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1 Index Note: Page numbers of article titles are in boldface type. A Advanced Dental Health Practitioner (ADHP), 563, 564 Age, as barrier to oral health care, 525 Alcohol consumption, and tobacco use, oral and pharyngeal cancers and, 592 American Dental Association (ADA), advertising by dentists and, 590 American Indian/Alaska Native Oral Health Assess Summit, 531 National Oral Health Literacy Advisory Committee (NOHLAC), 531 recommendations for improvement of oral health of underserved, 527, 529 American Dental Education Association (ADEA), 564, 600, 601 American Dental Hygienists Association (ADHA), 562, 563 Association of American Medical Colleges, 600 B Bon Secours Health System, Inc., 427 C Cancer(s), oral, 406 and pharyngeal, tobacco use and alcohol consumption and, 592 prevention and detection of, 592 CARES model, 549 community outreach programs of, 553 education and, 553 for improving patient retention and access to care, as social work in dentistry, growth of, origins of, 550 research and, demographic information of, services provided by, transportation and, use in financial problems, 552 use in mental health problems, 553 Caries, clinical risk assessment of, 514, decline in, fluoride exposure and, 436 incidence of, 402, 403 primary prevention of, secondary prevention of, 403 tertiary prevention of, Centers for Disease Control and Prevention (CDC), 532 Dent Clin N Am 53 (2009) doi: /s (09) /09/$ see front matter ª 2009 Elsevier Inc. All rights reserved. dental.theclinics.com
2 610 Index Children, access to care, improvement of, international approach for, barriers to accessing care for, dental workforce and, care for, dental therapists focusing on, efforts to train dental hygienists to provide, in United States, decayed, missing, and filled tooth surfaces in, 436, 437 oral health care for, disparities in, improving access to, by including dental therapists in dental workforce, preventive dental care for, physicians in, 456 Children s Dental Care Foundation, Clinical risk, managing of: right person, right care, right time, Clinical risk assessment, expanded access to care and, instruments needed for, understanding risk and, Clinical risk data, application to patient needs, Communication, in risk management, Community Dental Health Coordinator (CDHC), 529, 563 Counseling, Advocacy, Referral, Education and Service program. See CARES model. Cultural factors, as barrier to oral health care, 525 D Dental benefit plans, procedures covered by, reasons for, Dental benefits, improve access to oral care, role of, Dental benefits programs, types of, Dental care, access of, public programs, and insurance, access to, as symptom of dentistry s disconnectedness, dilemma of, as symptom of systemic condition, improving of, why public policy matters in, coverage of, and decision to seek, politics and policy and, use in children in United States, 500, 501 demand for, 490 dental insurance and, financing of, for recent immigrants, 413 for special needs populations, 413 for victims of natural disasters, how it can preserve and improve oral health, limited use of, by elderly, 412 by low-income individuals, 411 by pregnant women, by prisoners, 412 by racial/ethnic minorities, 411 by rural residents, 411 Medicaid and, 409, 494, 560, mobile, 590 paying for, preventive, for children, physicians in, 456
3 provision and financing of, by state, State Children s Health Insurance Program (SCHIP) and, 409, 494, 495, , Dental care services, use of, Dental coverage, program design for, Dental education, teledentistry and, Dental expenditures, as measure of use fo dental services, Dental expenses, average, increase in, 489, 493 Dental health aide therapists, for rural Alaska, 486 Dental Health Maintenance Organizations, 506 Dental Health Professions Shortage Areas (D-HPSAs), 593 Dental hygienists, 440 efforts to train, in United States, to provide care for children, scope of practice of, regulation of, 578, 579 state licensure of, support of, teledentistry and, Dental Indemnity Plans, 506 Dental insurance, availability of, 409 dental care and, innovations in, 600 Dental office, mix of services provided by, Dental office personnel, increase in, mix of, in dental services, Dental personnel, auxiliary, scope of practice of, as limited, Dental plans, affordability of, discount, 506 Dental practice, ownership of, state laws concerning, 580 Dental Preferred Provider Organizations (DPPOs), 505 Dental profession, founding of, 590 regulation by state, 590 Dental professional foundations, Dental Programs, community-based, innovative, Dental public health, 410 Dental schools, as source of treatment for underserved, 549 clinics at, care at, 549, 550 enrollment in, graduates of, 443 entering practice, and retiring from practice, 443, 444 Dental services, and medical services, cost of, compared with consumer price index, 438 expenditures for, payment methods for, 437 Dental students, debt burden of, 583 loan repayment programs for, 583 Dental therapists, care of children by, as economic issue, deployment of, focusing on care of children, in dental workforce, improving access to oral health care for children by including, introduction in Alaska, training of, for dental workforce, 478 Index 611
