Focus on Oral Health

Volume VI



November 2001
The National Maternal and Child Oral Health

Resource Center is interested in receiving copies of

materials that would be useful in program development

and evaluation. Tools for needs assessment, policy

statements, guidelines and standards, record formats,

and special reports are especially welcome. If you have

any materials that you think might be of interest and

help to colleagues, please forward two copies to

National Maternal and Child Health

Oral Health Resource Center

Georgetown University

2000 15th Street, North, Suite 701

Arlington, VA 22201-2617

Telephone: (703) 524-7802, fax: (703) 524-9335

E-mail: oralhealth@ncemch.org

NMCOHRC Web site: http://www.mchoralhealth.org

An electronic copy of this publication is available from

the NMCOHRC Web site.

MCH Program Interchange: Focus on Oral Health—Volume VI

© 2001 by National Center for Education in Maternal and

Child Health and Georgetown University. MCH Program

Interchange: Focus on Oral Health—Volume VI was developed

by the National Maternal and Child Oral Health Resource

Center, supported at the National Center for Education in

Maternal and Child Health (NCEMCH) under its cooperative agreement (MCU-119301) with the Maternal and Child

Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. The

Maternal and Child Health Bureau reserves a royalty-free,

nonexclusive, and irrevocable right to use the work for federal

purposes and to authorize others to use the work for federal

purposes.

Permission is given to photocopy the

Interchange. Requests for permission to

use all or part of the information contained

in this publication in other ways should be

sent to NMCOHRC.

The MCH Program Interchange is a periodic publication

designed to stimulate thinking and creativity within the

Title V community by providing information about

selected publications of current interest. These publications have been developed by or are available from federal agencies, state and local public health bureaus, and

voluntary and professional organizations. The materials

cited in the Interchange have been incorporated into

the library at the National Center for Education in

Maternal and Child Health (NCEMCH). Some items

in the NCEMCH Library are available for loan to

those involved in Title V programs, or copies of listed

materials can be requested directly from the contributing organizations and agencies. When ordering materials from the National Maternal and Child Health

Clearinghouse, refer to the Inventory Code number

located with the contact information. Inclusion of items

in the Interchange does not imply endorsement by the

Maternal and Child Health Bureau, NCEMCH, or the

National Maternal and Child Oral Health Resource

Center (NMCOHRC).

The names of some agencies may have changed since

the materials listed in this Interchange were published.

Differences between bibliographic citations and contact

information may be due to our practice of describing

the items as they were published and providing the

most current contact information available.

The mission of NCEMCH is to provide national leadership to the maternal and child health community in

three key areas—program development, policy analysis

and education, and state-of-the-art knowledge—to

improve the health and well-being of the nation’s children and families. Established in 1982 at Georgetown

University, NCEMCH is part of the Georgetown

Public Policy Institute. NCEMCH is funded primarily

by the U.S. Department of Health and Human

Services through the Health Resources and Services

Administration’s Maternal and Child Health Bureau.

The purpose of NMCOHRC is to respond to the

needs of states and communities in addressing current

and emerging public oral health issues. The resource

center supports health professionals, program administrators, educators, policymakers, and others with the

goal of improving oral health services for infants, children, adolescents, and their families. The resource center collaborates with federal, state, and local agencies;

national and state organizations and associations; and

foundations, to gather, develop, and share quality and

valued information and materials.

MCH Program Interchange
Focus on Oral Health

Volume VI



November 2001

Katrina Holt, M.P.H., M.S., R.D.

Beth DeFrancis

Editors

Contents

From the Desk of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

Oral Health Materials . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Trends and Statistics . . . . . . . . . . . . . . . . . . . . . . . . . 1

Education and Care . . . . . . . . . . . . . . . . . . . . . . . . . 2

Early Childhood Caries . . . . . . . . . . . . . . . . . . . . . . 3

Children with Special Health Care Needs . . . . . . . . . 4

Medicaid and SCHIP . . . . . . . . . . . . . . . . . . . . . . . . 5

Policy and Programs . . . . . . . . . . . . . . . . . . . . . . . . . 7

Meeting/Conference Materials . . . . . . . . . . . . . . . . 12

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
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JOHN ROSSETTI, D.D.S., M.P.H., CHIEF DENTAL

OFFICER, MATERNAL AND CHILD HEALTH BUREAU

AND HEALTH RESOURCES AND SERVICES

ADMINISTRATION

Building on the success of the first five volumes of the

MCH Program Interchange: Focus on Oral Health, the

National Maternal and Child Oral Health Resource

Center has produced the sixth volume in the series.

Each successive volume is intended to supplement

rather than replace the previous volumes. This issue

contains a current listing of materials generated by

state and community programs to promote the oral

health of children, adolescents, and families nationwide. We hope that the Interchange will continue to

serve as a forum for the cooperative exchange of information on program ideas and activities among individuals in the maternal and child oral health community.

The Interchange is just one resource produced by the

National Maternal and Child Oral Health Resource

Center in its efforts to develop timely and current oral

health materials. In summer 2001, the resource center

published Oral Health and Learning: When Children’s

Oral Health Suffers, So Does Their Ability to Learn. This

new fact sheet highlights the connection between adequate dental care and the capacity to learn. Another

fact sheet, Trends in Children’s Oral Health, was updated

this year to reflect the most recent findings on the oral

health status of children and adolescents. A forthcoming publication, Women’s Oral Health Resource Guide,

describes dozens of resources highlighting the unique

oral health needs of women. Hormonal changes

throughout the lifespan of women, the importance of

adequate oral health care during pregnancy, and the

connection between oral health and systemic wellness

are among the topics explored.

Other publications included in this issue reflect our

nation’s efforts to improve access to oral health services. Does SCHIP Spell Better Dental Care Access for

Children?, The Status of Access to Oral Health Care in

Maine, and Addressing the Crisis of Oral Health Status

for Colorado’s Children are just a few examples.

Health professionals, program administrators, policymakers, and others are continuing their efforts to

reduce barriers to access. Their work, described in

numerous documents in this issue, can help avoid

duplication of effort and achieve positive outcomes in

improving the oral health status of children, adolescents, and families.

The Maternal and Child Health Bureau and the

National Maternal and Child Oral Health Resource

Center are committed to providing ongoing mechanisms for sharing information about materials that

enhance oral health programs and services. If you have

materials that you feel could benefit others, please

become part of this process. If you would like to access

the resource center’s materials, please use our expertise.

Improving the oral health of our nation’s children, adolescents, and families requires a collaborative effort at

many levels. We look forward to working with you

toward this goal.

From the Desk of...
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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

TRENDS AND STATISTICS

KEY DENTAL FACTS

American Dental Association, Survey Center. 2000.

Key dental facts. Chicago, IL: American Dental

Association. 21 pp.

This booklet presents statistical information (much of

it in tables) on a variety of topics of interest to the

dental profession and the public. The information is

categorized as follows: consumer facts, economic facts,

education facts, work force and membership trends,

and oral health facts. Some tables are divided by age,

ethnic group, and economic level.

Contact: Survey Center, American Dental Association,

211 East Chicago Avenue, Chicago, IL 60611.

Telephone: (312) 440-2500, (312) 440-2568, (800) 621-

8099, ext. 2563; fax: (312) 440-2800; Web site: http://

www.ada.org. Contact ADA for cost information.

ORAL HEALTH AND LEARNING: WHEN CHILDREN’S ORAL

HEALTH SUFFERS, SO DOES THEIR ABILITY TO LEARN

National Maternal and Child Oral Health Resource

Center. 2001. Oral health and learning: When children’s

oral health suffers, so does their ability to learn. Arlington,

VA: National Center for Education in Maternal and

Child Health. 2 pp.

This fact sheet presents information on the effects of

poor oral health on learning in school-age children.

Four areas are addressed: lost school time and restricted-activity days, oral health and learning, nutrition and

learning, and programs for improving oral health.

[Funded by the Maternal and Child Health Bureau]

Contact: National Maternal and Child Health

Clearinghouse, 2070 Chain Bridge Road, Suite 450,

Vienna, VA 22182-2536. Telephone: (703) 356-1964,

(888) 434-4MCH; fax: (703) 821-2098; e-mail:

nmchc@circsol.com; Web site: http://www.nmchc.org.

Available at no charge. NMCHC inv. code N074. Also

available at no charge from the NMCOHRC Web site

at http://www.mchoralhealth.org/PDFs/

Learningfactsheet.pdf.

POOR ORAL HEALTH IS NO LAUGHING MATTER

Community Voices: HealthCare for the Underserved.

2001. Poor oral health is no laughing matter. Washington, DC: Community Voices: HealthCare for the

Underserved. 2 pp.

