Prevention of Early Childhood Caries in North Carolina Medical Practices: Implications for Research and Practice>
Abstract
Early childhood caries is a significant public health problem in low-income children, with important negative consequences for the child and the family. The purpose of this paper is to describe the development, implementation, and preliminary outcomes of preventive dentistry programs in North Carolina that target low-income children from birth to thirty-five months of age. The focus is on Into the Mouths of Babes, a statewide program in which pediatricians, family physicians, and providers in community health clinics are reimbursed by Medicaid to provide preventive dental services for children (risk assessment, screening, referral, fluoride varnish application) and caregivers (counseling). The provider intervention includes continuing medical education lectures and interactive sessions, practice guidelines for the patient interventions, case-based problems, practical strategies for implementation, a toolkit with resource materials, and follow-up training. In the first two years of the statewide program, 1,595 medical providers have been trained. The number of providers billing for these services has steadily increased, and by the last quarter of 2002, the number of visits in which preventive dental services were provided in medical offices reached 10,875. A total of 38,056 preventive dental visits occurred in medical offices in 2002. By the end of 2002, only sixteen of the state's one hundred counties had no pediatrician, family physician, or local health department participating. The preliminary results from this program demonstrate that nondental professionals can integrate preventive dental services into their practices. The program has increased access to preventive dental services for young Medicaid children whose access to dentists is restricted. Assessments of effectiveness and cost-effectiveness of both the provider and patient interventions are under way.
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Some studies showed that solo practices and practices with specific clienteles such as infants and toddlers had lower referral rates to dentists than polyclinics with various clienteles.
“Some studies showed that solo practices and practices with specific clienteles such as infants and toddlers had lower referral rates to dentists than polyclinics with various clienteles.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [54]
According to some studies in North Carolina and Peru, primary care physicians and nurses were able to identify their role and assumed responsibility in taking care of oral health of their patients.
“According to some studies conducted in North Carolina and Peru, primary care physicians and nurses were able to identify their role and assumed their responsibility in taking care of the oral health of their patients.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [54]
Training of paediatricians, family and primary care physicians and community health providers in a preventive dentistry programme in North Carolina, Seattle and Washington led to integration of preventive dental services into their practices.
“Training of paediatricians, family and primary care physicians and community health providers in a preventive dentistry programme in North Carolina (Into the Mouths of Babes), in Seattle (Kids Get Care) and in Washington led to the integration of preventive dental services into their practices.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [54]
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CARIES DE LA INFANCIA TEMPRANA
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- Authors
- Rozier, R. G., Sutton, B. K., Bawden, J. W., Haupt, K., Slade, G. D., & King, R. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Slade, Gary D.
- ORCID
- Slade, Gary D.
- Venue
- Journal of Dental Education
- Publisher
- Wiley
- Published
- 2003-08
- Volume
- 67
- Issue
- 8
- Pages
- 876-885
- ISSN
- 0022-0337 (ISSN-L)
- 1930-7837
- OpenAlex
- W4297835309
- Cited by
- 160
- References
- 0
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 6 · 2017: 10 · 2016: 3 · 2015: 5 · 2014: 10 · 2013: 10 · 2012: 9
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dental Education (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- PubMed
- Funders
- National Institute of Dental and Craniofacial Research (R01DE013949)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Keywords
- early childhood caries, preventive dentistry, Medicaid, low-income children, fluoride varnish, dental caries screening, risk assessment, caregiver counseling, continuing medical education, access to dental care, North Carolina
- MeSH terms
- Cariostatic Agents, Child Health Services, Child, Preschool, Dental Caries, Dental Caries Susceptibility, Education, Medical, Continuing, Fluorides, Health Services Accessibility, Humans, Infant, Infant, Newborn, Mass Screening, Medicaid, North Carolina, Referral and Consultation, United States, Program Development, Practice Guidelines as Topic, Risk Assessment, Delivery of Health Care, Integrated, Dental Care for Children
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