odyssey 2013 - national oral health conference · ana karina mascarenhas hermina mcleran...

American Association of Public Health Dentistry (AAPHD) Association of State and Territorial Dental Directors (ASTDD)

Presented by:

National Oral Health Conference®

April 22 – April 24, 2013VON BRAUN CENTER - Huntsville, AlabamaPre-Conference April 20-21, 2013

Funding for this conference was made possible in part by cooperative agreement 5U58DP001695-04 from the Centers for Disease Control and Prevention (CDC). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Exploring the Oral Health SystemPolicy, Science and Practice

Odyssey 2013:

Contributions may be made online at www.aaphd.org by clicking on the AAPHD

Foundation tab. Or, call the AAPHD Office at 217-529-6941. MasterCard and Visa accepted.

Howard Lee Yarbough and Emery Joseph Alderman

J. Michael Allen Myron Allukian Kathy Atchison

Robert Bagramian Elizabeth Bernhard

Ron Billings Irene Bober-Moken

Brian A. Burt Robert Collins

Georgia dela Cruz Joe and Helen Doherty

Terri Dolan Chester Douglass

Robert Dumbaugh Caswell A. Evans

Denise Fedele Janie Fuller

Steve Geiermann

Barbara Gooch Harry Goodman

Ralph Green Veronica Greene

Kathy Hayes Lawrence Hill Irene Hilton

Alice and Hersh Horowitz Elvine Y. Jin

Robert M. Johnson Donald W. Johnson

Rhys Jones David and Candace Jones

Judith Jones Linda Kaste

Rebecca King Dushanka Kleinman

Raymond Kuthy Steven Levy

Gene P. Lewis

William Maas John D. Mahilo

Dolores M. Malvitz H. Berton McCauley

Steven Uranga McKane Hermine McLeran

Robert Mecklenburg Nicholas Mosca Linda Niessen

Sharon J. Perlman Scott M. Presson

Gary Rozier Mary Tavares George Taylor Scott Tomar

Jeanine Tucker Jane Weintraub Robert Weyant

Alex White

Thank you to our supporters for 2012!$500 or more

E. Joseph Alderman & Howard Lee Yarbrough

Don AltmanKathryn Atchison

Irene Bober-MokenDiane BrunsonDavid Cappelli

DentsplyTerri Dolan

Caswell EvansRobert FaineJay Friedman

Barbara GoochSteve Geiermann

Irene HiltonAlice HorowitzJudith JonesLinda Kaste

Dushanka KleinmanSteve Levy

William MaasAna Karina Mascarenhas

Hermina McLeranChristopher Okunseri

Kathy PhippsGeorgia Rogers

JJ ShellyWoosung SohnGeorge TaylorScott TomarJohn Warren

Jane Weintraub

$250 - $499William Bailey

Janet Coulter & Andrew LennoxAmos Deinard

Joseph DohertySangetta Gajendra

Catherine HayesKathy Hayes

Robert IsmanJulie Janssen

Yihong LiRobert Lloyd

Stanley LotzkarRobert Mecklenburg

Elizabeth MertzNick MoscaSusan Reed

Robert SelwitzPamela Tolson

$100 - $249ABDPH

Myron AllukianRonald Billings

Jeff ChaffinRobert Collins

Kee-Wan ChangKip DuchonMike EasleyIsabel GarciaFrances Kim

Rebecca KingJay KumarRay Kuthy

Lew LampirisKecia Leary

Warren LeMayReg Louie

Kathy MangskauDon Marianos

Michelle McQuistanCarolyn ManzMichael Manz

Parivash NourjahScott PressonGary Rozier

Vipul SinghalAlex White

Jana WinfreeMarilyn Woolfolk

Karen Yoder

$1 - $99Anonymous

Jennifer BanklerHelene Bednarsh

Vinodh BhoopathiColleen Brickle

Maria CantoCharles CzerepakTerry DickinsonJudith Feinstein

Carolyn GrayBeverly Isman

Samantha JordanJames Lalumandier

Kathy LituriVinod MiriyalaHoward Pollick

Bob RussellThayer ScottEli Schwarz

James ToothakerGenevieve Valdez

Securing the

FutureDental Public Health through: Support for AAPHD Mission and Goals Support for Student Chapters Scholarships Grants

for

The AAPHD Foundation Since its formation in 1997, the AAPHD Foundation has solicited support from AAPHD members. Thank you to those who have answered the call! To date, the Foundation has awarded nine Herschel S. Horowitz Scholarships and will present the 4th Foundation Grant during the NOHC in Huntsville. Special thanks to our founding members and 2012 Contributors. You can help the AAPHD Foundation do even more by joining your colleagues and making your pledge. Stop by the AAPHD Foundation Booth and sign up!

2013 Herschel S. Horowitz Scholarship Recipients

Dr. Nicholas B. GordonTufts University

Dr. Samantha JordanHarvard University

2013 Small Grant RecipientJeffrey JacksonAmanda Kerns

Dr. Rocio Quinonez University of North Carolina

School of Dentistry

Founding MembersF O U N D A T I O N

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Special Thanks to our2013 Program Planning Committee

Co-ChairsHarry Goodman, DMD, MPHNicholas Mosca, DDS CommitteeMelissa Albuquerque, BADebi DeNure, RDHCassandra Martin Frazier, MPH, CHESCatherine Hayes, DMD, DrPHBev Isman, RDH, MPHMike Monopoli, DMD, MPHPamela J. Tolson, CAEChris Wood, RDH, BSKimberlie Yineman, RDH, BA

Table of Contents: Message from American Association of Public Health Dentistry (AAPHD) and Association of State and Territorial Dental Directors (ASTDD) Presidents ........................................................................................................ 4 – 5 Pre-Conference Sessions April 20-21, 2013..................................................................................................................................................................................... 6 – 7 Invited Pre-Conference Presenters ............................................................................................................................................................................................................... 8 Getting Around the Convention Center ................................................................................................................................................................................................... 9 Conference Schedule at a Glance ....................................................................................................................................................................................................10 – 11 Conference Sessions: Monday, April 22, 2013 ............................................................................................................................................................................................................... 12 – 13 Tuesday, April 23, 2013 .................................................................................................................................................................................................................13 – 16 Wednesday, April 24, 2013 .........................................................................................................................................................................................................16 – 19 Invited Conference Presenters ...........................................................................................................................................................................................................20 – 21 Past Presidents .............................................................................................................................................................................................................................................22 – 23 Awards ..............................................................................................................................................................................................................................................................24 – 25 Abstracts for Oral Presentations ........................................................................................................................................................................................................26 – 29 Student Awards ......................................................................................................................................................................................................................................................30

The National Oral Health Conference is sponsored by the:

Association of State and Territorial Dental Directors American Association of Public Health Dentistry

Centers for Disease Control and Prevention

Conference Partners Include:American Association for Community Dental Programs

American Dental Association

Corporate Partners Making SignificantContributions to the Conference:

Aseptico, Incorporated Medical Products Laboratories, Inc.

Funding for this conference was made possible in part by cooperative agreement 5U58DP001695-04 from the Centers for Disease Control and Prevention (CDC). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


April 22 – April 24, 2013VON BRAUN CENTER - Huntsville, Alabama

Pre-Conference April 20 – 21, 2013

NO PUBLIC RECORDING AND FILMING PERMITTED AT THE 2013 NATIONAL ORAL HEALTH CONFERENCE: NO AUDIO-TAPING, VIDEO-TAPING OR RECORDING OF ANY KIND IS PERMITTED WITHOUT EXPRESS WRITTEN PERMISSION FROM THE NATIONAL ORAL HEALTH CONFERENCE PRODUCERS.

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AAPHD President’s Welcome

Welcome to the 14th National Oral Health Conference, the joint scientific meeting of the Association of State and Territorial Dental Directors (ASTDD) and the American Association of Public Health Dentistry (AAPHD). I want to thank the members of ASTDD and AAPHD who participated voluntarily in our conference planning. The conference theme is “Odyssey 2013—Exploring the Oral Health System: Policy, Science and Practice.” This theme encourages a number of inspirational speakers who will challenge us to think differently about what is possible at the confluence of policy, science and practice. The nearby Mitchell Space Flight Center is an example of innovation that can be achieved through imagination, ingenuity, and

involvement. Innovation requires more than just having knowledge; it requires freedom of thought to challenge existing ideas and seek others that are not easily evident. Our conference facility is named after one of the world’s great innovators, Dr. Wernher von Braun. He led the development of the Saturn rocket program that enabled U.S. astronauts in 1969 to escape Earth’s orbit and land on the Moon. Imagination and ingenuity in dental public health has led to innovations that benefit all collectively in society, such as community water fluoridation and dental sealants in school-based settings. In some situations, freedom of thought is triggered by intolerance and strengthened by involvement. In 1965, Alabama state troopers used violence against civil-rights demonstrators to stop a peaceful march against racially discriminatory voting practices. This event, known as “Bloody Sunday,” encouraged others to get involved and hold marches, which influenced the passage of the Voting Rights Act of 1965. Imagination is also enhanced by diversity. AAPHD members include scientists, educators, policy makers, and oral health professionals, many of whom are not board certified. Arguably, the diversity of AAPHD encourages imagination, ingenuity and involvement. I thank everyone for attending this special southern conference. I want to thank the American Board of Dental Public Health and the American Association for Community Dental Programs for convening your members as part of this conference. I also appreciate the contribution of other organizations for conference planning and implementation, including the American Dental Association, the Children’s Dental Health Project, and Pew Center for the States, and many others. I sincerely thank our federal partners including the Centers for Disease Control and Prevention for providing conference resources and support. I also welcome and extend my deep appreciation for the corporate exhibitors who support this conference. Your innovative product and service solutions are wonders of ingenuity and I encourage attendees to visit our exhibitors. AAPHD now officially recognizes 16 student chapters that represent emerging leadership opportunities for innovation and entrepreneurship in dental public health. I want to thank the members of the student chapters who attend this conference and our annual student award winners. Your colleagues will share different ideas, opinions and beliefs that should serve as catalyst for your imagination and engagement. I hope you receive the best of southern hospitality during your stay in Huntsville. Y’all have a great conference!

Nicholas G. Mosca, DDSPresident, AAPHD

AAPHD Executive Council and OfficersPresidentNicholas G. Mosca, DDSMississippi Department of Health

President-ElectCatherine Hayes, DMD, SC, DrMedScHealth Resources in ActionBoston, MA

Vice PresidentMichael P. Monopoli, DMD, MPH, MSDentaQuest FoundationBoston, MA

Secretary-TreasurerChristopher Okunseri, BDS, DDPHRCSE, MSc, FFDRCSIMarquette University School of DentistryMilwaukee, WI

Immediate Past PresidentDiane Brunson, RDH, MPHUniversity of ColoradoSchool of Dental MedicineAurora, CO

Executive Council David Cappelli, DMH, DMD, PhDSan Antonio, TX

Julie Ann Janssen, RDH, MASpringfield, IL

Frances Kim, DDS, DrPHSan Diego, CA

Donald Marianos, DDS, MPHPinetop, AZ

Michael McCunniff, DDSRaymore, MO

Elizabeth Mertz, DDS, PhDSan Francisco, CA

Gina Thornton-Evans, DDS, MPHAtlanta, GA

ABDPH Rep and HistorianE. Joseph Alderman, DDS, MPHAtlanta, GA

JPHD EditorRobert Weyant, DMD, DrPHPittsburgh, PA

Foundation ChairKathryn Atchison, DDS, MPHLos Angeles, CA

Executive DirectorPamela J. Tolson, CAESpringfield, IL

Nicholas G. Mosca

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ASTDD Incoming President’s Welcome

On behalf of the American Association of Public Health Dentistry (AAPHD) and the Association of State and Territorial Dental Directors (ASTDD), I would like to welcome you to Huntsville, Alabama, for the 2013 National Oral Health Conference, the 14th Annual Joint Meeting of our two great dental public health professional associations. The National Oral Health Conference (NOHC) is arguably the best dental public health meeting of its kind. Why? Simply said, there is something at the NOHC for everyone. You will have the opportunity to discover the latest in evidence-based or burgeoning research, state and community best practices, and local grassroots efforts at one of the many sessions, exhibits, and luncheons. Equally

important, you will have the chance to network, conduct business or just converse and share stories with friends. This is the first time the NOHC will be held in Huntsville; we are most excited because it has something for both history and technology buffs. Huntsville boasts a rich history that dates back to the early 19th century. It was named John Hunt who settled here in 1805 alongside what has become known as the “Big Spring.” And the “Big Spring” still flows from a rock bluff and winds through a landscaped park into a city lake. Huntsville soon became a major cotton trading and railroad center in the region for many years; one can still sample the Twickenham historic district in the city, which has the largest collection of pre-Civil War homes in the state. During the Civil War, Huntsville did not experience the same fate as surrounding villages which were burned by the Union Army. As for modern technology, Huntsville is nicknamed the “Rocket City” and it is home to the U.S. Space and Rocket Center because of its historic connection with U.S. space missions. Rocket scientists, including Wernher von Braun, were brought to the city to develop rockets for the U.S. Army. By the end of the 1950’s, the team had developed the rocket that orbited America’s first satellite. They eventually put the first American in space and transported the first astronauts to the moon. The Center, which will host our Tuesday evening reception, contains such attractions as the U.S. Space Camp, Moonbuggy races, as well as opportunities to experience and view astronaut-training activities. Because the Center also offers visitors the ability to feel simulated weightlessness, it will ease any guilt you might have after visiting the many restaurants and bars that Huntsville offers. There are 11 active local breweries in Alabama including 3 in Huntsville. But don’t eat and drink too much since you will want to use the time to discover other Huntsville sites such as the NASA Marshall Space Flight Center at the Redstone Arsenal, the Huntsville Botanical Gardens, the Von Braun Center, and the Huntsville Museum of Art. As always, ASTDD would like to express its appreciation to the Centers for Disease Control and Prevention whose continued support has made the success of our organization and meeting possible. We also wish to thank our many organizational and corporate partners and exhibitors who enrich our conference through their generous support and participation. Please be sure to find the time to stop by and visit with the exhibitors during the conference. Finally, it is important to recognize the efforts and commitment of the meeting organizers and planning committees who make the NOHC the formative meeting that it is. Planning for each meeting begins well over a year before the actual event occurs and ranges from choosing the appropriate hors d’oeuvres to selecting the best oral and written presentations from the vast and varied number of outstanding submissions. On behalf of both ASTDD and AAPHD, I welcome you to Huntsville and the 2013 NOHC and invite you to help us make this conference a memorable and successful one. We hope that your experience at the NOHC will be good one and that you find a path to propel our nation’s oral health agenda forward “to infinity and beyond” and to “boldly go where no one has gone before.”

