Prepared by

National Maternal and Child Oral Health Resource Center

Oral Health Resource Bulletin

Volume 39 • November 2017

Cite asThe following National Maternal and Child Oral Health Resource Center (OHRC) staff members assisted in the development of this publication: Ruth Barzel, Katrina Holt, and Sarah Kolo.

Permission is given to photocopy this publication or to forward it, in its entirety, to others. Requests for permission to use all or part of the information contained in this publication in other ways should be sent to the address below.

National Maternal and Child Oral Health Resource Center

Georgetown UniversityBox 571272Washington, DC 20057-1272(202) 784-9771E-mail: OHRCinfo@georgetown.eduWebsite: http://www.mchoralhealth.org

National Maternal and Child Oral Health Resource Center. 2017. Oral Health Resource Bulletin: Volume 39. Washington, DC: National Maternal and Child Oral Health Resource Center.

Oral Health Resource Bulletin: Volume 39 © 2017 by National Maternal and Child Oral Health Resource Center, Georgetown University

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS) under grant #H47MC00048 in the amount of $3,000,000 over 5 years. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of HRSA, DHHS, or the U.S. government, nor should any endorsements be inferred.

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Data and Surveillance . . . . . . . . . . . . . . . . . . . . 4Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Professional Education and Practice . . . . . . . 7Professional-Client Tools . . . . . . . . . . . . . . . 11Program Development . . . . . . . . . . . . . . . . . 11Public Awareness and Education . . . . . . . 15Systems Integration . . . . . . . . . . . . . . . . . . . . 17

Contents

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The Oral Health Resource Bulletin is a periodic publication designed to stimulate thinking and creativity within the maternal and child health community by providing information about selected materials of interest. Each successive volume is intended to supplement rather than replace previous volumes. The materials listed in the bulletin have been incorporated into the National Maternal and Child Oral Health Resource Center (OHRC) library.

OHRC is committed to continuing to provide effective mechanisms for sharing information about materials that enhance oral health programs and

services. If you have materials that you feel would be useful for program development, implementation, or evaluation, please become part of this process. Materials such as conference proceedings, curricula, guidelines, standards, policies, and reports are especially welcome. If you have any materials that you think might be of interest, please send a copy to

National Maternal and Child Oral Health Resource Center

Georgetown UniversityBox 571272Washington, DC 20057-1272E-mail: OHRCinfo@georgetown.edu

Introduction

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KANSAS HEAD START SMILES FOR LIFE: THE ORAL HEALTH OF KANSAS HEAD START CHILDREN

This report presents findings from a statewide oral health survey of children in Head Start in Kansas. Contents include information about the importance of good oral health, strategies to improve oral health and oral health literacy in Head Start families, and factors that impact the oral health of young children; key survey findings; and a summary of strategies that may help improve oral health among young children in Kansas. Survey methods and data tables are also provided.

Taylor-Osborne CM, Phipps K. 2017. Kansas Head Start Smiles for Life: The Oral Health of Kansas Head Start Children. Topeka, KS: Kansas Department of Health and Environment, Bureau of Oral Health. 41 pp. http://www.kdheks.gov/ohi/download/Head StartSmilesForLife.pdf

ORAL HEALTH IN OREGON’S CCOS: A METRICS REPORT

This report examines oral health care data in the context of Oregon’s health system transformation, including the launch of coordinated care organiza-tions and expansion of the state Medicaid program, Oregon Health Plan, through the Affordable Care Act. Topics include provider distribution, utilization, patient experience, care coordination, and oral health integration. Information about stakeholder groups, technical specifications, and a measure dashboard are included.

Oregon Health Authority. 2017. Oral Health in Oregon’s CCOs: A Metrics Report. Salem, OR: Oregon Health Authority. 34 pp. http://www.oregon.gov/oha/HPA/ANALYTICS/Documents/oral-health-ccos.pdf

Data and SurveillanceASTDD STATE SURVEILLANCE DATA REFERENCE GUIDE (UPD. ED.)

This resource guide provides information on sources of oral health data that are available at the state level and that can be used for a state-based oral-health-surveillance system. Contents include indicators by topic area and population group and information on the primary data source.

Association of State and Territorial Dental Directors. 2017. ASTDD State Surveillance Data Reference Guide (upd. ed.). Reno, NV: Association of State and Terri-torial Dental Directors. 16 pp. http://www.astdd.org/docs/data-surveillance-reference-guide-june-2017.docx

CONNECTICUT’S PERINATAL AND INFANT ORAL HEALTH QUALITY IMPROVEMENT PROJECT: PREGNANCY RISK ASSESSMENT MONITORING SYSTEM DATA FOR EVALUATION

This report describes the Pregnancy Risk Assessment Monitoring System (PRAMS) and how PRAMS data can be used for evaluating the Perinatal and Infant Oral Health Quality Improvement Project in Connecticut. Topics include births, PRAMS, and maternal oral health and health care in Connecticut. Contents include PRAMS questions on maternal oral health, oral health care for mothers by health insurance status, and implications and alternatives for program evaluation. [Funded by the Maternal and Child Health Bureau]

Lee M. 2017. Connecticut’s Perinatal and Infant Oral Health Quality Improvement Project: Pregnancy Risk Assessment Monitoring System Data for Evaluation. New Haven, CT: Connecticut Voices for Children. 11 pp. https://www.ctdhp.com/documents/Using_PRAMS_Data_For_Evaluation_Of_CT_PIOHQIP.pdf

Materials

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PolicyHEALTHY FUTURES: ENGAGING THE ORAL HEALTH COMMUNITY IN CHILDHOOD OBESITY PREVENTION NATIONAL CONFERENCE— EXECUTIVE SUMMARY

This executive summary provides an overview of the Healthy Futures: Engaging the Oral Health Com-munity in Childhood Obesity Prevention National Conference, the conference agenda, and key find-ings. It also presents a list of proposed strategies for preventing childhood obesity in the following areas: research, dental students’ education and training, oral health professionals’ continuing education and training, advocacy/policy, consumer-based education interventions, interprofessional collaboration, and reimbursement.

