Caries Risk Assessment (CRA)

Size: px
Start display at page:

Download "Caries Risk Assessment (CRA)"

Transcription

1 Caries Risk Assessment (CRA)

2 ECC Phase III Regional Primary Care Network (RPCN) joined Dentaquest Institute in the Early Childhood Caries Learning Collaborative (ECC) in 2014 during Phase III. Children ages (0-5) were risk assessed at new patient visits and subsequent recall visits. After assessment, patient management goals were discussed with the parent/guardian giving them manageable goals they felt were achievable. Based on elevated risk level, either high or medium, they were placed on a 3 month fluoride varnish recall schedule where the patient management goals that were previously given are re-visited.

3 How it all began Started with a smaller site that has dental services only. After several (Plan-Do-Study-Act)PDSA s the workflow, forms, & templates were finalized. When we first began it was all done on paper. Once we were comfortable with the workflow and templates they were integrated into our electronic health record (EHR).

4 Monthly Dashboards Data collection was done monthly via software given to us by the Dentaquest Institute, named the Aggregator. One drawback was the amount of time it took to input the data into the Aggregator. The following slides show examples of some of the run charts this data collection process formulated.

5 Active Patients Ages 0-5 Count Active Pts F-14 M-14 A-14 M-14 J-14 J-14 A-14 S-14 O-14 N-14 D-14 J-15

6 Patients that had CRA Pct Risk Assessed 100% 80% 60% 40% 20% 0% F-14 M-14 A-14 M-14 J-14 J-14 A-14 S-14 O-14 N-14 D-14 J-15

7 Patients that had a decrease in Risk Pct Decreased Risk 20% 10% 0% F-14 M-14 A-14 M-14 J-14 J-14 A-14 S-14 O-14 N-14 D-14 J-15

8 End of the Collaborative The collaborative ended in February of At this point we decided to continue CRA and include all centers and more patients.

9 Caries Risk Assessment Overview We expanded to all patients in the age group of Also expanded to include all of our 4 Community Health Centers. CRA is performed at: New patient visits Recall visits 3 mo. fluoride varnish recall visits

10 Training An organization wide training was completed during a dental department meeting via WebEx for all dental staff. One super-trainer was designated at each site (our sites are geographically diverse) to coach new staff and offer support as needed.

11 Workflow

12 CPT Codes Used

13 One Click Billing In order to make it easier on our providers, we have set-up within our EHR a one click link that allows all of the associated CPT codes to link straight to the billing. There is one for each level of risk. It includes the CPT codes for CRA (D0601,D0602,D0603), Nutritional counseling (D1310), Oral hygiene instructions (D1330), and patient management goals (SM001) which is a dummy code we created for data collection.

14 Documentation of Risk Level Templates are built into our EHR 0-5 years old 6-12 years old years old Adapted from CAMBRA Age based and risk based with factors that affect our patient population For eg. Betel Nut Use (High refugee population in one of our locations where betel nut use is a regular occurrence and has a negative effect on oral health)

15 Template for ages 0-5 Factors High Risk Moderate Risk Biological Mother/primary caregiver has active caries Child has >3 sugar-containing snacks or beveragesper day Child is put to bed with a bottle with something other than water Low Risk Child has special health care needs Child is a recentimmigrant Protective Child receivesoptimally-fluoridated drinking water/fluoride supplements Child has teeth brushed 2X/day w/ fluoridated toothpaste by an adult Child receives topical fluoride from health professional Child has dental home/regular dental care Clinical Findings Child has >1 decayed/missing/filled surfaces Child has active white spot lesions or enamel defects Child has plaque on teeth

16 Template for ages 6-12 Factors HighRisk ModerateRisk Low Risk Biological Caries Experience of Mother, Caregiver and/or other Siblings Patient has >3 sugar-containing snacks or beverages per day Patient uses chewing tobacco Patient is a smoker Patient has special health care needs Patient takes medications that reduce salivary flow (antihistamines, anti-hypertensive, antidepressants, antianxiety, analgesics, respiratory, gastrointestinal, hormonal, or chemotherapeutics) Betel nut use Patient is a recent immigrant/refugee Protective Patient receivesoptimally-fluoridated drinking water/fluoride supplements Teeth brushed 2 times a day with fluoridated toothpaste (by an adult if under 8 years old) Patient flosses at least once a day Patient has dental home/regular dental care Clinical Findings Patient has untreated carious lesions Patient has missing teeth due to caries in past 36 months Patient has severe dry mouth (Xerostomia) Patient has unusual tooth morphology Patient has 1 or more interproximal restorations Patient has restorations with overhangs or open margins w/ food impactions Patient has dental/orthodontic appliances (fixed or removable) Patient has visible plaque on teeth

17 Patient Management Goals Patient management goals were created for varying age groups with oral health habits that relate to those age groups. 0-5 Eg. Includes goals around bottle/breast feeding & juice intake Eg. Includes goals around soda/energy drink consumption & smoking.

18 Patient Management Goals (cont.) These are documented in the patient s dental chart progress note At each recall visit the provider re-evaulates the goals that were set previously. A paper copy is given to patient/guardian to take home. We encourage them to place it on their refrigerator. Try to limit to only 2 goals for patient and/or parent/guardian as to not overwhelm or discourage patient/parental engagement.