This fact sheet presents statistics and other information on the oral health of adults, including pregnant

women and minority populations. Among the topics

covered are gum disease (periodontitis), oral infection,

oral and pharyngeal cancer, and access to care. The fact

sheet also looks at strategies to improve oral health

care for adults, especially in vulnerable populations.

Contact: W. K. Kellogg Foundation, One Michigan

Avenue, East, Battle Creek, MI 49017-4058.

Telephone: (616) 968-1611, (800) 819-9997 (to order

publications); fax: (616) 968-0413; Web site: http://

www.wkkf.org. Available at no charge.

TRENDS IN CHILDREN’S ORAL HEALTH

National Maternal and Child Oral Health Resource

Center. 2001. Trends in children’s oral health. Arlington,

VA: National Center for Education in Maternal and

Child Health. 2 pp.

This fact sheet provides an overview of children’s oral

health issues, including access to care, children with

special health care needs, early childhood caries (baby

bottle tooth decay), fluoridation, dental sealants, injury

and violence, and tobacco. A list of references is also

provided. [Funded by the Maternal and Child Health

Bureau]

Contact: National Maternal and Child Health

Clearinghouse, 2070 Chain Bridge Road, Suite 450,

Vienna, VA 22182-2536. Telephone: (703) 356-1964,

(888) 434-4MCH; fax: (703) 821-2098; e-mail:

nmchc@circsol.com; Web site: http://www.nmchc.org.

Available at no charge. NMCHC inv. code N041. Also

available at no charge from the NMCOHRC Web site

at http://www.mchoralhealth.org/PDFs/OHTrendsfact

sheet.pdf.

Oral Health Materials
EDUCATION AND CARE

ADULT DENTAL CARE FOR HMONG IN 

AMERICA

1997. Adult dental care for Hmong in America.

Minneapolis, MN: University of Minnesota. 1 videotape (9 1/2 minutes).

This videotape in the Hmong language focuses on

healthy dental habits for adults who have emigrated to

the United States. The benefits of the following activities are described: daily brushing and flossing, visiting

the dentist for a professional cleaning at least once a

year, and seeing the dentist at the first sign of dental

problems. The videotape is accompanied by an English

interpretation of the Hmong script.

Contact: Amos Deinard, University of Minnesota, 420

Delaware Street, S.E., Mail Code 85, Minneapolis,

MN 55455. Telephone: (612) 638-0700, ext. 212;

e-mail: deina001@umn.edu. $75.00 for first videotape;

$40 for each additional videotape.

APPLIED PHARMACOLOGY FOR THE DENTAL HYGIENIST

Requa-Clark, B. 2000. Applied pharmacology for the dental hygienist. (4th ed.). St. Louis, MO: Mosby. 640 pp.

This textbook for dental hygiene students is organized

into four sections: (1) basic principles of pharmacology;

(2) drugs used in dentistry, grouped by class; (3) drugs

that may alter oral conditions; and (4) special situations, including emergency drugs, pregnancy and

breastfeeding, drug interactions, and drug abuse.

Numerous tables and graphics are provided, as well as

chapter review questions and a glossary.

Contact: Harcourt Health Services, 11830 Westline

Industrial Drive, St. Louis, MO 63143. Telephone:

(800) 545-2522; fax: (800) 535-9935; Web site:

http://www.harcourthealth.com. $48.00. ISBN 

0-8151-3630-7.

THE BIG CAVITY: DECREASING ENROLLMENT OF

MINORITIES IN DENTAL SCHOOLS

Community Voices: HealthCare for the Underserved.

2001. The big cavity: Decreasing enrollment of minorities

in dental schools. Washington, DC: Community Voices:

HealthCare for the Underserved. 5 pp.

This pamphlet discusses the decline in minority enrollment in dental schools and the effect of the decline on

the health care system. The trend suggests that minority dentists will be in even shorter supply in the near

future. The pamphlet offers several approaches for

reversing the situation. References are included.

Contact: W. K. Kellogg Foundation, One Michigan

Avenue, East, Battle Creek, MI 49017-4058.

Telephone: (616) 968-1611, (800) 819-9997 (to order

publications); fax: (616) 968-0413; Web site: http://

www.wkkf.org. Available at no charge, request item no.

498. Also available at no charge from the Web site at

http://www.communityvoices.org/PDF/

TheBigCavity-Booklet.pdf.

DENTAL PUBLIC HEALTH: CONTEMPORARY PRACTICE

FOR THE DENTAL HYGIENIST

Nathe, C. N. 2000. Dental public health: Contemporary

practice for the dental hygienist. Upper Saddle River, NJ:

Prentice-Hall. 316 pp.

This textbook, written for dental hygiene students, discusses the historical development of the dental hygiene

profession, focusing on its inception as a public health

profession. Unit 1 provides an introduction to dental

public health, including topics such as the prevention

movement and dental care delivery in the United

States and around the world. Unit 2 explores dental

hygiene public health programs, target populations,

education and promotion, lesson plan development,

and program planning. Unit 3 covers research in dental

hygiene and an evaluation of scientific literature and

dental products. Unit 4 topics include practical strategies for dental public health, creating dental hygiene

positions in dental public health settings, and the dental public health board review. The appendices include

a list of organizations, resources, and federal and state

public health agencies; a sample clinic presentation;

standards for dental public health education; and a

guide to scientific writing. The book concludes with a

glossary and an index.

Contact: Prentice Hall, Inc., One Lake Street, Upper

Saddle River, NJ 07458. Telephone: (800) 282-0693;

fax: (800) 835-5327; Web site: http://www.prenhall.

com. $34.66. ISBN 0-13-085157-4.

MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

DO CHILDREN GET THEIR FAIR SHARE OF HEALTH

AND DENTAL CARE?

Kopelman, L. M. (Ed.). 2001. Do children get their

fair share of health and dental care? Journal of Medicine

and Philosophy: A Forum for Bioethics and Philosophy of

Medicine 26(2):127–209.

This issue of Journal of Medicine and Philosophy, written

for health professionals, public health policymakers,

and child health advocates, focuses on access to health

and dental care for children. Six articles discuss

assumptions and arguments about how to fairly allocate health and dental care to children and society’s

duty to provide basic health and dental care for children. Included are perspectives on women’s and children’s health, an exploration of children’s rights to

health care, and arguments in support of universal

health care. Each article contains a list of references.

Contact: National Maternal and Child Health

Clearinghouse, 2070 Chain Bridge Road, Suite 450,

Vienna, VA 22182-2536. Telephone: (703) 356-1964,

(888) 434-4MCH; fax: (703) 821-2098; e-mail:

nmchc@circsol.com; Web site: http://www.nmchc.org.

Available at no charge. NMCHC inv. code N060.

ORAL HEALTH . . . FROM PREGNANCY THROUGH THE

TODDLER YEARS: AN ORAL HEALTH EDUCATION

PROGRAM FOR HEALTH PROFESSIONALS

Colgate-Palmolive Company. 2001. Oral health . . . from

pregnancy through the toddler years: An oral health education program for health professionals. New York, NY:

Colgate-Palmolive Company. 32 pp., 1 poster (2 sides,

19 x 24 inches).

This kit for health professionals provides a teaching

module on oral health education for four key stages of

life: pregnancy, from birth to 6 months, from 6 to 18

months, and from 18 to 24 months. The booklet includes

background information and prime messages on each

stage and discusses topics such as proper diet, brushing,

and flossing during pregnancy; care of the infant’s gums;

the proper use of bottles and pacifiers; and tips on snacking and brushing. Also provided are common questions

and answers from families, reproducible brochures (in

English and Spanish), and a poster.

Contact: Volunteer Partnership, Colgate Bright

Smiles, Bright Futures, 1133 Broadway, Suite 1123,

New York, NY 10010. Telephone: (800) 334-7734,

(212) 924-3052; e-mail: bsbf@jmheducation.com; Web

site: http://www.colgatebsbf.com. Available at no

charge. Also available at no charge from the Web site

at http://www.colgatebsbf.com.

SONRISITAS: A SPANISH LANGUAGE DENTAL HEALTH

GUIDE FOR PROMOTORAS

Roppe, B., Corona, R., de Jesus Corona, M., Gutierrez,

H., Hernandez, C. A., Jimenez, F., Magana, A. L.,

Perez, I., and Ramirez, M. R. 2001. Sonrisitas: A

Spanish language dental health guide for promotoras. San

Diego, CA: Sonrisitas Dental Health Project, Instituto

de Promotoras, Colaborativo SABER. ca. 50 pp.

This curriculum, designed by and targeted to the

Hispanic community, provides a culturally appropriate

educational and outreach program. Developed primarily for agencies, schools, and individuals, the fully

scripted Spanish-language curriculum consists of eight

weekly, hour-long sessions: (1) introduction, establishing goals, and pretest; (2) tooth structure and function;

(3) nutrition; (4) the first teeth; (5) periodontal disease;

(6) dental sealants and fluoride; (7) dental visits; and

(8) graduation and posttest.

