SAA Webinar-Healthy Teeth Healthy Schools

ORAL HEALTH AMERICA

Healthy Teeth Healthy Schools

August 27, 2014

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/Oral Health America

@Smile4Health

HOUSEKEEPING INFORMATION • •

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Questions are welcome! We’ll allow 10-15 minutes after the presentation for questions.

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Submit questions at any time; we will address them at the end of the presentation.

Webinar is being recorded; for rebroadcast on OHA’s website – OralHealthAmerica.org Your feedback is important to us. Please take our brief webinar evaluation after this session; link will be sent via email.

OUR MISSION 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.

OHA PRIORITIES Our 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

Product Donation

Sealant Initiative

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 SBOHC Dental 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 Pathology https://www.mededportal.org/adea/publication/302310/9223.html

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

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

The American Dental Association Center for Evidence Based Dentistry http://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: Consequences ECC 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 injury 1. Avulsed tooth i. ii. iii.

Avoid touching the root area, clean it with water or saline and if possible, replace the tooth in socket If this is not possible, place tooth in milk or saline; not water!

Seek emergency dental treatment immediately

2. Extruded tooth i. ii. iii.

Cleanse the mouth with saline Reposition the tooth by gently re-inserting into socket Seek emergency dental treatment immediately

3. Intruded tooth i.

Clean the mouth and seek emergency dental treatment immediately www.dentaltraumaguide.org

Summary •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

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, 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