19 Example of a Patient Management Goal Form

20 More Expansion RPCN has a school-based dental program that serves on average 130 schools throughout nine counties in Upstate NY. A large number of our patient population ages 0-17 are seen by this program.

21 Our School Based Program & CRA Our school-based program began CRA in January Using a slightly different version of the CRA template to meet the needs of the pre-k through 12 th grade students. Challenges: No parent/guardian present.

22 Establishing CRA Organization Wide Buy in from Senior Management Buy in from the Clinical Staff Most providers found they were already doing CRA, however it was not formally documented. CRA is part of our Quarterly Quality Incentive Program as one of our Quality Measures.

23 CRA Data Example This data is taken from one our recent monthly reports. This represents our main 4 sites. Our CDP program is tallied separately. Tally 1 is the # of patients that had an exam within that quarter and tally 2 is those patients that also had caries risk assessment performed. Tally 1 Tally 2 Tally 1 Tally 2 Tally 1 Tally 2 Tally 1 Tally 2 D0120, D0150, D0145 D0120, D0150, D0145 and D0601, D0602, D0603 D0120, D0150, D0145 D0120, D0150, D0145 and D0601, D0602, D0603 D0120, D0150, D0145 D0120, D0150, D0145 and D0601, D0602, D0603 D0120, D0150, D0145 D0120, D0150, D0145 and D0601, D0602, D0603 Codes # Unique Patients Percentages 100% 96% 100% 100% Our original quality goal was 75%, but has since been raised to 90% because all sites were performing so well.

24 Quality Performance through Patient Satisfaction Surveys CRA has played a role in increasing patient satisfaction. Specifically in the preventative questions and self management/patient management areas of our survey.

25 Response Rates Response Rates YTD Livingston 11% 16% 30% Rushville 14% 26% 29% Utica 10% 21% 29% Wayne 18% 25% Livingston Rushville Utica Wayne YTD

26 Survey questions that related to Preventative Care Preventative Care YTD Livingston 75% 87% 94% Rushville 71% 83% 95% Utica 73% 73% 83% Wayne 81% 98% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Livingston Rushville Utica Wayne YTD

27 Survey questions relating to patient 100% 90% 80% 70% 60% 50% 40% 30% management goals Self Management goals YTD Livingston 63% 61% 74% Rushville 38% 45% 52% Utica 59% 55% 55% Wayne 54% 62% 20% 10% 0% Livingston Rushville Utica Wayne YTD

28 Next Steps for our Organization Establishing a measurable way to assess whether patient s risk has decreased due to establishing CRA and patient management goals. Expanding to our entire patient population.

29 Questions?

Objectives. Describe how to utilize caries risk assessment for management of early childhood caries

Objectives. Describe how to utilize caries risk assessment for management of early childhood caries Objectives Define Early Childhood Caries Describe how to utilize caries risk assessment for management of early childhood caries Explain how to implement early childhood caries management within a dental

More information

Preventing early childhood caries through medical and dental provider education and collaboration

Preventing early childhood caries through medical and dental provider education and collaboration Preventing early childhood caries through medical and dental provider education and collaboration Objectives Describe an Oregon model for training medical providers to provide Early Childhood Caries Prevention

More information

Breakthrough Strategies for Preventing Early Childhood Caries

Breakthrough Strategies for Preventing Early Childhood Caries Breakthrough Strategies for Preventing Early Childhood Caries Norman Tinanoff, DDS, MS Professor of Pediatric Dentistry, Univ. of Maryland, School of Dentistry Innovations in the Prevention and Management

More information

Dental caries prevention. Preventive programs for children 5DM

Dental caries prevention. Preventive programs for children 5DM Dental caries prevention Preventive programs for children 5DM Definition of Terms Preventive dentistry: usage of all the means to achieve and maintain the optimal oral health prevention of dental caries,

More information

Oral Health: A component of the Patient Centered Medical home

Oral Health: A component of the Patient Centered Medical home Oral Health: A component of the Patient Centered Medical home Mark Deutchman MD University of Colorado Schools of Medicine, Dental Medicine and Public Health 1 Oral Health is a Fit for PCMH Patient centered

More information

Early Childhood Caries (ECC) KEVIN ZIMMERMAN DMD

Early Childhood Caries (ECC) KEVIN ZIMMERMAN DMD Early Childhood Caries (ECC) KEVIN ZIMMERMAN DMD What Is Early Childhood Caries? Early Childhood Caries (ECC) is a transmissible infectious process that affects children younger than age 6 and results

More information

Promoting Oral Health

Promoting Oral Health Promoting Oral Health Hope Saltmarsh, RDH, M.Ed. Doug Johnson, DMD October 2009 11/3/2009 12:14:04 PM 5864_ER_RED 1 Learning Objectives Identify Bright Futures recommendations for oral health. Describe

More information

Breakthrough Strategies for Preventing ECC Chronic Disease Prevention and Management Strategies

Breakthrough Strategies for Preventing ECC Chronic Disease Prevention and Management Strategies Breakthrough Strategies for Preventing ECC Chronic Disease Prevention and Management Strategies National Oral Health Conference April 29, 2015 Kansas City, MO Man Wai Ng, DDS, MPH Disclosures I will be

More information

Alabama Medicaid Agency. 1st Look Program

Alabama Medicaid Agency. 1st Look Program Alabama Medicaid Agency 1st Look Program Overview 1 st Look Program goals Qualified Physicians Who qualifies for the program? Billing/Eligible Services Documentation Requirements Referrals Program Contacts