Contact: Instituto de Promotoras, Sonrisitas Dental

Health Project, Colaborativo SABER, 4581 Adair

Street, San Diego, CA 92107. Telephone: (619) 225-

8247; fax: (619) 225-8045; e-mail: bearoppe@pacbell.

net. $200.00 plus shipping, not available for loan.

EARLY CHILDHOOD CARIES

EARLY CHILDHOOD DENTAL CARIES

Platt, L. J., and Cabezas, M. C. 2000. Early childhood

dental caries. Los Angeles, CA: UCLA Center for

Healthier Children, Families and Communities. 32 pp.

This report reviews the prevalence of early childhood

caries (ECC), also known as baby bottle tooth decay, in

children in California and discusses access (and barriers

to access) to oral health care for treatment of the disease. The report, written in support of Proposition 10:

The California Children and Families Act, evaluates

existing systems and programs in the state and makes

recommendations for comprehensive change that will

allow communities to control the disease through prevention. A review of research on ECC, a bibliography,

and references are included in the report.
MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

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Contact: UCLA Center for Healthier Children,

Families and Communities, P.O. Box 951772, Los

Angeles, CA 90095-1772. Telephone: (310) 206-1898;

fax: (310) 825-3868; e-mail: chcfc@ucla.edu; Web site:

http://healthychild.ucla.edu. $5.00. Available at no

charge from the Web site at http://healthychild.ucla.

edu/dental.pdf.

EARLY CHILDHOOD DENTAL CARIES: POLICY BRIEF

Platt, L. J., and Cabezas, M. C. 2000. Early childhood

dental caries: Policy brief. Los Angeles, CA: UCLA

Center for Healthier Children, Families and

Communities. 4 pp.

This policy brief summarizes a report on the prevalence of early childhood caries, also known as baby

bottle tooth decay, in children in California. The brief

discusses oral health and early childhood development,

and evaluates existing systems and programs in the

state that provide support for oral health services for

children. The policy brief also recommends steps that

communities can take to prevent early childhood

caries.

Contact: UCLA Center for Healthier Children,

Families and Communities, P.O. Box 951772, Los

Angeles, CA 90095-1772. Telephone: (310) 206-1898;

fax: (310) 825-3868; e-mail: chcfc@ucla.edu; Web site:

http://healthychild.ucla.edu. Available at no charge

from the Web site at http://healthychild.ucla.edu/

dentalbf.pdf.

PREVENTING BABY-BOTTLE TOOTH DECAY IN HMONG

CHILDREN

1997. Preventing baby-bottle tooth decay in Hmong children. Minneapolis, MN: University of Minnesota. 1

videotape (8 1/2 minutes).

This videotape in the Hmong language describes oral

health care for infants from families who have recently

emigrated to the United States. The videotape addresses the following topics: not putting infants to bed with

a bottle, not allowing siblings to share the infant’s bottle, how tooth decay occurs, the consequences and

treatment of severe tooth decay, and the importance of

taking infants to the dentist for an examination. Tips

are also provided on weaning infants from the bottle

and on infant tooth care. The videotape is accompanied by an English interpretation of the Hmong script.

Contact: Amos Deinard, University of Minnesota, 420

Delaware Street, S.E., Mail Code 85, Minneapolis,

MN 55455. Telephone: (612) 638-0700, ext. 212;

e-mail: deina001@umn.edu. $75.00 for first videotape;

$40 for each additional videotape.

CHILDREN WITH SPECIAL HEALTH

CARE NEEDS

THE HEALTH STATUS AND NEEDS OF INDIVIDUALS

WITH MENTAL RETARDATION

Horwitz, S. M., Kerker, B. D., Owens, P. L., and

Zigler, E. 2001. The health status and needs of individuals with mental retardation. New Haven, CT:

Department of Epidemiology and Public Health, Yale

University School of Medicine, and Department of

Psychology, Yale University. 175 pp.

This report reviews the definition and prevalence of

mental retardation (MR) and examines the physical

health conditions, ocular impairments, mental health

disorders, and oral health needs of individuals with

MR. The report discusses the health care services that

are accessible to this population. Recommendations for

improving the health of individuals with MR are also

presented.

Contact: Dr. Mark Wagner, Special Olympics, 1325 G

Street, N.W., Suite 500, Washington, DC 20005.

Telephone: (202) 628-3630; fax: (202) 824-0200;

e-mail: soimail@aol.com; Web site: http://www.

specialolympics.org. Available at no charge.

ORAL CONDITIONS IN CHILDREN WITH SPECIAL

NEEDS: A GUIDE FOR HEALTH CARE PROVIDERS

Isman, B., and Newton, R. N. 2001. Oral conditions in

children with special needs: A guide for health care

providers. Bethesda, MD: National Institute of Dental

and Craniofacial Research. 3 pp.

This guide for health professionals describes oral conditions that can occur in children with special health

care needs, including abnormalities in oral development, oral trauma, bruxism, oral infections, and gingival overgrowth. The guide defines various conditions

and infections, describes treatment methods, and discusses when to refer to an oral health professionals.

Photographs and a short reading list are included.
Contact: National Oral Health Information

Clearinghouse, One NOHIC Way, Bethesda, MD

20892-3500. Telephone: (301) 402-7364, (877) 216-

1019 (ordering information), (301) 656-7581 (TTY);

fax: (301) 907-8830; e-mail: nohic@nidcr.nih.gov; Web

site: http://www.nohic.nidcr.nih.gov; document URL:

http://nohic.nidcr.nih.gov/pubs/oral_conditions/index.

htm. Available from the Web site at no charge.

PROMOTING HEALTH FOR INDIVIDUALS WITH MENTAL

RETARDATION: A CRITICAL JOURNEY BARELY BEGUN

Special Olympics. 2001. Promoting health for individuals with mental retardation: A critical journey barely

begun. Washington, DC: Special Olympics. 24 pp.

This report discusses the health needs of individuals

with mental retardation (MR) and makes recommendations for addressing those needs. The report also

describes the Special Olympics Healthy Athletes program, which provides health assessment, health services, referral services, and health screening for Special

Olympics athletes. It discusses oral health, vision, hearing, and obesity screening, as well as training for health

professionals who serve individuals with MR.

Contact: Dr. Mark Wagner, Special Olympics, 1325 G

Street, N.W., Suite 500, Washington, DC 20005.

Telephone: (202) 628-3630; fax: (202) 824-0200;

e-mail: soimail@aol.com; Web site: http://www.

specialolympics.org. Available at no charge. Also available at no charge from the Web site at http://www.

specialolympics.org/world_games/games_stories/

health_report.html.

MEDICAID AND SCHIP

DISTRIBUTION OF MEDICAID DENTAL SERVICES IN

CALIFORNIA

Manuel-Barkin, C., Mertz, E., and Grumbach, K.

2000. Distribution of Medicaid dental services in

California. San Francisco, CA: Center for California

Health Workforce Studies, University of California,

San Francisco. 28 pp.

This report describes the participation of private practice dentists in the Medicaid program in California,

where only 44 percent of the approximately 4.5 million

Medicaid beneficiaries eligible for dental services use

those services annually. The study examines three questions: (1) To what extent is the supply of dentists treating the Medicaid population a result of the number of

dentists overall? (2) Are community characteristics predictive of primary care dentists’ participation in the

Medicaid program? (3) In areas with a low supply of

private Medicaid dentists, are clinics serving as a safety

net? Appendices describe dental services covered by

Medicaid in California and explain the report methodology. References are also provided.

Contact: Center for California Health Workforce

Studies, University of California, San Francisco, 3333

California Street, Suite 410, San Francisco, CA 94118.

Telephone: (415) 476-8181; fax: (415) 476-4113; Web

site: http://futurehealth.ucsf.edu/cchws.html. Available

at no charge from the Web site at http://futurehealth.

ucsf.edu/pdf_files/Medicaid%20Dental%20Report.

PDF.

DOES SCHIP SPELL BETTER DENTAL CARE ACCESS

FOR CHILDREN? AN EARLY LOOK AT NEW INITIATIVES

Almeida, R., Hill, I., and Kenney, G. 2001. Does

SCHIP spell better dental care access for children? An early

look at new initiatives. Washington, DC: Urban

Institute. 31 pp.