Harry Goodman, DMD, MPHPresident, ASTDD

ASTDD Board of Directors

PresidentHarry Goodman, DMD, MPH

MD Department of Health and Mental HygieneBaltimore, MD

President ElectKimberlie J. Yineman RDH, BA

North Dakota Department of HealthBismarck, ND

Immediate Past-PresidentMargaret M. Snow, DMD, MBA, MPH

New Hampshire Department of Health and Human Services

Concord, NH

SecretaryJulie Watts McKee, DMD

Kentucky Department of Public Health ServicesFrankfort, KY

TreasurerKatherine Weno, DDS, JD

Kansas Department of Health and EnvironmentTopeka, KS

DirectorsBobby D. Russell, DDS, MPH

Iowa Department of Public HealthDes Moines, IA

Judith A. Feinstein, MSPHMaine Center for Disease Control and Prevention

Augusta, ME

Jason M. Roush, DDSWest Virginia Department of Health

and Human Resources Office of Maternal, Child and Family Health

Charleston, WV

Associate Member DirectorA. Conan Davis, DMD MPH

University of Alabama at Birmingham School of Dentistry

Birmingham, AL

Newsletter Editor Ex OfficioLynn A. Bethel, RDH, BSDH, MPH

Massachusetts Department of Public HealthBoston, MA

Cooperative Agreement Manager Ex OfficioBeverly Isman, RDH, MPH, ELS

Davis, CA

Executive Director Ex OfficioChristine Wood

Sparks, NV

Executive Director Emeritus Ex OfficioM. Dean Perkins, DDS, MPH

New Bern, NC

Harry S. Goodman

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THURSDAY, APRIL 187:00 a.m. – 1:00 p.m. ................................................................................... South Hall MR 3 ABDPH Board Oral Examination

7:00 a.m. – 5:30 p.m. ................................................................................... South Hall MR 2 ABDPH Board Oral Examination

FRIDAY, APRIL 196:30 a.m. – 7:30 p.m. ................................................................................... South Hall MR 3 ABDPH Board Oral Examination

8:00 a.m. – 1:30 p.m. ................................................................................. South Hall MR 2 ABDPH Board Oral Examination

1:00 p.m. – 5:00 p.m. .................................................................................. South Hall MR 1 ASTDD Board of Directors Meeting

SATURDAY, APRIL 207:00 a.m. – 5:00 pm. .................................................................................................South Hall Registration Desk Open

7:30 a.m. – 6:00 p.m. ................................................................................. South Hall MR 3 ABDPH Board Oral Examination and Board Business Meeting

8:00 a.m. - 12:00 p.m. ................................................................................ South Hall MR 1 ASTDD Board of Directors Meeting

8:00 a.m. – 12:30 p.m. ............................................................................... South Hall MR 2 ABDPH Board Oral Examination

8:00 a.m. – 12:00 p.m. ..................................................................................South Hall BR 5 Speaking Up Effectively About Water Fluoridation:

A Speaker’s Training Workshop for Advocates and Spokespersons CDE 4.0

Sponsored by: CDC, Pew Children’s Dental Campaign, ADA, ASTDD Matt Jacob, BA; Linda S. Orgain, MPH; William A. Smith, EdD, PhD; Leslee

Williams, BS More than 65 years of experience and hundreds of studies prove

that community water fluoridation is safe and effective in preventing dental disease. The CDC heralds fluoridation as one of ten great public health achievements of the 20th century. Oral health professionals and advocates are often called upon to explain and defend water fluoridation to the media, government officials and a variety of public audiences. This interactive skill-building session will provide training and tips for speakers, mock interviews with a voluntary videotaping component, and other practical assistance. Evidence-based fluoridation information and resources will be provided. Learn how to effectively frame responses with confidence; structure focused and effective media responses to inquiries; and develop and deliver public presentations and testimony on this important public health topic. Recommended for State Dental Directors and others interested in building their communications skills.

Participants will: 1. Be able to identify common issues in community water fluoridation discussions with media, supporters and opponents. 2. Be better able to frame responses to identified issues. 3. Evaluate and adapt their own styles for media contacts and public presentations. 4. Develop and plan at least two kinds of public presentations.

8:00 a.m. – 5:00 p.m. .....................................................................................South Hall BR 1 AAPHD Executive Council Meeting

12:00 p.m. – 1:30 p.m. .................................................................................South Hall BR 2 ASTDD and AAPHD BOD/EC Joint Lunch

1:00 p.m. – 3:30 p.m. .................................................................................. South Hall MR 1 AACDP Executive Board Meeting

1:30 p.m. – 4:30 p.m. ....................................................................................South Hall BR 4 Tips, Tricks, and Resources to Diversify and Increase Funding

CDE 3.0 Sponsored by: ADI Mobile and DentaQuest Institute Dori Bingham, BA; Jim Kitch, BA, EMT-I This will be an interactive session focusing on identifying potential

funding sources including foundation and corporate philanthropic organizations, and developing compelling messaging to engage funders, media, legislators, and the public. Presenters will share the Funder’s perspective—what are they looking for in successful programs? How do they measure success? How to demonstrate ROI (Return on Investment) to stakeholders. Common pitfalls and missteps grantees make. If you’re a program that doesn’t bill directly for services (and thus needs to rely on grants/fundraising for sustainability), it’s critically important to demonstrate meaningful outcomes. Learn how!

Learning Objectives: 1. Identify resources for foundation and corporate philanthropic engagement. 2. Describe ways to engage foundation and corporate philanthropic organizations. 3. Communicate Return on Investment. 4. Understand Funders’ perspectives. 5. Develop compelling stories to engage local and federal legislators and the media.

4:00 p.m. – 6:00 p.m. ...................................................................................South Hall BR 5 AACDP Session - Nuts and Bolts: Oral Health Literacy – CDE 2.0 Alice M. Horowitz, PhD; Scott Wolpin, DMD This session will provide an update on oral health literacy and its

impact on health outcomes. We will demonstrate how a health literacy environmental scan is done and what it consists of. Dr. Wolpin will share his views as a partner in one of these scans and his opinions on the pros and cons of doing them.

At the conclusion of the course Participants will be able to: 1. Explain what health literacy is and how low health literacy affects oral health outcomes. 2. Describe at least 5 attributes of a health literate organization. 3. Describe the elements included in a health literacy environmental scan of dental clinics. 4. Specify at least 3 changes they can make in their organization to make it more user friendly.

6:00 p.m. – 7:00 p.m. ...................................................................................South Hall BR 3 ASTDD/AACDP Member Reception ASTDD Members/ Associate Members and AACDP Members are invited

to a reception where they can meet, mingle, and share ideas.


VON BRAUN CENTER – Huntsville, Alabama

Pre-Conference Schedule

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SUNDAY, APRIL 21 7:00 a.m. – 5:00 pm. .................................................................................................South Hall Registration Desk Open

7:00 a.m. – 5:30 p.m. .....................................................................................South Hall BR 2 AACDP Annual Symposium - CDE 6.75 Pam Clasgens, MA; Teri Chafin, DMD, MPH; Michael Scandrett, JD; Matt

Jacob, BA; Matt Crespin, MPH, RDH; Mel Rader, MS; Jeff Parker, MPA; Marcy Borofsky, DDS, MPH; George Harris; Frances Kim, DDS; Howard Rhoads, DDS; Tera Bianchi, BS, MSW, Sarah Wovcha, JD, MPH

This symposium provides leading edge information on new and/or effective population-based dental programs, policies and best practices that will be helpful to oral health personnel from city, county and local health departments, neighborhood health centers, community-based dental programs and other nonprofits and private practitioners who provide dental care to underserved populations. The morning sessions look at innovative programs in our host state of Alabama, safety net patient-centered health care homes that include oral health services and the fight for public water fluoridation, with reports from the Pew Children’s Dental Campaign, and advocates from Portland, Oregon, and Milwaukee, Wisconsin. Afternoon topics offer a wide variety of strategies to provide effective local oral health programs (round table discussion), not-for-profit and for-profit programs that increase access to oral health care for the underserved while following a business model, and the latest reports and initiatives demonstrating the effectiveness of the dental therapist as an alternate dental provider.

Learning Objectives: 1. Strategies to improve and sustain local oral health programs. 2. Innovative Alabama community oral health initiatives. 3. What’s new in the development of a “health home” that includes oral health care. 4. The latest fights to sustain public water fluoridation and lessons learned. 5. New and creative initiatives in oral health care that demonstrate a business model. 6. The most current reports that show the outcomes of using dental therapists as an alternative workforce. 7. Current news and models that can impact your community dental program.

7:30 a.m. – 1:00 p.m. ................................................................................. South Hall MR 3 ABDPH Board Oral Exam and Business Meeting

7:30 a.m. – 1:30 p.m. ................................................................................... South Hall MR 2 AAPHD Executive Council Meeting

8:00 a.m. – 11:30 a.m. ..................................................................................South Hall BR 4 Objectives, Indicators, Measures and Metrics - CDE 3.5 Sponsored by: CDC Krishna Aravamudhan, BDS, MS; Mary E. Foley, RDH, MPH; Jill Boylston

Herndon, PhD; Renee Joskow, DDS, MPH, FAGD; Laurie Norris, JD Oral health measures to examine quality, performance, or progress

toward goals have been developed or are being developed to meet the needs of various federal agencies, comply with legislative requirements, or promote a continuous quality improvement culture in clinical dental and dental public health settings. The metrics proposed by different organizations often sound similar, but have important differences critical to the purpose of each measure set. How do these efforts relate to one another? Are they redundant or coordinated? Will they lead to greater burdens of reporting on state and local programs, community health centers, or private practice dentists? Will they achieve their intended purpose? What role is being taken by: CDC, Centers for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), United States Department of Health and Human Services (US DHHS), US National Oral Health Alliance, the National Quality Forum, the Dental Quality Alliance, ASTDD, Medicaid CHIP State Dental Association (MSDA), insurers, and the ADA? This session will update the audience on current efforts and the potential for collaborative efforts to improve the efficiency and effectiveness of oral health care.

Learning Objectives: 1. Participants can describe differences between similar sounding measures used in different settings with different data sources. 2. Participants can identify 5 organizations involved in development of measures for oral health and the primary purpose of each organization’s measure set. 3. Participants can identify which measure set will most impact their primary work setting and the primary work setting of one of their key partners from a different setting.

8:00 a.m. – 11:45 a.m. .................................................................................South Hall BR 5 ASTDD Board of Directors Meeting

10:00 a.m. – 11:30 a.m. ........................................................................................... East Hall 3 Tools for Oral Health Stakeholders to Foster Chronic Disease

Integration Activities - CDE 1.5 Sponsored by: ASTDD and the Children’s Dental Health Project Susan Deming, RDH, RDA, BS; Kimberlie Yineman, RDH, BA;

Ali Danner, MPH Oral health is critical to overall health. Oral health stakeholders

interested in engaging and partnering to understand and relate oral health to other chronic medical conditions have incentives to move forward, but tools are still emerging. A pilot tool is an Oral Health Literacy Quiz to use as an “Icebreaker” activity with stakeholders in other chronic disease areas. The Quiz, including variations targeted for stakeholders in areas such as diabetes and heart disease, will be demonstrated and completed by session participants, with discussion to follow. A panel representing states that have piloted the Quiz will share their experience, including benefits and challenges. Selected panelists will also provide an update on objectives and initiatives that relate to current public health goals for chronic disease integration nationwide.

Learning Objectives: 1. Identify new approaches that hold promise for advancing integration of oral disease and other chronic disease activities. 2. Participate in an Oral Health Literacy Quiz that can be utilized by stakeholders in your state. 3. Discuss additional tools and methods and their implementation.

12:00 p.m. – 5:00 p.m. .................................................................................South Hall BR 1 ASTDD Annual Member Lunch, Annual Business Meeting,

Regional Roundtable Discussion, and Member/Associate Member Meetings with Consultants

1:00 p.m. – 4:00 p.m. ....................................................................................South Hall BR 5 Dental Public Health Residency Director’s Meeting 1:30 p.m. – 5:30 p.m. .................................................................................. South Hall MR 1 American Network of Oral Health Coalitions Annual Meeting (By Invitation Only)

6:00 p.m. – 8:00 p.m. ................................................................................................Courtyard Opening Reception Welcome to Huntsville and to Spring! Enjoy both at the NOHC

reception and take this first opportunity to see old friends and meet new colleagues. Networking, food, drink, good conversation and YOU are the highlight of the evening. Ticketed Event – Must present ticket for entry.

Sponsored in part by our friends at Medical Products Laboratories, Inc.

Please note: Due to changes in liability insurance, NOHC events will now offer a cash bar. However, thanks to our reception sponsor, Medical Product Labs, 2 complimentary drink tickets will be offered to each participant this evening. (Drink tickets will be distributed as you enter the reception).

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Krishna Aravamudhan, BDS, MSAmerican Dental AssociationChicago, IL

Tera Bianchi, BS, MSWChildren’s AllianceSeattle, WA

Dori Bingham, BADentaQuest InstituteWestborough, MA

Marcy Borofsky, DDS, MPHMobile DentistsFarmington Hills, MI

Teri Chafin, DMD, MPHJefferson County Health DepartmentBirmingham, AL

Pam Clasgens, MAHEALS, Inc. (Health Establishments At Local Schools)Huntsville, AL

Matt Crespin, MPH, RDHChildren’s Dental Health Alliance of WisconsinMilwaukee, WI

Ali Danner, MPHCDC Division of Oral HealthAtlanta, GA

Susan Deming, RDH, RDA, BSMichigan Dept of Community HealthOral Health ProgramLansing, MI

Mary E. Foley, RDH, MPHMedicaid/CHIP State Dental AssociationWashington, DC

Paul Glassman, DDS, MA, MBAUniversity of the Pacific School of DentistrySan Francisco, CA

George HarrisPrevMEDStevensville, MD

Jill Boylston Herndon, PhDCollege of Medicine, University of FloridaGainesville, FL

Alice M. Horowitz, PhDUniversity of Maryland College ParkSchool of Public Health College Park, MD

Matt Jacob, BAPew Charitable Trusts / Pew Children’s Dental CampaignWashington, DC

Renee Joskow, DDS, MPH, FAGDOffice of Strategic PrioritiesHealth Resource and Services AdministrationRockville, MD

Frances M. Kim, DDS, MPH, DrPHConsultantSan Diego, CA

Jim Kitch, BA, EMT-IADI Mobile HealthEvansville, IN

Laurie Norris, JDCenter for Medicaid and CHIP ServicesCenter for Medicare and Medicaid ServicesBaltimore, MD

Linda S. Orgain, MPHCDC Division of Oral HealthAtlanta, GA

Jeffrey Parker, MPASarrell Dental CentersAnniston, AL

Mel Rader, MSUpstream Public HealthPortland, OR

Howard Rhoads, DDSDe Baca Family Practice ClinicFort Sumner, NM

William Smith, EdDHager SharpWashington, DC

Leslee Williams, BSAmerican Dental AssociationChicago, IL

Scott Wolpin, DMDChoptank Community Health System Dental ProgramFederalsburg, MD

Sarah Wovcha, JD, MPHChildren’s Dental ServicesMinneapolis, MN

Kimberlie Yineman, RDH, BANorth Dakota Department of HealthBismarck, ND




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MONDAY, APRIL 227:00 a.m. – 5:00 p.m. Registration Desk Open ........................................................................................................................................................................... South Hall

7:00 a.m. – 8:00 a.m. Coffee with Exhibitors ............................................................................................................................................................................South Hall I

8:00 a.m. – 9:15 a.m. Opening Ceremony, Welcome and Opening Keynote - CDE 1.0 ............................................................................. South Hall II

9:15 a.m. – 9:30 a.m. Break ............................................................................................................................................................................................................... South Hall II

9:30 a.m. – 11:00 a.m. Opening Plenary - CDE 1.5 ................................................................................................................................................................ South Hall II

What’s on the Federal Horizon?

