Promoting Oral Health in Young Children

A Resource Guide

Second Edition

Prepared by

Katrina Holt, M.P.H., M.S., R.D., FANDRuth Barzel, M.A.

Cite asHolt K, Barzel R, eds. 2018. Promoting Oral Health in Young Children: A Resource Guide (2nd ed.). Washington, DC: National Maternal and Child Oral Health Resource Center.

Promoting Oral Health in Young Children: A Resource Guide (2nd ed.) © 2018 by National Maternal and Child Oral Health Resource Center, Georgetown University.

This publication was made possible by coopera-tive agreement #U44MC30806 from the Health Resources and Services Administration (HRSA), an operating division of the U.S. Department of Health and Human Services (HHS). Its contents are the responsibility of solely the authors and do not necessarily represent the official view of HRSA or HHS.

The following National Maternal and Child Oral Health Resource Center (OHRC) staff members also assisted in the development of this publica-tion: Beth Lowe and Erica Roberts.

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.eduWeb site: http://www.mchoralhealth.org

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Data and Surveillance . . . . . . . . . . . . . . . . . . . . . 6Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Professional Education and Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Professional-Client Tools . . . . . . . . . . . . . . . . . 13Program Development . . . . . . . . . . . . . . . . . . . 14Public Awareness and Education . . . . . . . . . . . 15Systems Integration . . . . . . . . . . . . . . . . . . . . . . 20

Organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Contents

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Promoting oral health in young children is best accomplished by involving a wide range of individuals, including parents; dentists, dental hygienists, and other health professionals; child care and early education providers; and others in the community who are dedicated to promoting children’s health. Many individuals, starting with parents, can emphasize the importance of good oral health for young children. Parents can intro-duce, reinforce, and model healthy behaviors. If a young child’s teeth are brushed with fluoridated toothpaste twice a day, the child is more likely to continue that behavior into adulthood. The same is true for eating healthy foods and drink-ing healthy beverages such as water and milk. Taking children for regular oral health care and, if needed, for treatment, is another important way to promote their oral health.

Dentists and dental hygienists can support establishment of a dental home for all infants by age 1 and can encourage parents with young children to get regular oral health care, includ-ing preventive services. In addition, oral health professionals can advocate for a collaborative approach to addressing risk factors for oral dis-eases and other chronic diseases. For example, health professionals, including pediatricians, fam-ily practitioners, nurse practitioners, and nurses, can integrate oral disease prevention and oral health promotion into primary care programs and services. They can conduct oral health risk assessments, provide anticipatory guidance and preventive services (e.g., fluoride-varnish applica-tion), and make referrals to help establish dental homes. Child care and early education providers

can also help by offering children healthy foods for meals and snacks, teaching them about the importance of oral health, encouraging them to practice good oral hygiene, and ensuring that they receive appropriate care in case of dental emergencies.

The National Maternal and Child Oral Health Resource Center (OHRC) developed this publica-tion, Promoting Oral Health in Young Children: A Resource Guide, to provide information to health professionals, program administrators, educators, policymakers, and others working in states and communities in planning, developing, and implementing efforts to ensure that children receive optimal oral health care. The resource guide is divided into two sections. The first sec-tion describes materials published from 2014 to 2017, including brochures, fact sheets, guides, kits, manuals, protocols, and reports. The second section lists federal agencies, resource centers, and national professional associations that may serve as resources.

Our intent is to share resources that are useful and represent current science and practice. For further information, we encourage you to con-tact the organizations listed in the second sec-tion. Your state and local departments of health, state or local alliances and coalitions, state dental associations and societies, schools of dentistry and dental hygiene, and university-based libraries are additional sources of information. OHRC will update the resource guide periodically, and we would appreciate hearing from you if you know of any relevant resources that are not included in this edition.

Introduction

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We are grateful to the following experts for their review and contributions to the resource guide: Stacy Costello, Office of Oral Health, Maryland Department of Health; Susan Deming, Oral Health Program, Michigan Department of Health

and Human Services; and Michelle Martin, Oral Health Program, Utah Department of Health. And we would like to thank those who submit-ted items for inclusion in the guide.

