ORAL HEALTH AMERICA

Healthy TeethHealthy Schools

August 27, 2014

/Oral Health America @Smile4Health

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Oral Health America changes lives by connecting communities with

resources to increase access to care, education, and advocacy for

all Americans,

especially those most vulnerable.

OUR MISSION

OHA PRIORITIESOur Programs and Campaigns must have the capacity –short term or longer term – to influence health literacy, improve access to services and to advocate for systemic changes that will impact the oral and overall health of all Americans – particularly those most vulnerable.

ACCESS EDUCATION

ADVOCACY

Grant Funding

Sealant Initiative

Product Donation

Technical Assistance

Supportive Research

Healthy Teeth

Healthy Schools

Brooke Bodart, BS, RDH, MPA

Program Manager, Clinical Programs

Center for Oral Health

309 East Second Street. Pomona,

California 91766-1854

Tel: (909) 469-8304 / Cell: (574) 300-0120

bbodart@tc4oh.org |

www.centerfororalhealth.org

The mission of the Center for Oral Health

is to improve oral health, especially of

vulnerable populations, through

innovation, research, education and

advocacy.

Western University of College of Dental

Medicine will be a premier center for

integrative educational innovation;

…and high quality, patient-centered,

interprofessional health care…

Healthy Teeth Healthy Schools

Women Infants and Children (WIC)

Oral Screenings• Early Head Start and Head Start

– Classrooms

– Registration

• Grade K

– CA state mandate

• Free and Reduced Lunch Program

– Registration

Oral screening: • Method: Basic Dental Screening

– 1. No Visible Dental Problems

– 2. Early Evidence of Caries

– 3. Evidence of Dental Problems

– 4. Urgent Pain/Infection/Abscess

• Looking for oral diseases

Treatment at SBOHCDental team

– Administrator

– 8-10 third year dental students

– RDA

– Preceptors/Faculty Dentists

A day at the School Based Health Center:

• Schedule– Patients scheduled

from 8:30 am-4 pm

• Treatments– Exams

– Cleanings

– Sealants/Fillings

– Children root canals

– Children crowns

– Extractions

– Referrals

Outreach• Working with local agencies

– School district

– Child development

– School Board

– Parent Leads and Parent Groups

– Community organizations

– Health Fairs

School Districts• Los Angeles Unified

– Murchison Elementary

• El Monte City– Durfee Elementary

– Gidley Elementary

• Pomona– The Village

– Mendoza Resource Center

– Alcott Elementary

LAUSD

• Work with oral health nurse

• Director, Student Medical Services

• Meetings with Principals, school

nurses/nurse practitioner, and

administrators

LAUSD Nurse Training• Requested by oral health nurse

• Covered topics of:

– Normal anatomy

– Early childhood caries

– Caries development

– Fluoride varnish

– Oral trauma and triage

A Physician’s Guide to Identifying Pediatric Dental Decay and Common Oral Pathologyhttps://www.mededportal.org/adea/publication/302310/9223.html

Protecting All Children’s Teeth (PACT): A Pediatric Oral Health Training Programhttp://www2.aap.org/ORALHEALTH/pact/index-cme.cfm

Smiles for Life: A National Oral Health Curriculumhttp://www.smilesforlifeoralhealth.org

The American Dental Association Center for Evidence

Based Dentistryhttp://ebd.ada.org/Default.aspx

http://www2.aap.org/oralhealth/docs/RiskAssessmentTool.pdf

Typical Timing and Patterns of Tooth

Eruption

www.ada.org

Referral by the primary care physician or health

provider is recommended based on

risk assessment:

•As early as 6 months of age

•Within 6 months after the first tooth erupts

•No later than 12 months of age.

AmericanAcademy of Pediatric Dentistry

By 30 months most children have all 20

primary teeth

ECC: ConsequencesECC is the most common chronic childhood disease and has many potentially severe consequences, such as:• Pain (Massachusetts data reports 4% of kindergarteners

have untreated dental pain.)

• Impaired chewing and nutrition

• Infection

• Increased caries in permanent dentition

• School/work absences

• Difficulty sleeping

• Poor self-esteem

• Extensive and expensive dental work which often must be completed under general anesthesia

The Catalyst Institute. The Oral Health of Massachusetts' Children. January 2008

Available from: http://www.oralhealthinstitute.org/media/reports/OralHealthMass/Catalyst_Institute_January_2008_Report.pdf (Accessed April 16,

2010).

Jackson SL et al. Impact of Poor Oral Health on Children's School Attendance and Performance. Am J Public Health. 2011 ;101(10):1900-6.

How to deal with an injury1. Avulsed tooth

i. Avoid touching the root area, clean it with water or saline and if possible, replace the tooth in socket

ii. If this is not possible, place tooth in milk or saline; not water!

iii. Seek emergency dental treatment immediately

2. Extruded toothi. Cleanse the mouth with saline

ii. Reposition the tooth by gently re-inserting into socket

iii. Seek emergency dental treatment immediately

3. Intruded toothi. Clean the mouth and seek emergency dental treatment

immediately

www.dentaltraumaguide.org

•Medical providers play an integral role in early diagnosis and screening of dental caries

•Recognition of early lesions is critical

•When recognized early, progression can be prevented with fluoride, diet, and hygiene changes

•Medical providers should be familiar with common oral lesions and normal variants that they will encounter during oral screening exams

Summary

Additional Topics• Autism and Oral Care

• Special Needs Care

• Age Specific Needs

– High School

• Tobacco Products

• Pregnancy and oral health

• Sports dentistry

• Oral Cancer/HPV

• Careers in Dentistry

Any Questions?

Brooke Bodart, BS, RDH, MPAProgram Manager, Clinical Programs

Center for Oral Health309 East Second Street. Pomona, California 91766-1854

Tel: (909) 469-8304 / Cell: (574) 300-0120bbodart@tc4oh.org | www.centerfororalhealth.org