The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
The publisher hasn’t deposited this paper’s reference list.
Cited by
Sorted by citations
Items 101–160 of 160
Improving Oral Health Care for Young Children
Gehshan, S., & Wyatt, M. (2007) · Cited by 7
Verlinden, D. A., Schuller, A. A., Vermaire, J. H., & Reijneveld, S. A. (2023) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.13124 · Cited by 6
Increased Dental Use May Affect Changes in Treated and Untreated Dental Caries in Young Children
Lin, M., Thornton‐Evans, G. O., Griffin, S. O., et al. (2018) · JDR Clinical & Translational Research · doi:10.1177/2380084418793410 · Cited by 6
Ethics and leadership in children's oral health.
Mouradian, W. E. (2008) · PubMed · Cited by 6
Xu, H., Ma, X., Wang, J., Chen, X., Zou, Q., & Ban, J. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04663-2 · Cited by 5
Fluoride Prescribing Behaviors for Medicaid-Enrolled Children in Oregon
Ko, A., Banks, J. T., Hill, C. M., & Chi, D. L. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2021.06.016 · Cited by 5
Pahel, B. T., Rozier, R. G., & Stearns, S. C. (2010) · Health Informatics Journal · doi:10.1177/1460458210364036 · Cited by 5
“In particular, this study provides insights into research methods that can be used to study the adoption of preventive dental services by healthcare providers who usually do not provide dental care, and their adherence to recommended guidelines for provision of these services [14].”
BackgroundSelf-citationNaidu, R. S., Nunn, J., Pahel, B. T., et al. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.716695 · Cited by 5
Alkhtib, A. O., Ali, K., Sajnani, A. K., & Anweigi, L. M. (2023) · BMC Oral Health · doi:10.1186/s12903-023-03633-4 · Cited by 7
Perception of nurses applying silver diamine fluoride to children's teeth: A mixed methods study
Ong, Y. J., Meyer, B. D., Quek, Y. T. E., Wong, M. L., Hong, C., & Hu, S. (2024) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.13154 · Cited by 4
The Interprofessional Role in Dental Caries Management
Fisher‐Owens, S. A. (2019) · Dental Clinics of North America · doi:10.1016/j.cden.2019.05.004 · Cited by 5
Mohebbi, S. Z., Razeghi, S., Chinipardaz, Z., Soleimannejad, H., & Kharazifard, M. J. (2017) · Europe PMC (PubMed Central) · Cited by 3
Assorted Errands in Prevention of Children’s Oral Diseases and Conditions
Mbawala, H., Machibya, F. M., & Kahabuka, F. K. (2015) · InTech eBooks · doi:10.5772/59768 · Cited by 2
Children's Oral Health Disparities: Widening the Lens
Mouradian, W. E. (2006) · Dental Abstracts · doi:10.1016/s0011-8486(06)80424-3 · Cited by 3
An alternative technique for applying fluoride varnish
Hodgson, B. D. (2005) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2005.0347 · Cited by 4
Análise do conhecimento de professores de Educação Infantil sobre saúde bucal
Arciéri, R. M., Saliba, T. A., Lima, D. P., et al. (2013) · Educar em Revista · doi:10.1590/s0104-40602013000100016 · Cited by 3
“…e professores na veiculação de informações sobre saúde e higiene bucal para as crianças torna-se de grande valia (PAIVA et al., 1992), uma vez que a figura do professor exerce grande influência sobre o comportamento dos alunos, pelo contato diário durante longo tempo (SANTOS et al., 2003).”
BackgroundRath, C. C., & Patnaik, A. (2018) · Journal of Experimental Biology and Agricultural Sciences · doi:10.18006/2018.6(3).490.497 · Cited by 3
Community programs and oral health
Lee, J. Y. (2015) · doi:10.1002/9781119101741.ch12 · Cited by 3
Pediatric Liquid Medications and Dental Caries: A Narrative Review
Fatih, M. T., Mahmood, M. K., Kurda, H. A., et al. (2025) · Health Science Reports · doi:10.1002/hsr2.71115 · Cited by 2
“The study showed that medical practices may provide preventative dental care, especially in poor communities, and that healthcare personnel need training to treat ECC [48].”