Acknowledgments

Materials

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Data and Surveillance

2015 HEAD START ORAL HEALTH SURVEY REPORT

This report presents findings from an oral health survey of children enrolled in Head Start in Iowa. Topics include participant age, payment source for dental care, oral health status, and oral health indicators (untreated tooth decay and filled tooth) by payment source (private insurance, Medicaid, hawk-i, uninsured).

Rodgers T, Freedman G. 2015. 2015 Head Start Oral Health Survey Report. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems. 5 pp. http://www.idph.iowa.gov/Portals/1/userfiles/34/ohc_reports/head_start_oral_health_survey_report_2015.pdf

THE BIG PICTURE FOR ARIZONA’S LITTLEST KIDS

This report provides state-national compari-sons on families and young children in Arizona. Contents include the percentage of infants and children from birth to age 5; households with young children; children living in poverty; chil-dren being raised by a single parent, an adoles-cent parent, or grandparents; children from birth to age 17 receiving Temporary Assistance for Needy Families; infants born prematurely or with low birthweight; children who lack health insur-ance, have untreated tooth decay, or lack needed vaccinations; children ages 3 and 4 who attend preschool; and young children who received developmental or sensory screenings. Information about local and community efforts to strengthen families, support healthier children, and promote early learning are included.

First Things First. 2015. The Big Picture for Arizo-na’s Littlest Kids. Phoenix, AZ: First Things First. 4 pp. http://www.firstthingsfirst.org/Publications/Big_Picture_for_Arizonas_Little_Kids.pdf

CHECK-UP ON ORAL HEALTH: AGE ONE DENTAL VISITS—MICHIGAN COUNTY PROFILE 2017

This report provides information about the percentage of children under age 2 in Michigan counties who are enrolled in Medicaid and who had at least one dental visit during the 2015 cal-endar year. The report also describes factors that contribute to low levels of preventive oral health services use and guidelines and recommendations for the first dental visit.

Michigan Oral Health Coalition. 2017. Check-Up on Oral Health: Age One Dental Visits—Michigan County Profile 2017. Lansing, MI: Michigan Oral Health Coalition. 3 pp. http://www.mohc.org/files/ 2017%20Age%20One%20Dental%20Report.pdf

THE IMPACT OF FAMILY ON CHILDREN’S DENTAL CARE

This infographic presents findings from a study to determine the effect of family decisions about insurance coverage and preventive oral health care on the likelihood that children from dif-ferent racial/ethnic groups will receive pre-ventive oral health care. Contents include the percentage of children enrolled in HUSKY A (Medicaid) in Connecticut who received preven-tive oral health care by race/ethnicity, factors that increased children’s likelihood of receiving preventive oral health care, the impact of each factor on the likelihood that children will receive preventive oral health care, and the impact of all three factors on the likelihood that children will receive preventive oral health care. Top-ics include continuous coverage, receipt of well child care, and parents who received preventive oral health care. Steps to ensure that families have access to and use oral health care are also described.

Feder K, Lee MA. 2015. The Impact of Family on Children’s Dental Care. Hartford, CT: Connecti-cut Health Foundation and Connecticut Voices for Children. 8 pp. http://www.cthealth.org/publication/family-factors-increase-kids-dental-check-ups-and-health-equity

Materials

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to parents, and information about other indicators from the parent questionnaire including toothache, last dental visit, follow-up care, reason for last dental visit, and dental insurance. [Survey funded in part by the Maternal and Child Health Bureau]

Vracar C, Holicky A, Wahby J, Calhoun J. 2016. Oral Health Status of Florida’s Early Head Start and Head Start Children 2014 –2015. Tallahas-see, FL: Florida Department of Health. 21 pp. http://www.floridahealth.gov/programs-and- services/community-health/dental-health/reports/ _documents/oral-health-status-head-start-2014- 2015.pdf

Policy

ENDCAVITIES

These resources for policymakers, health profes-sionals, and health advocates provide informa-tion about and strategies for preventing dental caries in young children. Contents include talking points, fact sheets, an issue brief, infographics, and videos. Topics include risk-based care, oral health during pregnancy, and what states can do to prevent dental caries in early childhood. Findings on adults’ knowledge of oral health and prevention, strategies for reducing caries in a Medicaid population, and tips for encouraging local media to cover early childhood caries are also included.