This report for policymakers is part of the Assessing

the New Federalism series, a multiyear project to analyze the devolution of responsibility for social programs

from the federal government to the states. In analyzing

whether and how the coverage and delivery of dental

services is changing under the State Children’s Health

Insurance Program (SCHIP), the report focuses on key

differences between new separate SCHIP initiatives

and traditional and expanded Medicaid programs. The

report describes SCHIP policies on dental coverage

and provision (i.e., the dental coverage debate, scope of

benefits coverage, cost-sharing arrangements, service

delivery and payment arrangements, payment amounts

and other efforts to promote provider participation, the

impact of SCHIP dental programs on Medicaid), early

measures of provider supply and service use, and policy

implications. The appendices provide information on

states’ insurance program choices and key SCHIP and

Medicaid contacts in the study states. The report concludes with a reference list.

Contact: Urban Institute, 2100 M Street, N.W.,

Washington, DC 20037. Telephone: (202) 261-5709;

fax: (202) 429-0687; e-mail: sbrown@ui.urban.org;

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001
Web site: http://www.urban.org. Available at no charge

from the Web site at http://newfederalism.urban.org/

html/occa50.html.

ISSUES IN CHILDREN’S ACCESS TO DENTAL CARE

UNDER MEDICAID

Barnett, W. S., and Brown, K. C. 2000. Issues in children’s access to dental care under Medicaid. Chicago, IL:

American Dental Association. 33 pp.

This report provides a summary of the barriers to dental care access for children from families with low

incomes. Dental needs, insurance and Medicaid availability, participation in Head Start programs, and economic considerations are among the topics discussed.

Some tables are categorized by age, ethnicity, income,

and geographic region. Expert interviews, a copy of the

protocol, and information extracted from recent literature are provided. A bibliography is also included.

Contact: Survey Center, American Dental

Association, 211 East Chicago Avenue, Chicago, IL

60611. Telephone: (312) 440-2500, (312) 440-2568;

fax: (312) 440-2800; Web site: http://www.ada.org.

Contact ADA for cost information.

OPPORTUNITIES TO USE MEDICAID IN SUPPORT OF

ORAL HEALTH SERVICES

U.S. Health Resources and Services Administration.

2000. Opportunities to use Medicaid in support of oral

health services. Rockville, MD: U.S. Health Resources

and Services Administration. 25 pp.

This document is intended to help state and local

health officials understand how Medicaid works and

how it can improve access to oral health services for

individuals from low-income and underserved populations. Various strategies to expand access to oral health

services are discussed, including ensuring adequate coverage and payment, improving dentists’ participation,

increasing the enrollment of eligible persons, and

improving eligibility standards for Medicaid and the

State Children’s Health Insurance Program. Also

included are a basic description of Medicaid and

sources for additional information about Medicaid.

Contact: HRSA Information Center, 2070 Chain

Bridge Road, Suite 450, Vienna, VA 22182-2536.

Telephone: (888) ASK-HRSA; e-mail: ask@hrsa.gov;

Web site: http://www.ask.hrsa.gov; document URL:

http:/www.hrsa.gov/medicaidprimer. Available at no

charge; also available from the Web site at no charge.

SAMPLE PURCHASING SPECIFICATIONS FOR MEDICAID

PEDIATRIC DENTAL AND ORAL HEALTH SERVICES

George Washington University, Center for Health

Services Research and Policy. 2000. Sample purchasing

specifications for Medicaid pediatric dental and oral health

services. Washington, DC: Center for Health Services

Research and Policy, George Washington University.

26 pp.

This manual provides sample specifications for use by

state agencies purchasing health care services for children eligible for Medicaid and other programs. It provides examples of agreements with managed care organizations that arrange for the delivery of comprehensive health care, including pediatric oral health services,

through a network of participating providers. Part 1

addresses pediatric oral health service benefits in general, and the following specific topics: scope of benefit;

preventive services; treatment and restorative services;

radiographic, laboratory, and other diagnostic services;

prescription drugs; guidelines; coverage determinations;

and compliance measures. A set of definitions of terms

used in the document is included. Part 2 covers pediatric oral health service delivery and quality, including

enrollee access to oral health care providers, enrollment

and disenrollment, provider network requirements, data

collection and reporting, quality measurement and

improvement, and compliance measures.

Contact: Center for Health Services Research and

Policy, George Washington University, 2021 K Street,

N.W., Suite 800, Washington, DC 20006. Telephone:

(202) 296-6922; fax: (202) 296-0025; e-mail: ihocas@

gwumc.edu; Web site: http://www.gwu.edu/~chsrp/;

document URL: http://www.gwu.edu/~chsrp/sps/

dental/dental.pdf. Available from the Web site at no

charge.

POLICY AND PROGRAMS

ACCESS TO DENTAL CARE FOR LOW-INCOME

CHILDREN IN ILLINOIS

Byck, G. R., Russinof, H. J., and Cooksey, J. A. 2000.

Access to dental care for low-income children in Illinois.

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Chicago, IL: Illinois Center for Health Workforce

Studies. 59 pp.

This report presents the results of a study on access to

dental care for children from low-income families in

Illinois. The study addressed three areas: (1) a description of the supply, distribution, and characteristics of

Illinois dentists, using American Dental Association

data; (2) an analysis of dental services for children

enrolled in Medicaid in Illinois from March 1999

through February 2000; and (3) an analysis of steps

taken by Illinois and six surrounding states (Indiana,

Iowa, Kentucky, Michigan, Missouri, and Wisconsin)

to address the problems of low access to dental care for

children eligible for Medicaid. Eight policy recommendations for improving dental services to low-income

children are presented; statistics and references are also

included.

Contact: Illinois Center for Health Workforce

Studies, University of Illinois at Chicago, 850 West

Jackson Boulevard, Suite 400, Chicago, IL 60607-

3025. Telephone: (312) 996-0703; fax: (312) 996-0065;

e-mail: jmanso1@uic.edu; Web site: http://www.uic.

edu/sph/ichws. Available at no charge from the Web

site at http://www.uic.edu/sph/ichws/irha%20gb.pdf.

ADDRESSING THE CRISIS OF ORAL HEALTH ACCESS

FOR COLORADO’S CHILDREN

Colorado Commission on Children’s Dental Health.

2000. Addressing the crisis of oral health access for

Colorado’s children. Denver, CO: Colorado Commission

on Children’s Dental Health. 12 pp.

This report presents the results of a study of the public

policy issues related to improving children’s oral health

in Colorado. The study also presents the recommendations of the Colorado Commission on Children’s

Dental Health for improving the current system of

dental care for the state’s children. The following issues

are addressed: (1) outlining a dental benefit that meets

the minimum oral health needs of children, (2) identifying the financial resources necessary to meet the oral

health needs of children from low-income families, (3)

characterizing the systems needed to allow seamless

access to oral care services, (4) defining ways to

improve the delivery of dental care services (particularly Medicaid-related services), and (5) ensuring optimal

use of oral health professionals and publicly funded

programs. Recommendations are given to meet the

goal of increasing the investment in prevention to

reduce costly acute medical and dental care. Selected

references are also provided.

Contact: Diane Brunson, Colorado Department of

Public Health and Environment, 4300 Cherry Creek

Drive, South, Denver, CO 80222-1530. Telephone:

(303) 692-2574, (303) 692-2428; fax: (303) 782-5576.

Available at no charge. Also available at no charge

from the Web site at http://www.cdphe.state.co.us/pp/

oralhealth/cccdhrpt.pdf.

CHILDREN’S ORAL HEALTH: STATE INITIATIVES AND

OPPORTUNITIES TO ADDRESS THE SILENT EPIDEMIC

Association of State and Territorial Health Officials.

2001. Children’s oral health: State initiatives and opportunities to address the silent epidemic. Washington, DC:

Association of State and Territorial Health Officials.

8 pp.

This report for policymakers provides an overview of

oral health policy issues and challenges, and details initiatives in five states (Alabama, New Hampshire, North

Carolina, Washington, and Wisconsin) that are working

to improve oral health care for children. Those initiatives

demonstrate the effective use of public and private

resources and of interdisciplinary, collaborative partnerships. The report discusses the importance of children’s

oral health, describes select state programs in oral health,

and provides recommendations and resources for states.

Additional resources on oral health conclude the report.

[Funded by the Maternal and Child Health Bureau]

Contact: Lauren Raskin, Association of State and

Territorial Health Officials, 1275 K Street, N.W.,

Suite 800, Washington, DC 20005. Telephone: (202)

371-9090; fax: (202) 371-9797; e-mail: bewig@astho.

org; Web site: http://www.astho.org. Available at no

charge. Also available at no charge from the Web site

at http://www.astho.org/pdf/abriefs/oralhealth.pdf.

DENTAL ACCESS FOR MINNESOTA HEALTH CARE

PROGRAMS BENEFICIARIES: REPORT TO THE 2001

MINNESOTA LEGISLATURE

Minnesota Department of Human Services. 2001.