11:00 a.m. – 11:30 a.m. AAPHD Special Merit and Student Awards ............................................................................................................................ South Hall II

11:30 a.m. – 1:30 p.m. Roundtable Lunch - CDE 1.5 ..............................................................................................................................................................South Hall I

AAPHD Student Chapter Session .................................................................................................................................. South Hall MR 1

Exhibits Open ......................................................................................................................................................................................South Hall I

Posters Open for viewing only ..................................................................................................................................................South Hall I

1:45 p.m. – 3:15 p.m. Afternoon Plenary - CDE 1.5 ............................................................................................................................................................ South Hall II

Investments in Innovation (National Institute for Dental and Craniofacial Research (NIDCR)

3:15 p.m. – 3:30 p.m. Fluoridation Awards – Campaign for Dental Health ......................................................................................................... South Hall II

3:30 p.m. – 5:00 p.m. Poster Session I - CDE 1.5 ....................................................................................................................................................................South Hall I

Break with Exhibitors .......................................................................................................................................................................South Hall I

4:30 p.m. – 5:30 p.m. CDC Water Fluoridation Update .............................................................................................................................................South Hall BR 5

5:00 p.m. – 6:00 p.m. ADHA Hosted Reception .....................................................................................................................................................................South Hall I

5:00 p.m. – 6:00 p.m. ABDPH Future Examination Orientation ......................................................................................................................... South Hall MR 1

5:00 p.m. – 7:00 p.m. Field Trip to Sarrell Dental Center - CDE 1.0 .......................................................................................................Sarrell Dental Center

RSVP required – Transportation provided

6:00 p.m. – 9:00 p.m. ASTDD School and Adolescent Oral Health Committee Member Dinner Meeting ............................ South Hall MR 2

6:30 p.m. – 9:30 p.m. American Network of Oral Health Coalitions Dinner (By Invitation Only) ....................................................South Hall BR 4

6:30 p.m. – 9:30 p.m. ABDPH Annual Diplomates’ Dinner and Meeting (By invitation only) ...........................................................South Hall BR 1

6:30 p.m. Dinner on your own or

6:30 p.m. – 11:00 p.m. AAPHD Foundation Event ............................................................................................................................ Outside South Hall Entrance

Registration Fee and RSVP Required

TUESDAY, APRIL 237:00 a.m. – 5:00 pm. Registration Desk Open .......................................................................................................................................................................... South Hall


7:00 a.m. – 8:0 0 a.m. AACDP Business Meeting ......................................................................................................................................................... South Hall MR 1

8:00 a.m. – 9:30 a.m. ABDPH Plenary Session - CDE 1.5 ................................................................................................................................................. South Hall II

American Board of Dental Public Health Symposium: Oral Health Literacy: A Pathway to Reducing Disparities

9:30 a.m. – 10:15 a.m. ASTDD Awards/65th Anniversary Celebration ..................................................................................................................... South Hall II

10:15 a.m. – 10:45 a.m. Break with Exhibitors ..............................................................................................................................................................................South Hall I

10:45 a.m. – 12:15 p.m. Concurrent Sessions - CDE 1.5

Using the Tools of Quality and Accountability to Improve Oral Health .................................................South Hall BR 1

Sports Dentistry for Everyone: Education, Policy Implications, and Importance to the Population ...............................................................................................................................South Hall BR 2

The Changing Dental Hygiene Workforce: Options for Better Oral Health Outcomes .................South Hall BR 3

Portland Water Fluoridation Campaign Lessons Learned ..............................................................................South Hall BR 4

Oral Presentations .....................................................................................................................................................................South Hall BR 5

12:15 p.m. – 2:15 p.m. AAPHD Members Only Lunch and Annual Business Meeting ..................................................................................... South Hall II

Networking Lunch (for those attendees who are not AAPHD Members) .....................................................South Hall I

Exhibits Open ......................................................................................................................................................................................South Hall I

Posters Open for viewing only ..................................................................................................................................................South Hall I S

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TUESDAY, APRIL 23 - Continued

2:15 p.m. – 3:45 p.m. Concurrent Sessions - CDE 1.5

Older Adults and Oral Health–Learning from the Past, Embracing the Present, and Imagining the Future of Care Delivery ........................................................................................................................South Hall BR 1

Trends of Improved Oral Health of American Indian and Alaska Native Head Start Children .South Hall BR 2

Health Care Reform: Where Do We Go From Here? ............................................................................................South Hall BR 3

Innovative and Sustainable Business Models to Provide Oral Health Care for Underserved Patients .........................................................................................................................South Hall BR 4

Oral Presentations ....................................................................................................................................................................South Hall BR 5

3:45 p.m. – 5:15 p.m. Poster Session II – CDE 1.5 ...................................................................................................................................................................South Hall I

Break with Exhibitors ..............................................................................................................................................................................South Hall I

7:00 p.m. – 11:00 p.m. Tuesday Evening Reception .......................................................................................................................U.S. Space and Rocket Center Ticketed Event – Must present ticket for entry. Transportation provided. Sponsored in part by our friends at Aseptico

WEDNESDAY, APRIL 247:00 a.m. – 5:00 pm. Registration Desk Open .......................................................................................................................................................................... South Hall

7:00 a.m. – 8:00 a.m. ASTDD Board of Directors Meeting .................................................................................................................................... South Hall MR 1


8:00 a.m. – 9:30 a.m. Concurrent Sessions - CDE 1.5

Using Geographic Information Systems (GIS) to Identify Challenges in Access to Dental Care ......................................................................................................................................................South Hall BR 1

National Center on Health, Oral Health Project ....................................................................................................South Hall BR 2

Integrating the Leading Oral Health Indicator into a State Chronic Disease Plan: One State’s Journey ................................................................................................................................................................South Hall BR 3

An Entrepreneurial Approach to Growing State and Local Dental Programs ....................................South Hall BR 4

Oral Presentations ....................................................................................................................................................................South Hall BR 5

9:30 a.m. – 10:00 a.m. Break with Exhibitors ..............................................................................................................................................................................South Hall I

10:00 a.m. – 11:30 a.m. Concurrent Sessions - CDE 1.5

Advances in Oral Health Surveillance ..........................................................................................................................South Hall BR 1

Promoting Integrated Health Care and Interprofessional Collaboration: The Oral Health Care During Pregnancy National Consensus Statement ............................................South Hall BR 2

Strengthening the Dental Safety Net through Community Coordination: Use of the CDHC .......................................................................................................................................................................South Hall BR 3

Defending Community Water Fluoridation: Insights and Tools to Help Locate Advocates ......South Hall BR 4

11:30 a.m. – 12:45 p.m. Roundtable Luncheon with National Organizations and Federal Agencies - CDE 1.0 ................................ South Hall II

1:00 p.m. – 2:30 p.m. Concurrent Sessions - CDE 1.5

Imagining a Caries-Free Generation: Implementing Caries Management by Risk Assessment South Hall BR 1

Diversity of Successful School-based Sealant Programs and Factors that Sustain Them ...........South Hall BR 2

Evaluation of the Integrated Dental Medicine Care Model ...........................................................................South Hall BR 3

Understanding the Prospective Payment System ...............................................................................................South Hall BR 4

THURSDAY, APRIL 258:00 a.m. – 12:00 p.m. CDC State Oral Health Grantees Meeting ...................................................................................................................... South Hall MR 1

*The Meeting Room ...................................................................................... South Hall MR3“The Meeting Room” is a small meeting room available Monday through Wednesday from 7:00 a.m. – 11:59 p.m. It is on a first-come, first-reserved basis. It is set up for up to 15 board room style. You must sign in to use the room. There will be a sign up sheet outside the room. It can be reserved in half-hour increments for up to two hours. The room set cannot be changed.

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11:00 a.m. – 11:30 a.m. ..................................................................................... South Hall II AAPHD Special Merit and Student Awards

11:30 a.m. – 1:30 p.m. ..........................................................................................South Hall I Roundtable Lunch - CDE 1.5 The luncheon will be around small tables with facilitated discussion on

scientific research, program planning and evaluation, community-based interventions, partnerships and other topics related to dental public health. A complete list of topics and presenters will be included in the conference registration packet. Participants will be able to attend two roundtables during the 2-hour session. Ticketed Event – Must present ticket for entry.

Student Chapter Session ........................................................... South Hall MR 1 Representatives of AAPHD’s 17 student chapters will come together

to share stories and information on their activities, ask and give advice, and learn of new AAPHD support for their programs. This session is for Student Chapter representatives, advisors and others interested in getting involved in the AAPHD Student Chapter initiatives.

Exhibits Open ................................................................................................South Hall I Back by popular demand! Exhibits will be open during the lunch break.

Grab a bite and visit with our exhibitors.

Posters Open ..................................................................................................South Hall I Presenters will not be available for discussion, but attendees may view

the posters during this time.

1:45 p.m. – 3:15 p.m. .......................................................................................... South Hall II Afternoon Plenary - CDE 1.5 Investments in Innovation Martha Somerman, DDS, PhD, Director, National Institute of Dental and

Craniofacial Research, National Institutes of Health (NIDCR/NIH)

The National Institute of Dental and Craniofacial Research (NIDCR) is developing its Strategic Plan for 2014–2018. NIDCR Director, Dr. Somerman, will outline the areas of research offering exciting innovative possibilities. Explaining how research is prioritized and funded, Dr. Somerman will outline key areas of the Strategic Plan and how all can have a role in helping develop that plan.

Learning Objectives: 1. Be aware of the many trans-NIH activities and opportunities. 2. Become familiar with NIDCR-supported efforts to address complex oral diseases resulting from biological, behavioral, environmental and genetic factors. 3. Be acquainted with NIDCR-funded projects aimed at reducing health disparities and addressing pressing public health needs.

3:15 p.m. -3:30 p.m. ........................................................................................... South Hall II Fluoridation Awards – Campaign for Dental Health




MONDAY, APRIL 227:00 a.m. – 8:00 a.m. .............................................................................................South Hall I

Coffee with Exhibitors

7:00 a.m. – 5:00 p.m. ..............................................................................................South Hall Registration Desk Open

8:00 a.m. – 9:15 a.m. ........................................................................................... South Hall II Opening Ceremony, Welcome and Keynote Presentations - CDE 1.0 Senator Bernard Sanders (I-VT) (Invited) introduced

the Comprehensive Dental Reform Act of 2012 and has been invited to address the attendees.

Eva Grayzel, a nationally recognized Master Storyteller, was diagnosed at age 33 with late-stage oral cancer and told she had a 15 percent chance of survival. Eva will share riveting details about her delayed diagnosis and how she found the strength to persevere through the devastating effects of radical treatment.

Learning Objectives: 1. Save lives through early detection. 2. Transform your approach to patient care. 3. Integrate thorough screenings with patient education. 4. Motivate passion and purpose in your work.

Ms. Grayzel is Sponsored by Henry Schein and DentalEZ.

9:15 a.m. – 9:30 a.m. ............................................................................................ South Hall II Break

9:30 a.m. – 11:00 a.m. ........................................................................................ South Hall II Opening Plenary - CDE 1.5 What’s on the Federal Horizon? Howard Koh, MD, MPH; William Bailey, DDS, MPH;

Lynn Mouden, DDS, MPH; Renee Joskow, DDS, MPH Leaders from the Department of Health and

Human Services (HHS) will discuss what is on the federal horizon for oral health in 2013 and beyond. Presentations will cover HHS plans and activities to support oral health with emphasis on national planning efforts, implementation of the Affordable Care Act’s oral health provisions, and actions being taken to implement recommendations from recent Institute of Medicine reports.

Learning Objectives: 1. Describe the work being done at the federal level related to the Affordable Care Act. 2. Tell what steps are being taken to implement the recommendations in the IOM reports. 3. Discuss ways to better coordinate federal efforts in order to enhance programs at the state and community levels.

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3:30 p.m. – 5:00 p.m. .............................................................................................South Hall I Poster Session I - CDE 1.5 Posters based on submitted abstracts of interest to attendees will be

available for viewing and discussion by their presenters. Poster abstracts are listed in numerical order. Copies of the presented abstracts are available for review in the Abstract Program.

Learning Objectives: 1. To discuss new ideas related to the prevention of dental caries. 2. To evaluate specific approaches for improved oral health that may be applicable for use in one’s work setting.

3:30 p.m. – 5:00 p.m. ............................................................................................South Hall I Break with Exhibitors

4:30 p.m. – 5:30 p.m. ....................................................................................South Hall BR 5 CDC Water Fluoridation Update The CDC Water Fluoridation Program Update provides new information

to state program staff on CDC data applications, training materials, and water fluoridation program. State dental directors, fluoridation specialists, and others involved in water fluoridation will benefit by attending this session.

5:00 p.m. – 6:00 p.m. ............................................................................................South Hall I ADHA Hosted Reception Ticketed Event – Must present ticket for entry

5:00 p.m. – 6:00 p.m. ................................................................................. South Hall MR 1 ABDPH Future Examination Orientation

5:00 p.m. – 7:00 p.m. .......................................................................Sarreli Dental Center Tour of Sarrell Dental Center – CDE 1.0 Sarrell Dental is proud to showcase one of its large offices to NOHC

attendees. You will be shuttled by luxury motor coach to their Athens, AL office, just outside of Huntsville. There you will have the chance to tour their practice while in operation, ask questions, hear a brief presentation and talk face-to-face with their CEO, Chief Dental Officer and other members of their management team to learn how this abandoned building was transformed into a world class facility. In just their third year of operation, in 2012, the Athens practice provided over 15,000 patient visits! Come learn why PBS Frontline, dental schools from across the USA, private practice dentists, the Robert Wood Johnson Foundation and others come to Sarrell to learn firsthand. Buses will leave from the Convention Center and return in time for evening activities. Ticketed Event – Must present ticket for entry.

Participants will be able to: 1. Describe some of the business principles that allow a non-profit to provide cost effective dental care to patients enrolled in Medicaid. 2. Analyze some of the reasons why Sarrell Dental Center has been able to reduce the annual cost of care for patients enrolled in Medicaid. 3. List the reasons why Sarrell has such a high chair utilization rate with a patient population with high Medicaid enrollment.

6:00 p.m. – 9:00 p.m. ................................................................................. South Hall MR 2 ASTDD School and Adolescent Health Committee Member

Dinner Meeting 6:30 p.m. – 9:30 p.m. ...................................................................................South Hall BR 1 ABDPH Annual Diplomates’ Dinner and Meeting – by invitation

6:30 p.m. – 9:30 p.m. ..................................................................................South Hall BR 4 American Network of Oral Health Coalitions Dinner – by invitation

6:30 p.m. Dinner on your own

MONDAY, APRIL 30 - CONTINUED 6:30 p.m. – 11:00 p.m. ................................................... Outside South Hall Entrance AAPHD Foundation Event Food, Fun, Foundation! On Monday evening, join friends under the stars at the AAPHD

Foundation Event for food, music and fun! Dinner tickets are no longer available, but a $10 contribution at the door allows you to enjoy the music, dance, and networking. A cash bar will also be available. A live band will entertain and dancing will certainly be an option! But lots of networking is encouraged!

Sponsored in part by our friends at DNTLworks

TUESDAY, APRIL 237:00 a.m. – 5:00 p.m ...............................................................................................South Hall Registration Desk Open

7:00 a.m. – 8:00 a.m. ........................................................................................... South Hall II Coffee with Exhibitors

7:00 a.m. – 8:30 a.m. ................................................................................... South Hall MR 1 AACDP Business Meeting

8:00 a.m. – 9:30 a.m. ........................................................................................... South Hall II ABDPH Plenary Session - CDE 1.5 American Board of Dental Public Health Symposium, Oral Health

Literacy: A Pathway To Reducing Disparities William Bailey, DDS, MPH; George J. Isham, MD, MS; Kathleen O’Loughlin,

DMD, MPH; Lindsey Robinson, DDS This session will provide an overview and update on oral health literacy

in the United States. Specifically, speakers will address what oral health literacy is, why it is important in efforts to improve oral health and reduce disparities, and what different agencies are doing to become health literate. In addition, the session will provide information on how to incorporate health literacy science, skills and practice into daily activities.