Children’s Dental Health Project. 2016–. EndCavi-ties. Washington, DC: Children’s Dental Health Project. Multiple items. http://www.endcavities.org

HEALTHY 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 Community in Childhood Obesity Prevention National Conference, the conference agenda, and key findings. It also presents a list of proposed strategies for preventing childhood obesity in the following areas: research, dental students’ educa-tion and training, oral health professionals’ con-tinuing education and training, advocacy/policy, consumer-based education interventions, inter-professional collaboration, and reimbursement.

FLUORIDE VARNISH APPLICATION AMONG NORTH DAKOTA FAMILY PRACTICE PHYSICIANS & PEDIATRICIANS: 2016 CHARTBOOK

This chartbook presents findings from a survey of pediatricians and family practice physicians in North Dakota conducted to study fluoride-varnish application in clinical practice. Contents include an overview of the study; information about the methods and response demographics; and findings related to assessment, fluoride-varnish application, referral, and need for training and education.

Schroeder S, Ahmed A. 2016. Fluoride Varnish Application Among North Dakota Family Prac-tice Physicians & Pediatricians: 2016 Chartbook. Grand Forks, ND: University of North Dakota School of Medicine and Health Sciences, Center for Rural Health. 15 pp. https://ruralhealth.und.edu/pdf/fluoride-application-nd-physicians.pdf

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 families, and factors that impact the oral health of young children; key survey findings; and a summary of strategies that can help improve oral health among young children in Kansas.

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/HeadStartSmilesForLife.pdf

ORAL HEALTH STATUS OF FLORIDA’S EARLY HEAD START AND HEAD START CHILDREN 2014–2015

This report summarizes results from a statewide survey of young children enrolled in Early Head Start and Head Start centers in Florida. Top-ics include dental caries experience, untreated tooth decay, and dental sealants. The appendices contain the consent and questionnaire forms for parents, a screening form, a screening results letter

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health guidelines during these periods. For each period, information about family preparation, risk assessment, interview questions, screening, examination, preventive procedures, anticipatory guidance, measurable outcomes, and referrals are discussed. The content aligns with Bright Futures: Guidelines for Health Supervision of Infants, Chil-dren, and Adolescents (4th ed.). [Funded by the Maternal and Child Health Bureau]

Casamassimo P, Holt K, eds. 2016. Bright Futures: Oral Health—Pocket Guide (3rd ed.). Washing-ton, DC: National Maternal and Child Oral Health Resource Center. 90 pp. https://www.mchoral health.org/pocket/index.php

CAVITY FREE KIDS: HOME VISITING RESOURCE

This resource for home visitors is designed to help families establish good oral health habits and connect to oral health care. The items are intended to complement the curricula and tools that home visitors use with families and can be incorporated into topics that home visitors already address with families. Topics include the impor-tance of primary teeth; brushing, flossing, and rinsing; tooth-healthy foods; drinking water for thirst; and going to the dentist. Setting and reach-ing oral health goals and addressing oral health problems or emergencies are also discussed.

Washington Dental Service Foundation. 2015–2016. Cavity Free Kids: Home Visiting Resource. Seattle, WA: Washington Dental Service Founda-tion. Multiple items. http://cavityfreekids.org/resources/home-visiting-resource

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 recognizing, reporting, treating, and prevent-ing child abuse and neglect. Topics include the incidence, etiology, and long-term effects of child maltreatment; the dentist’s role in interven-tion; 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.

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

AN INNOVATIVE PROJECT BREAKS DOWN BARRIERS TO ORAL HEALTH CARE FOR VULNERABLE CHILDREN IN LOS ANGELES COUNTY

This policy brief describes a project to improve oral health care for young children at 12 feder-ally qualified health center clinic sites with co-located oral health and primary care services in Los Angeles County, California. Contents include program goals to reduce barriers to obtaining oral health care for infants and young children from birth through age 5 and strategies and interven-tions to meet program goals. Topics include infrastructure, practice-management technical assistance, training, quality-improvement learning collaboratives, community systems development, and policy analysis. Additional topics include the location and characteristics of participating clinics, the number of visits for children by project year and quarter, and policy implications.