More information

An Entry Point For Dental Care

An Entry Point For Dental Care An Entry Point For Dental Care Maternal, Child and Adolescent Health Meeting February 4 th,2010 Susan Cooper DDS Dental Caries in the United States A Crisis For Our Children Dental caries is the most common

More information

Oral Health Improvement. Prevention in Practice Vicky Brand

Oral Health Improvement. Prevention in Practice Vicky Brand Oral Health Improvement Prevention in Practice Vicky Brand Quiz Question A B C The % of 5 yr olds in 05/06 in Greater Manchester who experienced tooth decay was just over Which of the following is more

More information

Dental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI

Dental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI Dental Care and Health An Update Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI WHO s Definition of Health? Health is a state of complete physical, mental, and social wellbeing and not merely the absence of

More information

Oral Health Advice. Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy. Fluoride toothpaste approx 1450ppmF

Oral Health Advice. Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy. Fluoride toothpaste approx 1450ppmF Recovery Focussed Pharmaceutical Care for Patients Prescribed Substitute Opiate Therapy Oral Health Advice Fluoride toothpaste approx 1450ppmF Choosing the right toothbrush Brief Intervention Oral Health

More information

Adult/Caregiver Screening

Adult/Caregiver Screening Adult/Caregiver Screening 1. Where does the water that you use for cooking and drinking come from? Yes No City water Bottled water-type Well water Don t know 2. Do you smoke, use chewing tobacco or snuff?

More information

Seniors Oral Care

Seniors Oral Care For information about oral health care, please contact the Ontario Dental Association at 416-922-3900 or visit www.youroralhealth.ca The Ontario Dental Association gratefully acknowledges UBC ELDERS Education,

More information

ARE YOU MOUTHWISE? AN ORAL HEALTH OVERVIEW FOR PRIMARY CARE

ARE YOU MOUTHWISE? AN ORAL HEALTH OVERVIEW FOR PRIMARY CARE ARE YOU MOUTHWISE? AN ORAL HEALTH OVERVIEW FOR PRIMARY CARE Funding providing by: Developed by: Terry L. Buckenheimer, DMD Karen Pesce Buckenheimer, R.N., BSN Executive Director, MORE HEALTH, Inc. Why

More information

New methods of caries risk assessment and management in children

New methods of caries risk assessment and management in children New methods of caries risk assessment and management in children David Manton BDSc, MDSc, PhD, FRACDS, FICD, FADI Elsdon Storey Chair of Child Dental Health Melbourne Dental School Current thoughts on

More information

PATIENT INFORMATION DIABETES AND ORAL HEALTH

PATIENT INFORMATION DIABETES AND ORAL HEALTH PATIENT INFORMATION DIABETES AND ORAL HEALTH www.dentalcareireland.ie DIABETES AND ORAL HEALTH People with poor diabetes control can be more prone to oral health problems such as gum disease, dry mouth,

More information

Healthy Smile Happy Child s New Lift the Lip Video

Healthy Smile Happy Child s New Lift the Lip Video Healthy Smile Happy Child s New Lift the Lip Video Daniella DeMaré Project Coordinator Healthy Smile Happy Child Initiative Sandy Kostyniuk Program Consultant, Manitoba and Saskatchewan Region The Public

More information

Using Health IT to Support Oral Health Integration: Dealing with Common Barriers. Jeff Hummel, MD, MPH Qualis Health November 5, 2015

Using Health IT to Support Oral Health Integration: Dealing with Common Barriers. Jeff Hummel, MD, MPH Qualis Health November 5, 2015 Using Health IT to Support Oral Health Integration: Dealing with Common Barriers Jeff Hummel, MD, MPH Qualis Health November 5, 2015 Goals for this Session Understand 3 aspects of oral health information

More information

Healthy Smile Happy Child. Daniella DeMaré Healthy Smile Happy Child Project Coordinator (204)

Healthy Smile Happy Child. Daniella DeMaré Healthy Smile Happy Child Project Coordinator (204) Healthy Smile Happy Child Daniella DeMaré Healthy Smile Happy Child Project Coordinator ddemare@chrim.ca (204) 789-3500 What s on the Agenda? Early Childhood Caries (ECC) and Risk Factors: what every health

More information

Peninsula Dental Social Enterprise (PDSE)

Peninsula Dental Social Enterprise (PDSE) Peninsula Dental Social Enterprise (PDSE) Adult 16+ years Oral Health Promotion - individually tailored optimal daily oral care Version 3.0 Date approved: October 2016 Approved by: The Board Review due:

More information

Oral health education for caries prevention

Oral health education for caries prevention Oral health education for caries prevention Objective Understand the fundamentals that inform oral health education programmes. Understand how to segment oral health information for preventive purposes

More information

Presented by. Oral Health In Group Child Care. A Medical / Dental Collaborative. Contributors. Objectives 12/3/2012

Presented by. Oral Health In Group Child Care. A Medical / Dental Collaborative. Contributors. Objectives 12/3/2012 Oral Health In Group Child Care Presented by C Eve J Kimball, MD PAAAP Chapter Oral Health Advisor Healthy Teeth, Healthy Children A Pennsylvania Medical/Dental Partnership Support for this program is