Holt K, Tinaoff N, Garcia RI, Battrell A, Casamas-simo P, Grover J. 2017. Healthy Futures: Engaging the Oral Health Community in Childhood Obesity Prevention National Conference—Executive Summary. Washington, DC: National Maternal and Child Oral Health Resource Center. 12 pp. https://www.mchoral health.org/PDFs/RWJF-HF-ExecSumm.pdf

HEALTHY FUTURES: ENGAGING THE ORAL HEALTH COMMUNITY IN CHILDHOOD OBESITY PREVENTION NATIONAL CONFERENCE

This special supplement includes nine articles pre-pared for the Healthy Futures: Engaging the Oral Health Community in Childhood Obesity Preven-tion National Conference. The articles discuss the state of the science related to preventing childhood obesity and reducing children’s consumption of sugar-sweetened beverages and strategies that oral health professionals and organizations can employ to pre-vent childhood obesity. The articles examine (1) the state of the science related to preventing childhood obesity, (2) the state of the science related to reducing children’s consumption of sugar-sweetened bever-ages or sugar-containing beverages, and (3) strategies that could be employed by oral health professionals and organizations and others to prevent childhood obesity. An introduction and a conference summary and recommendation are included.

RESULTS OF THE WDA MEMBER PERINATAL ORAL HEALTH SURVEY

This article describes a project to increase the use of oral health care for pregnant women and infants in Wisconsin by integrating high-quality oral health care into the state’s health-care-delivery system. The article also presents findings from a survey of dentists about their current practice, knowledge, and interest in continuing education related to oral health care during pregnancy. Topics include dentists’ opinions about the barriers that pregnant women face and strategies to increase their use of oral health services. Information about how findings will be implemented is included. [Funded by the Maternal and Child Health Bureau]

Fischer D. 2017. Results of the WDA Member Perina-tal Oral Health Survey. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 2 pp. http://www.chawisconsin.org/documents/OH7PerinatalResults.pdf

SMILE SURVEY 2015–2016: A REPORT ON THE ORAL HEALTH OF WASHINGTON’S CHILDREN

This report presents results from an assessment of oral health among children in Head Start and early learning programs and children in kindergarten and second and third grade in public elementary schools in Washington. Results are compared with 2010 and 2005 Smile Survey results and with Healthy People 2020 objectives and national averages. Topics include oral disease prevalence, decay experience and untreated tooth decay, dental sealants, and oral health disparities.

Washington State Department of Health, Oral Health Program and Surveillance and Evaluation Section. 2017. Smile Survey 2015–2016: A Report on the Oral Health of Washington’s Children. Olympia, WA: Washington State Department of Health, Oral Health Program and Surveillance and Evaluation Section. 56 pp. http://www.doh.wa.gov/Portals/1/Documents/Pubs/340-309-2016SmileSurvey.pdf

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THE REFORM THAT CAN INCREASE DENTAL ACCESS AND AFFORDABILITY IN ARIZONA

This report discusses difficulties related to accessing oral health care in Arizona and how licensing mid-level oral health practitioners (also known as dental therapists) to carry out routine dental procedures can make oral health care more accessible and affordable. Topics include the importance of oral health, whether there is an oral health crisis in Arizona, crossing the border for care, reimbursement rates, dental therapy, dental therapy supervision, and the safety of dental therapy.

Bauman NL, Davidson J. 2017. The Reform That Can Increase Dental Access and Affordability in Arizona. Phoenix, AZ: Goldwater Institute. 23 pp. https://goldwater-media.s3.amazonaws.com/cms_page_media/2017/4/10/Dental%20Access%20Reform_Final.pdf

UNLOCKING THE DOOR TO NEW THINKING: FRAMES FOR ADVANCING ORAL HEALTH REFORM

This document outlines findings from research on how Americans think about oral health and explains these findings’ implications for communication, outreach, and advocacy. Topics include how the public mentally models oral health and related issues and implications of these patterns for advancing an informed public conversation, tested communications tools and techniques for refining oral health, and a call to action.

O’Neil M, Sweetland J, Fond M. 2017. Unlocking the Door to New Thinking: Frames for Advancing Oral Health Reform. Washington, DC: FrameWorks Insti-tute. 28 pp. http://frameworksinstitute.org/assets/files/PDF_oralhealth/oral_health_messagememo_ may_2017.pdf

Tinanoff N, ed. 2017. Healthy Futures: Engaging the oral health community in childhood obesity preven-tion national conference. Journal of Public Health Den-tistry 77(suppl 1). 140 pp. http://onlinelibrary.wiley.com/doi/10.1111/jphd.2017.77.issue-S1/issuetoc

MEDICAID ADULT DENTAL BENEFITS: AN OVERVIEW

This fact sheet describes opportunities to expand dental insurance for adults with low incomes in the United States and thereby to ensure that oral disease is treated. Topics include the scope of the problem; challenges to accessing oral health care for adults with low incomes, including pregnant women; Medicaid coverage of adult dental benefits for base and expan-sion populations; and state strategies to increase den-tal coverage and access to oral health care for adults.

Center for Health Care Strategies. 2017. Medicaid Adult Dental Benefits: An Overview. Hamilton, NJ: Center for Health Care Strategies. 2 pp. http://www.chcs.org/media/Adult-Oral-Health-Fact-Sheet_051617.pdf

ORAL HEALTH CARE ACCESS AND EMERGENCY DEPARTMENT UTILIZATION FOR AVOIDABLE ORAL HEALTH CONDITIONS IN MASSACHUSETTS

This brief provides information about policy interven-tions to improve oral health care in Massachusetts. Contents include information about the importance of oral health, oral health care in the United States and in Massachusetts, oral-health-related emergency department (ED) use in Massachusetts, and model policy interventions to expand access to oral health care. Topics include ED referral programs, aug-menting the oral health work force, and supporting teledentistry initiatives.

Reese-McLaughlin N, Auerbach D. 2016. Oral Health Care Access and Emergency Department Uti-lization for Avoidable Oral Health Conditions in Massachusetts. Boston, MA: Massachusetts Health Policy Commission. 9 pp. http://www.mass.gov/anf/budget-taxes-and-procurement/oversight-agencies/health-policy-commission/publications/oral-health-policy-brief.pdf

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BRUSH UP ON ORAL HEALTH

This series provides Head Start staff with information on current practice, practical tips for promoting oral health to share with parents, and recipes for healthy snacks that children can make with Head Start staff or at home with their parents. Health and social service professionals interested in improving the oral health of pregnant women, infants, and children enrolled in Head Start and their families may also find the newsletter helpful. Topics include children with special health care needs, community water fluo-ridation, dental caries, dental home, fluoride varnish, health literacy, home visiting, injury, nutrition, preg-nancy, school readiness, and tobacco. Issues published in 2015 are available in English and Spanish.

