An Entry Point For Dental Care

Transcription

1 An Entry Point For Dental Care Maternal, Child and Adolescent Health Meeting February 4 th,2010 Susan Cooper DDS

2 Dental Caries in the United States A Crisis For Our Children Dental caries is the most common chronic childhood disease five times more common than asthma. CDC, National Maternal and Child Oral Health Resource Center 28% of pre-school children (aged 2-5) have tooth decay CDC, 2007 Decay in children 2-55 years has increased 15%. CDC

3 DENTAL CARIES Infectious Disease Transmissible Infection Occurs Early Potentially Fatal Preventable

4 Germs + Carbohydrates = Acid + =

5 Decay Acid + Tooth = + = HELP! I M MELTING!

6 WHO S S AT RISK? Low Income Ethnic Groups Limited Access To Care Lack Of Water Fluoridation

7 WIC-A A Likely Partner Supplemental Nutrition Program For 0-55 Year Olds. 60% Of California Children Eligible Promotes Nutrition And Dietary Practices Essential To Overall Health And To The Prevention Of Dental Disease

8 WIC- Early Intervention Bring Providers To Children Increase The Number Of At Risk 1 Yr. Olds Who Receive Dental Visits Increase Caregiver Knowledge About Preventive Care Teach Health Promoting Behavior Changes That Last A Lifetime Application Of Fluoride Varnish To A 9 Mo. Old

9 Key Messages Baby Teeth Are Important First Birthday First Visit Help Children Brush Daily With Fluoride Toothpaste Don t t Share Toothbrushes, Utensils Or Food. Limit Juices And Sweets And The Frequency Of Their Ingestion

10 Expanding The Dental Workforce New Collaborative Models Improve Access by Increasing Flexibility and Capacity of the OH Workforce New Roles for Existing Providers Development of New Providers Kathy Kane RDHAP Cory Spencer CHW

11 Registered Dental Hygienist in Alternative Practice (RDHAP) Additional License in California All Duties Of RDH Hygiene Assessment, Treatment Plan Deliver Recommended Care Practice Without Supervision Can Bill Insurance / Medi-Cal

12 Community Health Worker (CHW) Assists in Providing Health Screenings Maintains Accurate Documentation Provides Basic Health Education Provides Referral Assistance For Health Insurance and Primary Care Cultural Competency Providers of Health Services Underserved Within Community

13 Dental Days At WIC What Will It Look Like?

14 Registration Parents Fill Out Intake And Consent Forms CHW to Assist Parents With Risk Assessment Forms All Forms Bi-lingual

15 Risk Assessment Parent has history of active decay within last year Older siblings with history of decay Child takes Saliva reducing medications (asthma, seizure, hyperactivity) Frequent (more than 3X/day) sugary snacks, junk food or sodas and juice Continual use of bottle/sippy cup with beverages other than water/milk. Uses bo ttle after age one. Child sleeps with a bottle Does NOT drink fluoridated tap water Does NOT brush with fluoride toothpaste (pea-sized) daily NO fluoride varnish applied within the last six months

16 Dental Education Class Flip Chart Presentation Preventing the Spread of Tooth Decay in Babies and Young Children Dental Themed Activities Centers For Children While Waiting For Oral Assessment

17 Oral Assessment Knee To Knee Exam-Child Facing Parent Check For Plaque, White Spots, Brown Spots And Early Childhood Caries

18 Toothbrush Prophy Removes Plaque So Teeth Are Visible Dental Hygienist And CHW Instruct Parent On Home Care Discuss Changes Parents Can Make To Decrease The Risk Of Dental Disease For Their Children

19 Fluoride Varnish

20 Case Management And Refer For Treatment As Indicated Refer for Insurance Help Refer To Dental Home Follow-up Calls By CHW Referral

21 Oral Health Card Set Goals For Behavior Changes Records Services Provided That Day Instructions Following Fluoride Varnish Application Primary Teeth Eruption and Loss Chart Records Child s s History Of Tooth Eruption and Loss Kept In WIC Folder For Future Visits

22 Year One Develop Program In A Box Implement Dental Days At Santa Rosa WIC Site One Day A Week Begin Discussions with Sonoma County Indian Health and Alliance Medical Center To Implement Program In Co-located Dental Clinics

23 Counties with Dental Programs In WIC Sites Sonoma County Humboldt County Mendocino County Alameda County Solano County Amador County San Luis Obispo County Orange County San Bernardino County San Diego County

24 Year Two Implementation Of Programs At Alliance and Indian Health Implementation Of Program At Second County Site Goal To Make Programs Self- sustaining WIC As Preventive Dental Home

25 Resource Materials Courtesy Of First Five California Oral Health Education & Training Project Cheryl Willet DDS, Dental Director Kathy Kane RDHAP Jared Fine DDS Alameda Coun ty Public Health Marie Ibanez Assistant Director of Health Promotion, Outreach and Advocacy and Susan Cooper DDS Dental Director

26 Contact Information Susan Cooper DDS Tracie Barrow