More information

Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH

Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH Understanding the Mouth and Body Connection HOW YOUR ORAL HEALTH AFFECTS YOUR GENERAL HEALTH EALTH SAY THINK MOUTH THINK HEALTH Your mouth is a mirror to your body A healthy mouth and a healthy body go

More information

Connecting Smiles. Improving Health through Oral Health Integration

Connecting Smiles. Improving Health through Oral Health Integration Connecting Smiles Improving Health through Oral Health Integration Acknowledgements This oral health integration training is an expansion of the Connecting Smiles Initiative, a collaborative project with

More information

Cavities are Preventable

Cavities are Preventable Cavities are Preventable Childhood cavities can be prevented. They are caused by germs in the mouth interacting with sugars in food and drinks. You can t avoid germs or sugars, but you can limit exposure

More information

AllCare Health. Changing healthcare to work for you. Lisa Callahan, CPNP Pediatric Nurse Practitioner Grants Pass Pediatrics

AllCare Health. Changing healthcare to work for you. Lisa Callahan, CPNP Pediatric Nurse Practitioner Grants Pass Pediatrics AllCare Health Changing healthcare to work for you. Lisa Callahan, CPNP Pediatric Nurse Practitioner Grants Pass Pediatrics Laura McKeane, Oral Health Integration Manager AllCare Health CCO Sam Engel Social

More information

Oral Health Education

Oral Health Education e C ity Fre v a K I DS Oral Health Education for Pregnant Women, Children Birth through Age Five, and Their Families TM A Quick Reference for Home Visitors TM Cavity Free K I DS Cavity Free Kids Oral Health

More information

Half-Way There! HRSA UDS Sealants Measure 2018 Update

Half-Way There! HRSA UDS Sealants Measure 2018 Update Half-Way There! HRSA UDS Sealants Measure 2018 Update Vy Nguyen, DDS, MPH, Dental Officer, Office of Quality Improvement, Bureau Primary Health Care, HRSA Irene V. Hilton, DDS, MPH, NNOHA Dental Consultant

More information

Utilizing Fluoride Varnish through Women, Infants, and Children (WIC) program

Utilizing Fluoride Varnish through Women, Infants, and Children (WIC) program Utilizing Fluoride Varnish through Women, Infants, and Children (WIC) program Oral Health Florida Conference Palm Beach Gardens, FL August 4 th, 2009 Champions For Early Intervention Healthy People 2010

More information

Educator s Teaching Teeth Guidebook

Educator s Teaching Teeth Guidebook Educator s Teaching Teeth Guidebook This booklet is intended for Community Health Representatives (CHRs), Children s Oral Health Coordinators (COHCs), and other educators or health care workers who want

More information

Dental Insights. Equipping Parents with Important Information About Children s Oral Health pril 2014

Dental Insights. Equipping Parents with Important Information About Children s Oral Health pril 2014 Equipping Parents with Important Information About Children s Oral Health pril 2014 Introduction Despite tremendous advancements in dental care and treatment over the past 50 years, dental caries (tooth

More information

Appendix. CPT only copyright 2007 American Medical Association. All rights reserved. NTHSteps Dental Guidelines

Appendix. CPT only copyright 2007 American Medical Association. All rights reserved. NTHSteps Dental Guidelines Appendix NTHSteps Dental Guidelines N N.1 American Academy of Pediatric Dentistry Periodicity Guidelines.................. N-2 N.2 American Dental Association Guidelines for Prescribing Dental Radiographs.........

More information

A Healthy Mouth for Your Baby

A Healthy Mouth for Your Baby A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Healthy teeth are important even baby teeth. Children need healthy teeth to help them chew and to

More information

RISK FACTORS BY AGE (Wandera et al. 2000)

RISK FACTORS BY AGE (Wandera et al. 2000) RISK ASSESSMENT Stacey Lubetsky DMD ST. BARNABAS HOSPITAL RISK ASSESSMENT The primary thrust of early risk assessment is to screen for parent-infant groups who are at risk of ECC and would benefit from

More information

ORAL HEALTH MECHANISM OF ACTION INFLUENTIAL FACTORS 5/8/2017

ORAL HEALTH MECHANISM OF ACTION INFLUENTIAL FACTORS 5/8/2017 ORAL HEALTH Oral health is a state of being free from chronic mouth & facial pain, oral & throat cancer, oral sores, birth defects such as cleft lip & palate, periodontal (gum) disease, tooth decay & tooth

More information

MODULE 15: ORAL HEALTH ACROSS THE LIFESPAN

MODULE 15: ORAL HEALTH ACROSS THE LIFESPAN MODULE 15: ORAL HEALTH ACROSS THE LIFESPAN Oral Health Across the Lifespan MODULE 15: ORAL HEALTH ACROSS THE LIFESPAN Part 3: Oral Health in Childhood Erin Hartnett DNP, APRN-BC, CPNP Learning Objectives

More information

Integrating Oral Health into Primary Care Francis E Rushton, MD, FAAP Medical Director SC QTIP

Integrating Oral Health into Primary Care Francis E Rushton, MD, FAAP Medical Director SC QTIP Integrating Oral Health into Primary Care Francis E Rushton, MD, FAAP Medical Director SC QTIP Introduction and Acknowledgements This oral health integration training was developed for MORE Care. It was

More information

(Introduce yourself) We all love to see happy children with wonderful smiles. So Let s Crush Cavities!!