National Center on Early Childhood Health and Wellness. 2012–. Brush Up on Oral Health. Elk Grove Village, IL: National Center on Early Childhood Health and Wellness. Monthly. https://eclkc.ohs.acf. hhs.gov/oral-health/article/brush-oral-health-tip- sheets

CHILD ABUSE AND NEGLECT: IMPLICATIONS FOR THE DENTAL PROFESSIONAL (REV. ED.)

This continuing-education course for oral health professionals provides information about child abuse and neglect and outlines responsibilities for recogniz-ing, reporting, treating, and preventing child abuse and neglect. Topics include the problem, incidence, etiology, and long-term effects of child maltreatment; the dentist’s role in intervention; identifying neglect and physical, sexual, and emotional abuse; assessment (history taking and diagnosis); and treating orofacial and dental trauma. A tool that educators can use for creating a student assignment is also available.

Jessee SA, Deinard AS. 2016. Child Abuse and Neglect: Implications for the Dental Professional (rev. ed.). Dal-las, TX: Procter and Gamble Company. 1 v. https://www.dentalcare.com/en-us/professional-education/ce-courses/ce49

DEAR COLLEAGUE [LETTER]

This letter for health professionals provides informa-tion and guidance on best practices for oral health care for pregnant women and their young children. Topics include the importance of oral health care during pregnancy and the impact of tooth decay

Professional Education and PracticeTHE BELLWETHER: LEADING LOCAL EFFORTS TO IMPROVE THE NATION’S ORAL HEALTH

This newsletter provides information on national and local oral health activities and on upcoming events and educational materials. The June 2017 issue includes news from the American Association for Community Dental Programs’ (AACDP’s) presi-dent; a description of the 2017 AACDP symposium, including summaries of presentations on the dental therapist movement, lessons from a soda tax cam-paign, silver diamine fluoride, and improving access to care through interprofessional collaboration; descriptions of and links to useful oral-health-related materials, information about AACDP awards and the 2018 AACDP symposium, and AACDP executive committee member contact information. [Funded by the Maternal and Child Health Bureau]

American Association for Community Dental Pro-grams. 2007–. The Bellwether: Leading Local Efforts to Improve the Nation’s Oral Health. Washington, DC: National Maternal and Child Oral Health Resource Center. Semi-annual. http://www.aacdp.com/ publications.html

BETEL QUID WITH TOBACCO (GUTKA)

This fact sheet provides information about the use and health effects of betel quid, a combination of betel leaf, areca nut, and slaked lime. Topics include betel quid and gutka (betel quid with tobacco) use by men and women and by region. Health issues associ-ated with the use of betel quid and gutka such as precancerous conditions, cancer, reproductive health problems, and nicotine addiction are also discussed.

National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2016. Betel Quid with Tobacco (Gutka). Atlanta, GA: Centers for Disease Control and Prevention. 1 p. https://www.cdc.gov/tobacco/data_statistics/fact_ sheets/smokeless/betel_quid

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Whaley S, Perez-Escamilla R, Segura-Perez S, Lott M. 2017. Feeding Infants and Young Toddlers Using the Latest Evidence in WIC Settings. Durham, NC: Healthy Eating Research. 19 pp. http://healthyeating research.org/wp-content/uploads/2017/05/her_wic_ 051817-FINAL.pdf

GIVE YOU AND YOUR BABY A LIFETIME OF HEALTHY TEETH

This webinar, held on March 15, 2017, describes an online module designed to help pregnant women and mothers of infants from birth to age 1 in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) learn about oral health and why it is important. The webinar discusses the learning platform (wichealth.org) and explains how data are collected and analyzed, how the module has been implemented in Michigan, and how other states can use it for their WIC clients.

Louie R, Holt K, Bensley R, Norrix E. 2017. Give You and Your Baby a Lifetime of Healthy Teeth. Reno, NV: Association of State and Territorial Dental Directors. 1 v. (52 min., 4 sec.). http://astdd.adobeconnect.com/p55t026lj79

HEALTHY MOUTH, HEALTHY MOM, HEALTHY BABY: OPTIMAL ORAL HEALTH CARE BEFORE, DURING AND AFTER PREGNANCY

This continuing education course reviews the sci-entific evidence on oral health and pregnancy and describes best practices for optimal oral health care of women before, during, and after pregnancy. Topics include epidemiology and etiology of gingivitis and periodontitis in pregnant women, epidemiology and etiology of preterm birth and low birthweight, risk factors for preterm birth, potential mechanisms for interaction between oral inflammation and preterm birth, and standards of perinatal oral health care. Additional resources for health professionals, includ-ing fact sheets for prenatal health professionals and oral health professionals, are also available.

Geisinger ML. 2016. Healthy Mouth, Healthy Mom, Healthy Baby: Optimal Oral Health Care Before, Dur-ing and After Pregnancy. Dallas, TX: Procter and Gamble Company. 1 v. https://www.dentalcare.com/en-us/professional-education/ce-courses/ce505

during pregnancy and early childhood, helping women with low incomes access oral health care during pregnancy and in the postpartum period, delivering oral health messages during pregnancy, implementing oral health interventions as part of well-child care, and providing comprehensive oral health care during pregnancy and beginning at age 1.

Vermont Department of Health, Office of Oral Health. 2017. Dear Colleague [Letter]. Burlington, VT: Vermont Department of Health, Office of Oral Health. 2 pp. http://www.healthvermont.gov/sites/default/files/documents/pdf/HPDP_VT%20endorsement%20of%20MCH%20statement.pdf

FEEDING INFANTS AND YOUNG TODDLERS: USING THE LATEST EVIDENCE IN CHILD-CARE SETTINGS

This brief summarizes evidence for promoting healthy nutrition in the early care and education (ECE) setting. Topics include the evidence, breastfeeding, shaping food preferences among infants and toddlers, the role of the feeding environment and responsive feeding, introducing infants to complementary foods, recognizing infants’ and toddlers’ hunger and fullness cues, and other important considerations for infants and toddlers in the ECE setting. Topics include sleep; physical activity, screen time, and sedentary behav-ior; food safety; and food allergy. Policy and practice implications are included.

Robert Wood Johnson Foundation. 2017. Feeding Infants and Young Toddlers: Using the Latest Evidence in Child-Care Settings. Princeton, NJ: Robert Wood Johnson Foundation. 21 pp. http://healthyeating research.org/wp-content/uploads/2017/05/her_ece_ 051817-FINAL.pdf

FEEDING INFANTS AND YOUNG TODDLERS USING THE LATEST EVIDENCE IN WIC SETTINGS

This brief summarizes feeding guidelines for preg-nant women and children from birth to age 2 that are directly relevant to the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Topics include core WIC services; an over-view of the feeding guidelines; and applications of the feeding guidelines in the WIC setting, including staff training, participant education, and breastfeeding support.

