Early Childhood Caries Prevention: A Training Project for Primary Care Providers

2005 ◽  
Vol 16 (2) ◽  
pp. 244-247 ◽  
Author(s):  
Lois A. Wessel ◽  
Scott Wolpin ◽  
Jen Sheen ◽  
David Krol ◽  
Kathie Westpheling ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Primary Care Providers ◽  
Caries Prevention ◽  
Care Providers ◽  
Training Project ◽  
Childhood Caries

scholarly journals The Impact of COVID-19 on Preventive Oral Health Care During Wave One

2021 ◽  
Vol 2 ◽  
Author(s):  
Beau D. Meyer ◽  
David O. Danesh
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Health Care Delivery ◽  
Early Childhood Caries ◽  
Care Delivery ◽  
Primary Care Providers ◽  
Care Providers ◽  
Dental Visits

Introduction: Early childhood caries burdens children, their families, and the health care system. Utilizing fluoride varnish at medical well-child visits with non-dental primary care providers can be an interprofessional strategy to combat early childhood caries. The COVID-19 pandemic dramatically altered preventive health care delivery and the effects on preventive oral health care delivery have not been previously described.Methods: This analysis used descriptive statistics and non-parametric Wilcoxon Mann-Whitney tests to compare preventive oral health utilization among 1 to 5-year old children in two state Medicaid agencies before and during the pandemic. Fluoride utilization rates at dental visits and medical well-child visits were calculated as number of users per 1,000 enrolled children. Additionally, the proportion of well-child visits that included fluoride application was calculated for each state.Results: During the pandemic, the quarterly fluoride utilization rate significantly decreased at dental visits (pre-pandemic = 153.5 per 1,000 enrolled children; pandemic = 36.1 per 1,000 enrolled children, p < 0.001) and signficantly decreased at medical well-child visits (pre-pandemic = 72.2 per 1,000 enrolled children; pandemic = 32.3 per 1,000 enrolled children, p = 0.03) during the pandemic.Conclusions: The findings highlight the importance of interprofessional collaboration among non-dental primary care providers and dental providers to provide access to preventive oral health services, particularly when access to dentists is limited. Future directions might include rigorous evaluations of co-located medical and dental services or the use of interprofessional telehealth technologies.

scholarly journals Disease Management of Early Childhood Caries: ECC Collaborative Project

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Man Wai Ng ◽  
Francisco Ramos-Gomez ◽  
Martin Lieberman ◽  
Jessica Y. Lee ◽  
Richard Scoville ◽  
...  
Keyword(s):  
Early Childhood ◽  
Disease Management ◽  
Health Care Providers ◽  
Early Childhood Caries ◽  
Standard Of Care ◽  
The United States ◽  
Care Providers ◽  
Restorative Treatment ◽  
Wide Scale ◽  
Childhood Caries

Until recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease. Despite costly surgeries and reparative treatment, the onset and progression of caries are likely to continue. A successful rebalance of risk and protective factors may prevent, slow down, or even arrest dental caries and its progression. An 18-month risk-based chronic disease management (DM) approach to address ECC in preschool children was implemented as a quality improvement (QI) collaborative by seven teams of oral health care providers across the United States. In the aggregate, fewer DM children experienced new cavitation, pain, and referrals to the operating room (OR) for restorative treatment compared to baseline historical controls. The teams found that QI methods facilitated adoption of the DM approach and resulted in improved care to patients and better outcomes overall. Despite these successes, the wide scale adoption and spread of the DM approach may be limited unless health policy and payment reforms are enacted to compensate providers for implementing DM protocols in their practice.

Effect of Training Pediatricians and Family Physicians in Early Childhood Caries Prevention

2015 ◽  
Vol 166 (4) ◽  
pp. 1055-1061.e1 ◽  
Author(s):  
Jill Boylston Herndon ◽  
Scott L. Tomar ◽  
Frank A. Catalanotto
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Family Physicians ◽  
Caries Prevention ◽  
Childhood Caries
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