Crall JJ, Illum J, Martinez A, Pourat N. 2016. An Innovative Project Breaks Down Barriers to Oral Health Care for Vulnerable Children in Los Ange-les County. Los Angeles, CA: UCLA Center for Health Policy Research. 7 pp. http://healthpolicy.ucla.edu/publications/Documents/PDF/2016/child dentalbrief-jun2016.pdf

Professional Education and Practice

BRIGHT FUTURES: ORAL HEALTH— POCKET GUIDE (3RD ED.)

This pocket guide offers health professionals an overview of preventive oral health supervision for five periods—pregnancy and postpartum, infancy, early childhood, middle childhood, and adolescence. The pocket guide is designed to help health professionals implement specific oral

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DENTAL FIRST AID

This flip chart provides instructions on what to do and what not to do to manage dental emer-gencies. It is designed for school nurses, school health aides, teachers, school administrators, Head Start coordinators, child care providers, other health and administrative personnel, and parents.

Maryland Department of Health and Mental Hygiene, Office of Oral Health. 2016. Dental First Aid. Baltimore, MD: Maryland Department of Health and Mental Hygiene, Office of Oral Health. 11 pp. https://phpa.health.maryland.gov/oralhealth/Documents/FlipChart.pdf

DENTAQUEST SPECIAL TOPICS SERIES

This series consists of modules designed to help oral health professionals increase their knowl-edge about special topics related to improving oral health. Topics include early childhood caries management for general dentists, interprofes-sional practice, and cariology.

DentaQuest Institute. 2016–. DentaQuest Spe-cial Topics Series. Westborough, MA: Denta-Quest Institute. Multiple items. https://www.dentaquestinstitute.org/learn/online-learning- center/online-courseware/dentaquest-special- topics-series

EQIPP: ORAL HEALTH

This course is designed to help pediatric primary care health professionals (PPHPs) recognize the role they play in providing oral health care. Top-ics include the importance of a dental home and PPHPs role in establishing a dental home, dental caries and caries risk assessment, the importance of maternal oral health, age-specific oral health anticipatory guidance, and oral-injury preven-tion. Information about fluoride varnish, includ-ing who should apply it and how it is applied, how to address families’ concerns about fluoride varnish, and processes for procuring and storing fluoride varnish and billing for fluoride-varnish application, is also provided.

American Academy of Pediatrics. 2016. EQIPP: Oral Health. Chicago, IL: American Academy of Pediatrics. 1 v. https://shop.aap.org/eqipp-oral- health

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

CRUSH CAVITIES!

These resources are designed to help primary care health professionals and others understand the etiology of dental caries and caregivers’ role in preventing caries in infants, children, and adolescents from birth to age 21. Contents include information and resources on finding a physician or dentist, getting care when the first tooth erupts, applying fluoride varnish as part of well-child care, practicing good oral hygiene, and consuming healthy foods and drinks. Additional contents include a press release and a governor’s proclamation; public service announcements in English, Hmong, Karen, Lao, Portuguese, Somali, Spanish, and Vietnamese; and frequently asked questions. A video for parents about fluoride varnish is also available.

Minnesota Oral Health Project. 2015–. Crush Cavities!. N.p.: Minnesota Oral Health Project. Multiple items. http://crushcavities.com

DEAR COLLEAGUE [LETTER]

This letter for health professionals provides infor-mation 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 during pregnancy and early child-hood, helping women with low incomes access oral health care during pregnancy and in the postpartum period, delivering oral health mes-sages 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

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FVAs, requirements for a complete visit, support for FVAs by primary care health professionals, and resources for implementing FVAs.