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reimbursement as a percentage of dentists’ fees for child or adult services, Medicaid FFS reimbursement as a percentage of dentists’ fees for adult benefits within their Medicaid programs, and Medicaid FFS reimbursement as a percentage of private dental insurance reimbursement for adult services in states with extensive adult benefits within their Medicaid programs.

Gupta N, Yarbrough C, Vujicic M, Blatz A, Harri-son B. 2017. Medicaid Fee-for-Service Reimbursement Rates for Child and Adult Dental Care Services for All States, 2016. Chicago, IL: American Dental Associa-tion, Health Policy Institute. 15 pp. http://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_0417_1.pdf

ORAL HEALTH CARE DURING PREGNANCY: A RESOURCE GUIDE (2ND ED.)

This resource guide includes information for health professionals to help them provide pregnant women with appropriate and timely oral health care, which includes oral health education. The guide is divided into three sections. The first section describes mate-rials, such as brochures and handouts, curricula, guidelines, reports, and tools. The second section lists federal agencies, national professional associations, and resource centers that may serve as resources. The third section lists materials on oral health care during pregnancy produced by the National Maternal and Child Oral Health Resource Center. [Funded by the Maternal and Child Health Bureau]

Bertness J, Holt K, eds. 2017. Oral Health Care Dur-ing Pregnancy: A Resource Guide (2nd ed.). Washing-ton, DC: National Maternal and Child Oral Health Resource Center. 26 pp. https://www.mchoralhealth.org/PDFs/oralhealthpregnancyresguide.pdf

ORAL HEALTH MATTERS

This newsletter provides information on national, state, and local oral health activities as well as on educational materials and other resources. Contents include a message from the Association of State and Territorial Dental Directors’ (ASTDD’s) presi-dent, executive director, and cooperative-agreement manager; partner, member, associate member, and state program snapshots; and summaries of ASTDD surveys and projects.

HOW TO IMPROVE WITH THE MODEL FOR IMPROVEMENT

This online course provides oral health professionals with information on how to use qualitative and quan-titative feedback to evaluate and monitor the quality of clinical and operational service in their practices, identify key areas for improvement, and move toward meaningful change. Through a series of lessons, users learn to use Model for Improvement techniques and Plan-Do-Study-Act cycles to effect improvements.

Institute for Healthcare Improvement. How to Improve with the Model for Improvement. Cambridge, MA: Institute for Healthcare Improvement. 1 course. http://www.ada.org/en/science-research/dental- quality-alliance/dqa_educational_resource_center

INTIMATE PARTNER VIOLENCE AND ELDER MALTREATMENT: IMPLICATIONS FOR THE DENTAL PROFESSIONAL (REV. ED.)

This continuing education course for oral health pro-fessionals provides information about intimate part-ner violence (IPV) and elder maltreatment (EM) and outlines responsibilities for recognizing, reporting, treating, and preventing IPV and EM. Topics include definitions and signs and symptoms of IPV and EM, patterns of IPV, ethical and legal responsibilities, and intervention techniques. A tool that educators can use for creating a student assignment is also available.

Deinard AS, Ginsberg M, Burke S. 2016. Intimate Partner Violence and Elder Maltreatment: Implications for the Dental Professional (rev. ed.). Dallas, TX: Procter and Gamble Company. 1 v. https://www.dentalcare.com/en-us/professional-education/ce-courses/ce338

MEDICAID FEE-FOR-SERVICE REIMBURSEMENT RATES FOR CHILD AND ADULT DENTAL CARE SERVICES FOR ALL STATES, 2016

This brief presents findings from an analysis of Med-icaid reimbursement rates for oral health care in all states and the District of Columbia. Topics include Medicaid fee-for-service (FFS) reimbursement relative to dentists’ fees and private dental insurance reimbursement, Medicaid FFS reimbursement as a percentage of private dental insurance reimburse-ment for child services, private dental insurance

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https://www.colgateprofessional.com//Professional/v1/en/us/locale-assets/docs/2017-Prevention-Across-the-Lifespan.pdf

SCREENING AND EVALUATING SAFER DENTAL DEVICES

This resource provides information and sample forms to assist oral health professionals in screening and evaluating devices for clinical acceptability and to increase safety for both oral health professionals and their clients. Contents include information about developing programs to prevent sharps injuries, identifying safer dental devices, developing evalua-tion criteria, screening devices, and evaluating devices. Instructions for using the sample screening and device evaluation forms are included.

National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health. 2017. Screening and Evaluating Safer Dental Devices. Atlanta, GA: Centers for Disease Control and Prevention. 2 items. https://www.cdc.gov/oralhealth/infectioncontrol/forms.htm

WHY DENTAL COVERAGE MATTERS: A TOOL-KIT

This toolkit is designed to help advocates educate pol-icymakers and peers in their state about why dental coverage matters. Contents include a fact sheet and key messages about oral health and dental coverage, a news release, presentation slides, a one-page handout with contact information for elected representatives, letters to Congress from children’s and oral health coalitions, and links to webinars and other resources.

Children’s Dental Health Project. 2017. Why Dental Coverage Matters: A Tool-Kit. Washington, DC: Chil-dren’s Dental Health Project. Multiple items. https://www.cdhp.org/resources/333-why-dental-coverage-matters-a-tool-kit/

Association of State and Territorial Dental Directors. 1999–. Oral Health Matters. Reno, NV: Association of State and Territorial Dental Directors. Quarterly. http://www.astdd.org/publications

PEDIATRIC DENTIST TOOLKIT FOR SEEING PATIENTS WITH MEDICAID: CHANGING CHILDREN’S LIVES ONE SMILE AT A TIME

This toolkit for pediatric dentists provides guidance on starting a Medicaid program within a practice setting. Selected topics include what dental Medicaid is, coverage for dental services, how dental Medicaid programs work, why dentists should consider par-ticipating in Medicaid, how to become a Medicaid provider, how to prepare a pediatric dental team to work with the Medicaid system, how to schedule clients, how to find training opportunities for team members, how to administer Medicaid, and how to locate resources.