Participants will be able to: 1. Explain why health literacy is considered a social determinant of health. 2. Describe what oral health literacy is and its impact on oral health. 3. Discuss the role of the Institute of Medicine’s (IOM) Round Table on Health Literacy. 4. Describe what DHHS is doing in connection with oral health literacy. 5. Identify one practice they can use in their community/clinic/work setting.

9:30 a.m. – 10:15 a.m. ........................................................................................ South Hall II ASTDD Awards and 65th Anniversary Celebration

10:15 a.m. – 10:45 a.m. .......................................................................................South Hall I Break with Exhibitors

10:45 a.m. – 12:15 p.m. .....................................Concurrent Sessions - CDE 1.5

Using the Tools of Quality and Accountability to Improve Oral Health ................................................................South Hall BR 1 Burton Edelstein, DDS, MPH; Ralph Fuccillo, MA; Paul Glassman, DDS,

MA, MBA Across the nation, environmental pressures are building on healthcare

providers to assess and report their costs and outcomes. Patients and payers, abetted by information technology and the Web, are asking for greater accountability from all types of providers. The oral health industry, although less so than the medical industry, has begun to develop strategies to respond. The DentaQuest Institute is convening a broad stakeholder multi-year effort to develop a “road map for using

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TUESDAY CONTINUED

the tools of quality and accountability to improve oral health for all.” This session will review the evolving use of quality and accountability tools to move general health and oral health toward the “Triple Aim” (better experience of care, better health outcomes, and lower costs). In addition, the DentaQuest facilitated, multi-stakeholder process will be described as well as the roles and responsibilities of advocates and government in driving and facilitating change in quality and accountability by healthcare providers of all types.

Learning Objectives: 1. Describe “tools of quality and accountability” and how they are being applied to oral health care. 2. Describe the multi-stakeholder process convened by the DentaQuest Institute and its expected outcomes. 3. Discuss the sources of “environmental pressure” for healthcare providers of all types to adopt quality metrics and reporting of measures useful in assessing accountability. 4. List roles and responsibilities of advocates and government in driving and facilitating change in quality and accountability by healthcare providers of all types.

Sports Dentistry for Everyone: Education, Policy, Implications, and Importance to the Population ..................................South Hall BR 2

Stephen C. Mills, DDS; Mark Roettger, DDS Millions of people of all ages participate in sports. All athletic activities

contain a risk of injury. Orofacial injuries are not uncommon and are largely preventable. We need to educate players, coaches, athletic trainers, school nurses, sports administrators, and parents as to which sports carry risk, what to do in case of injury, what types of protection exist, and which are most effective. It is important to know which groups are most important to target with our education efforts. These groups include state interscholastic rule-making bodies, national high school and college organizations and individual sports governing bodies such as Little League International and USA Hockey. Several states and national organizations have tried to legislate rules for youth sports with varying degrees of success. This session will summarize what needs to be done to successfully sustain safety legislation and rules. Finally, the most up-to-date information relative to concussions and performance enhancement will be presented.

Learning Objectives: 1. Educate the attendees as to which factors relate to rates of orofacial sports injuries. 2. Educate attendees as to the state of the art in orofacial protective devices. 3. Briefly educate the attendees as to the immediate recognition and treatment of common oroviewfacial injuries. 4. Discuss the major sports rule-setting bodies and how to best influence these groups. 5. Give an historical review of which states have successfully and unsuccessfully tried to increase mouthguard usage. 6. Discuss the factual basis of the mouthguard/concussion connection.

The Changing Dental Hygiene Workforce: Options for Better Oral Health Outcomes .......................................South Hall BR 3 Ann Battrell, MSDH; Susan Deming, RDH, RDA, BS; Christine Farrell, RDH,

BSDH, MPA This session will describe how dental hygienists are contributing to

the success of public health programs across the country. Ann Battrell will highlight how practice acts continue to evolve, allowing dental hygienists to provide oral health services in a host of nontraditional settings without the onsite supervision of a dentist, expanding the public’s access to oral health services. The presentation will showcase the story of Lilia Hamblin, RDH, as she takes us into a day in her world working collaboratively with a nurse practitioner to improve access and care in Oregon. Then Ann Battrell will introduce the story of Marie Doucette, a public health supervision dental hygienist in Maine, and how she has collaborated with a pediatrician to deliver care to hundreds of young children with a strong focus on prevention. Christine Farrell

and Susan Deming will be on hand to explain about PA161 (Public Prevention Program) in Michigan. This law allows dental hygienists through public or non-profit programs to provide direct access to preventive oral health services for underserved populations.

Learning Objectives: Participants will be able to: 1. Describe at least three alternative programs that provide direct access to preventable oral health services for underserved populations. 2. Explain the Oregon and Maine model(s): dental hygienists collaborating with nurse practitioners/dental hygienists collaborating with pediatricians. 3. Discuss the differences in alternative models of dental hygiene in public health.

Portland Water Fluoridation Campaign Lessons Learned ................................................................................South Hall BR 4 Raquel Bournhonesque, MPH; Mel Rader, MS Portland, Oregon, recently enacted water fluoridation, providing more

than 900,000 residents with this community-based intervention. Although past efforts failed, learn why a recent effort made by a broad coalition, fended off local and national anti-fluoridation groups and individuals who cite unsubstantiated science as their basis of concern. Presentations will focus on public health advocates use of the media and political strategies to navigate through difficult political processes. This case study will describe: 1) the policy approach and nature of the debate within a broad coalition; 2) effective types of messages used to influence policymakers, the public, and the media; and 3) political challenges and opportunities to passage. Presenters will focus on the elements of the campaign, including building a coalition of diverse partners, communicating key messages, neutralizing opposition’s arguments, and mobilizing key supporters.

Learning Objectives: 1. Explore the key elements in building a broad coalition and a successful campaign for water fluoridation. 2. Identify anti-fluoridation key arguments and tactics, and effective ways to counter these. 3. Demonstrate how scientific evidence can be communicated effectively to the general public, media, and key decision-makers.

Oral Presentations .........................................................................South Hall BR 5 This session will feature oral presentations of scientific research of

interest to attendees. Presentations are listed beginning on page 26. Please note: Abstracts are not listed in order of presentation. 1. Dental Therapists and Irreversible Restorative Procedures: A

Comprehensive Review of the Evidence on Technical Competence and Quality of Care

Elizabeth Phillips, PhD, MSSW, H. Luke Shaefer 2. Engaging Youth in Dental Careers - Let the Tooth be Told Sharon Grundel, MEd, Suzette Naylor 3. Systematic Screening and Assessment of 25 Oral Health Workforce

Innovations David Krol, MD, MPH, FAAP, Karen Cheung, MA, Michelle Revels, MA,

Elizabeth Jacobs, MPH, Mary Ann Hall, MPH, Kari Cruz, MPH 4. Implementing the Ready-To-Use AAPHD Dental Public Health (DPH)

Curriculum for Pre-Doctoral Dental and Dental Hygiene Students Kathryn Atchison, DDS, MPH, Ana Karina Mascarenhas, BDS, MPH,

DScD, Vinodh Bhoopathi, BDS, MPH, DScD, Michael C Manz, DDS, MPH, DrPH

Learning Objectives: 1. To demonstrate the role of dental therapists in improving the access to oral health care. 2. To describe the development of various workforce models used in the curriculum for dental students and dental hygiene students. 3. To describe the implementation of workforce models in program settings and the evaluation criteria used to assess their impact on improving oral health care.

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TUESDAY CONTINUED12:15 p.m. – 2:15 p.m. ....................................................................................... South Hall II AAPHD Membership Luncheon and Annual Business Meeting As AAPHD moves into the future, a new governance model will allow

the association to meet the challenges of the future. Some believe that AAPHD has grown from a specialty trade association to one that is increasingly purposive and looking outward towards the broader society. The Executive Council (EC) is trying to achieve the essential strategic operational governance, management structure, and financial stability necessary to enable us to serve these purposes. Members will be asked to provide feedback on proposed bylaw changes, resolutions and other changes proposed by the EC. Plan to attend and provide input. More information will be forthcoming in preparation for this important membership meeting. Ticketed Event - Must present luncheon ticket for entry. An AAPHD Members Only Luncheon – sign in required.

Networking Luncheon ..........................................................................South Hall I For those not attending the AAPHD Annual Business Meeting. Ticketed

Event - Must present ticket for entry.

Exhibits Open ...............................................................................................South Hall I Back by popular demand! Exhibits will be open during the lunch break.

Grab a bite and visit with our exhibitors.

Posters Open .................................................................................................South Hall I Presenters will not be available for discussion, but attendees may view

the posters during this time.

2:15 p.m. – 3:45 p.m. ............................................Concurrent Sessions - CDE 1.5

Older Adults and Oral Health-Learning from the Past, Embracing the Present, and Imagining the Future of Care Delivery .............................................................South Hall BR 1 Mary Foley, RDH, MPH; Lillian Mitchell, DDS By 2030, the number of adults ages 65 and older will double, with half

having at least two chronic diseases that consume at least 75% of our healthcare dollars. Despite the knowledge that oral health is integral to maintaining overall health and function, oral health is still fragmented from the delivery of medical care. Despite these challenges, oral health should, and must be part of future innovations in care delivery. Utilizing the findings from Oral Health America’s report, State of Decay 2013, we will compare the progress we have made in caring for older adults compared to children since 2003; examine “real time” solutions and emerging practices for interdisciplinary care; discuss proposed funding polices, including governmental plans and their impact on oral healthcare delivery; and explore innovations and new models of care, and how oral health can, and should be at the table in these chronic disease model developments.

Learning Objectives: 1. Gain an understanding of policies and future trends that will affect the delivery of oral healthcare to older adults, utilizing the concept of interdisciplinary care delivery as an example of emerging trends. 2. Understand new and emerging trends for overall healthcare delivery for older adults, particularly utilizing chronic disease models and how oral health may be inserted in these models. 3. Explore different policies and funding mechanisms that may be available for oral health currently, as well as future policy recommendations.

Trends of Improved Oral Health of American Indian and Alaska Native Head Start Children ......................South Hall BR 2 Bonnie Bruerd, DrPH; Kathy Phipps, DrPH; Kimberly K. Stice, MA This session will report trends in oral health among American Indian

and Alaska Native (AIAN) children ages 3–5, using 2010 Basic Screening

Survey data and Head Start Program Information Reporting (PIR) data. The percent of children in AI/AN Head Start programs needing dental treatment has declined over the past 10 years, suggesting an improvement in oral health or access to care for this high-risk population. At the same time, access to prevention services has increased. This session will provide an overview of the various prevention initiatives including the IHS Early Childhood Caries Collaborative and the IHS Head Start Program Fluoride Varnish Initiative. Best practice models for oral health in Head Start will be presented. Finally, recommendations for further improvements will be discussed.

Learning Objectives: 1. Report trends in access to dental care, prevention services, and need for dental treatment among children enrolled in American Indian/Alaska Native Head Start programs. 2. Describe current prevention initiatives and best practice models for improved oral health of Head Start children.

Health Care Reform: Where Do We Go From Here? ..........................................................................................South Hall BR 3 Colin Reusch, MPA; Eileen Espejo, BS; Jason Roush, DDS The panel will provide an overview of recent federal health reform

laws, including the Affordable Care Act as well as changes to Medicaid and CHIP. From both a national and state perspective, presenters will explore how these changes are being implemented at the state level; examine the challenges associated with implementing these reforms; and discuss opportunities for state-level advocates, policymakers, and public health officials to effectively and innovatively ensure these reform efforts have the greatest possible impact on improving the overall health of children and families in their states.

Learning Objectives: 1. Attendees will be able to describe the current national status of ACA dental provisions. 2. Attendees will recognize how the ACA will impact oral health coverage in their state. 3. Attendees will be able to identify the opportunities for state dental directors/SOHPs in the development of state Health Benefit Exchanges.

Innovative and Sustainable Business Models to Provide Oral Health Care for Underserved Patients .............South Hall BR 4 Tammi O. Byrd, RDH; Greg Folse, DDS; Jeffrey Parker, MPA This panel includes presentations about dental practices that provide

dental care to underserved children. Sarrell Dental is an Alabama non-profit dedicated to improving access for Medicaid/CHIP children. In 2011, they had over 105,000 patient visits. Sarrell has expanded to 14 offices and has driven Medicaid reimbursements from $328 per visit in 2005 to $131 in 2011. Outreach Dentistry is a Louisiana for-profit that utilizes dental vans, portable equipment, and an administrative service company to provide comprehensive dental services to Medicaid recipients. They have provided comprehensive dental services for 20,000 children in 3.5 years. Health Promotion Specialists (HPS) is a South Carolina for-profit and provides preventive education, services and referral for care. HPS started in 2001; immediately Medicaid utilization rose, with a 10% drop in urgent treatment and an increase in children receiving sealants. Policy and practice implications of all models will be discussed with audience participation.

Learning Objectives: 1. Describe three different practice models of care for improving access to care for underserved children. 2. Understand the unique business models that promoted success and some of the difficulties faced in the development of the models. 3. Discuss the policy and practice implications of the different models of care.

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Oral Presentations .........................................................................South Hall BR 5 This session will feature oral presentations of scientific research of

interest to attendees. Presentations are listed beginning on page 26. Please note: Abstracts are not listed in order of presentation. 1. Developing a Patient-Centered Dental Home for Residents of Long-

Term Care Facilities Bonnie Branson, RDH, PhD, Becky Smith 2. Changes in Caries in Primary Dentition from 1988-1994 to 1999-2004

Among U.S. Children Aged 2-5 Years: A Closer Look Mei Lin, MD, MSc, Eugenio Beltrãn, MSPH, Laurie Barker, MSPH 3. Use of Dental Services by Children Enrolled in Wisconsin Medicaid

Program Pradeep Bhagavatula, BDS, MPH, MS, Qun Xiang, PhD, Aniko

Szabo, PhD, Christopher Okunseri, BDS, MSc, MLS 4. Calories, Caries and Culture: The Relationship of Body Mass Index

and Oral Health Status in Third Grade School Children Jon Roesler, MS, Bilquis Khan Jiwani, MPH, David Simmons, MPH,

Merry Jo Thoele, MPH, RDH Learning Objectives: 1. Describe the barriers and provide strategies

to overcome challenges to acquiring dental care in long-term care facilities. 2. Examine dental caries experience in children by poverty status. 3. Examine the quality and type of dental services obtained by children enrolled in a Medicaid program. 4. Explore the impact of BMI and oral health status among third graders.

3:45 p.m. – 5:15 p.m. .............................................................................................South Hall I Poster Session II – CDE 1.5 Posters based on submitted abstracts of interest to attendees will be

available for viewing and discussion by their presenters. Poster abstracts are listed in numerical order. Copies of the presented abstracts are available for review in the Abstract Program.

Learning Objectives: 1. To discuss new ideas related to the prevention of dental caries. 2. To evaluate specific approaches for improved oral health that may be applicable for use in one’s work setting.