Minnesota Department of Health, Child and Teen Checkups Program. 2014 –. Fluoride Varnish in the Child and Teen Checkups (C&TC) Setting. St. Paul, MN: Minnesota Department of Health, Child and Teen Checkups Program. Multiple items. http://www.health.state.mn.us/divs/cfh/program/ctc/fluoridevarnish.cfm

FLUORIDE VARNISH TRAINING MANUAL FOR MASSACHUSETTS HEALTH CARE PROFESSIONALS

This manual is designed to help health profession-als implement fluoride-varnish applications for infants, children, and adolescents ages 6 months to 21 years who are enrolled in Massachusetts’ Medicaid program. Contents include office-based and online training options; steps for establishing and using fluoride varnish in the office; a template for documenting the oral examination, procedure and post-procedure, and risk factors for dental caries; facts on fluoride-varnish application; cod-ing, reimbursement, and claim submission; and information for caregivers about fluoride varnish.

Massachusetts Department of Public Health, Division of Primary Care and Health Access, Office of Oral Health. 2016. Fluoride Varnish Training Manual for Massachusetts Health Care Professionals. Boston, MA: Massachusetts Depart-ment of Public Health, Division of Primary Care and Health Access, Office of Oral Health. 13 pp. http://www.mass.gov/eohhs/docs/masshealth/provlibrary/fv-manual.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 Pro-gram 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 col-lected and analyzed, how the module has been implemented in Michigan, and how other states can use it for their WIC clients.

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

This brief summarizes feeding guidelines for pregnant women and children from birth to age 2 that are directly relevant to the Special Supple-mental Nutrition Program for Women, Infants and Children (WIC). Topics include core WIC pro-gram services; an overview of the feeding guide-lines; and applications of the feeding guidelines in the WIC setting, including staff training on the guidelines, participant education; and breastfeed-ing support.

Whaley S, Perez-Escamilla R, Segura-Perez S, Lott M. 2017. Feeding Infants and Young Tod-dlers Using the Latest Evidence in WIC Settings. Durham, NC: Healthy Eating Research. 19 pp. http://healthyeatingresearch.org/wp-content/uploads/2017/05/her_wic_051817-FINAL.pdf

FLUORIDE VARNISH APPLICATION AND INFORMATION

This video for primary care health professionals provides information about and recommenda-tions for applying fluoride varnish in infants and young children ages 6 months through 5 years as part of well-child visits and other visits. Topics include safety and effectiveness; supplies; appli-cation techniques such as knee-to-knee position-ing; and after-care instructions, including referral to a dental home. The video also provides guidance on obtaining additional information and resources from the Minnesota Oral Health Coalition.

Minnesota Oral Health Coalition. 2016. Fluoride Varnish Application and Information. Plymouth, MN: Minnesota Oral Health Coalition. 1 video (3 min., 11 sec.). https://www.youtube.com/watch?v=OzM4UQxP67Q

FLUORIDE VARNISH IN THE CHILD AND TEEN CHECKUPS (C&TC) SETTING

These resources are designed to help primary care health professionals improve the oral health of infants, children, and adolescents from birth to age 20 who are eligible for Minnesota’s Early and Periodic Screening, Diagnosis, and Treatment program by offering fluoride-varnish applications (FVAs). Contents include recommendations for

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Holt K, Barzel R, Bertness J. 2016. It Shouldn’t Hurt to Be a Child: Preventing Early Childhood Caries (ECC). Washington, DC: National Maternal and Child Oral Health Resource Center. 4 pp. http://mchoralhealth.org/PDFs/eccfactsheet.pdf

KIDS AND DRINKING WATER: A GLASS HALF FULL OR HALF EMPTY?

This paper discusses the importance of drinking water for children. Contents include information about the importance of water consumption in preventing chronic disease; obstacles to ensuring that students have access to clean, safe drink-ing water in schools; drinking water challenges in communities; and opportunities for health funders to increase children’s access to and consumption of free, safe drinking water. Topics include improving access, prioritizing education, funding data collection and research, promot-ing multisectoral partnerships, and advocating for supportive policies. A policy framework to support healthy development in all children by investing in accessible, safe drinking water is included.