Meeske JA, Brickhouse TH, Casamassimo P, Wright R, Litch CS, Essling M. 2017. Pediatric Dentist Toolkit for Seeing Patients with Medicaid: Changing Children’s Lives One Smile at a Time. Chicago, IL: American Academy of Pediatric Dentistry, Pediat-ric Oral Health Research and Policy Center. 19 pp. http://www.aapd.org/assets/1/7/Medicaid2017.pdf

PREVENTION ACROSS THE LIFESPAN: A REVIEW OF EVIDENCE-BASED INTERVENTIONS FOR COMMON ORAL CONDITIONS

This textbook provides information on interventions for preventing oral disease from occurring, recurring, or progressing, with special emphasis on age-related considerations. Topics include adopting an evidence-based philosophy of practice, behavioral science, risk assessment, dental caries, gingival diseases, preventing damage to oral hard and soft tissues, head and neck cancers, oral malodor, dentin hypersensitivity, dry mouth, orofacial injuries, prevention in the context of oral-systemic health, preventive considerations in special care dentistry, fluorides, non-fluoride reminer-alization therapies, and chemotherapeutic agents.

Spolarich AE, Panagakos FS, eds. 2017. Preven-tion Across the Lifespan: A Review of Evidence-Based Interventions for Common Oral Conditions. Charlotte, NC: Professional Audience Communications. 283 pp.

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Future Smiles. 2016–. Future Smiles: Program Forms. Las Vegas, NV: Future Smiles. 3 items. http://www.futuresmiles.net/resources/program-forms

FUTURE SMILES: SATISFACTION SURVEY

These satisfaction surveys are intended for use in implementing a school-based oral hygiene program that provides preventive oral health services (screen-ings, dental cleanings, fluoride varnish applications, dental sealant application, and oral health educa-tion) for children from families with low incomes in Nevada. Contents include surveys for students, parents, and teachers in English and Spanish.

Future Smiles. 2016–. Future Smiles: Satisfaction Survey. Las Vegas, NV: Future Smiles. 3 items. http://futuresmiles.net/resources/satisfaction-survey

SETTING GOALS FOR ORAL HEALTH DURING PREGNANCY

This checklist for home visitors and their clients is designed to help them establish goals for oral health during pregnancy. Topics include making a dentist appointment, going to the dentist, brushing with fluoridated toothpaste, flossing once a day, drinking more tap water, drinking less soda and sugar-sweetened beverages, and eating more fruits and vegetables. The checklist is available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

Maryland Dental Action Coalition. 2016. Setting Goals for Oral Health During Pregnancy. Columbia, MD: Maryland Dental Action Coalition. 1 p. http://phpa.dhmh.maryland.gov/oralhealth/Pages/Oral_Health_and_Pregnancy.aspx

Program DevelopmentTHE COMMUNITY GUIDE TO ADULT ORAL HEALTH PROGRAM IMPLEMENTATION

This document provides step-by-step guidance for groups working at state and local levels to launch or enhance an oral health program for older adults and

Professional-Client ToolsCHILDREN’S ORAL HEALTH

These public-awareness-campaign materials are designed for use during Children’s Dental Health Month (February) to encourage good oral health for children of all ages. Contents include printable activ-ity sheets; a step-by-step guide for parents; a poster for displaying in an office waiting room; a certificate to present to children for achieving a healthy smile by improving daily brushing habits; tools for reach-ing classroom educators (customizable letter and teacher’s guide); and classroom resources, including ready-made and customizable lesson plans, demos and videos, frequently asked questions, and additional resources.

Procter and Gamble Company. 2016. Children’s Oral Health. Cincinnati, OH: Procter and Gamble Com-pany. Multiple items. https://www.dentalcare.com/en-us/patient-education/childrens-dental-health

DENTAL CARE DURING PREGNANCY IS SAFE AND IMPORTANT

This infographic and related resources are designed to help health professionals share the message that oral health care is safe and important during pregnancy. Sample images and messages for social media are also available.

American Academy of Pediatrics and Children’s Dental Health Project. 2017. Dental Care During Pregnancy Is Safe and Important. Washington, DC: Children’s Dental Health Project. 1 p. https://www.cdhp.org/blog/459-infographic-dental-care-is-safe-and-important-during-pregnancy

FUTURE SMILES: PROGRAM FORMS

These forms are intended for use in implementing a school-based oral hygiene program that provides preventive oral health services (screenings, dental cleanings, fluoride varnish applications, dental sealant application, and oral health education) for children from families with low incomes in Nevada. Contents include referral and consent forms and a privacy notice in English and Spanish.

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Iowa Department of Public Health. 2016. I-Smile™ @ School: School-Based Oral Health Programs. (Rev. ed.). Des Moines, IA: Iowa Department of Public Health. 1 v. https://idph.iowa.gov/Portals/1/userfiles/ 163/Sealant%20Manual%20FINAL%20-%20Updated %208_24_16.pdf

INDEPENDENT PERFORMANCE MONITORING IN THE HUSKY PROGRAM: ENSURING ACCOUNTABILITY FOR SCARCE STATE DOLLARS

This document reports on aspects of Connecticut’s publicly funded HUSKY Program performance and quality based on findings from independent per-formance monitoring. Topics include continuity of health insurance coverage and enrollment changes, maternal health and birth outcomes for new families, enrollment and preventive health services use in early childhood, trends in health services access and use, the impact of a federally funded project on mater-nal and infant oral health services, and data-quality improvement.

Connecticut Voices for Children. 2016. Independent Performance Monitoring in the HUSKY Program: Ensuring Accountability for Scarce State Dollars. New Haven, CT: Connecticut Voices for Children. 2 pp. http://www.ctvoices.org/sites/default/files/h16husky perfmonitoring.pdf

INSIDE I-SMILE™

This report documents the progress of Iowa’s initia-tive to ensure that children have good oral health from birth. Contents include information about the program’s successes, challenges, and next steps; data on the number of children enrolled in Medicaid who received an oral health service from dentists, den-tal hygienists, and nurses by age 1; and stories and testimonials.

Rodgers T, Wooddell K, Meister S. 2017. Inside I-Smile™. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems. Annual. http://idph.iowa.gov/Portals/1/userfiles/34/ohc_reports/inside_i-smile_2016.pdf

people with disabilities. Contents include tips, case studies, interactive tools, and other sources of sup-port for creating cost-effective, sustainable programs. Topics include replicating and expanding an existing program, designing and implementing a new pro-gram, recognizing the connection between oral health and overall health, and interprofessional collaboration to serve adults’ oral health needs. A corresponding database of community-based oral health programs is also available.

