Deonna M. Williams, MS, BS, CHES Gina Sharps, MPH, RDH

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1 Deonna M. Williams, MS, BS, CHES Gina Sharps, MPH, RDH

2 Session Description As the state oral health program continues to advance and address oral health disparities in the school-aged child, new strategies have emerged to engage the schoolbased professional. This hand-on session will highlight key opportunities for professionals to participate in the promotion of oral health education and preventive services.

3 Session Objectives- 1. Participants will gain an understanding of the new standardized oral health curriculum to be made available for the upcoming 2013 academic school year by exploring key components of the curriculum. 2. Participants will explore opportunities to become involved in the fluoride mouthrinse project in an effort to reduce the rates of childhood cavities in West Virginia.

4 Mission: To promote and improve the oral health of all West Virginians Responsibilities include administering the WV State Oral Health Plan Monitoring workforce trends and projections (FQHC, private practice, schoolbased) Developing strategies to address oral health disparities

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7 Help maintain good nutrition with proper chewing Normal speech development Appearance Maintain space for the permanent teeth Help give the face its shape and form

8 Extreme Pain Spread of Infection Difficulty chewing, poor nutrition, below average weight Costly dental treatment Additional decay and malocculsion in permanent dentition

9 Missed school days Impaired speech development Inability to concentrate in school Reduced self-esteem

10 Boy Dies After Bacteria From Tooth Spread to Brain Source: Washington Post, February 28, 2007, Page B01, Mary Otto

11 Universal Pre-K Grade School K and 3 rd grade

12 Prevalence of : UNTREATED DECAY 21% DECAY EXPERIENCE 34% WHITE SPOT LESIONS 35% NEED FOR DENTAL TREATMENT(EARLY/URGENT) 21%

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14 Kindergarten Third Graders Total Untreated Decay 128 (20%) 77 (17%) 205 (19%) Sealants on Permanent Molars NA 130 (29%) Caries Experience 149 (28%) 139 (42%) Treatment Urgency: No Obvious Problems 518 (80%) 371 (83%) 145 (13%) 338 (31%) 889 (81%) Early Dental Treatment Needed 111 (17%) 65 (15%) 176 (16%) Urgent Immediate Care Needed 15 (2%) 13 (3%) 28 (3%)

15 WVDHHR Oral Health Program to aid in efforts of providing oral health education to students prek-12. To prevent any child from suffering due to oral disease, a basic understanding on how to achieve and maintain a healthy mouth is essential.

16 The West Virginia Department of Education (WVDE) Content Standards and Objectives (CSOs) pertaining to oral health were utilized in developing the presentations and materials. The educational resources were designed to be crosscurricular in nature. The use of technology-based learning has been infused throughout the resources to further assist in implementation.

17 How will it be distributed and by whom? Is it available electronically? Where is it housed? What are the terms of use? Cost? Evaluation?

18 ral Health Education Resource Kit Grades Universal PreK-5 ral Health Education Resource Kit Grades ral Health Education Resource Kit Grades

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23 Region I- Region II- Region III- Region IV- Statewide- Ashley Logan, RDH Phone: Wendy Mosteller, RDH Phone: Marsha DeLancey Phone: Gina Sharps, MPH, RDH, BS Phone: Bobbi Jo Muto, RDH, BS, MPH Phone:

24 Teacher Evaluation Please complete the following questions concerning the Oral Health Resource Guide. 1. Did you find the Oral Health Resource Guide useful to incorporate oral health education into your classroom? Useful Somewhat Useful Not Useful 2. Did you like the layout of the binder? Yes No 3. Do you feel the material was age appropriate for the grade level assigned? Yes No 4. How many times during the school year did you refer to the guide for lesson materials? None 1-3 times 3 or more times 5. Would you like to see more technology resources available? Yes No, technology available was sufficient 6. Would you recommend the guide to teachers that may not be utilizing the material? Yes No 7. Do you plan to use the guide in your teaching in future years? Yes No 8. Please list any additional comments/concerns you may have below.

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26 Fluorine is the 13 th most abundant element and is naturally released into water Not all communities have sufficient naturally occurring fluoride (CDC My Water s Fluoride found on Water fluoridation is safe and effective

27 One of ten great public health achievements of the twentieth century (CDC) Water fluoridation has a 60-year history of success Cost to fluoridate water for one person for entire lifetime is less than the cost of one dental filling

28 Fluoridation has resulted in a remarkable decline in the prevalence and severity of tooth decay Populations with increased risk: Low SES Little, if any, access to dental care

29 The purpose of the FMR project is to provide a safe and effective method of reducing dental decay in elementary school children. The OHP both recognizes and adheres to the latest evidence-based scientific literature citing that the majority of tooth decay was being experienced by children who were at higher risk for dental caries (risk factors include sub-optimal exposure to fluoride, low income, Medicaid eligibility, poor diet). After carefully considering both the information from national studies and the results of the West Virginia Universal Pre-Kindergarten Surveillance, the OHP is pleased to offer the FMR to all schools.

30 West Virginia Fluoride Mouthrinse Program: Instruction Manual The Fluoride Mouthrinse (FMR) Program Manual provides information for school administrators and personnel, FMR coordinators and parents. It includes program administration guidelines, policies and procedures, teacher recommendations and forms. - What is the cost? - Selection Criteria? Who/What schools are eligible - Who can administer? - How are they trained? - When does the project start and end? - What type of documentation is required? - What supplies are required? - Is the FMR manual available electronically? And where is it housed? - What are the terms of use? West Virginia Department of Health and Human Resources Bureau for Public Health Office of Maternal, Child and Family Health Oral Health Program

31 The FMR project is primarily for elementary school students in grades K-6. Students teeth will receive a topical (meaning the fluoride will not be swallowed) benefit from the fluoride mouthrinse, resulting in strengthening of the outer layer of tooth enamel. A systematic review of the research on fluoride mouthrinses concluded that one in two children with high levels of tooth decay will have less decay by using fluoride mouthrinses in school-based programs.

32 The FMR project is 30 weeks long and participation is voluntary. Successful implementation will result when both the OHP and the participating school coordinate efforts and understand their respective responsibilities.

33 Fluoride Mouthrinse Project Operation

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39 Region I- Region II- Region III- Region IV- Statewide- Ashley Logan, RDH Phone: Wendy Mosteller, RDH Phone: Marsha DeLancey Phone: Gina Sharps, MPH, RDH, BS Phone: Bobbi Jo Muto, RDH, BS, MPH Phone:

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