and the role they serve in dental public health. We are looking to engage oral health stakeholders with common goals and identify potential coalition partners. Attendees will walk away with a better understanding of how to utilize and maximize the resources of their own state oral health coalition.

SOURCE OF FUNDING: Funding requested from the DentaQuest Foundation

AMERICAN PUBLIC HEALTH ASSOCIATION, ORAL HEALTH SECTION: POLICY IN ACTION Kathy M Lituri, RDH,MPH, Chair-elect, American Public Health Association,

Oral Health Section The American Public Health Association (APHA) is the oldest,

largest and most diverse organization of public health professionals in the world. Representing over thirty-thousand professionals working in the public and private sector, APHA members include health officials, educators, environmentalists, policy-makers and health care providers. The Oral Health (OH) Section of APHA seeks to promote oral health to a large multidisciplinary audience, partners with other health care providers, integrates oral health with overall health, provides input into environmental and health care delivery issues, and disseminates research findings to a diverse audience. This round table will present the policy formulation process within APHA; discuss recent policy initiatives led by the Section including amalgam’s phase-down, Community Water Fluoridation, the Alaska Dental Health Aide Therapist, the prophylactic removal of third molars and fluoride varnish; and share policy related activities. The OH Section has two representatives on the APHA Governing Council, the primary mechanism whereby the Section has a voice in this large, multidisciplinary organization and the ability to influence policy development. Through the APHA governing process, the OH Section submits its own resolutions and provides input into other relevant resolutions. APHA staff and lobbyists work actively to promote APHA resolutions into state and national policies. In order to recognize promising new public health professionals, the OH Section sponsors pre- and post-professional awards. Oral health projects are evaluated based on their originality, scientific rigor and policy implications. Through its inter-disciplinary scientific program, the OH section promotes collaboration and fosters advocacy in oral health related issues.


ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS (AMCHP) Kate E Howe, MPH, Program Manager, Child Health, Association of Maternal

& Child Health Programs The Association of Maternal & Child Health Programs (AMCHP) is a

national resource, partner and advocate for state public health leaders and others working to improve the health of women, children, youth and families, including those with special health care needs. AMCHP supports state maternal and child health programs and provides national leadership on issues affecting women and children, including oral health. AMCHP works with partners at the national, state and local levels to expand medical homes; provide and promote family-centered,

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National Organization and Federal Agency Roundtablescommunity-based, coordinated care for children with special health care needs; and facilitate the development of community-based systems of services for children and their families. AMCHP works with national organizations such as ASTHO, NACCHO, CityMatCH, ASTDD, National Healthy Start, National Association of Chronic Disease Directors, Children’s Safety Network, as well as federal partners, to increase capacity for state and local programs to improve outcomes for women, children and families. AMCHP provides platforms to share effective MCH practices and policies through issue briefs, webinars, reports, and a best practices database. AMCHP provides technical assistance around programs such as Home Visiting, federal policies and legislation affecting MCH, national initiatives (i.e., improving birth outcomes) and how state and local programs can collaborate around MCH issues in their communities. AMCHP also provides linkages to and information about MCH programs and state contacts through our website, as well as to the Title V MCH Block Grant so that other state and local programs can find information about MCH programs and projects.


ASSOCIATION OF STATE AND TERRITORIAL DENTAL DIRECTORS: WHERE ORAL HEALTH LIVES Julie W McKee, DMD, Board of Directors Secretary, Association of State and

Territorial Dental Directors Join this roundtable to learn why ASTDD is “Where Oral Health Lives.”

The Association of State and Territorial Dental Directors is a professional association that provides leadership to promote a governmental oral health presence in each state and territory, to formulate and promote sound oral health policy, to increase awareness of oral health issues, and to assist in the development of initiatives for prevention and control of oral diseases. ASTDD’s Members and Associate members are dedicated public health professionals, the majority of whom are either dentists or dental hygienists. ASTDD’s Members serve as the principle point of contact within state/territorial government on issues specific to oral health. Our Associate Members are individuals representing a cross section of disciplines, all committed to improving the nation’s oral health. Our Members and Associate Members, along with state oral health program staff, play a critical role in assuring optimal oral health for all Americans. Currently more than 80% of members serve the association though active participation on committees or workgroups, as liaisons to other organizations, or as representatives of ASTDD in other venues. Visit this roundtable to find out how you and your state can benefit more from this organization.