Braff-Guajardo E, Hecht K. 2015. Kids and Drink-ing Water: A Glass Half Full or Half Empty? Wash-ington, DC: Grantmakers In Health. 3 pp. http://www.gih.org/files/FileDownloads/Kids%5Fand%5FDrinking%5FWater%5FKellogg%5FUC%5FMay%5F2015.pdf

ORAL HEALTH: CHILD AND TEEN CHECKUPS (C&TC) FACT SHEET FOR PRIMARY CARE PROVIDERS

This fact sheet provides information for physi-cians, nurse practitioners, physician assistants, and nurses about their role in and responsibility for supporting the oral health of infants, chil-dren, and adolescents from birth to age 20 who are eligible for Minnesota’s Early and Periodic Screening, Diagnostic, and Treatment program. Topics include requirements for the visit, person-nel training, and documentation of counseling and referral; recommendations for oral health risk assessment and fluoride-varnish application; why preventive oral health care is important; anticipa-tory guidance; professional recommendations; and resources.

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

HEALTH BARRIERS TO LEARNING: THE PREVALENCE AND EDUCATIONAL CONSEQUENCES IN DISADVANTAGED CHILDREN—A REVIEW OF THE LITERATURE

This report offers recommendations to strengthen and integrate the safety net for children. The report describes health barriers to learning (HBLs), including untreated dental caries and associated toothaches, and the supporting evidence base for the impact of these HBLs on academic success. Additional HBLs discussed include uncontrolled asthma, uncorrected vision problems, unaddressed hearing problems, dental pain, persistent hunger, certain health and behav-ioral problems, and lead exposure. For each HBL, the report describes the prevalence of the HBL; the extent of unmet need for services to identify, manage, and treat the HBL; the impact of the HBL on learning; and key points.

Gracy D, Fabian A, Roncaglione V, Savage K, Redlener I. 2017. Health Barriers to Learning: The Prevalence and Educational Consequences in Disadvantaged Children—A Review of the Literature. New York, NY: Children’s Health Fund. 93 pp. https://www.childrenshealthfund.org/wp-content/uploads/2017/01/Health-Barriers- to-Learning.pdf

IT SHOULDN’T HURT TO BE A CHILD: PREVENTING EARLY CHILDHOOD CARIES (ECC)

This fact sheet for health professionals provides information on preventing early childhood caries (ECC). Topics include what ECC is and who is at risk, the costs of ECC, and how ECC risk can be reduced. The fact sheet discusses the prevalence of ECC among various populations and why some populations are at higher risk than others, how ECC is treated and the impact of treatment on children and families, and effective strategies for preventing ECC. [Funded by the Maternal and Child Health Bureau]

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TRAINING OPPORTUNITIES: DEVELOPMENTAL SCREENING AND FLUORIDE VARNISH TRAINING

This resource for clinicians explains how to receive training and reimbursement for perform-ing developmental screenings and applying fluoride varnish in Arizona. Topics include state certification requirements; training locations, descriptions, schedules, and fees; how to be reim-bursed; and instructions for purchasing supplies.

Arizona Department of Health Services. 2014–. Training Opportunities: Developmental Screen-ing and Fluoride Varnish Training. Phoenix, AZ: Arizona Department of Health Services. Multiple items. http://www.azdhs.gov/audiences/clinicians/ index.php#training-developmental-screening-flouride-varnish

VARNISH! MICHIGAN BABIES TOO! PROGRAM EVALUATION REPORT

This report presents findings and recommen-dations from an evaluation of a program to increase awareness of oral health among health professionals, facilitate the incorporation of oral health into well-child visits, and increase access to preventive services among young children at high risk for dental caries. Contents include an overview of the project; the purpose, key ques-tions, and evaluation methods; and findings on health professionals reached, training, confidence in program delivery, program fidelity, health pro-fessional satisfaction, supply of fluoride varnish, children reached, and benefits and barriers.