Wang, L., Xiong, J., & Ruan, C. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e39508 · Cited by 3
“The survey featured images of 20 toothbrushes, showcasing a variety of colors, shapes, and features, which were selected based on a preliminary market analysis and consultation with pediatric dentists and product designers [37].”
BackgroundChi, D. L., & Ettinger, R. L. (2014) · Journal of the California Dental Association · doi:10.1080/19424396.2014.12221387 · Cited by 2
Dental Caries: Early Intervention and the Role of the Pediatrician
Arévalo, O., Miranda, P., & Gereige, R. S. (2023) · Pediatrics in Review · doi:10.1542/pir.2022-005626 · Cited by 2
Prevenció de càries dental en infants menors de 3 anys
Palma, C., Garcia, C. D. S., & González, Y. (2009) · Pediatria catalana: butlletí de la Societat Catalana de Pediatria · Cited by 2
Effect of Fluoride Varnish in Dental Caries: A Review
Sahu, R. (2020) · Indian Journal of Forensic Medicine & Toxicology · doi:10.37506/ijfmt.v14i4.13152 · Cited by 2
Development of a taxonomy mapping dental services integration: a scoping review protocol
Szönyi, V., Aouacheria, A., Gritsch, K., Grosgogeat, B., & Vergnes, J. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-095212 · Cited by 1
“22 OR ► mention an activity not directly related to the preservation or the rehabilitation of an ‘oral function’ but provided by an oral health professional.”
Family Perspectives on Home Oral Health Practices and Interactions With Pediatric Providers
Webster, R. A., Ware, J., Ng, M. W., et al. (2010) · Clinical Pediatrics · doi:10.1177/0009922810379909 · Cited by 1
“However, ECC is the most common chronic disease of childhood and merits attention in pediatric health maintenance visits.(19) The results from this survey point to a few key questions to explore with families of children who are high risk for ECC, including fluoride content in drinking water, the parent’s own oral hea…”
BackgroundSharing Early Preventive Oral Health with Medical Colleagues: A Dental Pain Prevention Strategy
Huston, J. P., & Wood, A. J. (2009) · Journal of the California Dental Association · doi:10.1080/19424396.2009.12223026 · Cited by 1
Élaboration d’un score de dépistage des enfants à risque du syndrome du biberon
Khadra-Eid, J., Baudet, D., Fourny, M., et al. (2012) · Archives de Pédiatrie · doi:10.1016/j.arcped.2011.12.022 · Cited by 1
The Role of the Pediatrician in the Oral Health of a Child: A Survey of Tennessee Providers
Roberts, R. Z. (2013) · Cited by 1
Leslie, D. (2009) · doi:10.17077/etd.5azxbori · Cited by 1
“These findings support medical office-based interventions that seek to improve both access to dental care and the oral health of vulnerable children (Lewis et al. 2000b, E84; Slade et al. 2007, 176; Rozier et al. 2003, 876-885; Kane et al. 2008, 326-333).”
BackgroundYousef, Y. M. (2011) · doi:10.17077/etd.op2of01m · Cited by 1
“These questions were adapted from previous research in this area (dela Cruz et al, 2004; Ramos-Gomez et al, 2007; Curtis et al, 1985; Erikson et al, 1997; Sanchez et al, 1997; Lewis et al, 2000; Schafer et al, 2000; Ismail et al, 2002; Pierce et al, 2002; AAP,2003; Rozier et al, 2003; Seale et al, 2003; Bader et al, 2…”
BackgroundResultInfluentialA theory-based intervention to increase dental utilization by disadvantaged children.
Binkley, C. J. (2007) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/111 · Cited by 1
Pons, R. B., & Salas, J. L. (1982) · Dialnet (Universidad de la Rioja) · Cited by 1
Efforts for Noise Reduction on FASTECH360 High Speed Test Trains
KURITA, T., Wakabayashi, Y., Yamada, H., et al. (2008) · JR East technical review
Khadra-Eid, J. (2011) · INRIA a CCSD electronic archive server
Saving One Smile at a Time: Oral Health Promotion in Pediatric Primary Care Practice
Mattheus, D. J., & Mattheus, C. (2014) · Open Journal of Nursing · doi:10.4236/ojn.2014.46046
“Plans to reduce caries in the pediatric population are beginning to include more creative interventions such as the use of oral assessment, oral health education and interventions as part of primary health care practices [6] [9] [29] [30] [31].”