(Introduce yourself) We all love to see happy children with wonderful smiles. So Let s Crush Cavities!! (Introduce yourself) We all love to see happy children with wonderful smiles. So Let s Crush Cavities!! As parents or caregivers of young children, you want your child to be healthy. You can make a big

More information

A review of caries risk and management

A review of caries risk and management A review of caries risk and management Nashville Area Dental CE Call February 24, 2010 Tim Ricks, DMD, MPH Nashville Area Dental Officer Help us prevent Caries! Some slides are from the IHS Caries Risk

More information

December 2, 2013 Healthy Smile Happy Child Telehealth Presentation Dr. Robert J Schroth

December 2, 2013 Healthy Smile Happy Child Telehealth Presentation Dr. Robert J Schroth December 2, 2013 Healthy Smile Happy Child Telehealth Presentation Dr. Robert J Schroth umschrot@cc.umanitoba.ca Recent report of an expert working group on Oral Health Care During Pregnancy October 2011

More information

It is 100 percent preventable

It is 100 percent preventable Leeds Dental Institute FACULTY OF MEDICINE AND HEALTH No mysteries in solving the caries riddle It is 100 percent preventable Professor Monty Duggal University of Leeds, UK Aims of this presentation Dental

More information

INSTRUCTOR S GUIDE. Oral Health. First Edition, 2006

INSTRUCTOR S GUIDE. Oral Health. First Edition, 2006 INSTRUCTOR S GUIDE Oral Health First Edition, 2006 California Childcare Health Program Administered by the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing

More information

Toddlers to Teens Dental Guide. A Quick Guide For Parents

Toddlers to Teens Dental Guide. A Quick Guide For Parents Toddlers to Teens Dental Guide A Quick Guide For Parents INTRODUCTION Your children mean more to you than anything in this world, but it can be hard to know the best way to care for them. Whether it s

More information

The HRSA UDS Sealants Measure

The HRSA UDS Sealants Measure The HRSA UDS Sealants Measure Documenting Moderate & High Risk Kansas and Nebraska PCA Sealant Learning Collaborative Learning Call #2 Irene Hilton, DDS, MPH NNOHA Dental Consultant December 12, 2017 Objectives

More information

Good oral hygiene today

Good oral hygiene today Dental essentials Good oral hygiene today Healthy teeth and gums for life You know, there s nothing like the fresh, clean feeling in your mouth after you ve brushed and flossed your teeth to make you feel

More information

Into the Future: Keeping Healthy Teeth Caries Free: Pediatric CAMBRA Protocols

Into the Future: Keeping Healthy Teeth Caries Free: Pediatric CAMBRA Protocols Into the Future: Keeping Healthy Teeth Caries Free: Pediatric CAMBRA Protocols francisco ramos-gomez, dds, ms, mph, and man-wai ng, dds, mph abstract Early childhood caries prevalence has increased significantly

More information

New Parents Oral Health Handbook

New Parents Oral Health Handbook New Parents Oral Health Handbook Casper Children s Dental Clinic New Parents Did you know almost half of Wyoming s children will get at least one cavity by the time they reach kindergarten? Often times,

More information

CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS. Patient Name: I.D. # Age Date

CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS. Patient Name: I.D. # Age Date CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS Patient Name: I.D. # Age Date Initial/baseline exam date Recall/POE date Respond to each question in sections 1, 2, and 3 with a check mark in the yes or

More information

Kalona Silver Nitrate Study Two Year Findings. Dr. Michael Kanellis Dr. Arwa Owais The University of Iowa College of Dentistry

Kalona Silver Nitrate Study Two Year Findings. Dr. Michael Kanellis Dr. Arwa Owais The University of Iowa College of Dentistry Kalona Silver Nitrate Study Two Year Findings Dr. Michael Kanellis Dr. Arwa Owais The University of Iowa College of Dentistry Purpose of the Study To compare the conventional approach of restoring caries

More information

Frequently Asked Questions. About Community Water Fluoridation. Overview. 1-What is fluoride?

Frequently Asked Questions. About Community Water Fluoridation. Overview. 1-What is fluoride? Frequently Asked Questions About Community Water Fluoridation Overview 1-What is fluoride? Fluoride is a naturally occurring mineral that protects teeth from tooth decay. 2-Why is fluoride added to water

More information

Integrated Models: Medical-Dental Collaboration

Integrated Models: Medical-Dental Collaboration Integrated Models: Medical-Dental Collaboration William Bailey, DDS, MPH Delta Dental Endowed Chair in Early Childhood Caries Prevention School of Dental Medicine University of Colorado Denver, Anschutz

More information

HEALTHY SMILE, HAPPY LIFE

HEALTHY SMILE, HAPPY LIFE Flyers HEALTHY SMILE, HAPPY LIFE Oral health is part of being well, and the foundation for a healthy and active lifestyle. When our mouths, gums or teeth aren t healthy, our bodies may be more susceptible

More information

19/03/2018. Objectives

19/03/2018. Objectives Target group 10 to 14 years old Aims This presentation has been designed to provide those viewing it with information on how to maintain a good Oral Health Objectives At the end, the viewer will be able

More information

Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State Session 3

Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State Session 3 Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State Session 3 Clinical Interventions that Can Help Prevent and Manage Diabetes June 17, 2015 Qualis Health A leading national population