Administration for Community Living and Office of Women’s Health. 2016. The Community Guide to Adult Oral Health Program Implementation. Washington, DC: Administration for Community Living. 60 pp. https://oralhealth.acl.gov/sites/default/files/uploads/docs/OralHealthGuide.pdf

HEALTHY SMILES FOR MOM AND BABY “PROMISING PRACTICE”: JEFFERSON COUNTY HEALTH DEPARTMENT AND THE COMMUNITY DENTAL CLINIC

This resource describes a promising practice for integrating oral health into the primary-health-care-delivery system by creating a formal referral process between local public health departments and oral health professionals. Topics include inputs, activities, aims and measures, impact, collaboration and integra-tion, sustainability, and lessons learned. [Funded by the Maternal and Child Health Bureau]

Children’s Health Alliance of Wisconsin. 2017. Healthy Smiles for Mom and Baby “Promising Practice”: Jefferson County Health Department and the Commu-nity Dental Clinic. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 2 pp. http://www.chawisconsin. org/documents/OH7JeffersonCounty.pdf

I-SMILE™ @ SCHOOL: SCHOOL-BASED ORAL HEALTH PROGRAMS. (REV. ED.)

This manual provides school-based dental sealant programs in Iowa with standardized information that is consistent with recent research and science and presents program expectations and requirements. The manual reflects professional recommendations based on systematic literature reviews by expert panels con-vened by the Centers for Disease Control and Pre-vention and the American Dental Association. Topics include regulatory guidelines; program requirements; forms, reporting, and recording; budget and funding information; and program outreach.

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efforts to reach the goals. Topics include oral health and overall health, precision health, autotherapies, oral biodevices, and work force diversity.

National Institute of Dental and Craniofacial Research. 2017–. NIDCR 2030: Envisioning the Future, Together. Bethesda, MD: National Institute of Dental and Craniofacial Research. 1 v. https://nidcr2030.ideascale.com

ORAL HEALTH EDUCATION PROGRAM GUIDE BOOK

This document provides guidance on creating school- or community-based oral health projects. Contents include descriptions of activities in the following three areas of the public health model: changing beliefs, changing behavior, and changing the envi-ronment. Topics include starting a new conversation about oral health, making positive choices easier, and getting involved in local and national public aware-ness initiatives.

National Children’s Oral Health Foundation. 2017. Oral Health Education Program Guide Book. Charlotte, NC: National Children’s Oral Health Foundation. 6 pp. http://www.ncohf.org/wp-content/uploads/2017/06/OHEP-Project-Book_Invisalign_web.pdf

PERINATAL AND INFANT ORAL HEALTH QUALITY IMPROVEMENT PROJECT: MONITORING THE HUSKY PROGRAM’S CAPACITY FOR CARING FOR PREGNANT WOMEN AND INFANTS

This report presents findings from a study to deter-mine the impact of the Perinatal Infant and Oral Health Quality Improvement Project (PIOHQIP) on access to care for pregnant women and infants in Connecticut’s HUSKY Program. Contents include an overview of PIOHQIP and information about the study methods, including subjects, survey meth-ods and instruments, data, analytical approach, and limitations. Tables provide information on the project-implementation schedule; survey respondents; changes in health care use among infants, pregnant women, and new mothers; and changes in health pro-fessional practice. The survey instrument is included. [Funded by the Maternal and Child Health Bureau]

Lee M, Iverson S. 2016. Perinatal and Infant Oral Health Quality Improvement Project: Monitoring the

MARYLAND COMPREHENSIVE CANCER CONTROL PLAN

This document presents a plan for reducing the burden of cancer in Maryland. Contents include goals, objectives, and strategies related to the pri-mary prevention of cancer; high burden of cancers in Maryland; and cancer survivorship, palliative care, and hospice care. Information about the Maryland Cancer Collaborative, terms and acronyms, surveil-lance and data used in the plan, and special topics in cancer control is included.

Hales N, Hokenmaier SC, Lewis C, Parekh S, Tai KL, Truss M. 2016. Maryland Comprehensive Cancer Control Plan. Baltimore, MD: Maryland Depart-ment of Health and Mental Hygiene, Family Health Administration. 89 pp. https://phpa.health.maryland.gov/cancer/cancerplan/Documents/MD%20Cancer %20Program_508C%20with%20cover.pdf

NEBRASKA STATE ORAL HEALTH ASSESSMENT & DENTAL DISEASE BURDEN REPORT

This document reviews the history of oral health in Nebraska, compares current disease status with national trends, describes needs and existing resources, and identifies areas of focus for overcom-ing disparities. Topics include public policy and the oral health work force, improving disease surveillance, increasing access to care, enhancing community-based prevention, and elevating public education and oral health promotion.

Nebraska Department of Health and Human Services, Office of Oral Health and Dentistry. 2016. Nebraska State Oral Health Assessment & Dental Dis-ease Burden Report. Lincoln, NE: Nebraska Depart-ment of Health and Human Services, Office of Oral Health and Dentistry. 57 pp. http://dhhs.ne.gov/ Reports/Oral%20Health%20Assessment%20Report %20-%202016.pdf

NIDCR 2030: ENVISIONING THE FUTURE, TOGETHER

This resource presents results from a strategic vision-ing initiative conducted by the National Institute of Dental and Craniofacial Research. Contents include the initiative’s vision for 2030, goals, and ideas for future research, as well as ongoing dialogue about

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STRENGTHEN THE EVIDENCE FOR MATERNAL AND CHILD HEALTH PROGRAMS: NATIONAL PERFORMANCE MEASURE 13A—ORAL HEALTH IN PREGNANCY EVIDENCE REVIEW

This brief and evidence review summarize the literature on evidence-based and evidence-informed strategies to promote the safety and effectiveness of receiving oral health care during pregnancy. They pro-vide background information on oral health during pregnancy, discuss key research methods and results, and present key findings and implications. [Funded by the Maternal and Child Health Bureau]

Higman SM, Lai YH, Lauzon S, Garcia S, Minkov-itz C. 2017. Strengthen the Evidence for Maternal and Child Health Programs: National Performance Measure 13A—Oral Health in Pregnancy Evidence Review. Baltimore, MD: Johns Hopkins University, Women’s and Children’s Health Policy Center. 27 pp. http://semch.org/uploads/3/4/9/4/34942022/npm_13a_ oral_health_in_pregnancy_evidence_review_june_ 2017.pdf

SUCCESS WITH CHWS: ORAL HEALTH ROAD MAP

This report synthesizes findings from a project to exam-ine gaps in oral health services and identify opportuni-ties to broaden adoption by community health workers (CHWs) to improve oral health access, increase prevention education, and achieve improved outcomes for populations facing disparities in Minnesota. Topics include the costs of tooth decay, particularly among children from families with low incomes and children of color, and how CHWs can complement the oral health team’s clinical and therapeutic focus by providing culturally appropriate education and preventive services to underserved communities in multiple settings. Rec-ommendations for action are included.