Dental access for Minnesota health care programs beneficiaries: Report to the 2001 Minnesota Legislature. St. Paul,

MN: Minnesota Department of Human Services. 76 pp.

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001
This report reviews the problem of access to dental care

in Minnesota, and specifically the problems encountered

by the beneficiaries of Medical Assistance (MA),

General Assistance Medical Care (GAMC), and

Minnesota Care (known collectively as Minnesota

Health Care Programs or MHCP). The report discusses

reasons for low use of covered services and recommends

ways to improve access to dental care. Topics include

oral health and income status, causes and effects of

underuse, population characteristics, provider participation, dental work force and service delivery infrastructure, reimbursement, purchasing, and policy direction.

Contact: Minnesota Department of Human Services,

Human Services Building, 444 Lafayette Road, St.

Paul, MN 55155. Telephone: (651) 297-3933. Web

site: http://www.dhs.state.mn.us/hlthcare. Available at

no charge from the Web site at http://www.dhs.state.

mn.us/hlthcare/reportsmanuals/default.htm.

DENTAL DEMONSTRATION PROJECT

Michigan Department of Community Health,

HIV/AIDS Prevention and Intervention Section,

Dental Demonstration Project. 2000. Dental

Demonstration Project. Okesmos, MI: Michigan

Department of Community Health, HIV/AIDS

Prevention and Intervention Section, Dental

Demonstration Project. 13 items.

This packet provides information for dentists and

patients about the Dental Demonstration Project, a

program that provides dental care to Michigan residents with HIV/AIDS. The packet contains a description of the program, patients’ rights, and eligibility

requirements; it also includes application forms for oral

health professionals and patients.

Contact: Merry Gastambide, D.D.P. Coordinator,

Dental Demonstration Project, HIV/AIDS Prevention

and Intervention Section, Michigan Department of

Community Health, 2479 Woodlake Circle, Suite 300,

Okemos, MI 48864. Telephone: (888) 826-6565.

Single copies available at no charge.

GEOGRAPHIC MANAGED CARE DENTAL PROGRAM

EVALUATION: EXECUTIVE SUMMARY

William M. Mercer, Inc. 2001. Geographic Managed

Care dental program evaluation: Executive summary.

Oakland, CA: Medi-Cal Policy Institute. 24 pp.

This executive summary reports on a comprehensive,

independent analysis of the California State

Department of Health Services Geographic Managed

Care dental program in Sacramento County,

California, by using the Fresno County services of the

statewide Denti-Cal program as a benchmark. The following topics are evaluated: (1) access to dental care,

(2) quality of dental care, (3) relative value of services,

(4) data collected, and (5) program monitoring. The

report includes sections on methodology, a brief summary of findings, detailed findings, and recommendations.

Contact: Medi-Cal Policy Institute, 476 Ninth Street,

Oakland, CA 94607. Telephone: (510) 286-8976; fax:

(510) 238-1382; Web site: www.medi-cal.org. ISBN 1-

929008-57-0. Available at no charge from the Web site

at http://admin.chcf.org/documents/mcpi/

GMCDentalExecSumm.pdf.

IMPROVING ORAL HEALTH CARE SYSTEMS IN

CALIFORNIA: REPORT OF THE CALIFORNIA DENTAL

ACCESS PROJECT

Mertz, E., Manuel-Barkin, C., Isman, B., and O’Neil,

E. 2000. Improving oral health care systems in

California: Report of the California Dental Access

Project. San Francisco, CA: Center for the Health

Professions, University of California, San Francisco.

ca. 250 pp.

This report summarizes the efforts of the California

Dental Access Project (CDAP), which was created to

review and analyze the issues surrounding access to

oral health services for underserved populations in

California. The report discusses dental care delivery

and financing; creating an integrated oral health care

system that overcomes consumer, provider, and systemic barriers; dental safety net programs; and evidence-based dentistry. The report also recommends

steps to implement change. Appendices consist of 

(1) a summary of recent state Medicaid/legislative

changes, (2) the CDAP program interview form, (3) a

list of state programs, (4) risk assessment guidelines,

(5) evaluation tools, and (6) a summary of previous

recommendations.

Contact: Beth Mertz, Center for the Health

Professions, University of California, San Francisco,

3333 California Street, Suite 410, San Francisco,

CA 94118. Telephone: (415) 476-8181; fax: (415)

476-4113; e-mail: montano@itsa.ucsf.edu; Web site:

MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

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http://futurehealth.ucsf.edu. Available at no charge

from the Web site at http://futurehealth.ucsf.edu/

dentalaccess2.html#finalreport.

KEEP CAVITIES OUT!

Oregon Dental Association. 2000. Keep cavities out!

Portland, OR: Oregon Dental Association. 4 pp.

This brochure describes the Keep Cavities Out!

Statewide Dental Sealant Campaign conducted in

2000 across Oregon. The purpose of the campaign was

to raise public awareness about cavity-preventing dental sealants for children. The brochure summarizes the

program, defines dental sealants, states the reasons for

the campaign, and lists the participants, partners, and

volunteers. A chart shows the number of children

screened, “sealed,” and referred. Contact numbers for

more information are also provided.

Contact: Healthy Communities, 619 S.W. 11th

Avenue, Suite 121, Portland, OR 97205. Telephone:

(503) 223-1244; fax: (503) 223-1032. Available at no

charge.

THE MARYLAND DENTAL EXPLORER

Maryland Department of Health and Mental Hygiene,

Office of Oral Health. 2001. The Maryland dental

explorer. Baltimore, MD: Office of Oral Health,

Maryland Department of Health and Mental Hygiene.

quarterly.

This quarterly newsletter from the Maryland State

Office of Oral Health provides an update on office

activities and informs readers about national, state, and

local oral health issues, programs, protocols, policies,

and events.

Contact: Ilise D. Marrazzo, Community Health

Educator, Office of Oral Health, Maryland

Department of Health and Mental Hygiene, 201 West

Preston Street, Baltimore, MD 21201. Telephone:

(410) 767-5688, (410) 767-5736; organization’s e-mail:

oralhealth@dhmh.state.md.us; contact person’s e-mail:

marrazzoi@dhmh.state.md.us; Web site: http://www.

mdpublichealth.org/oralhealth. Available at no charge.

Also available at no charge from the Web site at http://

mdpublichealth.org/oralhealth/html/newsletter.html.

MISSOURI COALITION FOR ORAL HEALTH ACCESS:

COMMUNITY INFORMATION GATHERING AND

COALITION WORK PLAN THROUGH DECEMBER 2001

Missouri Coalition for Oral Health Access. 2000.

Missouri Coalition for Oral Health Access: Community

information gathering and coalition work plan through

December 2001. Allentown, PA: Felix, Burdine and

Associates. 22 pp.

This report presents a summary of background

research and efforts in Missouri to define the oral

health problem in the state and to improve oral health

and access to dental services, particularly for the underserved. In addition, the report describes the coalition’s

2001 work plan. An appendix presents information

about community meetings sponsored by the coalition,

as well as notes and strategies from those meetings.

Contact: Librarian, National Center for Education in

Maternal and Child Health, 2000 15th Street, North,

Suite 701, Arlington, VA 22201-2617. Telephone:

(703) 524-7802; fax: (703) 524-9335; e-mail: info@

ncemch.org; Web site: http://www.ncemch.org.

Photocopy available at no charge.

ORAL HEALTH FOR CHILDREN: CHILD AND FAMILY

HEALTH NEEDS ASSESSMENT AND RECOMMENDATIONS FOR PUBLIC HEALTH

Center for Child and Family Health, Oregon Health

Division, Oregon Department of Human Services.

2000. Oral health for children: Child and Family Health

Needs Assessment and Recommendations for Public Health.

Portland, OR: Center for Child and Family Health,

Oregon Health Division. 34 pp.

This report focuses on the oral health of children in

Oregon and is intended to provide a foundation for

public health planning and policymaking at the state

and local levels. The report includes a discussion of

the leading oral health needs of children in the state

(i.e., access to and availability of oral health services,

prevention and education for oral health care, an oral

health surveillance and evaluation program), an

overview of Oregon’s oral health system at both state

and local levels, recommendations, Healthy People

2010 indicators, references, Internet resources, a list

of participants, and an inventory of programs and services.

Contact: Molly Emmons, Center for Child and

Family Health, Oregon Department of Human

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001
Services, 800 N.E. Oregon Street, Suite 825, Portland,

OR 97232. Telephone: (503) 731-4021; fax: (503) 731-

4091; e-mail: molly.emmons@state.or.us. Available at

no charge from the Web site at http://www.ohd.hr.

state.or.us/ccfh.