More information

Shared Learning: Oral Health. Special Guest: Glenn Puckett, Director of Health Systems Integration with Washington Dental Service Foundation

Shared Learning: Oral Health. Special Guest: Glenn Puckett, Director of Health Systems Integration with Washington Dental Service Foundation Shared Learning: Oral Health Special Guest: Glenn Puckett, Director of Health Systems Integration with Washington Dental Service Foundation SHARED LEARNINGS FUNDED BY THE ANTHEM FOUNDATION 55 Putting the

More information

Chung Pak Day Care Center. --Reinforcing Oral Health. Education and Positive Habits. to the 5-6 year-old children

Chung Pak Day Care Center. --Reinforcing Oral Health. Education and Positive Habits. to the 5-6 year-old children Chung Pak Day Care Center --Reinforcing Oral Health Education and Positive Habits to the 5-6 year-old children Fen Fang Huang Patricia Azcona Fan Chen Lissette Onofre 1 Table of Contents Introduction Page

More information

Learning Objectives. Nutrition and Oral Health for Children

Learning Objectives. Nutrition and Oral Health for Children Learning Objectives Nutrition and Oral Health for Children Beth Ogata, MS, RD Nutrition 527 April 4, 2006 Describe oral health problems for children List nutrition-related risk factors for oral health

More information

Module 3: Oral Health Screening and Fluoride Varnish for Infants and Toddlers

Module 3: Oral Health Screening and Fluoride Varnish for Infants and Toddlers Module 3: Oral Health Screening and Fluoride Varnish for Infants and Toddlers Time: 2 hours Learning Objectives: List best practices for caries prevention specific to different age groups. Perform an oral

More information

DCM COLLABORATIVE LEARNING SESSION 3

DCM COLLABORATIVE LEARNING SESSION 3 DCM COLLABORATIVE LEARNING SESSION 3 DentaQuest Divas Insert a photo of your team here! 1 SINCE SEPTEMBER We have accomplished: We re struggling with: Post-card re-care Time management A menu for patients

More information

Restorative treatment The history of dental caries management consisted of many restorations placed as well as many teeth removed and prosthetic

Restorative treatment The history of dental caries management consisted of many restorations placed as well as many teeth removed and prosthetic Restorative treatment The history of dental caries management consisted of many restorations placed as well as many teeth removed and prosthetic replacements provided. Paradigm shift towards a medical

More information

CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS Instructions on reverse Patient Name: I.D. # Age Date Initial/baseline exam date Recall/POE date

CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS Instructions on reverse Patient Name: I.D. # Age Date Initial/baseline exam date Recall/POE date CARIES RISK ASSESSMENT FORM FOR AGE 0 TO 5 YEARS Instructions on reverse Patient Name: I.D. # Age Date Initial/baseline exam date Recall/POE date Respond to each question in sections 1, 2, and 3 with a

More information

Feature Articles. Sponsored by:

Feature Articles. Sponsored by: Feature Articles 2018 Sponsored by: Oral healthcare for seniors Today s seniors can expect to keep most, if not all, of their teeth as they age thanks to healthier lifestyles and advances in oral and medical

More information

Dental Health. This document includes 12 tips that can be used as part of a monthly year-long dental health campaign or as individual messages.

Dental Health. This document includes 12 tips that can be used as part of a monthly year-long dental health campaign or as individual messages. Dental Health This document includes 12 tips that can be used as part of a monthly year-long dental health campaign or as individual messages. What is gingivitis? Gingivitis is the beginning stage of gum

More information

Visit DeltaDentalMN.org/SmilesAtSchool for additional program materials, including educational videos, activities and lesson plans.

Visit DeltaDentalMN.org/SmilesAtSchool for additional program materials, including educational videos, activities and lesson plans. Smiles@School is a statewide initiative of Delta Dental of Minnesota Foundation to support children s oral health through education, prevention and dental sealant programs in schools. Education is the

More information

Primary Teeth are Important

Primary Teeth are Important Primary Teeth are Important Making the Connection Between Oral Health and School Success Presented by: Children Parents Early Childhood Educators Dental/Medical 1 Training Overview 2 Dental Decay in Infants

More information

A GUIDE TO CARING FOR YOUR CHILD S TEETH AND MOUTH

A GUIDE TO CARING FOR YOUR CHILD S TEETH AND MOUTH A GUIDE TO CARING FOR YOUR CHILD S TEETH AND MOUTH A COLLABORATION BETWEEN Use this guide to learn about oral health and taking care of your child s teeth from birth to kindergarten and into their teen

More information

Oral Health: An Essential Component of Primary Care. Executive Summary

Oral Health: An Essential Component of Primary Care. Executive Summary Oral Health: An Essential Component of Primary Care Executive Summary June 2015 Executive Summary The Problem Oral health is essential for healthy development and healthy aging, yet nationwide there is

More information

Key Dietary Messages

Key Dietary Messages Key Dietary Messages Developed by Dr. Teresa Marshall, Ph.D Department of Preventive and Community Dentistry College of Dentistry, University of Iowa Dietary Behavior Number of meals/s Meal patterns Between-meal/

More information

Dental Referrals for At Risk School-Age Children Aren t Working: Alternative Strategies