CDC DIVISION OF ORAL HEALTH: SURVEILLANCE AND PREVENTION EFFORTS Scott M Presson, DDS, MPH, Team Leader, Program Services Team, CDC

Division of Oral Health Located in the National Center for Chronic Disease Prevention and

Health Promotion at the Centers for Disease Control and Prevention (CDC), the Division of Oral Health (DOH) works to prevent and control oral diseases and conditions by building the knowledge, tools, and networks that promote healthy behaviors and effective public health practices and programs. DOH core functions are: Monitor/Surveillance; Research; Communications; Preventive strategies; State infrastructure; Evaluation; Investigate and diagnose; Partnerships; and Policy development. This roundtable will focus on current and future DOH activities related to surveillance and prevention programs. Surveillance topics to be discussed include advances related to the National Oral Health Surveillance System, Healthy People 2020, the National Health and Nutrition Examination Survey, and the Behavioral Risk Factor Surveillance System. Prevention topics will include advances related to state oral health program infrastructure and prevention programs.

Community-based preventive programs to be addressed are community water fluoridation and school-based/ school-linked sealant programs. Collaborations with national partner organizations that enhance national and state surveillance efforts and support for state infrastructure and prevention programs will also be discussed.


CENTER FOR ORAL HEALTH: HOW TO ADVANCE KNOWLEDGE, INFORM POLICY AND INSPIRE PRACTICE Conrado E Barzarga, MD, Center for Oral Health The Center for Oral Health (formerly known as the Dental Health

Foundation) has been a leader in advancing knowledge, improving policy and inspiring the practice of oral health care in public settings. The Center for Oral Health is a strong proponent of inter-professional collaboration and supports the notion of oral health as a component of total health. It has proactively advocated for policy change and is a front-runner in innovative programs designed to increase access to dental care and increase the oral health knowledge of non-dental healthcare professionals. Center for Oral Health was founded in 1985 in response to a public health crisis in California and it soon became the biggest brain trust on oral health in California. It has been a key contributor to increasing community water fluoridation, and improving oral health access by educating policy-makers, healthcare providers, and the public about the prevalence and importance of oral health –especially the importance of early interventions. At the Roundtable, the Center for Oral Health will describe its current efforts to advance an oral health agenda in California, including a description of its programs, findings, and how data and knowledge are translated into policy recommendations.


CHILDREN INTERNATIONAL: GLOBAL DENTAL SERVICES - PROMOTING ORAL HEALTH ACROSS 11 NATIONS Andrea M Dunne-Sosa, MPH, Program Officer for Health and Nutrition,

Children International Children International offers dental services to nearly 340,000

impoverished children and youth throughout 11 countries in Latin America, Asia, Africa and the United States. CI provides these services through established medical and dental clinics, as well as through outreach initiatives within the communities we serve. In addition to curative services made available to the full sponsored population, CI provides preventive services to targeted age groups, including provision of fluoride, sealants, and other prophylactic measures. We utilize the Basic Screening Survey (BSS) to identify high priority children to receive treatment, develop a treatment plan for every child screened, and offer referral services as needed to treat more involved cases. In addition, health education is a critical component in our efforts to reduce the negative effects of poor oral health on a child’s overall health and development.

SOURCE OF FUNDING: Sponsorship contributions and major donor grants

CHILDREN’S DENTAL HEALTH PROJECT: OPPORTUNITIES AHEAD, A CONVERSATION WITH THE CHILDREN’S DENTAL HEALTH PROJECT Patrice Pascual, Executive Director, Children’s Dental Health Project For 15 years, the Children’s Dental Health Project has been

promoting evidence-based solutions to improve oral health. But we never do it alone. Come share your insights, experiences and stories around prevention, access and coverage. We’ll share updates on our emerging work and open a conversation about how it connects to yours. Do you have suggestions for how CDHP can help you? Share them with us. We’ll brainstorm too, with a fast-paced “open mike” discussion on an up-to-date topic announced at the roundtable.

SOURCE OF FUNDING: Unrestricted funds

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National Organization and Federal Agency RoundtablesHENRY SCHEIN AND PARTNERS: DOING WELL BY DOING GOOD Andrea J Hight, BS, Strategic Account Manager, Henry Schein, Inc Most people know Henry Schein as the company that provides