3:45 p.m. – 5:15 p.m. ............................................................................................South Hall I Break with Exhibitors

7:00 p.m. – 11:00 p.m. ................................................U.S. Space and Rocket Center Tuesday Evening Reception The U.S. Space and Rocket Center is our host for the evening as we

indulge our fascination with space exploration. Take in this truly unique opportunity to eat, drink and chat under a “full-stack” Space Shuttle. A Mission to Mars is closer than you think and will have you on the edge of your seat as you take a virtual journey to the Red Giant. Or if you are a little more adventurous, Space Shot is for you. Experience the 4 G-force of blast-off and weightlessness of space as you are launched 180 feet up in the air. Feel the same force of gravity the astronauts experience during a Shuttle launch with G-Force. There’s a little something for everyone! Transportation provided from each hotel. A schedule will be provided. Ticketed Event – Must present ticket for entry.

Sponsored in part by our friends at Aseptico

WEDNESDAY, APRIL 247:00 a.m. – 5:00pm ..................................................................................................South Hall Registration Desk Open

7:00 a.m. – 8:00 a.m. .................................................................................. South Hall MR 1 ASTDD BOD Meeting

7:00 a.m. – 8:00 a.m. .............................................................................................South Hall I Coffee with Exhibitors

8:00 a.m. – 9:30 a.m. .............................................Concurrent Sessions - CDE 1.5

Using Geographic Information Systems (GIS) to Identify Challenges in Access to Dental Care ..........South Hall BR 1 Sponsored by the ATSU School of Health Management, MPH

program Mark W. Horner, PhD; Angie Sechler In Part I we will provide an overview of the Minnesota Department

of Health (MDH) GIS surveillance activities. The goals are to define limitations and provide solutions for defining and mapping dental deserts using GIS in Minnesota; Describe the importance of understanding inequality and spatial distribution of oral health services and workforce in planning, policy and evaluation. Content will include information about traditional mapping variables and a variety of more specific indicators. In Part II we will discuss technical issues involving the use of GIS for dental workforce mapping. The goals are to: Describe current research foci in GIS and spatial analysis and their applicability for dental workforce mapping; Discuss GIS data issues relative to workforce mapping activities; Identify key GIS and spatial analysis techniques that can aid in dental workforce assessments. Content will include a variety of national examples and a summary of lessons learned and opportunities for innovation.

Learning Objectives Part I: 1. To understand inequality and spatial distribution of oral health services and oral health workforce in planning, resource allocation, monitoring, and evaluation through GIS mapping. 2. To draw attention of oral health community to utilize GIS tool to inform the development and implementation of policies to address the needs of the most vulnerable and underserved populations. 3. To share lessons learned in Minnesota and other states.

Learning Objectives Part II: 1. To understand the role of GIS and spatial analysis in current studies of dental workforce accessibility. 2. To provide information on the types of GIS data required and their characteristics for workforce mapping. 3. To understand major GIS-related technical issues in designing workforce mapping studies.

National Center on Health, Oral Health Project .....South Hall BR 2 Kathy Geurink, RDH, MA; Katrina Holt, MPH, MS, RD; Kimberly Stice,

MA In September 2011, the Office of Head Start launched the National

Center on Health (NCH) through a cooperative agreement awarded to the American Academy of Pediatrics working in partnership with national organizations including the Association of State and Territorial Dental Directors (ASTDD) and the National Maternal and Child Oral Health Resource Center (OHRC). NCH supports Head Start program directors, health managers, and other staff with the goal of improving overall health, oral health, mental health, and nutrition for infants and children, including those with special health care needs and pregnant women enrolled in Head Start. NCH’s Oral Health Initiative also supports health professionals who provide oral health services to Head Start participants. This presentation will describe NCH’s Oral Health Project activities including supporting state-based activities; working in collaboration with national organizations; integrating oral health into overall health activities; and identifying, developing, and disseminating

TUESDAY CONTINUED

Please note: Due to changes in liability insurance, NOHC events will now offer a cash bar. However, thanks to our reception sponsor, Aseptico, 2 complimentary drink tickets will be offered to each participating in this event (Drink tickets will be distributed as you enter the reception).

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foundations establish positive working relationships with state and local leaders that promote project success.

Oral Presentations .........................................................................South Hall BR 5 This session will feature scientific oral presentations of interest to

attendees. Presentations are listed beginning on page 26. Please note: Abstracts are not listed in order of presentation. 1. The Effect of Medicaid Primary Care Provider Reimbursement on

Access to Early Childhood Caries Preventive Services Jill Herndon, PhD, Scott Tomar, DMD, Frank Catalanotto, DMD,

Elizabeth Shenkman, PhD 2. The Burden of Dental Problems on Ohio’s Emergency

Departments Amber Detty, MA, Julia Kranenburg 3. Brush: A Literacy-Based Oral Education Curriculum for Preschools

Serving Low-Income Populations Designed to Reduce Pediatric Dental Decay and Improve School Readiness.

Holli Seabury MA 4. Tobacco Cessation Guidelines for Dentistry: Implementing a 5AS

Program for Dental Students David Albert, DDS, MPH, Sharifa Williams, RDH, MA, Angela Ward,

RDH, MA, Cindi Wiesenfeld, Noreen Myers-Wright, RDH, MA, CHES, Cindy Smalletz, MA

Learning Objectives: 1. To assess the feasibility of using medical care providers to provide preventive dental caries services for young children. 2. To evaluate the impact of treating dental conditions in an emergency room setting. 3. To describe the impact of including oral health literacy curriculum in a Head Start program. 4. To assess the cost effectiveness of implementing a school based sealant program utilizing SEALS software. 5. To describe the value and effectiveness of a Web-based tobacco cessation module.

9:30 a.m. – 10:00 a.m. ..........................................................................................South Hall I Break with Exhibitors

10:00 a.m. – 11:30 a.m. .......................................Concurrent Sessions - CDE 1.5

Advances in Oral Health Surveillance ...........................South Hall BR 1 Gina Thornton-Evans, DDS, MPH; Stuart Lockwood, DMD, MPH Surveillance methods change over time to meet the information needs

of national and state oral health programs. The past few years have been especially productive in this area, with changes driven by the transition to a new decade of the Healthy People project and recent findings from science and national surveillance data. This session showcases findings from 1) the National Health and Nutrition Examination Survey (NHANES) 2009-2010 on prevalence and severity of periodontal disease; 2) pilot testing methods for estimating periodontal disease prevalence at the state level using self-reported questions on the Behavioral Risk Factor Surveillance System (BRFSS); 3) the American Dental Association’s Survey of Current Practice to track Healthy People objectives on how often dental providers screen patients for tobacco use and refer tobacco users to cessation counseling (development of questions, data, findings and methodological issues from the 2010 and 2011 data); and 4) development of an NHANES module for the 2013-2014 survey cycle to measure fluoride content of water among survey participants and assess enamel fluorosis using photographic methods.

Learning Objectives: 1. Describe new developments in surveillance for periodontal diseases. 2. Describe new developments in surveillance of tobacco screening and referral for cessation counseling among U.S. dental offices. 3. Understand the role of human papillomavirus in the development of some oropharyngeal cancers, particularly the base of the tongue and tonsils.

information and materials. Learning Objectives: 1. Identify NCH purpose, goals, key national

partnership, and target audience. 2. Describe NCH’s Oral Health Initiative. 3. Identify NCH’s Oral Health Initiative activities that focus specifically on oral health and on the integration of oral health into overall health to promote the health of Head Start participants and their families.

Integrating the Leading Oral Health Indicator into a State Chronic Disease Plan: One State’s Journey ..............South Hall BR 3 Jane Korn, MD; Merry Jo Thoele, MPH, RDH This session will describe general strategic approaches in developing the

Healthy Minnesota 2020: Minnesota Chronic Disease and Injury Plan and how development of the plan created an opportunity for integrating oral health into the plan and collaborating with the chronic disease staff in strategic planning. We will address challenges encountered and strategies used to overcome them when attempting to integrate the national Healthy People 2020 Oral Health Leading Health Indicators (LHI) into the state level plan. These include innovative ideas used to select proxy indicators, set oral health targets, assess progress, and measure impact of the activities. We will share the framework for implementation of LHI interventions in Minnesota to achieve the set targets and provide a summary of lessons learned.

Learning Objectives Part I: 1. Learn about a variety of national examples and a summary of lessons learned and ideas for innovation. 2. Understand the process of mobilizing chronic disease leaders in strategic planning. 3. Learn about general strategic approaches used in development of the State Chronic Disease and Injury Plan. 4. Describe the goals for Minnesota Chronic Disease and Injury Plan.

Learning Objectives Part II: 1. Understand how integration of the Healthy People 2020 LHI can facilitate collaboration across sectors and promote action at the state and community level to improve oral health populations. 2. Share lessons learned incorporating the national indicator into the Coordinated Chronic Disease Plan in Minnesota with other states. 3. Share the framework for implementation of LHI interventions in Minnesota to achieve the set target. 4. Recognize challenges in the process of implementation of the framework to achieve LHI target in the state. 5. Learn about strategies to implement and assess proxy indicators.

An Entrepreneurial Approach to Growing State and Local Dental Programs ...................................................South Hall BR 4 Jason Roush, DDS; Kim Tieman When state and local dental programs are faced with level or reduced

budgets, it becomes increasingly difficult for program directors to grow, or even maintain, the infrastructure necessary to perform essential public health functions. “Do the best we can with what we have” is a common reaction to this situation, but it is a default response – not a winning long-term strategy. A more promising leadership strategy is an entrepreneurial approach, where the oral health program aggressively seeks external sources of support to help meet its organizational goals, such as through partnerships with philanthropic foundations, oral health coalitions, and organized dentistry. This session is a case study that describes recent progress made in West Virginia. The panel provides the perspectives of both the state dental director and the project officer of a charitable foundation that has made a significant investment in building oral health infrastructure in the state.

Learning Objectives: 1. Session participants will learn how a state dental director uses an entrepreneurial leadership style to promote infrastructure development. 2. Session participants will learn how the state of West Virginia has benefited from increased external support of its oral health program. 3. Session participants will learn how charitable

WEDNESDAY CONTINUED

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Promoting Collaborative Care: The Oral Health Care During Pregnancy National Consensus Statement .............South Hall BR 2 Dianne Riter, MPH, CHES; Mary Foley, RDH, MPH Renee Samelson, MD,

MPH, FACOG Oral Health Care During Pregnancy: A National Consensus Statement

provides guidance to shape the practices of both medical and oral health care professionals serving pregnant women. Soon after its release, the Health Resources and Services Administration completed the development of inter-professional oral health core clinical competencies for non-oral health primary care health professionals. This session will provide an overview of the consensus statement and the core competencies and present promising interprofessional collaboration efforts that ensure oral health is a focus of prenatal care. The session will review guidance for oral health care during pregnancy and the opportunity and need for a competent workforce to bring about changes in the health care delivery system, ultimately improving the overall standard of care, including oral health care, for pregnant women.

Learning Objectives: 1. Learn about the Oral Health Care During Pregnancy: A National Consensus Statement and the guidance it offers for the integration of oral health into perinatal care for pregnant women. 2. Learn about HRSA’s development of an essential minimum core set of competencies for non-dental primary care providers that address oral health, promote preventive care and services, and improve access and outcomes for the most vulnerable populations. 3. Recognize the common ground for the non-dental primary care health professional in promoting oral health during the perinatal period. 4. Describe the action steps Washington Dental Service Foundation took to implement partnerships amongst primary care providers to successfully operationalize oral health guidelines for pregnant women.

Strengthening the Dental Safety Net through Community

Coordination: Use of the CDHC ...........................................South Hall BR 3 Dunn Cumby, DDS; Melissa Tyler, CDHC The Community Dental Health Coordinator (CDHC), a new member of

the oral health team, is from the community served and is responsible for promoting oral health through organized and dentally-coordinated community-based prevention programs. Working in underserved communities with no or limited access to dental care, the CDHC is able to influence local health and community organizations to adopt initiatives to promote oral health. CDHCs are employed by health centers, the Indian Health Service (IHS) and tribal clinics. Under the supervision of a dentist, CDHCs implement community programs that are integrated with clinics providing dental services to this community. The CDHC works in collaboration with other interested oral health stakeholders to promote good oral health and provide community-focused oral health promotion, prevention services and coordination of dental care. This presentation provides an overview of the training of the CDHC and the success stories of CDHCs currently working in the field.

Learning Objectives: At the conclusion of this presentation, participants will be able to describe: 1. What is a Community Dental Health Coordinator, 2. Understand the components of the CDHC training, and, 3. How a CDHC can increase efficiency, productivity and profitability with a dental practice.

Defending Community Water Fluoridation: Insights and Tools

to Help Locate Advocates ........................................................South Hall BR 4 Matt Crespin, MPH, RDH; Jane Gillette, DDS; Johnny Johnson, DMD, MS The purpose of this session is to enable attendees to understand

the strategies and resources that oral health advocates are using to combat attempts to roll back water fluoridation in various communities. Presenters will offer their insights on which tactics or tools proved most helpful and which ones, if any, backfired or failed to have the intended impact.

Learning Objectives: 1. Gain an understanding of the cultural and political dynamics of this community and how these dynamics shape the dialogue. 2. Identify the resources (experts, fact sheets, etc.) that can assist oral health advocates who are striving to preserve fluoridation in a community. 3. Understand the value that a “rapid response” component can add to a campaign aimed at initiating or preserving fluoridation.

11:30 a.m. – 12:45 p.m. ..................................................................................... South Hall II Roundtable lunch with national organizations and federal

agencies - CDE 1.0 Network with colleagues and presenters to discover how national

organizations and federal agencies are improving the oral health of underserved populations. Table presentations will not repeat but extra handouts will be available. Ticketed Event - Must present ticket for entry.

1:00 p.m. – 2:30 p.m. ............................................Concurrent Sessions - CDE 1.5 Imagining a Caries-Free Generation: Implementing Caries Management by Risk Assessment .................South Hall BR 1 Margherita Fontana, DDS, PhD; John Luther, DDS; Douglas Young, DDS,

MS, MBA In January 2011, the California Dental Association Foundation hosted

a symposium on caries management by risk assessment (CAMBRA) in which diverse stakeholders from across the nation discussed the current and future status of CAMBRA. A subsequent SWOT analysis laid the foundation for developing a national strategy for CAMBRA implementation. What is needed to change the mindset of practitioners, payers and the public to embrace this shift in practice philosophy from treatment to prevention? What system changes are needed to improve outcomes and realign allocation of benefits? What is already happening in academia and with Practice-Based Research Networks to model this change and provide visible high impact outcomes? What are the strengths, weaknesses, opportunities, and threats to universal CAMBRA adoption? Which decision makers are needed to make these system changes a reality? Find and embrace your pivotal role in moving CAMBRA forward. Don’t just dream it…be it!

Learning Objectives: Participants will understand the importance of 1) changing the mindset of practitioners, payers and the public to embrace this shift in practice philosophy from treatment to prevention; 2) catalyzing this change in practice philosophy and providing a viable public health infrastructure to support it in both the public and private sectors; and 3) being able to discuss examples of system models that are already applying these concepts.

Diversity of Successful School-based Sealant Programs and

Factors that Sustain Them ......................................................South Hall BR 2 Matt Crespin, MPH, RDH; Jane Hamilton, RN; William Maas, DDS, MPH;

Mark Siegal, DDS, MPH School-based sealant programs are an important venue for reaching

high-risk children. This session will present successful approaches for school-based and school-linked sealant programs and present state and local examples of innovative strategies to expand coverage and promote sustainable sealant programs, including significant federal supports such as Maternal and Child Health Bureau funding. Session developed by CDC/DOH, CDHP, and HRSA/MCHB.