PORTLAND TRI-COUNTY HEALTHY COMMUNITIES

INITIATIVE: 1999 REPORT TO THE COMMUNITY

Healthy Communities. 1999. Portland tri-county

Healthy Communities initiative: 1999 report to the community. Portland, OR: Healthy Communities. 6 pp.

This report describes the work of Healthy Communities,

a network that helps community groups address health

improvement projects in the Portland tri-county area. The

group was formed to enable its sponsoring organization,

Oregon Health Systems in Collaboration, to fulfill its

promise to act on community feedback about health care

concerns. Action teams have responded to community

concerns with projects such as head lice prevention and

treatment, access to oral health care for the underserved,

coordination of regional health data, and planning and

managing health-related activities for homeless youth.

Contact: Healthy Communities, 619 S.W. 11th

Avenue, Suite 121, Portland, OR 97205. Telephone:

(503) 223-1244; fax: (503) 223-1032. Available at no

charge.

PRIORITIES IN PREVENTION: ORAL HEALTH

Partnership for Prevention. 2001. Priorities in prevention: Oral health. Washington, DC: Partnership for

Prevention. 8 pp.

This prevention brief for policymakers discusses common, preventable oral health ailments and the importance of oral health to an individual’s overall health

and well-being. It discusses prevention opportunities

such as water fluoridation, community- and schoolbased oral health programs, oral health monitoring

and tracking systems, capacity development, and

improving access to oral health professionals.

Statistics, references, and information sources are also

provided.

Contact: Partnership for Prevention, 1233 20th Street,

N.W., Suite 200, Washington, DC 20036. Telephone:

(202) 833-0009; fax: (202) 833-0113; e-mail: sknab@

prevent.org; Web site: http://www.prevent.org.

Available at no charge from the Web site at http://

www.prevent.org/Winword/oralhealth.pdf.

PROGRESS REPORT ON GOALS, STRATEGIES AND

ACCOMPLISHMENTS

Rochester Oral Health Coalition for the Underserved.

2000. Progress report on goals, strategies and accomplishments. Rochester, NY: Rochester Oral Health

Coalition for the Underserved. 22 pp.

This report on the efforts of the Rochester Oral

Health Coalition for the Underserved to enhance

access to and use of oral health services by disadvantaged populations describes opportunities in three

areas: (1) expansion of school-based dental services,

(2) improvement in Rochester-area Child Health

Plus/Medicaid dental reimbursement to encourage

provider participation, and (3) recruitment and training

of dentists who are willing to serve children from lowincome families. Appendices include comparisons of

Medicaid meetings in California, New Mexico, and

Massachusetts; a report from the New York State

Department of Health on improving the oral health of

New Yorkers; a New York State Public Health

Association position paper on oral health; and a paper

on a school-based dental program.

Contact: National Center for Education in Maternal

and Child Health, 2000 15th Street, North, Suite 701,

Arlington, VA 22201-2617. Telephone: (703) 524-

7802; fax: (703) 524-9335; e-mail: info@ncemch.org;

Web site: http://www.ncemch.org. Photocopy available

at no charge.

RECOMMENDATIONS FOR USING FLUORIDE TO

PREVENT AND CONTROL DENTAL CARIES IN THE

UNITED STATES

Centers for Disease Control and Prevention. 2001.

Recommendations for using fluoride to prevent and

control dental caries in the United States. Morbidity

and Mortality Weekly Report: Recommendations and

Reports 50(RR-14):1–42. 42 pp.

The recommendations in this report guide dental and

other health professionals, public health officials, policymakers, and the public in the use of fluoride to

achieve maximum protection against dental caries while

reducing the likelihood of enamel fluorosis. The recommendations address public health and professional pracMCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

tice, self-care, consumer product industries, and health

agencies. Extensive references conclude the report.

Contact: Epidemiology Program Office, Centers for

Disease Control and Prevention, Atlanta, GA 30333.

Telephone: (404) 639-3661. Available at no charge

from the Web site at http://www.cdc.gov/mmwr/

preview/mmwrhtml/rr5014a1.htm.

RECOMMENDATIONS OF THE DIRECTOR OF HEALTH’S

TASK FORCE ON ACCESS TO DENTAL CARE

Ohio Director of Health’s Task Force on Access to

Dental Care. 2000. Recommendations of the Director of

Health’s Task Force on Access to Dental Care. Columbus,

OH: Ohio Department of Health. 20 pp.

This report presents the recommendations of the Ohio

Director of Health’s Task Force on Access to Dental

Care to increase access to dental care for vulnerable

residents of Ohio. There are four areas of focus in the

report: (1) Medicaid and the State Children’s Health

Insurance Program, (2) the dental care delivery system,

(3) community partnerships and the community-level

oral health infrastructure, and (4) public awareness. An

appendix includes a list of other strategies that were

considered but not included in the report and a directory of task force participants and subcommittee members.

Contact: Ohio Department of Health, 246 North

High Street, Columbus, OH 43266-0118. Telephone:

(614) 466-3543; Web site: http://www.odh.state.oh.

us/. Available at no charge from the Web site at

http://www.odh.state.oh.us/odhprograms/oral/oral1.

htm.

SCHOOL BASED DENTAL PROGRAM: A COST

EFFECTIVE DELIVERY MODEL

Shrestha, B. M., and Cornell, B. 2000. School based dental program: A cost effective delivery model. Rochester,

NY: University of Rochester, Eastman Dental Center.

10 pp.

This paper discusses findings on dental services for

school-age children as presented at the International

Association for Dental Reaearch/American Association

for Dental Research meeting in Washington, DC, on

April 5–8, 2000. Topics include treatment needs, costs

per patient and per procedure, service use in

Medicaid/school-based dental programs and nonMedicaid/non-school-based dental care, and information about the Rochester Oral Health Coalition for the

Underserved. Statistical data are presented in numerous tables and charts.

Contact: Eastman Dental Center, University of

Rochester, Division of Community Dentistry, 625

Elmwood Avenue, Box 683, Rochester, NY 14620.

Telephone: (716) 275-0128, (716) 275-5007; fax: (716)

756-5577; e-mail: buddhi_shrestha@umc.rochester.

edu. Photocopy available at no charge.

SMILE SURVEY 2000

Washington State Department of Health. 2001. Smile

Survey 2000. Olympia, WA: Maternal and Child

Health, Washington State Department of Health. 40

pp.

This report presents data collected during Washington

State’s Smile Survey 2000. The report focuses on four

groups of children: infants and toddlers, children from

low-income families attending preschool, American

Indian/Alaska Native children attending preschool and

elementary school, and elementary school children

statewide. Data on dental decay are presented in the

following areas: overall presence of decay, economic

level, racial/ethnic background, access to dental care,

and access to preventive sealants. Numerous charts,

graphs, and tables illustrate statistical data.

Contact: Office of Community and Family Health,

Maternal and Child Health Programs, Maternal and

Child Health Assessment Section, Washington State

Department of Health, P.O. Box 47835, Olympia, WA

98504-7835. Telephone: (360) 236-3495; fax: (360)

236-2323. Available at no charge. Also available at no

charge from the Web site at http://www.doh.wa.gov/

publicat/smilesurvey.pdf.

STANDARDS OF PRACTICE FOR PUBLIC DENTAL

HEALTH

Tennessee Department of Health, Oral Health

Services Section. 2000. Standards of practice for public

dental health. Nashville, TN: Oral Health Services

Section, Tennessee Department of Health. ca. 175 pp.

This manual serves as a reference source for the policies and procedures of the Oral Health Services
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Section of the Tennessee Department of Health.

Compiled in the manual are the various clinical regulations, policies, recommendations, procedures, and

forms for the use of dental care providers employed in

the public sector in Tennessee. The manual facilitates

adherence to the goals of the Oral Health Services

Section: uniform standards of practice, accepted clinical technique, and accurate recordkeeping.

Contact: Tennessee Department of Health, Oral

Health Services Section, Cordell Hull Building, 425

Fifth Avenue, North, Nashville, TN 37247. Telephone:

(615) 741-7213; Web site: http://www.state.tn.us/

health/oralhealth/. Available at no charge from the

Web site at http://www.state.tn.us/health/oralhealth/

standards.html.

STATE POLICY CONTEXT FOR SCHOOL-BASED HEALTH

CENTERS: WITH SPECIAL FOCUS ON DEVELOPMENT

OF MENTAL AND DENTAL HEALTH SERVICES

Greiner, M., Nickerson, G., and Rosenberg, S. 2001.

State policy context for school-based health centers: With

special focus on development of mental and dental health

services. NP: Rosenberg and Associates. 15 pp.

This memorandum describes financing and other state

policy issues that confront staff and sponsors of schoolbased health centers (SBHCs) and highlights special

issues that affect centers seeking to initiate dental services and expand existing mental health services.