Dental Referrals for At Risk School-Age Children Aren t Working: Alternative Strategies Dental Referrals for At Risk School-Age Children Aren t Working: Alternative Strategies Laura Brey, MS Sr. Training and Technical Assistance Specialist School-Based Health Alliance What is a school-based

More information

Message to Dental Professionals

Message to Dental Professionals BROUGHT TO YOU BY Message to Dental Professionals You educate patients about oral health and hygiene on a daily basis. When discussing the oral health of children ages 0 (birth) to 5, make sure parents

More information

HEALTH SURVEILLANCE INDICATORS: YOUTH ORAL HEALTH. Public Health Relevance. Highlights

HEALTH SURVEILLANCE INDICATORS: YOUTH ORAL HEALTH. Public Health Relevance. Highlights HEALTH SURVEILLANCE INDICATORS: YOUTH ORAL HEALTH Public Health Relevance Good dental and oral health contribute to physical, mental and social well-being. Tooth decay, especially untreated dental caries,

More information

A Healthy Mouth for Your Baby

A Healthy Mouth for Your Baby A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health A Healthy Mouth for Your Baby Healthy teeth are important even baby teeth. Children need healthy

More information

Oral Health Care: The window to overall health. Head 2 Toe Conference May 9, 2013 Christy Cogil, RN, CFNP and Dr. Melissa Ravago, DMD

Oral Health Care: The window to overall health. Head 2 Toe Conference May 9, 2013 Christy Cogil, RN, CFNP and Dr. Melissa Ravago, DMD Oral Health Care: The window to overall health Head 2 Toe Conference May 9, 2013 Christy Cogil, RN, CFNP and Dr. Melissa Ravago, DMD Oral Health in America Oral health is essential to the general health

More information

Payment Models in the Medical Office It works

Payment Models in the Medical Office It works Payment Models in the Medical Office It works C Eve J Kimball, MD Chapter Oral Health Advocate PA Chapter, American Academy of Pediatrics Disclosure Information I have no relevant financial relationships

More information

Course #:

Course #: Welcome to Lesson 7: Indicators of Problems of the Dental Health for Individuals with Disabilities webcast series. Please adjust your computer volume so that it is at a comfortable listening level for

More information

Bacterial Plaque and Its Relation to Dental Diseases. As a hygienist it is important to stress the importance of good oral hygiene and

Bacterial Plaque and Its Relation to Dental Diseases. As a hygienist it is important to stress the importance of good oral hygiene and Melissa Rudzinski Preventive Dentistry Shaunda Clark November 2013 Bacterial Plaque and Its Relation to Dental Diseases As a hygienist it is important to stress the importance of good oral hygiene and

More information

A Healthy Mouth for Your Baby

A Healthy Mouth for Your Baby A Healthy Mouth for Your Baby U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health A Healthy Mouth for Your Baby Healthy teeth are important even baby teeth. Children need healthy

More information

TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2

TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2 TABLE OF CONTENTS TABLE OF CONTENTS... 1 ORAL HEALTH IS AN IMPORTANT PART OF TOTAL HEALTH... 2 DENTAL DECAY... 2 PRIMARY TEETH (BABY TEETH, DECIDUOUS TEETH)... 2 EARLY CHILDHOOD TOOTH DECAY... 2 CAREGIVER

More information

MLCHC 2015 Clinical Connections Summit. Presented By: Katherine Dolan, MSN, CPNP Chenelle Norman, MPH

MLCHC 2015 Clinical Connections Summit. Presented By: Katherine Dolan, MSN, CPNP Chenelle Norman, MPH MLCHC 2015 Clinical Connections Summit Presented By: Katherine Dolan, MSN, CPNP Chenelle Norman, MPH November 5, 2015 Project Overview Aim Statement Over the next year, improve the oral health of pediatric

More information

Message to Dental Professionals

Message to Dental Professionals BROUGHT TO YOU BY Message to Dental Professionals You educate patients about oral health and hygiene on a daily basis. When discussing the oral health of children ages 0 (birth) to 5, make sure parents

More information

Oral Health in Primary Care: A Framework for Action

Oral Health in Primary Care: A Framework for Action Oral Health in Primary Care: A Framework for Action National Oral Heath Conference, April 2015 Kathryn E. Phillips, MPH Who we are Qualis Health is one of the nation's leading population healthcare consulting

More information

Enhanced CPD Programme Module 2b

Enhanced CPD Programme Module 2b Enhanced CPD Programme Module 2b Introduction Aim To present the key oral health improvement messages and the evidence-base that underpins these for use in practice. Learning Outcomes By the end of this

More information

Overview: The health care provider explores the health behaviors and preventive measures that enhance children s oral health.

Overview: The health care provider explores the health behaviors and preventive measures that enhance children s oral health. Lesson 5: Prevention Overview: The health care provider explores the health behaviors and preventive measures that enhance children s oral health. Goals: The health care provider will be able to describe:

More information

SODA AND FRUIT JUICE CAN DISSOLVE YOUR TEETH AND CAUSE TOOTH DECAY

SODA AND FRUIT JUICE CAN DISSOLVE YOUR TEETH AND CAUSE TOOTH DECAY Dear Michael, Welcome to our SUMMER email newsletter! If you have not yet checked out our office website lately, I encourage you to visit by clicking here. We are working hard to keep it up to date with

More information

Dental Health E-presentation.