BackgroundPREVENTIVE DENTAL SERVICES FOR INFANTS AND SUBSEQUENT UTILIZATION OF DENTAL SERVICES
Berry, E. (2009) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/p38g-fd29
Pediatrics in the Community: "Keep Smiling!" The Florida Fluoride Project
Ritter, V., Catalanotto, F. A., & Lossius, M. N. (2010) · Pediatrics in Review · doi:10.1542/pir.31-1-30
Protocolos preventivos pre y post natales
Silva, C. C., Leache, E. B., & Edo, M. M. (2011) · Gaceta dental: Industria y profesiones
Understanding and enhancing the dental delivery system
Griffin, P. M. (2009) · Information Knowledge Systems Management · doi:10.3233/iks-2009-0146
Enrollees Effectiveness of Preventive Dental Treatments by Physicians for Young Medicaid
Pahel, B. T., Rozier, R. G., Stearns, S. C., & Quiñonez, R. B. (2012)
Self-citationSams, L. D. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/bk6t-5207
Arciéri, R. M., Adas, T., Lima, D. P., et al. (2013) · DOAJ (DOAJ: Directory of Open Access Journals)
Beil, H. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/ya2x-4t90
Soysa, N. S., & Alles, N. (2016) · The Journal of Dentists · doi:10.12974/2311-8695.2016.04.01.2
Clinicians’ Perspectives on Prevention
Bacon, T., Tilson, E., Rounds, J. C., & Venezie, R. (2010) · North Carolina Medical Journal · doi:10.18043/ncm.71.1.57
The Role of Dentists in Prevention
Venezie, R. D. (2010) · North Carolina Medical Journal · doi:10.18043/ncm.71.1.62
Dental health in at-risk children
Rolnick, S. J. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139814805.008
It’s Not Just About Baby Teeth: Preventing Early Childhood Caries
Zwicker, J. D., Dudley, C., & Emery, J. C. H. (2017) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.11575/sppp.v9i0.42580
Leal, S. C., Bezerra, A. C. B., & de Toledo, O. A. (2004) · Revista da ABENO · doi:10.30979/rev.abeno.v4i1.1502
An Ontario Primary Health Care System to Support a Cavity-Free Future
Silva, K. D. (2018) · TSpace (University of Toronto)
Ritter, V., Catalanotto, F. A., & Lossius, M. N. (2010) · Pediatrics in Review · doi:10.1542/pir.31.1.30
Verlinden, D. A. (2024) · doi:10.33612/diss.951852361
Tandon, M. C., Levy, S. M., Warren, J. J., Dabdoub, S. M., Daly, J. M., Levy, B. T., Keels, M. A., Hara, A. T., & Fontana, M. (2025) · Public Health Reports · doi:10.1177/00333549251346012
Innovative Strategies in Minimally Invasive Dentistry for Caries Management: A Literature Synthesis
Vega, M., Fuentes, H., Cordero, V., Silva, L., & Cabrera, R. (2021) · International Journal of Dental Research and Allied Sciences · doi:10.51847/rxhxrot2yc
Slade, G. D., Rozier, R. G., Zeldin, L. P., & Margolis, P. A. (2021) · Figshare · doi:10.6084/m9.figshare.15080056
Self-citationOral Health Services in a Medical Setting
Mansman (2007) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/adfw-0466
“The questionnaire given to caregivers was based on existing questionnaires used in infant oral health programs and pilot tested in both English and Spanish.(12) The 16item questionnaire consisted of questions regarding caregiver knowledge of dental decay, information provided to them from medical professionals regardi…”
BackgroundMethodInfluential
Metadata
- 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 › General Dentistry › Dental Health and Care Utilization
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