equipment, technology and cotton rolls. While it is true that Schein, an international distributor of all things medical and dental, is ranked as a Fortune 300 company, it also consistently ranks first in the industry for social responsibility. This spirit of corporate citizenship is exemplified through Henry Schein Cares global social responsibility program, and Schein’s stated mantra of ‘Doing well by doing good’. The presentation focuses on how Schein with its employees and partners (DentalEZ will join the presentation in its partnership role), actively works to support wellness, disease prevention and treatment; provides emergency preparedness and disaster relief; and helps with capacity building of safety net programs. Participants will learn about activities and programs sponsored by the Henry Schein Cares Foundation and how the foundation partners with national and community organizations such as ASTDD, NNOHA, Primary Care Associations and regional coalitions to help further their initiatives. The presentation will also: 1) summarize products, technology and resources specifically tailored and designated to help safety net programs effectively and cost-effectively provide and expand care; 2) review new and appropriate products for safety-net settings, strategies to reduce the environmental footprint, and how to tap into manufacturers for no-cost CE and clinical training; 4) products and training related to oral cancer screening and early diagnosis of oral lesions. The Product discussion will be specifically clinical and will include examples of products that can be obtained from multiple sources.

SOURCE OF FUNDING: Henry Schein Inc and DentalEZ

INDIAN HEALTH SERVICE: IMPROVING ACCESS TO CARE AND INCREASING PREVENTIVE INTERVENTIONS FOR UNDERSERVED MINORITIES BY PROGRAM PLANNING. IMPLEMENTATION, EVALUATION, AND POSITIVE REINFORCEMENT Patrick Blahut, DDS, MPH, Indian Health Service, HHS The Government Performance and Results Act (GPRA) mandated

HHS Agencies to formulate program goals, set long-term objectives, and adopt annual measurable target objectives. Annual Federal operating budgets are determined in part by an Agency’s ability to meet annual targets and document progress toward long-term goals. This presentation documents the Indian Health Service Division of Oral Health’s efforts to postulate meaningful GPRA goals and influence clinicians’ behaviors and treatment decisions in a manner leading to successfully addressing these goals. Rationale for the goals that were chosen, the process by which these goals were disseminated and promoted throughout 291 field programs in 35 states, resistance encountered, and the awards program for outstanding achievements among field programs will be discussed. Descriptive statistics documenting program performance over 13 years will be shared. These data illustrate consequential gains in access to care and increases in the number of preventive procedures. There is no reason to assume these significant improvements in access to care and preventive dentistry would have been realized without the dental public health initiatives outlined in this presentation.


NATIONAL MATERNAL AND CHILD ORAL HEALTH RESOURCE CENTER, GEORGETOWN UNIVERSITY: INTEGRATING COMPREHENSIVE ORAL HEALTH CARE SERVICES INTO SCHOOL-BASED HEALTH CENTERS Elizabeth A Lowe, BSDH, MPH, National Maternal and Child Oral Health

Resource Center Comprehensive oral health care services that are integrated

into school-based health centers (SBHCs) provide access to care to help ensure that children and adolescents, especially those from vulnerable populations, are healthy and able to learn. To advance these efforts, the Maternal and Child Health Bureau is supporting a national

demonstration grant program to integrate comprehensive oral health care services into SBHCs. This roundtable will provide an overview of the grant program and models of care; highlight successes, challenges, and lessons learned in integrating comprehensive oral health services into SBHCs; and present a tool developed in collaboration with the grantees to determine the level at which comprehensive oral health services are integrated into health care in each of their program sites.

SOURCE OF FUNDING: Maternal and Child Health Bureau, HRSA

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH, NIH, DHHS: RESEARCH TO ELIMINATE ORAL HEALTH DISPARITIES – A NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH PRIORITY Ruth E Nowjack-Raymer, MPH, PhD, Director, Health Disparities Research

Program, National Institute of Dental and Craniofacial Research Despite improvements in the oral health of many, not everyone has

benefited equally. Oral, dental and craniofacial conditions remain among the most common health problems for low-income, disadvantaged, disabled and institutionalized individuals across the life span. Dental caries, periodontal disease, and oral and pharyngeal cancer are of particular concern. The National Institute of Dental and Craniofacial Research (NIDCR) places priority on research to eliminate oral health disparities and inequities and devotes one of its four strategic goals to this concern. Intervention research that evaluates or informs clinical practice, public health policy, health care provision, community and/or individual action is a priority as are studies that provide essential information to guide the development of tailored/targeted interventions. Given the complexity of factors that contribute to disparities including those that are upstream, studies often require multidisciplinary teams, community engagement, and multilevel and multisectorial approaches in varied care delivery and community settings. Studies with strong conceptual models and that are grounded in theory are needed. Building a cadre of researchers from diverse disciplines and backgrounds as well as the appropriate dissemination and implementation of research findings are essential to the achievement of NIDCR’s goal. At the CONCLUSION of the roundtable participants will understand: 1) the NIDCR strategic planning process, 2) the types of research support and training mechanisms initiated by the NIDCR to foster the goal, 3) where and what type of research is being conducted and by whom, and 3) the resources available to public health practitioners, researchers, trainees, and the public.