Topics include funding sources and other financial support for SBHCs, state regulating functions of SBHCs,

Medicaid managed care issues, and implications of a

state’s policy environment on SBHC practice.

Contact: Center for Health and Health Care in

Schools, 1350 Connecticut Avenue, Suite 505,

Washington, DC 20036. Telephone: (202) 466-3396;

fax: (202) 466-3467; e-mail: chhcs@gwu.edu; Web site:

http://www.healthinschools.org. Available at no charge

from the Web site at http://www.healthinschools.org/

sh/policypaper.asp.

THE STATUS OF ACCESS TO ORAL HEALTH CARE IN

MAINE

Maine Department of Human Services. 2001. The status of access to oral health care in Maine. Augusta, ME:

Maine Department of Human Services. 67 pp.

This report to the state legislature focuses on the status

of access to oral health care for Maine residents with low

incomes. Topics include determinants and consequences

of oral health and disease, oral health status, access to

and use of oral health services, oral health resources in

Maine, and current programs and activities. Appendices

to the report provide maps, fact sheets, charts, and

resources. A list of references is also included.

Contact: Judy Feinstein, Oral Health Program, Maine

Bureau of Health, 11 State House, Key Bank Plaza,

Fourth Floor, Augusta, ME 04333. Telephone: (207)

287-2361; fax: (207) 287-4631. Single copies available

at no charge; quantities limited.

MEETING/CONFERENCE

MATERIALS

ANNUAL ORAL HEALTH CONFERENCE 2000: A SMILE

FOR ALL AGES—ACTION FOR ORAL HEALTH

Michigan Primary Care Association and Michigan

Department of Community Health. 2000. Annual Oral

Health Conference 2000: A Smile for All Ages—Action for

Oral Health. Lansing, MI: Michigan Department of

Community Health. ca. 120 pp.

This manual was given to attendees of the Annual Oral

Health Conference 2000 held in Lansing, MI, in June

2000. The manual, which is divided into sections corresponding to the conference sessions, addresses the following topics: (1) a Michigan oral health program directory

listing detailed information about local oral health programs, (2) summary findings from the Surgeon General’s

Workshop on Children and Oral Health, (3) local health

departments’ perspectives, (4) oral health promotion goals

and creative solutions for meeting those goals, (5) cultural

competency, (6) community collaborations, (7) marketing

an oral health program, and (8) how to secure foundation

funding. The resources in the cultural competency section

include three articles on tailoring oral health education

materials to Native Americans and one report on ArabAmerican cultural values in relation to health.

Contact: Librarian, National Center for Education in

Maternal and Child Health, 2000 15th Street, North,

Suite 701, Arlington, VA 22201-2617. Telephone: (703)

524-7802; fax: (703) 524-9335; e-mail: info@ncemch.

org; Web site: http://www.ncemch.org. Available for loan.
BEYOND THE BARRIERS: BUILDING INNOVATIVE

NETWORKS OF CARE—ORAL HEALTH SUMMIT,

NOVEMBER 17, 2000, LANCASTER, PA

Lancaster County Dental Society, and Lancaster

Community Health Plan. 2000. Beyond the barriers:

Building innovative networks of care—Oral health summit, November 17, 2000, Lancaster, PA. Lancaster, PA:

Oral Health Summit Planning Team. ca. 100 pp.

These conference materials were used by attendees at

the first oral health summit held in Lancaster County,

Pennsylvania, on November 17, 2000. The conference

was convened to address barriers to oral health care in

the county. Conference materials consist of objectives,

an agenda, and fact sheets that discuss oral health in

general and the specific situation in Lancaster County.

Follow-up materials, including two issues of a newsletter and proceedings from the conference, have been

added to the book.

Contact: Librarian, National Center for Education in

Maternal and Child Health, 2000 15th Street, North,

Suite 701, Arlington, VA 22201-2617. Telephone: (703)

524-7802; fax: (703) 524-9335; e-mail: info@ncemch.

org; Web site: http://www.ncemch.org. Available for loan.

HEAD START BULLETIN: ENHANCING HEAD START

COMMUNICATION

Hefner, T. (ed.). 2001. Head Start bulletin: Enhancing Head

Start communication. Washington, DC: Head Start Bureau,

Department of Health and Human Services. 44 pp.

This journal issue focuses on the Head Start Partners

Forum on Oral Health that was held in Washington,

DC, on September 16–17, 1999. Topics include access

to oral health care for women, infants, children, migrant

workers, and Native Americans; prevention methods;

and dental coverage under Medicaid. Resource guides

for print materials and organizations are provided.

Contact: Head Start Information and Publications

Center, P.O. Box 26417, Alexandria, VA 22313-0417.

Telephone: (866) 763-6481 (toll-free); e-mail:

askus@headstartinfo.org; Web site: http://www.

headstartinfo.org. Available at no charge from the Web

site at http://www.headstartinfo.org/publications/

bullet.htm.

NATIONAL INSTITUTES OF HEALTH CONSENSUS

DEVELOPMENT CONFERENCE STATEMENT:

DIAGNOSIS AND MANAGEMENT OF DENTAL CARIES

THROUGHOUT LIFE, MARCH 26–28, 2001

National Institute of Dental and Craniofacial

Research. 2001. National Institutes of Health Consensus

Development Conference statement: Diagnosis and management of dental caries throughout life, March 26–28,

2001. Bethesda, MD: National Institute of Dental and

Craniofacial Research. 24 pp.

This document reports on the Consensus

Development Conference on Diagnosis and

Management of Dental Caries Throughout Life, held

on March 26–28, 2001. The consensus statement from

the conference addresses the following key issues:

(1) the best methods for detecting early and advanced

dental caries, (2) the best indicators for an increased

risk of dental caries, (3) the best available methods for

the primary prevention of dental caries initiation

throughout life, (4) the best available treatments for

reversing or arresting the progression of early dental

caries, (5) the effect of detection methods and risk

assessment on clinical decisions regarding prevention

and/or treatment, and (6) promising new research

directions. Lists of panel participants, speakers, planning committee members, and sponsoring agencies are

provided.

Contact: National Institute of Dental and Craniofacial

Research, Building 45, Room 4AS19, Bethesda, MD

20892-2290; e-mail: nidcrinfo@mail.nih.gov; Web site:

http://www.nidcr.nih.gov. Available at no charge from

the Web site at http://odp.od.nih.gov/consensus/cons/

115/115_statement.pdf.

ORAL HEALTH CARE FOR MARYLAND KIDS SUMMIT,

SEPTEMBER 22, 2000, BALTIMORE, MARYLAND:

SUMMIT PROCEEDINGS

Felix, Burdine and Associates. 2000. Oral Health Care

for Maryland Kids Summit, September 22, 2000,

Baltimore, Maryland: Summit proceedings. NP: Felix,

Burdine and Associates. 39 pp.

The proceedings of an oral health summit held on

September 22, 2000, to enhance awareness of the oral

health of children in Maryland and related access

issues, are presented in this document. Topics discussed

include financing, partnerships, and the replication of

best practices already in place in the state. Appendices

include the summit agenda, presentation slides, and the

text of the keynote speech.

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MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001
Contact: Ilise D. Marrazzo, Community Health

Educator, Office of Oral Health, Maryland

Department of Health and Mental Hygiene, 201 West

Preston Street, Baltimore, MD 21201. Telephone:

(410) 767-5688, (410) 767-5736; organization’s e-mail:

oralhealth@dhmh.state.md.us; contact person’s e-mail:

marrazzoi@dhmh.state.md.us; Web site: http://www.

mdpublichealth.org/oralhealth. Available at no charge.

Also available at no charge from the Web site at

http://mdpublichealth.org/oralhealth/html/

summit.html.

ORAL HEALTH INITIATIVE ACTIVITIES, MIDWEST

REGION (REGION VII)

Walker, L. 2000. Oral health initiative activities,

Midwest Region (Region VII). Unpublished manuscript.

6 pp.

This document summarizes the work of a number of

conferences and workshops that were held in Iowa,

Kansas, and Missouri to address the challenges associated with access to oral health care in those states. The

Iowa report describes the Iowa Statewide Dental

Summit Conference conducted by the Iowa/Nebraska

Primary Care Association, and follow-up activities.

The Kansas report describes two summit conferences

that featured presentations on community-level projects that have been successful in Washington state.

The Missouri report describes conferences and committees that have addressed the access problems of the

underserved, including the perceived lack of value

placed on oral health by consumers as well as policymakers and providers.

Contact: Librarian, National Center for Education in

Maternal and Child Health, 2000 15th Street, North,

Suite 701, Arlington, VA 22201-2617. Telephone:

(703) 524-7802; fax: (703) 524-9335; e-mail: info@

ncemch.org; Web site: http://www.ncemch.org.