Learning Objectives: 1. Describe the diversity of SBSPs and the roles of state oral health programs and local agencies, organizations and businesses that operate them. 2. Identify facilitators and obstacles to SBSP success and sustainability. 3. Identify attributes of successful and sustained programs, including supports provided by federal programs such those provided through HRSA’s Maternal and Child Health Bureau.

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Evaluation of the Integrated Dental Medicine Care Model ............................................................................................South Hall BR 3 Sean G Boynes, DMD, MS The overall vision of integrated dental medicine is based on oral health

as an integral aspect to total body wellness (systemic care). Poor oral health can lead to many systemic issues and adverse events as well as poor systemic health leading to adverse oral conditions. It is imperative that providers across all disciplines and with these patient commonalities work together in order to produce positive patient outcomes. This session will review and evaluate the various aspects to this care delivery model as well as provide analysis of currently operating integrated dental medicine clinics. The presenter will also review updates on methodology and outcomes assessment for dental care used for systemic medical treatment.

Learning Objectives: 1. Gain knowledge and understanding on how dentistry improves medical outcomes. 2. Discuss the role of dental care providers as screeners for medical disease. 3. Evaluate the current use of non-dentist clinicians and its impact on the patient experience. 4. Discuss the enhancement of inter-professional relationships.

Understanding the Prospective Payment System .....................................................................................................South Hall BR 4 Mary Foley, RDH, MPH; Lynn Mouden, DDS, MPH; Ted Waters, Esq. The Prospective Payment System (PPS) or the often called “encounter

rate” system, is the method by which most community health centers receive reimbursement for oral health care services. PPS rates can be highly variable between states, and within states between service

Continuing Education CreditsThere are two types of CE credit available at the NOHC – ADA (American Dental Association) and AGD (Academy of General Dentistry). There are specific requirements to obtain each type of CE credit. An instruction sheet with directions on how to obtain ADA and/or AGD CE credit is available at the conference registration desk. Please be sure to review the process for the CE applicable to you.

AAPHD is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.

Session Objectives Objectives for each session will be posted/announced prior to the start of each session. They will also be listed appropriately on the session evaluation.

DisclosureAll participating faculty are expected to disclose to the audience any significant financial interest or other relationship with: 1) the manufacturer of any commercial products and/or provider of commercial services discussed in an educational presentation, and 2) any commercial supporters of the activity.

delivery sites. This presentation will provide an overview of the PPS system, including how encounter rates are established, negotiations take place, and how the payment model affects finances, access to care, oral health outcomes, and partnerships between community and private practice dentists. The pros and cons of the PPS model will be discussed including the impact of the model on key federal initiatives such as the CMS Oral Health Initiative. Participants will gain information from payers, community health center administrators, and policy makers on how PPS can impact oral health care service delivery as well as a community health center’s business model.

Learning Objectives: Participants will: 1. Gain knowledge of the Prospective Payment System (PPS) reimbursement system used by community health centers across the nation. 2. Gain knowledge of the potential impact of the PPS rate on a community health center. 3. Learn the implications (both positive and negative) of the Prospective Payment System.

THURSDAY, APRIL 25 8:00 a.m. – 12:00 p.m. ............................................................................. South Hall MR 1 CDC State Oral Health Grantees Meeting

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NOTICE:NO PUBLIC RECORDING AND FILMING PERMITTED AT THE 2013 NATIONAL ORAL HEALTH CONFERENCE: NO AUDIO-TAPING, VIDEO-TAPING OR RECORDING OF ANY KIND IS PERMITTED WITHOUT EXPRESS WRITTEN PERMISSION FROM THE NATIONAL ORAL HEALTH CONFERENCE PRODUCERS.

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William Bailey, DDS, MPH CDC Division of Oral Health Atlanta, GA

Ann Battrell, MSDH American Dental Hygienists’ Association Chicago, IL

Raquel Bournhonesque, MPH Upstream Public Health Portland, OR

Sean G. Boynes, DMD, MS CareSouth Carolina Society Hill, SC

Bonnie Bruerd, DrPH Indian Health Service Head Start Program Salem, OR

Tammi O. Byrd, RDH Health Promotion Specialists Columbia, SC

Jennifer Cleveland, DDS, MPH CDC Division of Oral Health Atlanta, GA

Matt Crespin, MPH, RDH Children’s Health Alliance of Wisconsin Milwaukee, WI

Dunn Cumby, DDS University of Oklahoma Oklahoma City, OK

Susan Deming, RDH, RDA, BS Michigan Department of Community/Oral Health Lansing, MI

Burton Edelstein, DDS, MPH Columbia University New York, NY

Eileen Espejo, BS Children NOW Oakland, CA

Christine Farrell, RDH, BSDH, MPA Michigan Department of Community/Oral Health Lansing, MI

Mary Foley, RDH, MPH Medicaid CHIP State Dental Association Washington, DC

Greg Folse, DDS Outreach Dentistry Lafayette, LA

Margherita Fontana, DDS, PhD University of Michigan School of Dentistry Ann Arbor, MI

Ralph Fuccillo, MA DentaQuest Institute and DentaQuest Foundation Boston, MA

Kathy Geurink, RDH, MA National Center on Health Granite Shoals, TX

Jane Gillette, DDS Sprout Oral Health Bozeman, MT

Paul Glassman, DDS, MA, MBA University of the Pacific School of Dentistry San Francisco, CA

Eva Grayzel Six-Step Screening Easton, PA

Jane Hamilton, RN Mary Imogene Bassett Hospital Cooperstown, NY

Katrina Holt, MPH, MS, RD National Center on Health Washington, DC

Mark W. Horner, PhD Florida State University Department of Geography Tallahasee, FL

George J. Isham, MD, MS HealthPartners Bloomington, MN

Johnny Johnson, DMD, MS Dr. Johnny Johnson and Associates Palm Harbor, FL

Renee W. Joskow, DDS, MPH, FAGD Health Resource and Services Administration Rockville, MD

Howard Koh, MD, MPH U.S. Department of Health and Human Services Washington, DC

Jane Korn, MD Minnesota Department of Health St. Paul, MN

Stuart Lockwood, DMD, MPH Former State Dental Director, Alabama Montgomery, AL

John Luther, DDS DentaQuest Boston, MA

William Maas, DDS, MPH Bethesda, MD

Stephen C. Mills, DDS Academy for Sports Dentistry Scarborough, ME



Pre-Conference April 20-21, 2013

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*Contributed paper presenters are listed under session information. Poster presenters are listed with their abstract.

Lillian Mitchell, DDS University of Alabama at Birmingham School of Dentistry Birmingham, AL

Lynn Douglas Mouden, DDS, MPH Centers for Medicare & Medicaid Services/Center for Medicaid and CHIP ServicesBaltimore, MD

Kathleen T. O’Loughlin, DMD, MPH American Dental Association Chicago, IL

Jeffrey Parker, MPA Sarrell Dental Centers Anniston, AL

Kathy Phipps, DrPH Morro Bay, CA

Mel Rader, MS Upstream Public Health Portland, OR

Colin Reusch, MPA Children’s Dental Health Project Washington, DC

Dianne Riter, MPH, CHES Washington Dental Service Foundation Seattle, WA

Lindsey Robinson, DDS California Dental Association Grass Valley, CA

Mark Roettger, DDS Valley Ridge Dental Lake Elmo, MN

Jason Roush, DDS West Virginia Department of Health and Human Resources Charleston, WV

Renee Samelson, MD, MPH, FACOG Albany Medical College Albany, NY

The Honorable Bernard SandersUnited States Senator Burlington, VT Angie Sechler Minnesota Department of Health St. Paul, MN

Mark Siegal, DDS, MPHWorthington, OH

Martha Somerman, DDS, PhD National Institute of Dental and Craniofacial Research Bethesda, MD

Kimberly K. Stice, MA Head Start National Center on Health American Academy of Pediatrics Washington, DC

Merry Jo Thoele, MPH, RDH Minnesota Department of Health St. Paul, MN

Gina Thornton-Evans, DDS, MPH CDC Division of Oral Health Atlanta, GA

Kim Tieman, MSW Benedum Foundation Pittsburgh, PA

Melissa Tyler, CDHC Kiamichi Family Medical Center Broken Bow, OK

Ted Waters, Esq. Feldesman Tucker Leifer Fidell LLP Washington, DC

Douglas Young, DDS, MS, MBA Arthur A. Dugoni School of DentistrySan Francisco, CA

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AAPHD Presidents

2013 Nicholas G. Mosca2012 Diane Brunson2011 Ana Karina Mascarenhas2010 Scott L. Tomar2009 Mark H.K. Greer2008 Caswell Evans, Jr.2007 Kathryn Atchison2006 Robert Weyant2005 Jane Weintraub2004 Candace Jones2003 William R. Maas2002 Kimberly McFarland2001 Rebecca King 2000 Dushanka V. Kleinman1998 B. Alex White 1997 Robert J. Collins 1996 Dennis Leverett/ Robert J. Collins 1995 Rhys B. Jones 1994 Hermine McLeran 1993 Jack Dillenberg 1992 Alice Horowitz 1991 E. Joseph Alderman 1990 R. Gary Rozier 1989 Linda C. Niessen

1988 Michael Easley 1987 Joseph M. Doherty 1986 James Beck 1985 Myron Allukian, Jr. 1984 W. Thomas Fields 1983 Robert C. Faine 1982 M. Raynor Mullins 1981 Gene P. Lewis 1980 John T. Hughes 1979 John L. Elliott 1978 Kenneth R. Elwell 1977 Richard F. Murphy 1976 Robert E. Mecklenburg 1975 Durward R. Collier 1974 Edward B. Gernert 1973 Ernest A. Pearson, Jr. 1972 J. Earl Williams 1971 David A. Sorcelli 1970 Gerald R. Guine 1969 Charles W. Gish 1968 John K. Peterson 1967 John R. Zur 1966 Albert H. Trithart 1965 Charles J. Gillooly 1964 David R. Wallace

1963 David C. Witter 1962 Charles L. Howell 1961 William P. Kroschel 1960 David B. Ast 1959 Polly Ayers1958 Roy D. Smiley 1957 Thomas L. Hagan 1956 Franklin M. Erlenback 1955 Fred Wertheimer 1954 Francis A. Bull 1953 Carl L. Sebelius 1952 Philip E. Blackerby, Jr. 1951 William A. Jordon 1950 Robert A. Downs 1949 John T. Fulton 1948 Frank P. Bertram 1947 Edward Taylor 1946 Frank G. Cady 1945 William R. Davis 1944 James G. Williams 1943 Allen O. Gruebbel 1942 Ernest A. Branch 1941 R. C. Dalgleish 1940 Leon R. Kramer 1939 Vern O. Irwin 1937 Richard C. Leonard

2011-13 Harry S. Goodman 2009-11 Margaret M. Snow2008-09 Christine Wood2006-08 Steven J. Steed2004-06 Lewis N. Lampiris2002-04 Lynn Mouden2000-02 Diane Brunson1998-00 Kathleen Mangskau1995-98 M. Dean Perkins1994 Richard Hastreiter1993 E. Joseph Alderman1992 Robert Isman1991 John Daniel

ASTDD Presidents1990 William Maurer1989 C. Michael Fitzgerald1988 Gregory Connolly1987 Michael Morgan1986 Joseph Doherty1985 Paul Reid1982-85 Carlos Lozano1980-82 Nazeeb Shory1978-80 Durward Collier1976-78 Fred Lewis1974-76 William Johnson1972-74 Naham Cons1970-72 John Peterson

1968-70 Charles Gish1966-68 E. A. Pearson, Jr1964-66 Lloyd Richards1962-64 Linwood Grace1958-62 Henry Ostrow1956-58 William Jordan1954-56 Carl Sebelius1952-54 James Owens1950-52 Richard Leonard1948-50 Ernest Branch

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Walter J. Pelton – 1950-1955William A. Jordan – 1956Walter J. Pelton – 1957John W. Knutson – 1958Phillip E. Blackerby – 1959Robert A. Downs – 1960Chester V. Tossy – 1961Donald J. Galagan – 1962John T. Fulton – 1963Arthur Bushel – 1964Polly Ayers – 1965Norman F. Gerrie – 1966John K. Peterson – 1967Albert L. Russell – 1968David F. Striffler – 1969Wesley O. Young – 1970Wesley O. Young – 1971 (Acting)Harry W. Bruce Jr. – 1972Frank E. Law – 1973David A. Soricelli – 1974

ABDPH Past Presidents

Naham C. Cons – 1975John C. Greene – 1976John T. Hughes – 1977Quentin M. Smith – 1978William T. Johnson – 1979Edward M. Campbell – 1980Stanley Lotzkar – 1981John E. Butts – 1982Herschel S. Horowitz – 1983Durward R. Collier – 1984Richard F. Murphy – 1985J. Earl Williams – 1986Richard D. Mumma – 1987Robert C. Faine – 1988Richard C. Graves – 1989Joseph M. Doherty – 1990Gene P. Lewis – 1991Chester W. Douglass – 1992Dushanka V. Kleinman – 1993Myron Allukian Jr. – 1994

R. Gary Rozier – 1995E. Joseph Alderman – 1996Linda C. Niessen – 1997 Stephen B. Corbin – 1998Jayanth Kumar – 1999Jayanth Kumar – 2000Robert H. Dumbaugh – 2001Brian A. Burt – 2002Caswell A. Evans – 2003Raymond A. Kuthy – 2004Robert J. Collins, Jr. – 2005Teresa A. Dolan – 2006B. Alexander White, Jr. – 2007Reginald Louie – 2008A. Isabel Garcia – 2009Catherine Hayes – 2010Rebecca S. King – 2011Steven M. Levy – 2012George Taylor – 2013

Special thanks to the following: Mike Monopoli and Gina Thornton-Evans, Co-Chairs AAPHD Education Committee.

AAPHD Education Committee for coordinating contributed papers/poster session

Joe Alderman, and Eugenio Beltrãn for conference photographs.

Diane Brunson for coordinating AAPHD Special Merit Awards.

Sherry Goode and Robert Meador Jr. for serving on the Roundtable Selection Committee

Thank you to the following for their efforts to create an exceptional program.

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Melissa Albuquerque, BA Myron Allukian, Jr., DDS, MP Debi DeNure, RDH Harry Goodman, DMD, MPH Catherine Hayes, DMD, SC, Dr.Med. Sc Larry Hill, DDS, MPH Bev Isman, RDH, MPH, ELS Cassandra Martin-Frazier, MPH, CHES Michael Monopoli, DMD, MPH

Nicholas Mosca, DDS Pamela Tolson, CAE Chris Wood, RDH Kimberlie Yineman, RDH, BA

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Recipients of Awards of the American Association of Public Health Dentistry

Public Service AwardPresented to an individual for substantial contribution through action related to public health dentistry issues.

2012 Susan Griffin2011 Shelly Gehshan2010 US Senator Sherrod Brown2009 Mary Otto2008 Rasmuson Foundation2007 Richard H. Carmona2006 Lawrence A. Tabak2005 US Senator Susan Collins2004 Rob Reiner

2003 US Senator Raymond A. Rawson2002 US Senator Jeff Bingaman2001 VADM David Satcher1998 Scott Litch and Judy Sherman1997 The Honorable Steny Hoyer1996 The Honorable Edward Kennedy and Assemblywoman Jackie Speier1995 Joe Garagiola1991 Kay Johnson

Distinguished Service AwardPresented to an individual for excellent and distinguished service to public health dentistry.