SOURCE OF FUNDING: NIDCR, NIH/DHHS

NATIONAL NETWORK FOR ORAL HEALTH ACCESS: HELPING SAFETY-NET DENTAL PROVIDERS HELP OUR COUNTRY’S UNDERSERVED Annette K Zacharias, BS, Executive Director, National Network for Oral Health

Access The National Network for Oral Health Access (NNOHA) is a

nationwide network of dental providers who care for patients in safety-net systems. These providers understand that oral disease can affect a person’s speech, appearance, health, and quality of life and that inadequate access to oral health services is a significant problem for low-income individuals. The members of NNOHA are committed to improving the overall health of the country’s underserved individuals through increased access to oral health services. This roundtable will provide information about NNOHA’s recent activities, benefits of joining our network, and how to get involved.


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National Organization and Federal Agency RoundtablesORAL HEALTH AMERICA- CONNECTING COMMUNITIES WITH RESOURCES Tina Montgomery, BA, MBA, Senior Programs and Policy Manager, Oral

Health America Oral Health America works to connect communities with resources

to improve access, education and advocacy, particularly those most vulnerable to oral disease, such as children and the elderly. OHA strengthens existing programs and helps communities develop new school based/school linked preventive oral health services through our Smiles Across America® program. Through Smiles Across America we provide grant funding, product donations, and technical assistance for local community efforts to reach children who are not receiving needed dental care due to lack of transportation, inadequate insurance coverage, low family literacy or language diversity and/or living in a DHPSA. OHA expands the reach of preventive oral health services, particularly the application of sealants, delivered in a school based setting. Through the Wisdom Tooth Project, OHA works to educate the general public, interdisciplinary stakeholders, caregivers and older adults themselves about the importance of oral health as we age. Through Toothwisdom.org, OHA helps to connect caregivers of older adults to resources for care, written in plain language, to improve the oral health of their older adult, and to connect older adults to care by providing links to a variety of resources. In addition, Oral Health America brings together national and local level resources to pilot innovative and holistic care models that might be replicated in other US communities. For example, OHA has helped to pilot clinics in Buffalo, NY using interdisciplinary health teams to meet a critical community need and engaged an interdisciplinary coalition in Connecticut to create a customized CT State page for ToothWisdom.org

SOURCE OF FUNDING: Foundation/Corporate grants, individual donors

ORGANIZATION FOR SAFETY, ASEPSIS AND PREVENTION (OSAP): FIRST DO NO HARM Kathy J Eklund, RDH, MPH, Secretary, Board of Directors, Organization for

Safety, Asepsis and Prevention Every public health professional shares this common goal: to

prevent disease and promote health. OSAP’s mission is to advocate for the safe and infection-free delivery of oral healthcare--a mission that supports every “touch” by public health practitioners. This Roundtable will highlight OSAP’s toolkit of resources, education and advice to aid state dental directors and other public health practitioners working in regional and national efforts to address the oral health needs of the public. Learn where to download screening forms and checklists; innovative training tools; and other resources 24-7 to ensure that the people both receiving and delivering oral healthcare are protected from the risk of disease transmission.


PEW CHILDREN’S DENTAL CAMPAIGN: WHAT DOES THE PEW CHILDREN’S DENTAL CAMPAIGN DO? Shelly Gehshan, Director, Pew Children’s Dental Campaign The Pew’s Children’s Dental Campaign, part of The Pew Charitable

Trusts, promotes cost-effective policies to expand access to dental care and ensure millions more children receive the basic care they need to grow, learn, and lead healthy lives. The Campaign is starting its fifth year and has focused on two main areas – prevention, including primarily community water fluoridation, and pursuing evidence-based workforce models that can expand access to care for low income children. Come to learn more about the Campaign’s future plans, state campaigns, federal priorities, and research projects.