Minnesota Community Health Worker Alliance. 2016. Success with CHWs: Oral Health Road Map. St. Paul, MN: Minnesota Community Health Worker Alliance. 12 pp. http://mnchwalliance.org/wp-content/uploads/2012/12/Oral_Health_Road_Map_FINAL.pdf

HUSKY Program’s Capacity for Caring for Pregnant Women and Infants. New Haven, CT: Connecticut Voices for Children. 11 pp. https://www.ctdhp.com/documents/PIOHQIP_Provider_Survey_Report_MAY_2016.pdf

PROGRAM SUSTAINABILITY ASSESSMENT TOOL

This tool is designed to help programs assess their current capacity for sustainability across a range of specific organizational and contextual factors. The tool provides questions that programs can answer to help them assess their strengths and challenges and gain insights into how to engage in sustainability planning. Questions are divided into the following categories: political support, funding stability, part-nerships, organizational capacity, program evaluation, program adaptation, communications, and strategic planning.

Center for Public Health Systems Science, Washing-ton University. 2012. Program Sustainability Assess-ment Tool. St. Louis, MO: Center for Public Health Systems Science, Washington University. 5 pp. https://cphss.wustl.edu/Products/Documents/Sustainability Tool_5.22.12.pdf

PROMOTING ORAL HEALTH CARE DURING PREGNANCY: AN UPDATE ON ACTIVITIES

This series provides an overview of activities to promote oral health during pregnancy. The series dis-cusses efforts of federal agencies and national, state, and local organizations to launch programs, advance policy, and disseminate Oral Health During Pregnancy: A National Consensus Statement to ensure that both health professionals and pregnant women are aware of the importance and safety of receiving oral health care during pregnancy. A list of resources focused on promoting oral health during pregnancy and infancy is included. [Funded by the Maternal and Child Health Bureau]

National Maternal and Child Oral Health Resource Center. 2015–. Promoting Oral Health Care During Pregnancy: An Update on Activities. Washington, DC: National Maternal and Child Oral Health Resource Center. Multiple items. http://mchoralhealth.org/materials/consensus_statement.php

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A HEALTHY DIET IS SOMETHING TO SMILE ABOUT

This bookmark for parents describes the relationship between oral health and nutrition in children and provides tips on choosing healthy drinks and foods. Topics include the importance of reading nutrition labels, offering water between meals, limiting servings of calorie-containing beverages to mealtimes, offering fresh fruits and vegetables as snacks, and encouraging toothbrushing. The bookmark is available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

Virginia Department of Health, Dental Health Program. 2017. A Healthy Diet Is Something to Smile About. Richmond, VA: Virginia Department of Health, Dental Health Program. 1 p. http://www.vdh.virginia.gov/content/uploads/sites/30/2017/05/Oral_Health_Healthy-Diet-Card-HL07-11-2016.pdf

HEALTHY MOUTHS FOR YOU AND YOUR BABY

This video provides information about what mothers can do to promote good oral health in their infant or young child and why it is important to do so. The video shows an oral health professional explain-ing to a first-time mother about how to take care of an infant’s mouth, demonstrating how to clean the infant’s mouth, and observing while the mother cleans the infant’s mouth. The video is available in English and in English with Spanish subtitles.

University of Maryland School of Public Health, Herschel S. Horowitz Center for Health Literacy. 2017. Healthy Mouths for You and Your Baby. College Park, MD: University of Maryland School of Public Health, Herschel S. Horowitz Center for Health Literacy. 1 video (2 min.). https://go.umd.edu/healthymouths

INFORMATION FOR PATIENTS

These resources (mobile app and poster) provide information for parents and other caregivers about oral injuries, including how to prevent oral trauma in primary teeth, what to do in case of a fall that affects permanent teeth, and what to do if a permanent tooth is broken or knocked out. The mobile app is available in Arabic, Danish, Dutch, English, Finnish, French, German, Greek, Indonesian, Italian, Malay, North-ern Sami, Norwegian Bokmal, Polish, Portuguese,

Public Awareness and EducationARIZONA PARENT KIT

This kit is designed to help parents meet the chal-lenges associated with parenting and support the healthy development of their infant or young child. Contents include resources related to child develop-ment, health and safety, high-quality child care, and school readiness. Information about the importance of oral health in young children, preventing and treat-ing tooth decay, oral hygiene during pregnancy and infancy, and finding a dentist is included.

First Things First. 2016–. Arizona Parent Kit. Phoe-nix, AZ: First Things First. Multiple items. https://www.firstthingsfirst.org/parent-kit

BRUSH AND FLOSS CARD

This card is designed to assist women in brushing and flossing their teeth before, during, and after preg-nancy. The card is available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

Virginia Department of Health, Dental Health Program. 2017. Brush and Floss Card. Richmond, VA: Virginia Department of Health, Dental Health Pro-gram. 1 p. http://www.vdh.virginia.gov/oral-health/resources

GIVE YOURSELF A HEALTHY MOUTH DURING PREGNANCY

This brochure for pregnant women from the Healthy Teeth Healthy Kids program explains why oral health care during pregnancy is important. It also provides tips on brushing, flossing, visiting the dentist, and choosing healthy foods and drinks. The brochure is available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

Maryland Dental Action Coalition. 2016. Give Your-self a Healthy Mouth During Pregnancy. Columbia, MD: Maryland Dental Action Coalition. 6 pp. http://healthyteethhealthykids.org/wp-content/themes/medica/downloads/brochure.pdf

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and talking to the dentist or doctor about fluoride treatments for children. The posters are available in English and Spanish.

National Center for Early Childhood Health and Wellness. 2017. Oral Health Posters. Elk Grove Village, IL: National Center for Early Childhood Health and Wellness. 4 posters. https://eclkc.ohs.acf.hhs.gov/oral-health/article/oral-health-materials-staff

PROTECT YOUR BABY’S SMILE & HEALTH BEFORE AND AFTER BIRTH

This brochure for pregnant women provides informa-tion about oral health care during and after pregnancy and throughout life. It also offers information about tooth decay and steps that women can take to protect their infant’s oral health and overall health. Topics include the safety and importance of oral health care during pregnancy, starting oral examinations early, and taking care of oral health at home. Information about accessing oral health care is also included.