2012 E. Joseph Alderman2011 William Maas2010 Mark Siegal2009 Burton Edelstein2008 Helen Gift2007 William Bird2006 Linda Niessen2005 Dushanka Kleinman2004 Scott L. Tomar2003 Lois Cohen2002 Myron Allukian, Jr.2001 Brian Burt2000 R. Gary Rozier1999 Alice Horowitz

President’s AwardPresented at the discretion of the President to an individual for significant contributions to the welfare of the Association.

2012 Amos Deinard2009 Reginald Louie2008 Eugenio Beltrãn2007 Alice Horowitz2006 Nicholas Mosca2005 Steven Geiermann2004 Joseph Doherty and Stuart Lockwood2003 Stanley Lotzkar2001 James Toothaker

1999 Teresa Dolan1998 Jane A. Weintraub1997 Raymond Kuthy1996 Robert J. Collins1994 Stephen B. Corbin1989 Richard D. Mumma, Jr. and Joseph M. Doherty1988 Edward N. Brandt, Jr. and Crystal Gayle1987 Robert E. Mecklenburg

1990 Julius Richmond1989 The Honorable John David Waihee, III1988 Marian Wright Edelman1987 C. Everett Koop1986 The Honorable Claude Pepper1985 The Honorable Henry Waxman1984 President Jimmy Carter

1998 Naham C. Cons and John K. Peterson1997 Joseph M. Doherty and Helen K. Doherty1996 John C. Greene1995 Robert E. Mecklenberg1994 Martha Liggett1993 Dennis Leverett1992 Durward Collier1991 Irwin D. Mandel1990 Stanley Lotzkar1989 Max H. Schoen1988 David Edward Barmes1987 Herschel Horowitz

1986 David Soricelli1985 John T. Hughes1984 Donald J. Galagan1983 Albert L. Russell1982 Polly Ayers1981 Frank E. Law1980 John W. Knutson1979 James Morse Dunning1978 Ernest A. Pearson, Jr.1977 David F. Striffler1975 Charles W. Gish1973 John T. Fulton1972 Kenneth Easlick

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Recipients of Awards of the Association of State and Territorial

Dental Directors

Outstanding Achievement AwardPresented to a past or present member for significant contributions to ASTDD and dental public health.

2012 Rebecca S. King2011 Steven Steed2010 M. Dean Perkins2009 Brad Whistler2008 Michael L. Morgan2007 Lynn Douglas Mouden and Warren LeMay2006 A. Conan Davis2005 Don Altman2003 Diane Brunson2002 Greg Connolly

Distinguished Service AwardPresented to an individual or organization for excellent and distinguished service to dental public health.

2012 Jane A. Weintraub2011 Kathy Geurink2010 BJ Tatro2009 Sue C. Dodd and Robert Klaus2008 Judy Sherman and Reginald Louie2007 Lewis N. Lampiris2005 Julie Tang and Barbara Gooch2004 Beverly Isman2003 Rhys Jones and Lawrence Hill2002 VADM David Satcher 2001 Wendy E. Mouradian2000 Burton L. Edelstein

2001 Kathleen Mangskau2000 Robert Isman1999 M. Dean Perkins1998 Raymond Flanders1997 Raymond A. Kuthy1996 Mark D. Siegal1995 E. Joseph Alderman1994 William Maurer1993 Joseph Doherty1992 Paul Reid1991 Naseeb Shory

1990 Joseph Yacavone1989 George Dudney1988 Carlos Lozano1987 Durward R. Collier1986 Charles Gish1985 Lloyd Richards1984 Carl L. Sebelius1981 Robert A. Downs1980 E. A. Pearson

1999 Dolores Malvitz and Donald Schneider1998 Gerry Beverley1997 Robert A. Sappington1996 Jack Dillenberg1995 John Rossetti 1994 Darrell Sanders1993 Alice Horowitz1991 Tom Reeves1990 Ken Goff and Jim Collins1987 Jim Saddoris and Mary Winkeljohn-Kough1984 Cora Leukhart and John Small

President’s AwardPresented at the discretion of the President to individuals or organizations who have contributed to the advancement of

state dental programs and dental public health.

2012 John Rossetti2011 Jaynath V. Kumar2010 Hispanic Dental Association2009 Kathy Mangskau2008 Joseph M. Doherty2007 Donald Marianos2006 Beverly Isman, Julie M. W. Tang, Nicholas G. Mosca and Judith A. Feinstein

2005 Monette McKinnon and Christine Wood2004 Nicholas Mosca2003 Steven Geiermann2001 Stuart Lockwood2000 Michael W. Easley1999 The Honorable Christopher S. Bond

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1. DENTAL THERAPISTS AND IRREVERSIBLE RESTORATIVE PROCEDURES: A COMPREHENSIVE REVIEW OF THE EVIDENCE ON TECHNICAL COMPETENCE AND QUALITY OF CARE

Elizabeth Phillips (1), PHD, MSSW, H. Luke Shaefer (1), PhD University of Michigan, Ann Arbor, MI, USA

Dental therapists are members of the dental team in many countries, where they perform a limited number of irreversible restorative procedures. In the U.S. they currently practice only in Alaska and Minnesota, although other states are considering adding them in an effort to improve access to oral health care. While critics of this workforce model cite concern for patient safety, proponents argue that dental therapists provide treatment that is as technically competent as that provided by dentists.

Objectives: While nearly two dozen studies from industrialized countries address this subject, there is no comprehensive review of their findings. We attempt to fill this gap by looking at the existing literature to determine what can be concluded about the quality of care provided by non-dentists performing irreversible restorative procedures.

Methods: We identify and review all 23 studies addressing this topic, and present them in a way that makes it easy to compare methodologies and findings.

Results: Of these reports, all but two conclude that dental therapists performed at an acceptable level. Every study that directly compared their work to dentists or dental students found that the therapists (or specially-trained hygienists) performed at least as well.

Conclusions: While dental therapists are not the only solution for improving access to oral health care, the existing evidence clearly suggests they are clinically competent to perform the limited set of irreversible procedures that falls within their scope of practice. Whether they are able to safely treat patients should no longer be a point of contention.

Funding: This research has been generously supported by a grant from the Nokomis Foundation.

2. ENGAGING YOUTH IN DENTAL CAREERS – LET THE TOOTH BE TOLD

Sharon Grundel (1), Med, Suzette Naylor (1), RDH MassAHEC Network, University of Massachusetts Medical School, Worcester, MA, USA (1), Berkshire Area Health Education Center, Pittsfield, MA, USA (2)

Objectives: The participants will be able to: a) Describe a workforce development program that introduces high school students to career options in the dental field; b) Summarize an educational approach that helps students to recognize the multi-cultural crisis in the dental field and the need for minority providers in dentistry to reduce barriers to equitable care; and c) Recognize the connection between oral health and total health and emphasize the important role of the dentist and dental hygienist in maintaining the total health of the patients.

Methods and Results: This presentation will showcase curricula about an Oral Health Careers program that was developed by a dental hygienist and educator to introduce educationally disadvantaged high school students to careers in the dental field. The core components focus on workforce development, equitable access to dental care and diversity by teaching students about the multi-cultural crisis in America due to the underrepresentation of minorities in dentistry. The program also uses interactive and engaging lesson plans, at the introductory and intermediate level,

to provide an overview of the basics of good oral health and emphasize the important connections between oral health and total health, while engaging students around career options in the dental field. Opportunities to integrate dental career information into the standard high school curriculum are included. Ideas for engaging oral health hands-on activities, games, guest speakers and the outcome performance assessments will be available for discussion and demonstration.

Conclusion: The curriculum will be available for attendees and is easily replicated.

Funding: Health Resources and Services Administration

3. SYSTEMATIC SCREENING AND ASSESSMENT OF 25 ORAL HEALTH WORKFORCE INNOVATIONS

David Krol (1) MD, MH, FAAP, Karen Cheung (2), MPH, Michelle Revels (2), MA, Elizabeth Jacobs (2), MPH, Mary Ann Hall (2), MPH, Kari Cruz (2), MPH The Robert Wood Johnson Foundation, Princeton, New Jersey, USA (1), 2ICF International, Atlanta, Georgia, USA (2)

Objectives: To describe the systematic screening and assessment methodology for identifying promising and innovative workforce practices that increase access to and availability of preventive oral health services.

Methods: We solicited nominations of workforce models and innovations that utilized dental providers or other providers in non-dental settings; new types of professionals trained to provide preventive services; or new preventive practices that prioritize prevention, risk assessment, and disease management. Using a set of criteria related to potential impact, generalizability, feasibility of implementation, an expert panel selected 25 innovations for evaluability assessments to determine whether the innovations were ready for a rigorous, outcome-based evaluation. Each evaluability assessment was conducted by 2 researchers and included the development of a logic model, a 3-day site visit to stakeholders, and a summary report describing the innovation and potential evaluation design options. After reviewing the results of the evaluability assessments, the expert panel determined which programs appeared ready for evaluation.

Results: We received nominations from 99 organizations and conducted evaluability assessments of 25 innovations across the country. Based on the findings of the evaluability assessment, expert panel members found a number of innovations ready for a rigorous evaluation.

Conclusions: While the workforce models and innovations we examined typically had clinical data available, very few are conducting rigorous evaluations to measure outcomes and impact. Further, provisions of the Affordable Care Act will affect delivery of health services, and a thorough evaluation of these innovations may be used to inform new approaches to access issues under health care reform.

Funding: The Robert Wood Johnson Foundation.

4. IMPLEMENTING THE READY-TO-USE AAPHD DENTAL PUBLIC HEALTH (DPH) CURRICULUM FOR PRE-DOCTORAL DENTAL AND DENTAL HYGIENE STUDENTS

Kathryn Atchison (1), DDS, MPH, Ana Karina Mascarenhas (2), BDS, MPH, DrPH, Vinodh Bhoopathi, BDS, MPH, DScD, Michael Manz (3), DDS, MPH, DrPH, UCLA, Los Angeles, USA (1), Nova Southeastern University, Fort Lauderdale, USA (2), Association of State and Territorial Dental Directors (3)

Abstracts for Oral PresentationsAbstracts for Poster Presentations are published in the Abstract Program

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Objective: To present novel ways to develop or update school curriculum using a ready-to-use DPH curriculum for pre-doctoral programs.

Methods: The authors used an evaluative process to develop ready-to-use DPH curriculum for pre-doctoral dental and dental hygiene education programs, including: 1) Selection of a curriculum experts who developed 8 DPH competencies 2) Identification of 23 DPH themes by a curriculum sub-committee; 3) Consolidation into 5 module content areas which were reviewed and approved by the curriculum experts; 4) Creation of syllabi and learning objectives for each module; and 5) Development of 8-hour PowerPoint presentations, instructor guides, and student activities for each of the approved five curriculum modules: Principles of DPH; Evidence Based Dentistry; Comparison of Practitioner and DPH Ethics; Policy, Advocacy and Inter-professional Care; and Prevention and Oral Health Promotion.

Results: A variety of options will be discussed regarding how this ready-to-use curriculum may be implemented by schools and instructors: 1) Develop new curriculum for a program by a new or experienced instructor; 2) Update existing in-class curriculum using selected lectures, student activities and instructor guides; 3) Expand existing curriculum using selected lectures or student activities; 4) Create an online course for all or a portion of the DPH curriculum to augment or accommodate student rotations; 5) Develop a DPH selective available to students participating in AAPHD student chapters.

Conclusions: A DPH curriculum has been developed and is available for use in dental and dental hygiene programs.

Funding: This program was supported by Health Resources and Service Administration grant, D83HP19949.

5. DEVELOPING A PATIENT-CENTERED DENTAL HOME FOR RESIDENTS OF LONG-TERM CARE FACILITIES

Bonnie Branson (1), RDH, PhD, Becky Smith (1), DDS; University of Missouri-Kansas City-School of Dentistry, Kansas City, MO, USA (1), University of Missouri-Kansas City-School of Dentistry, Kansas City, MO, USA (2)

Objectives: Discuss the process of developing a dental home in a long-term care facility. Discuss methods of overcoming barriers associated with providing dental care in a long-term care facility.

Methods: An on-site dental home was established in a long-term care facility utilizing a team approach of a dentist and dental hygienist. Funds were secured by a local health care foundation. The process required multiple activities. These included engagement of all stakeholders; securing funds; ordering equipment; managing legal consents; developing billing procedures; providing care; analyzing data and establishing sustainability.

Results: 65 residents of a long-term care facility have utilized the services offered in this project and received preventive and restorative care. Oral conditions have been monitored and improvement is seen in the areas of oral cleanliness and access to care. Establishing sustainability has been an on-going activity and continues to produce challenges.

Conclusions: This paper will describe the steps followed to engage stakeholders, secure funds, order equipment, provide care, analyze data and establish sustainability. The paper will describe barriers that were encountered and suggest ways that these can be avoided by others seeking to establish a dental home in a long-term care facility.

Funding: Health Care Foundation of Greater Kansas City.

6. CHANGES IN CARIES IN PRIMARY DENTITION FROM 1988-1994 TO 1999-2004 AMONG U.S. CHILDREN AGED 2-5 YEARS: A CLOSER LOOK

Mei Lin, MD, MSc, Eugenio Beltrãn, DMD, MPH, DrPH, Laurie Barker, MSPH, Centers for Disease Control and Prevention, Atlanta, GA, USA

Objectives: To examine degree and directionality of changes from 1988-1994 to 1999-2004 in prevalence and severity of dental caries by a combination of race/ethnicity and poverty status among U.S. children aged 2-5 years.

Methods: Analyses included 5,735 Non-Hispanic-White (NHW), Non-Hispanic-Black (NHB), and Mexican-American (MA) children from National Health and Nutrition Examination Survey, who had poverty status information (≤100% Federal Poverty Level (FPL), 101%-200% FPL, >200% FPL) and completed the oral health examination. Caries prevalence was defined as having ≥1 dft. Untreated caries prevalence was defined as having ≥1 dt. Severity was measured by mean dft, dt, and ft. Adjusted absolute changes (AAC) from 1988-1994 to 1999-2004 for nine groups defined by race/ethnicity and poverty status were assessed by predicted marginal probabilities and means with control of medical insurance status. Statistical significance of AAC was determined at p-value≤0.05. Analyses accounted for the complex sampling design.

Results: Three groups NHW-≤100%FPL, NHW->200%FPL, and NHB-≤100%FPL showed significant increases in certain caries outcomes. The pattern of the increase varied. The increases for NHW->200%FPL and NHB-≤100%FPL were predominantly due to an increase in dt (AAC=0.11, 95% CI: 0-0.22) or ft (AAC=0.27, 95% CI: 0.01-0.54) respectively. The NHW-≤100%FPL showed the highest increase in most caries outcomes among the nine groups though only the increase in dft (AAC=1.18, 95% CI: 0.24-2.11) was significant.

Conclusions: Changes in caries among children aged 2-5 years from 1988-1994 to 1999-2004 varied in pattern, degree and directionality among groups defined by race/ethnicity and poverty combinations, suggesting complex disparity patterns.

Funding: None.

7. USE OF DENTAL SERVICES BY CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM

Pradeep Bhagavatula (1), BDS, MPH, MS, Qun Xiang (2), MS, Aniko Szabo (2), PhD, Christopher Okunseri (1), BDS, MSc, MLS; Program in Dental Public Health, Marquette University School of Dentistry, Milwaukee, WI, USA (1), Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA (2)

Objective: To compare patterns of dental procedures received by children enrolled in the Wisconsin Medicaid Program administered as capitated plans through Health Maintenance Organizations (HMOs) in four southeastern counties in Wisconsin and the fee-for-service (FFS) plans in other parts of the state.