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AAPHD Student Merit Award Winners

Leverett Graduate Student Merit Award for Outstanding Achievement in Dental Public Health

First PlaceAshley KranzGillings School of Global Public Health,University of North Carolina at Chapel HillTitle: COMPARATIVE EFFECTIVENESS OF PREVENTIVE ORAL HEALTH SERVICES PROVIDED IN MEDICAL AND DENTAL SETTINGS FOR YOUNG MEDICAID-ENROLLED CHILDRENSponsor: Dr. R. Gary Rozier

Second PlaceAderonke AkinkugbeNational Institute of Dental and Craniofacial Research, Department of Health and Human ServicesTitle: EPIDEMIOLOGY OF DENTAL FLUOROSIS IN THE UNITED STATES: EXAMINING THE ROLE OF PARTIAL REPORTING PROTOCOLS (PRPS) IN REPORTING DENTAL FLUOROSISSponsor: Dr. Amit Chattopadhyay

Third PlaceElham Kateeb, BDS, MPH, PhDUniversity of Iowa College of DentistryTitle: FACTORS RELATED TO THE USE OF ATRAUMATIC RESTORATIVE TREATMENT (ART) AS A DENTAL CARIES MANAGEMENT TECHNIQUE: AN EXAMPLE OF THE USE OF CONJOINT ANALYSIS IN ORAL HEALTH RESEARCHSponsor: Dr. John J. Warren

Honorable MentionRania Abasaeed, BDS, MPHGillings School of Global Public Health,University of North Carolina at Chapel Hill Title: THE IMPACT OF THE GREAT ECONOMIC RECESSION ON UNTREATED DENTAL CARIES AMONG CHILDREN IN NORTH CAROLINASponsor: Dr. R. Gary Rozier

Susan McKernan, DMD, MS, PhDUniversity of Iowa College of DentistryTitle: GEOGRAPHIC ACCESSIBILITY AND UTILIZATION OF ORTHODONTIC SERVICES AMONG MEDICAID CHILDREN AND ADOLESCENTSSponsor: Dr. Raymond Kuthy

Predoctoral Dental Student Merit Award for Outstanding Achievement in Community Dentistry

First PlaceBrian JacksonUniversity of Mississippi Medical CenterSchool of DentistryTitle: CREATING JACKSON FREE DENTAL CLINIC: SERVING THE UNDERPRIVILEGED AND UNDERSERVED PEOPLE IN INNER CITY JACKSON Sponsor: Dr. Robin Howard

Second PlaceKatherine Blair JonesUniversity of Louisville School of DentistryTitle: “BEAT THE PUMPKIN” WALK/RUN FOR PEDSSponsor: Dr. Lee S. Mayer

Third PlaceTodd BillingtonSchool of Dentistry University of WashingtonTitle: CAREER EXPLORATIONS IN DENTISTRY AND PEER-LED ORAL HEALTH EDUCATION AMONG YOUTH OF THE MAKAH INDIAN TRIBESponsor: Dr. Beatrice Gandara

Honorable MentionDanielle CurrierTufts University School of Dental MedicineTitle: THE SHAREWOOD DENTAL PROJECTSponsor: Dr. John P. Morgan

Suzanna EllzeyUniversity of Mississippi Medical CenterSchool of DentistryTitle: GRANT WRITING FOR JACKSON FREE CLINIC: FREE DENTAL CARE FOR THE UNDERPRIVILEGED OF JACKSON, MISSISSIPPISponsor: Dr. Robin Howard

Dental Hygiene Student Merit Award for Outstanding Achievement in Community Dentistry

First PlaceTiffany Mendryga, RDH, BSDHUniversity of Michigan School of DentistryTitle: ASSESSMENT OF WIC PROVIDERS’ PERCEPTIONS OF ORAL HEALTH COUNSELING AND AVAILABILITY OF ASSOCIATED RESOURCESSponsor: Janet Kinney, RDH, MS, MS

Second PlaceLi Chen University of North Carolina at Chapel HillSchool of DentistryTitle: DEVELOPING AN EDUCATIONAL TRAINING VIDEO FOR HOME HEALTH AIDESSponsor: Sally M. Mauriello, RDH, EdD

Third PlaceAngela Haynes, RDH, BSCollege of Clinical Rehabilitative Health Sciences East Tennessee State UniversityTitle: HELEN TUCKER CENTER RIPLEY, TENNESSEESponsor: Deborah Dotson, RDH, PhD

Honorable MentionSarah Lansdell and Kelly MorganSouthern Illinois University CarbondaleTitle: COMMUNITY ORAL HEALTH PROGRAMSponsor: Sherri M. Lukes, RDH, MS

National Oral Health Conference

April 28-30, 2014Pre-Conference

April 26-27, 2014Fort Worth, Texas

Save the Date

Watch: www.nationaloralhealthconference.com for details.

Documents

American Association of Public Health Dentistry (AAPHD ... · Roundtable Sessions Poster Abstracts Student Abstracts American Association of Public Health Dentistry (AAPHD) Association