Photocopy available at no charge.

UTAH ORAL HEALTH SUMMIT: OCTOBER 27, 2000,

SALT LAKE CITY, UTAH

Felix, Burdine and Associates. 2000. Utah Oral Health

Summit: October 27, 2000, Salt Lake City, Utah. Salt

Lake City, UT: Utah Department of Health, Oral

Health Program. ca. 40 pp.

This report of the Utah Oral Health Summit held on

October 27, 2000, consists of an executive summary,

proceedings, a list of participants, and appendices. The

goal of the summit was to develop and reach a consensus on short-term strategies and a long-term work plan

to improve the oral health status of residents in Utah.

The report details participants’ efforts in three work

groups: policy and funding, prevention and education,

and access. The appendices present the views of the

three keynote presenters on the Health Care Financing

Administration/Health Resources and Services

Administration Oral Health Initiative; national, state,

and local responses to oral health; and current efforts

to improve oral health in Utah.

Contact: National Center for Education in Maternal

and Child Health, 2000 15th Street, North, Suite 701,

Arlington, VA 22201-2617. Telephone: (703) 524-

7802; fax: (703) 524-9335; e-mail: info@ncemch.org;

Web site: http://www.ncemch.org. Photocopy available

at no charge.

REPORTS

1999 ACCESS PROGRAM SURVEY

American Dental Association, Survey Center. 2000.

1999 access program survey. Chicago, IL: American

Dental Association. 15 pp.

This document reports on a survey of programs that

provide dental health services to people who are elderly, disabled, homebound, and living in institutions, and

to people with health problems and with low incomes.

The report describes methods used to eliminate barriers to dental care, delivery of dental care, program

funding, and recruitment of dentists. A sample of the

survey instrument is provided.

Contact: Survey Center, American Dental

Association, 211 East Chicago Avenue, Chicago, IL

60611. Telephone: (312) 440-2500, (312) 440-2568;

fax: (312) 440-2800; Web site: http://www.ada.org.

Contact ADA for cost information.

MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

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P AGE 15

MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

PEDIATRIC DENTAL VISITS DURING 1996: AN

ANALYSIS OF THE FEDERAL MEDICAL EXPENDITURE

PANEL SURVEY

Edelstein, B. L., Manski, R. J., and Moeller, J. F. 2000.

Pediatric dental visits during 1996: An analysis of the federal Medical Expenditure Panel Survey. Rockville, MD:

U.S. Agency for Healthcare Research and Quality. 4 pp.

This article reports on the analysis of data from the

1996 federal Medical Expenditure Panel Survey that

was conducted to determine the percentage of children

who had visited a dentist and the number of times they

had visited a dentist, broken down by age, sex,

ethnic/racial background, family income, and parental

education. The article, reprinted from the January 2000

issue of Pediatric Dentistry, includes study methods,

results, and discussion sections, and provides charts, a

table, and references.

Contact: U.S. Agency for Healthcare Research and

Quality Publications Clearinghouse, P.O. Box 8547,

Silver Spring, MD 20907. Telephone: (800) 358-9295,

(888) 586-6340 (TDD), (410) 381-3150 (outside the

United States only); e-mail: ahrqpubs@ahrq.gov; Web

site: http://www.ahrq.gov. Single copies available at no

charge.

A PLAN TO ELIMINATE CRANIOFACIAL, ORAL, AND

DENTAL HEALTH DISPARITIES

National Institute of Dental and Craniofacial

Research. 2001. A plan to eliminate craniofacial, oral, and

dental health disparities. Bethesda, MD: National

Institute of Dental and Craniofacial Research. 25 pp.

This report outlines the plan of the National Institute

of Dental and Craniofacial Research to eliminate oral

health disparities and increase oral health awareness in

all subgroups of the U.S. population. The first initiative

proposes research to eliminate health disparities in oral

infections, oral and pharyngeal cancers, and craniofacial injuries. The second initiative suggests enhancing

research capacity through training and career development, as well as by ensuring appropriate representation

in clinical trials. The third initiative recommends

increasing information dissemination by using existing

federal health communication and education programs

for the underserved, expanding outreach programs and

promoting partnerships with communities and institutions, and targeting populations with health disparities.

Activity plans accompany each initiative.

Contact: National Institute of Dental and Craniofacial

Research, Building 45, Room 4AS19, Bethesda, MD

20892-2290; e-mail: nidcrinfo@mail.nih.gov; Web site:

http://www.nidcr.nih.gov; document URL:

http://www.nidcr.nih.gov/research/healthdisp/hdplan.

pdf. Available from the Web site at no charge.
MCH . PROGRAM . INTERCHANGE - NOVEMBER . 2001

P AGE 16

Access to care, 1, 2, 3, 4, 5, 6, 7, 8,

9, 10, 11, 12, 13, 14, 15

Adolescents, 10

Adults, 1, 13

Advocacy, 14

Alabama, 7

Anesthetics, 11

Annual reports, 10

Arab Americans, 12

Asian Americans, 2, 4

Audiovisual materials, 2, 4

Barriers, 13

Blacks, 1

California, 3, 4, 5, 8

Child advocacy, 3

Child health, 3, 6, 7, 9

Child health programs, 1, 3, 10

Children, 1, 3, 4, 6, 7, 9, 10, 11, 12,

13

Children with special health care

needs, 1, 4

Collaboration, 12

Colorado, 7

Conferences, 12, 13

Consumer education materials, 1,

2, 3, 4, 8, 9, 13

Cultural competence, 3

Cultural factors, 8, 12

Curricula, 3

Data collection, 10

Dental assistants, 11

Dental care, 2, 3, 4, 5, 6, 8, 11, 12,

13, 14

Dental caries, 1, 3, 4, 7, 9, 10, 13

Dental clinics, 10, 11

Dental fees, 5

Dental hygiene, 2

Dental hygienists, 2, 11, 14

Dental sealants, 1, 9

Dentists, 2, 5, 6, 7, 8, 9, 13, 14

Disease prevention, 4, 10

Early childhood caries, 1, 3, 4

Early childhood development, 3, 4

Economic factors, 6, 8

EPSDT, 6

Ethnic factors, 8

Expanded eligibility, 7

Financing, 12

Financing health care, 3, 4

Fluoridation, 1

Fluoride, 10, 13

Fundraising, 12

Guidelines, 10

Head Start, 13

Health care costs, 11

Health care delivery, 11

Health care financing, 6, 7

Health care reform, 8

Health promotion, 2, 3, 4, 5, 7, 8,

10, 14

Health status, 11

Healthy People 2010, 9

Hispanic Americans, 1, 3

HIV, 8

Homeless persons, 10

Illinois, 6

Indiana, 6

Infants, 4, 11, 13

Infection control, 11

Infections, 4

Injuries, 1

Insurance, 14

Iowa, 6, 14

Kansas, 14

Kentucky, 6

Learning, 1

Local initiatives, 10

Low income groups, 6

Maine, 12

Malocclusions, 4

Managed care, 6, 8, 11, 13

Manuals, 6, 11

Marketing, 12

Maryland, 9, 13

Medicaid, 1, 5, 6, 7, 8, 9, 10, 11, 12,

13, 14

Medical records, 11, 12

Mexican Americans, 1

Michigan, 6, 8, 12

Minnesota, 7

Minority health, 1, 2

Missouri, 6, 9, 14

Model programs, 11

Native Americans, 1, 12

Nebraska, 14

Needs assessment, 9, 11

New Hampshire, 7

Newsletters, 9

North Carolina, 7

Nutrition, 1, 13

Ohio, 11

Oregon, 9, 10

Patient education, 14

Pediatric dentistry, 3, 10, 11, 15

Pennsylvania, 13

Periodontal diseases, 4

Pharmacology, 2

Policy analysis, 5

Prevention, 7, 9, 14

Program development, 10

Program evaluation, 8, 11

Program management, 14

Program planning, 2

Public awareness campaigns, 9, 13,

14

Quality assurance, 11

Region VII, 14

Regional programs, 8, 10

Research, 2

Resource allocation, 3

Rural health, 10

School based clinics, 10, 11, 12

Screening, 5

Service delivery, 11

Social responsibility, 3

Spanish language materials, 3

State Children’s Health Insurance

Program, 1,4, 5, 6, 7, 8, 9, 11

State initiatives, 7, 11, 13

State programs, 7, 9, 10, 12, 13

Statistics, 1, 6, 10, 14, 15

Surveys, 14

Teamwork, 12

Tennessee, 11

Tobacco use, 1

Toddlers, 11

Underserved communities, 1, 2, 6,

8, 9, 11

Utah, 14

Videotapes, 2, 4

Washington, 7, 11

Wisconsin, 6, 7

Index