Vermont Department of Health, Office of Oral Health. 2017. Protect Your Baby’s Smile & Health Before and After Birth. Burlington, VT: Vermont Department of Health, Office of Oral Health. 2 pp. http://www.healthvermont.gov/sites/default/files/documents/pdf/HPDP_Preg_Oral_Health_Patient_Pamphlet.pdf

SAVE YOUR TOOTH

This poster for parents and other caregivers describes steps for saving a permanent tooth after a blow to the mouth. Topics include what to do if a tooth is broken or knocked out. The poster is available in Arabic, Bulgarian, Chinese, Dutch, English, French, German, Greek, Hindi, Hungarian, Icelandic, Italian, Korean, Polish, Portuguese, Russian, Slovenian, Spanish, Tamil, Turkish, and Vietnamese.

International Association of Dental Traumatology. 2016. Save Your Tooth. International Association of Dental Traumatology. 1 p. https://www.iadt-dental-trauma.org/for-patients.html

SMILE FOR GOOD HEALTH

This tip sheet provides information about the impor-tance of oral health to overall wellness for infants and children. Contents include tips on preventing tooth decay, such as cleaning an infant’s gums and teeth

Russian, Simplified Chinese, Spanish, Swedish, and Turkish. The poster is available in Arabic, Bulgarian, Chinese, Dutch, English, French, German, Greek, Hindi, Hungarian, Icelandic, Italian, Korean, Polish, Portuguese, Russian, Slovenian, Spanish, Tamil, Turk-ish, and Vietnamese.

International Association of Dental Traumatology. 2016. Information for Patients. International Associa-tion of Dental Traumatology. Multiple items. https://www.iadt-dentaltrauma.org/for-patients.html

KEEPING YOUR MOUTH HEALTHY IS IMPORTANT FOR YOUR BABY TO HAVE A HEALTHY MOUTH

These resources for pregnant women focus on the importance of a healthy mouth both before and dur-ing pregnancy. Contents include a sharable image, an infographic, and a video. The resources are available in English and Spanish.

American Academy of Pediatrics, Campaign for Dental Health. 2017. Keeping Your Mouth Healthy Is Important for Your Baby to Have a Healthy Mouth. Elk Grove Village, IL: American Academy of Pediatrics, Campaign for Dental Health. 3 items. http://ilikemy teeth.org/oral-health-pregnancy

ORAL HEALTH DURING PREGNANCY/BABY’S FIRST DENTAL VISIT

This bookmark for pregnant women provides infor-mation about oral health and oral health care during pregnancy and infancy. The bookmark provides tips on oral hygiene, nutrition, and dental visits during pregnancy on one side and tips on oral health during infancy on the other. [Funded by the Maternal and Child Health Bureau]

Virginia Department of Health, Dental Health Pro-gram. 2017. Oral Health During Pregnancy/Baby’s First Dental Visit. Richmond, VA: Virginia Department of Health, Dental Health Program. 1 p. http://www.vdh.virginia.gov/content/uploads/sites/30/2017/05/Oral-HealthPregnancyBookmark_HL10-5-2017.pdf

ORAL HEALTH POSTERS

These posters share simple, positive messages about brushing children’s teeth with fluoride toothpaste, drinking fluoridated water, eating a healthy diet,

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Department of Public Health and Environment. 2 pp. http://www.cavityfreeatthree.org/patient-education- resources

Systems IntegrationBEHAVIORAL HEALTH COLLABORATIVE REPORT

This report presents recommendations for transform-ing the behavioral health system in Oregon to a coordinated-care model that will integrate behavioral health care with physical and oral health care. Topics include governance and finance, standards of care and competencies, work force, and information exchange and coordination of care.

Oregon Health Authority. 2017. Behavioral Health Collaborative Report. Salem, OR: Oregon Health Authority. 22 pp. http://www.oregon.gov/oha/OEI/Documents/BHC-Recommendations.pdf

MORE CARE: NARROWING THE RURAL INTERPROFESSIONAL ORAL HEALTH CARE GAP

This paper provides information about initiating interprofessional oral health networks that integrate and coordinate person-centered oral health care in rural communities. Topics include oral health as a national issue with rural implications, interprofes-sional practice and the oral-systemic health connec-tion, creating oral health networks and a learning collaborative, state offices of rural health and medical-oral expanded care initiation, and challenges and opportunities for innovation. Examples from Colo-rado, Pennsylvania, and South Carolina are included.

Boyes S, Davis L, Adams G, Mills M, Deutchman M. 2017. MORE Care: Narrowing the Rural Inter-professional Oral Health Care Gap. Westborough, MA: DentaQuest Institute. 35 pp., exec. summ. (10 pp.). https://www.dentaquestinstitute.org/sites/default/files/Initiating-Rural-IPOHNs_Closing-the-Gap_42717_v3.pdf

after feeding; the age 1 dental visit; toothbrushing and flossing; fluoride; and dental sealants. Tips on offering water to children, wearing mouth guards, and avoiding tobacco are also included. [Funded by the Maternal and Child Health Bureau]

Virginia Department of Health, Dental Health Pro-gram. 2017. Smile for Good Health. Richmond, VA: Vir-ginia Department of Health, Dental Health Program. 1 p. http://www.vdh.virginia.gov/oral-health/resources

STARTING POINT GUIDE: RESOURCES FOR PARENTS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS

This directory provides an overview of resources for families who have children with ongoing health con-ditions or special health care needs in Washington. Topics include tips from parents, legal help, child and respite care, child growth and development, com-munity health, oral health, family support, financial information, health insurance information, hearing and vision services, information and referral, medical supplies and equipment, mental health, nutrition, rec-reation programs, school, and transportation. A form for use in case of an emergency is included.

Seattle Children’s Hospital, Washington State Department of Health, Within Reach. 2017. Start-ing Point Guide: Resources for Parents of Children with Special Health Care Needs. Seattle, WA: Seattle Chil-dren’s Center for Children with Special Needs. 31 pp. http://cshcn.org/diagnosis-information/starting- point-guide

YOU’RE PREGNANT! SIMPLE STEPS FOR PROTECTING YOUR TEETH DURING PREGNANCY

This brochure for pregnant women provides informa-tion about the importance of oral health and how to prevent problems and improve oral health dur-ing pregnancy. Topics include toothbrushing with fluoridated toothpaste, drinking water, making an appointment for oral health care, coping with morn-ing sickness, and infant oral health. The brochure is available in English, Arabic, Burmese, Chinese, French, German, Hindi, Russian, Somali, Spanish, and Vietnamese.

Colorado Department of Public Health and Environ-ment. 2016. You’re Pregnant! Simple Steps for Protecting Your Teeth During Pregnancy. Denver, CO: Colorado