Methods: We analyzed enrollment and claims data for 0-18 year old children enrolled in Wisconsin Medicaid (2002-2008). Children were categorized into 4 groups based on insurance type and residence in designated dental Health Professional Shortage Areas (HPSAs) into HPSA-HMO, non-HPSA-HMO, HPSA-FFS, and non-HPSA-FFS groups. Descriptive and multivariable analysis using Poisson generalized estimating equation modeling were performed to test for differences in the receipt of dental procedures by children in each category, after adjusting for age and year of treatment.

Results: Overall, 371, 609 and 231, 885 children were enrolled in FFS and HMO plans over the study period. Approximately 3%, 8%, 34% and 42% of HPSA-HMO, non-HPSA-HMO, HPSA-FFS, and non-HPSA-FFS children had at least one preventive procedure in a year, respectively. Compared to children in HPSA-HMO group, children in the other three groups were significantly more likely to receive all dental procedures examined. For example, children in the non-

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HPSA-FFS group had more than seven times as many preventive procedures when compared to children in the HPSA-HMO group.

Conclusions: Children under FFS plans had more dental visits and more preventive or treatment procedures compared to children in HMO plans. Similarly, residents of HPSA regions had fewer visits and procedures in both plans.

Funding: Supported in part by a Grant from the Faye McBeath Foundation, Milwaukee and by grant 1UL1RR031973 from the Clinical and Translational Science Award (CTSI) program of the National Center for Research Resources, National Institutes of Health.

8. CALORIES, CARIES and CULTURE: THE RELATIONSHIP OF BODY MASS INDEX AND ORAL HEALTH STATUS IN 3RD GRADE SCHOOL CHILDREN

Jon Roesler, MS, Bilquis Khan Jiwani, MSc, MBA, MSc, David Simmons, MPH, Merry Jo Thoele, MPH, RDH, Minnesota Department of Health, St. Paul, MN, USA

Objective: This analysis is to investigate the association between body mass index (BMI) and oral health outcomes measured by the basic screening survey (BSS) including caries experience, sealant prevalence, and treatment urgency in 3rd grade Minnesota school children.

Methods: The Minnesota Department of Health included measures for BMI calculation from height and weight data collected when conducting a statewide BSS that measured caries experience, sealant prevalence, and treatment urgency. Demographic information collected included date of birth, gender, and race/ethnicity. School-based measures were also obtained, including urban/rural and proportion of children eligible for free and reduced lunch pricing. Populations were a representative, state-wide, sample of 3rd grade Minnesota school children, and a sentinel population selected from notably high risk students (high proportions of recent immigrants, minority status, and free and reduced lunches) Participants were actively consented from 40 randomly selected schools and 10 sentinel schools, all within Minnesota.

Results: Preliminary results indicate that caries status, lack of sealants, unhealthy weight (over/under-weight), and attendance at a school with a high proportion of free and reduced lunches are positively correlated.

Conclusions: Detected inequities should be addressed by targeted prevention/intervention activities with progress measured by similar surveys done at five-year intervals. Prevention and intervention activities may differ depending on the type of disparity being addressed (e.g., regional vs. racial differences). The data indicate a need to further assess dietary intake along with oral health status. Dietary intake indicators alone may help in determining patterns of eating associated with risk for dental disease.

Funding: Health Resources and Services Administration T12HP14659, and Centers for Disease Control and Prevention RFA-DP08-802.

9. THE EFFECT OF MEDICAID PRIMARY CARE PROVIDER REIMBURSEMENT ON ACCESS TO EARLY CHILDHOOD CARIES PREVENTIVE SERVICES

Jill Herndon, PhD, Scott Tomar, DMD, MPH, DrPH, Frank Catalanotto, DMD, Elizabeth Shenkman, PhD, University of Florida, Gainesville, FL, USA

Objectives: Early childhood caries is a significant national problem that disproportionately affects low-income children. Two-thirds of state Medicaid programs have implemented reimbursement to medical primary care providers (M-PCPs) to provide early childhood caries preventive services (ECCPS). However, there is limited rigorous evaluation of these policies. The purpose of this study is to evaluate the effect of M-PCP reimbursement on access to ECCPS using data from the Florida and Texas Medicaid programs and to examine disparities in ECCPS receipt among vulnerable subgroups, including children with special health care needs (CSHCN) and racial/ethnic minorities.

Methods: Data sources include child-level longitudinal enrollment databases linked to claims data for children 0-3 years old in Florida and Texas Medicaid from 2006-2010. Modified Poisson regression, combined with generalized estimating equations, is used to estimate the effect of M-PCP reimbursement on the likelihood of an ECCPS visit. The key predictor is a dichotomous variable indicating pre/post implementation of M-PCP reimbursement. Covariates include health status, age, race/ethnicity, gender, rural/urban residence, and enrollment duration.

Results: M-PCP reimbursement was significantly and positively associated with an increase in ECCPS receipt (IRR=1.107; p<0.001). CSHCN, those with longer enrollment spans, older children and Hispanic and non-Hispanic blacks were more likely to have an ECCPS visit.

Conclusions: M-PCP reimbursement improves access to ECCPS and may reduce disparities. Ongoing research is needed to evaluate longer-term effects and to identify additional strategies to continue to improve access to ECCPS with particular attention to sub-populations at increased risk of not receiving these essential caries preventive services.

Funding: This project is supported by NIH/NIDCR Grant Number DE021701. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.

10. THE BURDEN OF DENTAL PROBLEMS ON OHIO’S EMERGENCY DEPARTMENTS

Amber Detty (1), MA, Julia Kranenburg (2), MPH candidate, Ohio Department of Health, Columbus, OH, USA, (1), The Ohio State University, Columbus, OH, USA (2)

Objectives: When it comes to treating dental problems, emergency departments (EDs) are an expensive and ineffective way of delivering dental care. ED physicians are only able to temporarily alleviate pain and infection, leaving the underlying dental disease untreated. The purpose of this analysis is to explore the burden of non-trauma related dental problems on EDs in Ohio.

Methods: Data was provided by the Ohio Hospital Association (OHA) for an 18-month period from January 2010 through June 2011. Data for patients who visited the ED with a primary diagnosis code that indicated a non-traumatic dental problem were analyzed. Medicaid claims data for enrollees provided through the Ohio Department of Job and Family Services using the same diagnosis criteria was also analyzed.

Results: Preliminary results indicate that during this 18-month period, almost 100,000 visits to Ohio EDs were associated with non-trauma related dental problems. The charges for these visits total over $58 million; $24 million for uninsured patients and an equal amount for patients covered by public insurance.

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Conclusions: In Ohio, there are almost 200 visits per day to the ED for non-trauma related dental problems, costing more than $100,000 each day, mostly for uninsured or publically-insured patients. Since the data provided by OHA is limited to member hospitals (OHA members include 167 out of an estimated 250 hospitals in Ohio), this is likely an underestimation of the burden to Ohio EDs.

Funding: None

11. BRUSH: A LITERACY-BASED ORAL EDUCATION CURRICULUM FOR PRESCHOOLS SERVING LOW-INCOME POPULATIONS, DESIGNED TO REDUCE PEDIATRIC DENTAL DECAY AND IMPROVE SCHOOL READINESS

Holli Seabury, MA McMillen Center for Health Education, Fort Wayne, IN, USA Objective: To reduce pediatric dental decay in low-income

preschoolers (ages birth through 5 years) through parent education, preschool teacher training and weekly curricular activities, while promoting the link between dental health and school readiness.

Methods: The McMillen Center is collaborating with Early Head Start and Head Start preschools to train teachers and home visitors on the importance of primary teeth, how to prevent decay, and the link between oral health and school readiness. Low literacy, colorful educational materials are distributed to parents twice a month; children receive a weekly educational lesson through their preschool, a monthly brushing chart, and a book about brushing their teeth. Materials are also available in Spanish.

Results: In the first program year Brush is serving 2,500 low-income preschoolers in Northeast Indiana. In 2012–2013 the program will be offered nationwide, with an online video training component.

Conclusions: Preschool directors and teachers see the negative results of dental decay, but do not feel they have the training or the resources to address the issue. They have enthusiastically embraced the Brush program because it encourages literacy, focuses on the link between dental health and school readiness, and educates parents about oral health and nutrition in an easy to understand manner.

Funding: Private foundations (Schneider Foundation, Isaac Knapp Dental Education Foundation, PNC Foundation).

12. TOBACCO CESSATION GUIDELINES FOR DENTISTRY: IMPLEMENTING A 5AS PROGRAM FOR DENTAL STUDENTS

David Albert (1), DDS, MPH, Sharifa Williams (1), MPH, CPH, MA, Angela Ward(1), Cindi Wiesenfeld (1), Noreen Myers-Wright (1), RDH, MA, CHES, Cindy Smalletz (2), MA, Columbia University College of Dental Medicine, New York, NY, USA (1), Columbia Center for New Media Teaching and Learning, New York, NY, USA (2)

Objective: A web-based, self-paced, interactive module on tobacco cessation was developed and evaluated for effectiveness.

Methods: The course consists of 3 sections: Pre-exam, Post-exam, and Helping Your Patient Quit. These are designed to align with typical dental practice and help students assimilate tobacco cessation counseling into their clinic experience. The educational content in the program is presented as text and video, brief interactive knowledge and skills assessments, and a final virtual patient exercise. The module was fully incorporated into the curriculum after two phases of usability testing and revision. Prior to viewing or taking the tobacco course, students were administered a survey to assess pre-program tobacco related knowledge, attitudes, and behaviors. Follow-up surveys are being administered at yearly intervals until graduation.

Results: Results from the pre-survey are presented for 72 sophomore dental students. Nearly all students (87%) think a dentist

should be responsible for tobacco use cessation activities. Students also believed that tobacco cessation was an important component of a preventive dentistry program (78%). At baseline about half the class (46%) thought dentists were only somewhat successful at helping their patients quit. After viewing the module, nearly 30% thought dentists were very successful at helping patients quit and 63% thought dentists were somewhat successful.

Conclusions: The course is designed to provide knowledge and skills on how to incorporate tobacco cessation into clinical practice, and to encourage dentist participation in tobacco cessation counseling.

Funding: None.

YOUR OPINION COUNTS! Although it is not required we encourage all attendees to complete an Overall Conference Evaluation. Your feedback will assist us in planning for future conferences.

To complete an Overall Conference Evaluation simply go to www.ceevaluations.net The initial screen should prompt you to enter your CDE# and last name as listed on your name badge. Simply click the "Proceed to Overall Evaluation." When finished click the "Save/Logout" button.

We appreciate your participation!

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AAPHD Student Merit Awards Program

Leverett Graduate Student Merit Award for Outstanding Achievement in Dental Public Health

First PlaceAshley KranzGillings School of Global Public Health,University of North Carolina at Chapel HillTitle: COMPARATIVE EFFECTIVENESS OF PREVENTIVE ORAL HEALTH SERVICES PROVIDED IN MEDICAL AND DENTAL SETTINGS FOR YOUNG MEDICAID-ENROLLED CHILDRENSponsor: Dr. R. Gary Rozier

Second PlaceAderonke AkinkugbeNational Institute of Dental and Craniofacial Research, Department of Health and Human ServicesTitle: EPIDEMIOLOGY OF DENTAL FLUOROSIS IN THE UNITED STATES: EXAMINING THE ROLE OF PARTIAL REPORTING PROTOCOLS (PRPS) IN REPORTING DENTAL FLUOROSISSponsor: Dr. Amit Chattopadhyay

Third PlaceElham Kateeb, BDS, MPH, PhDUniversity of Iowa College of DentistryTitle: FACTORS RELATED TO THE USE OF ATRAUMATIC RESTORATIVE TREATMENT (ART) AS A DENTAL CARIES MANAGEMENT TECHNIQUE: AN EXAMPLE OF THE USE OF CONJOINT ANALYSIS IN ORAL HEALTH RESEARCHSponsor: Dr. John J. Warren

Honorable MentionRania Abasaeed, BDS, MPHGillings School of Global Public Health,University of North Carolina at Chapel Hill Title: THE IMPACT OF THE GREAT ECONOMIC RECESSION ON UNTREATED DENTAL CARIES AMONG CHILDREN IN NORTH CAROLINASponsor: Dr. R. Gary Rozier

Susan McKernan, DMD, MS, PhDUniversity of Iowa College of DentistryTitle: GEOGRAPHIC ACCESSIBILITY AND UTILIZATION OF ORTHODONTIC SERVICES AMONG MEDICAID CHILDREN AND ADOLESCENTSSponsor: Dr. Raymond Kuthy

Predoctoral Dental Student Merit Award for Outstanding Achievement in Community Dentistry

First PlaceBrian JacksonUniversity of Mississippi Medical CenterSchool of DentistryTitle: CREATING JACKSON FREE DENTAL CLINIC: SERVING THE UNDERPRIVILEGED AND UNDERSERVED PEOPLE IN INNER CITY JACKSON Sponsor: Dr. Robin Howard

Second PlaceKatherine Blair JonesUniversity of Louisville School of DentistryTitle: “BEAT THE PUMPKIN” WALK/RUN FOR PEDSSponsor: Dr. Lee S. Mayer

Third PlaceTodd BillingtonSchool of Dentistry University of WashingtonTitle: CAREER EXPLORATIONS IN DENTISTRY AND PEER-LED ORAL HEALTH EDUCATION AMONG YOUTH OF THE MAKAH INDIAN TRIBESponsor: Dr. Beatrice Gandara

Honorable MentionDanielle CurrierTufts University School of Dental MedicineTitle: THE SHAREWOOD DENTAL PROJECTSponsor: Dr. John P. Morgan

Suzanna EllzeyUniversity of Mississippi Medical CenterSchool of DentistryTitle: GRANT WRITING FOR JACKSON FREE CLINIC: FREE DENTAL CARE FOR THE UNDERPRIVILEGED OF JACKSON, MISSISSIPPISponsor: Dr. Robin Howard

Dental Hygiene Student Merit Award for Outstanding Achievement in Community Dentistry

First PlaceTiffany Mendryga, RDH, BSDHUniversity of Michigan School of DentistryTitle: ASSESSMENT OF WIC PROVIDERS’ PERCEPTIONS OF ORAL HEALTH COUNSELING AND AVAILABILITY OF ASSOCIATED RESOURCESSponsor: Janet Kinney, RDH, MS, MS

Second PlaceLi Chen University of North Carolina at Chapel HillSchool of DentistryTitle: DEVELOPING AN EDUCATIONAL TRAINING VIDEO FOR HOME HEALTH AIDESSponsor: Sally M. Mauriello, RDH, EdD

Third PlaceAngela Haynes, RDH, BSCollege of Clinical Rehabilitative Health Sciences East Tennessee State UniversityTitle: HELEN TUCKER CENTER RIPLEY, TENNESSEESponsor: Deborah Dotson, RDH, PhD

Honorable MentionSarah Lansdell and Kelly MorganSouthern Illinois University CarbondaleTitle: COMMUNITY ORAL HEALTH PROGRAMSponsor: Sherri M. Lukes, RDH, MS

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National Oral Health Conference

April 28-30, 2014Pre-Conference

April 26-27, 2014Fort Worth, Texas

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