Michigan Public Health Institute, Center for Child and Family Health. 2016. Varnish! Michigan Babies Too! Program Evaluation Report. Lan-sing, MI: Michigan Department of Health and Human Services, Oral Health. 33 pp. http://www.michigan.gov/documents/mdhhs/f8b4bAccessible _Babies_Too_2016_EvaluationReport-Final_550 279_7.pdf

WEST VIRGINIA CAVITY FREE BY THREE: FLUORIDE VARNISH MANUAL FOR HEALTH CARE PROVIDERS

This manual is designed to help primary care health professionals and others reduce the rate of dental caries in infants and young children ages 6 to 36 months in West Virginia. Contents include

Minnesota Department of Health, Child and Teen Checkups Program. 2016. Oral Health: Child and Teen Checkups (C&TC) Fact Sheet for Pri-mary Care Providers. St. Paul, MN: Minnesota Department of Health, Child and Teen Checkups Program. 2 pp. http://www.health.state.mn.us/divs/cfh/program/ctc/content/document/pdf/oralhealth.pdf

PERINATAL AND INFANT ORAL HEALTH COMMUNITY OF PRACTICE: QUALITY IMPROVEMENT TOOLKIT

This toolkit provides guidance on assessing the effectiveness of a project to improve the delivery of oral health care services provided to pregnant women, infants, and young children by integrat-ing oral health care into primary care. Contents include worksheets and guides for identifying, planning, implementing, and interpreting the effectiveness of a quality-improvement project. Topics include Plan, Do, Study, Act cycles and process mapping. [Funded by the Maternal and Child Health Bureau]

Byrne J. 2017. Perinatal and Infant Oral Health Community of Practice: Quality Improvement Toolkit. Sacramento, CA: California Department of Public Health, Oral Health Program. Multiple items. https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CDCB/Pages/OralHealth Program/OralHealthProjects.aspx

PROFESSIONAL SERVICES FLUORIDE VARNISH PROGRAM POLICY

This document for physicians, nurse practitioners, and physician assistants describes professional recommendations and the rationale for apply-ing fluoride varnish to the teeth of infants and young children ages 6 months through 5 years as part of the first dental visit. The document also provides information about training and certifica-tion prerequisites and coding for fluoride-varnish-application reimbursement in Louisiana.

Louisiana Department of Health and Hospitals. 2016. Professional Services Fluoride Varnish Pro-gram Policy. Baton Rouge, LA: Louisiana Depart-ment of Health and Hospitals. 2 pp. http://www.dhh.louisiana.gov/assets/docs/BayouHealth/Informational_Bulletins/16-07/IB16-7.pdf

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American Dental Association. 2016. Choosing Wisely®: Five Things Dentists and Patients Should Question. Philadelphia, PA: ABIM Foundation. 3 pp. http://www.choosingwisely.org/wp-content/ uploads/2016/06/ADentalA-Choosing-Wisely-List.pdf

FEBRUARY IS NATIONAL CHILDREN’S DENTAL HEALTH MONTH

These materials are designed to help oral health professionals, other health professionals, and educators raise awareness about the importance of oral health during National Children’s Dental Health Month (February). The 2018 campaign slo-gan is “Choose Tap Water for a Sparkling Smile.” Contents include a program-planning guide, press releases, broadcasting tips, sample newspaper articles, posters, and activity sheets in English and Spanish for children and adolescents.

American Dental Association. 2017. February Is National Children’s Dental Health Month. Chi-cago, IL: American Dental Association. Multiple items. http://www.ada.org/en/public-programs/national-childrens-dental-health-month

GOOD DENTAL HEALTH: A PARTNERSHIP BETWEEN YOU & ME

This flip book for health professionals to share with parents and other caregivers covers the basics of good oral health in infants and young children. Each page is double-sided and designed as a teaching tool. The patient-facing pages fea-ture clear, simple text (in English and Spanish) and pictures and illustrations to educate families. On the back of the patient-facing pages are help-ful conversation guidelines (in English) for health professionals. The flip book also includes a chart to help health professionals establish self-man-agement goals for families to work on at home.

