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3 Current Oral Health Needs and the Status of Access to Care
Pages 9-22

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From page 9...
... Pew Center on the States Good oral health is critical for children, as it can affect their overall health, social adjustment, appearance, school performance, and ability to thrive. Two factors that increased the focus on the status of the nation's oral health and the delivery of oral health services are the surgeon general's 2000 report Oral Health in America (HHS, 2000)
From page 10...
... Both early counseling of mothers and caregivers regarding risk factors and the need for oral hygiene with appropriate fluoride use and the professional application of fluoride varnish have been employed to prevent dental caries. The provision of dental services for women may include education about how their own oral health relates to their children's oral health.
From page 11...
... 70 58 60 Figure 3-1 editable 45.1 50 40 35.1 26.3 30 20 10 0 Overall Private Public No dental coverage FIGURE 3-2  Percent of children utilizing dental services by coverage source, 2006. SOURCE: Manski and Brown, 2008.
From page 12...
... Community health centers, hospitals, and professional schools provide some services. However, all together, the dental safety net only cares for about 7 or 8 million of the 82 million people who are dentally underserved (Bailit et al., 2006)
From page 13...
... Apple Tree Dental These challenges may be overcome by embracing the principles of special care dentistry in which the delivery of dental services is adapted to a wide variety of special needs using different patient-centered approaches. For example, Apple Tree Dental is a nonprofit, sustainable staff model group dental practice and is an innovator in delivery systems.
From page 14...
... The Apple Tree Dental model pro­ actively delivers early education and prevention in collaboration with other professionals, leveraging financial resources from the whole community, to create what is called a "community collaborative practice." This is essentially an extension of the private practice model into the community with a formal three-way collaboration between a dental practice, a community partner, and an onsite team, which provides quality care to populations in need. rural populations Diane Brunson, M.P.H., RDH University of Colorado, School of Dental Medicine Identification of a rural population can be challenging.
From page 15...
... In addition, the Colorado Workforce Collaborative is working to estab­ lish a strategic public policy framework, including the examination of health care workforce issues as an element of health care reform. One of the specific issues the group is examining is the issue of clinical placements.
From page 16...
... Indian Health Service, Division of Oral Health The Indian Health Service (IHS) defines access to dental care as the percentage of the user population (people who accessed any part of the IHS system within the previous 3 years)
From page 17...
... Strategies for improving oral health care in the IHS include • optimizing the use of allied personnel, • customizing programs for specific patient populations, • promoting cultural competency, • expanding the perspective of organized dentistry to recognize the needs of and reach out to patients outside of the private practice model of care, and • establishing responsibility for improving the care of underserved populations beyond the efforts of individual patients and their caregivers. Finally, without adequate resources, access to oral health services will deteriorate.
From page 18...
... One specific effort is the Student National Dental Association's Impressions Program, a student-to-student recruitment effort wherein dental students expose elementary and high school students to the dental schools. Another is the Deamonte Driver Dental Project, which was formed by the Robert T
From page 19...
... hispanic populations Francisco Ramos-Gomez, D.D.S., M.S., M.P.H. University of California, Los Angeles, School of Dentistry Even without counting illegal immigrants or the island of Puerto Rico, Hispanics now represent the largest ethnic minority in the United States.
From page 20...
... He added that about 10 percent of Apple Tree Dental's total income came from grants and gifts, but that these monies were generally used to fund items such as capital acquisitions, new projects, and educational collaborations. Replicating Successful Models Several participants asked how to replicate successful models of care and what the implications might be for state dental practice acts.
From page 21...
... He acknowledged that some state dental practice acts do not permit that type of structure. Brunson added that the A ­ ssociation of State & Territorial Dental Directors has a best practices website that shares information about successful models and programs.


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