Save A Molar

A volunteer program serving the endodontic needs of children in Palm

Beach County

COHARP: Comprehensive Oral Health

Access Referral Program

Rationale

COHARPCoordinated Oral

Health Access Referral Program

Sealant Progra

m

School Nurse

Referral

Teen Parent

Programs

RAMS Clinic

WHIN

TOPWANurse Family Partner

ship

Sources of Patient Referrals

Network of Providers

Health Department

Dental Clinics

Contracted Dental

Providers

Dental Volunteer Providers

Adopt – A – MomSave a Molar

Health Departmen

t

Recruitment of Volunteer Providers

Area Endodontists located in all areas of Palm Beach County were recruited and asked to perform one Root Canal a month for children under the age of eighteen.

Volunteers are granted Sovereign Immunity through the Volunteer Health Provider Program.

Volunteer Providers are able to receive up to 7 Continuing Education Credits.

Although services provided are not able to be claimed for tax purposes, the volunteer providers do have the ability to claim materials, travel expenses, etc. related to treating the referred child. We recommend that they contact their accountant to ensure that the volunteer provider is afforded all of the tax benefits of participating as a volunteer in the program.

Nine Volunteer Endodontists

Dr. Rory E. Mortman, DDS Dr. Sang Y. Shin, DMD Dr. Bradley Ginzler, DMD Dr. Wayne Bradshaw, DMD Dr. Charlyn Rappa Bradshaw, DMD Dr. Bruce Shulman,DDS Dr. Jaime Silberman,DMD Dr. Theodore Lerner, DMD Dr. Charles Mohaupt, DDS

Root Canal Heroes~!

Criteria Child must be a patient of the Palm Beach County Health

Department

Referral must be under the age of 18.

Teenager must be well behaved.

Parents/Guardians are case managed including proper etiquette in private practice settings as well as committing to not miss or be late for appointments with endodontic provider. Dental staff stresses the tremendous service that the teenager is receiving.

Parent must meet income eligibility requirements.

Dental Assessment Performed by clinic dentist:

Tooth must be restorable after root canal therapy by restoration.

Pulpotomy is completed by clinic dentist and temporary filling placed – final endodontic treatment is needed within 3-4 weeks.

Film given to teenager/parent to take to endo appt.

Appointment to endodontic office is made by Mary Pagana, referral coordinator, for the child.

Depending on age of the referral, Parent/Guardian/Teenager are advised that the tooth will eventually need to have a crown placed on it.

After root canal therapy, the teenager returns to PBC Health Department Clinic for permanent restoration of tooth or Atlantic Coast Pediatric Research Clinic at Palm Beach State College for a crown. Endodontist sends back digital x-ray with final fill for patient record.

Save A Molar Data

2010-2011

51 children received endodontic treatment

2011-2012

27 children received endodontic treatment

Only 2 patients did not show for scheduled

appointments over 2 year period of time ~!!

We attribute this low no show rate to the following of established criteria for the program

Dental Sealant Program

By

Patricia Caroscio, RDH

Sealant Program

Prevention We go to them First Dental Experience Oral Health Education Nutrition Education Identify and treat Urgent Needs Identify children without coverage

Who gets Sealants?

Title I Schools Highest rate of Free and Reduced lunch Underserved Population Low Income Families 2nd Graders First permanent molars

History

Started by Dr. Bilger in 1997. 8 Glades schools (west county) Belle Glade Dental Clinic had to be closed

during Sealant Days. 1999 added 7 east coast schools. April 2010 Tooth Fairy bus Arrives. 2010/2011 School Year with Tooth Fairy.

Expansion of Program

0

5

10

15

20

25

30

1997/98 1999/00 2009/10 2010/11 2011/12

# of schools

School Year

# of schools

Tooth Fairy Arrives

April 2010

Marjorie S. Fisher.

$1.2 million trust.

Construction of Bus.

Operate program for five years.

Two operatories.

Reception area.

Flat screens and DVD’s

2 x-ray machines.

Sterilization area.

Back-up Generator.

Leveling system.

Automatic Wheel Chair Lift.

On the Dental Van

Dedicated Staff

of 5.

2 to 7 days to complete school.

Comfortable for staff and students.

Traveling dental office.

Clinics Remain Open for Services

Process

Meet and Greet Parent Permission Forms In-Classroom Presentation Sealant Day Urgent Needs Identified School Nurse Notified Evaluation on 3rd Graders

LogisticsWhere to park?

Front of School.

Bus Loop.

Times.

Parent Permission Forms

Prior parental consent Number of patients Medicaid or No Coverage Pencils and Pizza Party

Education Day

The day before sealants

1.Introduce ourselves2. Tooth decay3. Flossing and Brushing4. Nutrition and snacking5. Sealants - paint - protection

Treatment Class & Urgency Urgent – pain or abscess

Referred to Clinics for treatment Early – rampant decay Restorative – need fillings Preventive – no decay

Data by School Year

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2009-10 2010-11 2011-12

Examined

Sealants

Urgent Needs

# of Children

School Year

The Following 28 Schools are currently visited by

the Dental Sealant Program

Barton Elementary Belle Glade Elementary Belvedere Elementary Canal Point Elementary Dr. Mary McCloud Bethune Forest Park Elementary Gladeview Elementary Gove Elementary Greenaces Elementary Highland Elementary Hope-Centennial Elementary Indian Pines Elementary Lake Park Elementary Lincoln Elementary Northmore Elementary Pahokee Elementary Palmetto Elementary Pine Grove Elementary Pioneer Park Elementary Pleasant City Elementary Rolling Green Elementary Roosevelt Elementary Rosenwald Elementary South Grade Elementary Washington Elementary West Gate Elementary West Riviera Elementary Wynnebrook Elementary

Meet our bosses~!!

The End