ECC INITIATIVE: NEXT STEPSBonnie Bruerd, DrPH

ECC Initiative: Next Steps

Review of ECC Components:Collaborative and

Comprehensive

Best Practices: pregnancy, 0-2, 3-5

Dental Access for 0-5 year olds

Caries Stabilization Data Collection: BSS Survey

“Any change, even a change for the better, is always accompanied by drawbacks and discomforts.”

Do Your Homework!

“By failing to plan, you are planning to fail.”

Review the ECC Packet

Review the ECC Initiative website

Take the online courses if you will be recommending them to others.

Read supporting articles if you have any questions or concerns.

Get the Facts“Knowledge is a process of piling up facts; wisdom lies in their simplification.”

Gather Local Data

Number of live births a year

Number of exams for 0-2 and 3-5 year old children

Number of fluoride varnish treatments for 0-2 and 3-5 year olds

Number of sealants for 0-2 and 3-5 year olds

Number of ITRs (2940) for 0-2 and 3-5 year olds

ASK SOME QUESTIONS

Where do families take babies in your community? (WIC, Well-Child)

Do you have daycare centers for infants and toddlers?

Do you have a HS or EHS program? How much money does your program spend on

referring children who have ECC?

How many children each year receive their dental treatment in the OR?

BEST PRACTICES: NEXT STEPS

Incorporate BP every step of the way!

Educate your medical and community partners about BP and the key oral health messages.

Stress the importance of promoting the key oral health messages in your community.

Brainstorm ways to promote the key oral health messages through local media, mailings, and so on.

EFFECTIVE HEALTH EDUCATION: WHAT WORKS?

Small steps

Positive reinforcement

Interactive and individualized strategies

Repeated, consistent messages from dental staff and community partners.

BEST PRACTICES: THE EXTRA STEP

Learn about chemotherapeutics such as xylitol, chlorhexidine, iodine, etc.

Work with your DSC to apply for grants to support pilot projects.

Provide free fluoride toothpaste.

Apply for HP/DP awards to support your local efforts.

DENTAL ACCESS FOR 0-5 YEAR OLDS: NEXT STEPS

Plan a meeting with key medical and community partners in your community.

Make a chart of who does what for each age group.

Teach medical and community partners how to apply fluoride varnish and provide key oral health messages.

DENTAL ACCESS: MORE STEPS

Provide open access for 0-2 year olds for fluoride varnish and family education.

Use birthday cards or other mailing programs to increase access.

Go to daycare/HS centers to provide exams and fluoride varnish.

Track your progress through RPMS data.

DENTAL ACCESS: THE EXTRA STEP

“Imagination is more important than knowledge. For while knowledge defines all we currently know and understand, imagination points to all we might yet discover and create.”

Consider a 0-5 Case Manager Model:

Track all 0-3 year olds

Build relationships with families.

Apply fluoride varnish and key oral health messages 3-4 times a year.

Provide sealants and ITR for caries stabilization.

Track any needed referrals.

CARIES STABILIZATION: NEXT STEPS

Take the online course.

Incorporate ITR into your dental program.

Keep in mind that your attitude will set the stage for adoption of ITR.

ITR: TIPS FROM THE FIELD Variations on the knee to knee

technique

Distraction is key.

ITRs must be recharged daily with topical fluoride.

Barbie and Spiderman fillings

Building this relationship early on makes for a more cooperative 3-4 year old dental patient.

ITR: TIPS FROM THE FIELD: Keep Your Cool!

If a prostodontist can do it, YOU can do it too!

Dr. Winkle keeps his cool.

ITR: THE EXTRA STEP

Track the money you spend referring 0-5 year olds and make it a goal to reduce the number of referrals and the dollar amount of those referrals.

Head Start: Provide exams, FV, sealants, and ITR early on in the school year. Refer as needed. Provide more complex treatment as a second step.

BSS DATA COLLECTION: THE NEXT STEPS

Learn all you can about the BSS survey methods and begin marketing it in your local community.

But, don’t begin collecting data yet! There will be new forms and training developed later this year.

DSCs and ADOs will orchestrate data collection.

Stay tuned!

ECC Initiative and GPRA“Not everything that

can be counted counts, and not everything that counts can be counted.”

Einstein

Access

Topical Fluoride

Sealants

MAKE A PLAN!

Review the ECC Initiative packet and webpage with your entire staff.

Decide which components you want to focus on and set up meetings with key Community Partners.

Make a training plan for both dental and community partners.

Identify whether you will need additional resources.

Make an evaluation plan!

Together, we CAN make a difference!