Dental Health E-presentation. Dental Health E-presentation www.healthycornwall.org.uk Learning Outcomes This short E-presentation has been developed to give you a basic understanding of the importance of good dental health and dental

More information

Oral Health Practices for Persons with Intellectual/ Developmental Disabilities

Oral Health Practices for Persons with Intellectual/ Developmental Disabilities Oral Health Practices for Persons with Intellectual/ Developmental Disabilities Theresa Brennan RDH, BS Health Education Tufts Dental Facilities Tufts Community Dental Program Speaker Introduction Theresa

More information

t. Purpose. Establishes policy and guidelines for identifying and managing oral disease risk in the Navy Military Health System.

t. Purpose. Establishes policy and guidelines for identifying and managing oral disease risk in the Navy Military Health System. DEPARTMENT OF THE NAVY BUREAU OF MEDICINE AND SURGERY 2300 E STREET NW WASHINGTON DC 20372-5300 IN REPL V REFER TO BUMEDINST 6600.16A BUMED-M3/5 BUMED INSTRUCTION 6600.16A From: Chief, Bureau of Medicine

More information

Correlation of Early Childhood Caries Risk and Obesity in Preschool Age Children Via Salivary Testing

Correlation of Early Childhood Caries Risk and Obesity in Preschool Age Children Via Salivary Testing Correlation of Early Childhood Caries Risk and Obesity in Preschool Age Children Via Salivary Testing Dr. Francisco Ramos-Gomez (UCLA) and Dr. R.S. Jones (U. Minn) with Dr. Wendy Slusser, Venice Family

More information

Cultural Perspectives of Early Childhood Caries

Cultural Perspectives of Early Childhood Caries Cultural Perspectives of Early Childhood Caries Robert J Schroth, L Harms, J Edwards, ME Moffatt & members of the Manitoba Collaborative Project for the Prevention of Early Childhood Tooth Decay umschrot@cc.umanitoba.ca

More information

SODA TO THE CURB KICKING A CHECKLIST FOR YOU AND YOUR CHILDREN

SODA TO THE CURB KICKING A CHECKLIST FOR YOU AND YOUR CHILDREN KICKING SODA TO THE CURB A CHECKLIST FOR YOU AND YOUR CHILDREN Soda. Coke. Pop. Sodie-pop. Soft drinks. Teeth-ruiners. Yes, we said teeth-ruiners. Did you know that 16 teaspoons of sugar are in one 20-ounce

More information

ORAL HYGIENE SESSION 2

ORAL HYGIENE SESSION 2 ORAL HYGIENE SESSION 2 BSCS_flipchart_session2.indd 1 dental FLOSS Floss is a special string used to clean between your teeth. This is a very hard space to get clean Floss can get to small spaces your

More information

The Essential Guide to Children s Dental Health

The Essential Guide to Children s Dental Health Ages 0-11 The Essential Guide to Children s Dental Health What every parent should know.. Introduction Most parents don t realize that tooth decay is the number one chronic disease among Tulsa-area children.

More information

An Innovative Approach to a New Health Mandate

An Innovative Approach to a New Health Mandate An Innovative Approach to a New Health Mandate Virginia Oral Health Coalition John Luther, DDS Chief Dental Officer October 26, 2012 Learning objectives To understand the paradigm shift in dental to disease

More information

Tooth Wear. Department of Orthodontics and Restorative Dentistry Information for Patients

Tooth Wear. Department of Orthodontics and Restorative Dentistry Information for Patients Tooth Wear Department of Orthodontics and Restorative Dentistry Information for Patients i What is Tooth Wear? Tooth wear refers to the loss of tooth substance that is not caused by dental caries or trauma.

More information

PERINATAL CARE AND ORAL HEALTH

PERINATAL CARE AND ORAL HEALTH PERINATAL CARE AND ORAL HEALTH Lakshmi Mallavarapu, DDS Terry Reilly Health Services Boise, Idaho CE objectives Recognize the necessity of Oral Care during Perinatal Period Examine and assess teeth and

More information

Oral Hygiene. Dental hygiene disorders: Dental Caries Gingivitis Halitosis Teething discomfort Aphthous (mouth) ulcer

Oral Hygiene. Dental hygiene disorders: Dental Caries Gingivitis Halitosis Teething discomfort Aphthous (mouth) ulcer Oral Hygiene Dental hygiene disorders: Dental Caries Gingivitis Halitosis Teething discomfort Aphthous (mouth) ulcer Anatomy of the tooth Dental caries Incidence: It decreases especially in children

More information

Developed by: The Inter Tribal Council of Arizona, Inc. Dental Clinical and Prevention Support Center

Developed by: The Inter Tribal Council of Arizona, Inc. Dental Clinical and Prevention Support Center Inter Tribal Council of Arizona, Inc. Dental Clinical and Prevention Support Center 2214 North Central Avenue, Suite 100 Phoenix, Arizona 85004 602-258-4822 602-258-4825 fax www.itcaonline.com Developed

More information

Innovative Interprofessional Pediatric Dentistry Curriculum & Infant Oral Care Program Address Disparities in Oral Health

Innovative Interprofessional Pediatric Dentistry Curriculum & Infant Oral Care Program Address Disparities in Oral Health National Oral Health Conference - Louisville - April 17, 2018 Innovative Interprofessional Pediatric Dentistry Curriculum & Infant Oral Care Program Address Disparities in Oral Health Francisco Ramos-Gomez

More information