4 612 Index Dental workforce, barriers to accessing care for children, projections for, racial/ethnic homegeneity of, oral health care and, 408 supply of, factors affecting, 435 Dentist to population ratio, decline in, 470 Dentistry, disconnectedness of, 422 establishment of connectedness in, evidence-based, evolution of, three developments in, 426 in 1830s and 1840s, 426 patterns of isolation in, Dentists, advertising by, American Dental Association and, 590 and community, connectedness between, 431 and patients, connectedness between, 430 and profession, connectedness between, 431 and society at large, connectedness between, 432 as agents of change, commercial competition between, foreign-trained, income of, and dental expenditures, 438 number of, oral health care and, 407 percentage of population visiting, 439 professional associations and, committee membership and, 428 leadership and key players of, questions for discussion and, 428, state or county-employed, care by, 571 Department of Defense, Total Dental Access project of, 538 Department of Health and Human Services (DHHS), 532 Donated Dental Services (DDS) program, 530, 599 E Early Periodic Screening, Diagnosis, and Treatment (EPSDT) service, of Medicaid, , 560, Education, dental, teledentistry and, Education level, oral health care and, 525 Electronic records, use of, teledentistry and, 545 Emergency departments, use of, for dental problems, F Federally Qualified Health Centers (FQHCs), , 595 Fluoride exposure, decline in caries in, 436 Fluoride prevention therapy, Foundations, private, and public agency partnerships, G Gingivitis, 404
5 Index 613 H Head Start Dental Home Initiative, 596 Health care workforce, education and training of, by state, Health facilities, regulation of, state dental practice acts and, Health Foundation of Greater Cincinnati, 599 Health Insurance Portability and Accountability Act (HIPPA), teledentistry and, 546 Health professionals, non-dental, role in providing access to dental care for low-income and minority patients, future directions in, Health providers, state control over, 571, 572 Health reform, dental community and, scenarios for, Health Resources and Services Administration (HRSA), , 532 Healthy Kids Dental (HKD) Medicaid program, Healthy People 2010 program, I Income, oral health care and, 525 Insurance, dental, availability of, 409 dental care and, innovations in, 600 public programs, and dental access, M Medicaid, dental care and, 409, 494, 560, Early Periodic Screening, Diagnosis, and Treatment (EPSDT) service of, , 560, Healthy Kids Dental (HKD) program, state programs, administration rates and, 574 dentist reimbursement and, availability of, 576 rates of, 574 Medicaid patients, oral health care access and, 525, 526, 528, 530 Medical Expenditure Panel Survey (MEPS), use of dental services and, 487 Medicare Direct Graduate Medical Education (DGME), 594 Mobile dental care, 590 N National Association of Dental Plans (NADP), 559, National Foundation of Dentistry for the Handicapped (NFDH), 530 National Health Service Corps (NHSC), 593 National Institute of Dental and Craniofacial Research (NIDCR), 532 National Network for Oral Health Access, 532 Nurses, school dental, efforts to train, in United States, O Oral cancer(s), 406 and pharyngeal cancer, tobacco use and alcohol consumption and, 592 prevention and detection of, 592
6 614 Index Oral care, dental benefits improve access to, Oral diseases, common, primary prevention of, 401 secondary prevention of, 401 tertiary prevention of, 401 Oral health, and general health, how dental care can preserve and improve, patient behavioral and socio-cultural issues and, 410 poor, problem of, 400 quality of life and, 400 relevance of, Oral health care, access to, definition of, 523 improving of, next steps for, private sector response to, innovations to improve, legislative solutions to, problem of, 524 availability and access to, factors determining, barriers to, defining of, population categories with, 524 community-based, curricular and training deficiencies in, 408 disparities in, 423 for children, disparities in, improving access to, by including dental therapists in dental workforce, physicians providing, reform of, introduction to, structural issues in, Oral health care legislation, promotion of, 562 Oral health care needs, identification of, Orofacial disorders, consultation on, teledentistry for, P Periodontal diseases, clinical risk assessment of, 516 definition of, 404 primary prevention of, 405 secondary prevention of, 405 symptoms of, 404 tertiary prevention of, Periodontitis, 404 Pharmacists, role in consulting with underserved with toothache pain, Pharyngeal cancer, and oral cancer, tobacco use and alcohol consumption and, 592 Phobias and fear, as barrier to oral health care, 526 Physicians, interventions of, effectiveness of, providing oral health care, services for adults, in dental care, Private sector, response of, to improvement of access to oral health care, Public health, dental, 410 Public health responses, of states, Public programs, insurance, and dental access,
7 Index 615 Q Quantum Foundation, R Records, electronic, use of, teledentistry and, 545 Rhode Island Oral Health Access Project, 599 Risk assessment, clinical. See Clinical risk assessment. Risk management, communication in, Sealant programs, school-based and school-linked, 581 Sealants, application of, state regulations and, Social work in dentistry: CARES model for improving patient retention and access to care, State Children s Health Insurance Program (SCHIP), dental care and, 409, 494, 495, , State dental director, State dental practice acts, in regulation of health facilities and professionals, T Teleconsultation, 538 Teledentistry, and dental education, and support of dental hygienists, collaboration between hub site and remote site, 539 description of, 537, 538 for consultation on orofacial disorders, Health Insurance Portability and Accountability Act and, 546 improving access to care, areas appropriate for, telehealth equipment and transmission modes for, typical visit, 539 University of Minnesota project, use of, to improve access to dental care for underserved, use of electronic records in, 545 videoconferencing in, 539, 540 Telehealth, 538 Tobacco use, and alcohol consumption, oral and pharyngeal cancers and, 592 Tooth surfaces, decayed, missing, and filled, in children, 436, 437 Toothache pain, underserved with, pharmacists consulting in, U Underserved population, access to dental care for, teledentistry to improve, toothache pain and, pharmacists consulting in, United States, population of, by age groups, 435, 436 W Water fluoridation, 591 community-based, 581 W.K. Kellogg Foundation, 599
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