TeethFirst!. 2016. Good Dental Health: A Part-nership Between You & Me. Providence, RI: TeethFirst!. 8 pp. http://www.teethfirstri.org/sites/default/files/site-content/Flip%20Book%20Order%20Form%209.2015.pdf

information about the implementation strategy (training and certification protocol) for caries risk assessment, fluoride-varnish application, and facili-tation of the age 1 dental visit; coding and billing; training resources; and parent-education materials.

West Virginia Department of Health and Human Resources, Oral Health Program. 2014. West Virginia Cavity Free by Three: Fluoride Varnish Manual for Health Care Providers. Charleston, WV: West Virginia Department of Health and Human Resources, Oral Health Program. 32 pp. https://livewell.marshall.edu/OralHealth/Docs/FluorideVarnishManual.pdf

WHY DENTAL COVERAGE MATTERS: A TOOL-KIT

This toolkit is designed to help advocates educate policymakers 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 informa-tion for elected representatives, letters to Con-gress from children’s and oral health coalitions, and links to webinars and other resources.

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

Professional-Client Tools

CHOOSING WISELY®: FIVE THINGS DENTISTS AND PATIENTS SHOULD QUESTION

This list is intended to spur conversations between oral health professionals and their patients about how to choose the most appro-priate care based on a patient’s specific situa-tion. Contents include information about when procedures may be appropriate, as well as the methodology used to develop the list. Topics include the benefit of fluoride-containing tooth-paste for infants and children, applying dental sealants to minimize the need for restorative care later, informed consent best practice, managing temporomandibular joint disorders, and criteria for replacing restorations.

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Hunt K, Manter M. 2016. Teeth for Tots: Oral Health Education for Parents & Caregivers of Infants and Toddlers—An Oral Health Resource Guide. Lawrence, KS: Kansas Head Start Associa-tion. Multiple items. http://www.saavsus.com/store/teeth-for-tots-oral-health-resource-guide

Program Development

ADDRESSING ORAL HEALTH IN HEAD START: INSIGHTS FROM THE HEAD START HEALTH MANAGER DESCRIPTIVE STUDY

This report presents findings from a study to explore how Head Start programs are addressing the challenge of tooth decay in infants and young children. Topics include the burden of tooth decay on Head Start programs as perceived by health managers; health programming (services, activities, education) and policies to address tooth decay; training and staff models to address tooth decay; and how programs are leveraging other partners, community resources, and their health services advisory committee to address tooth decay. The study covered the period 2011–2016.

Martin LT, Karoly LA. 2016. Addressing Oral Health in Head Start: Insights from the Head Start Health Manager Descriptive Study. Washington, DC: Administration for Children and Families, Office of Planning, Research, and Evaluation. 19 pp. https://www.acf.hhs.gov/sites/default/files/ opre/2016_84_hshm_oralhlth_161012_b508.pdf

HEALTHY MOUTH, HEALTHY START: IMPROVING ORAL HEALTH FOR YOUNG CHILDREN AND FAMILIES THROUGH EARLY CHILDHOOD HOME VISITING

This brief examines how oral health is incor-porated into the early childhood home visiting models that serve the largest number of young children in California: Healthy Families America, Nurse-Family Partnership, Parents as Teachers, Welcome Baby, and Early Head Start (home-based option). It makes the case for increasing efforts to promote oral health care in home-visit-ing programs and strengthening the relationship between the home-visiting community and the oral health community. The brief also articulates recommendations for next steps that home-visiting programs can take to continue addressing

MOUTH HEALTHY™ KIDS

These resources are designed to assist oral health professionals and teachers in educating students about good oral hygiene habits and the importance of oral health and oral health care. Contents include videos, games and quizzes, and activity sheets. Lesson plans for students in preschool through eighth grade with materials to support the lesson plans, information about careers in dentistry, and sample presentations are also included. The resources are available in English and Spanish.

American Dental Association. 2016. Mouth Healthy™ Kids. Chicago, IL: American Dental Association. Multiple items. http://www.mouth healthykids.org/en

ORAL HEALTH POSTERS

These posters for consumers discuss why chil-dren need fluoride, how fluoride fights cavities, the importance of water with fluoride for oral health and overall health, community water fluoridation for oral health equity, and teaching children to brush and floss. The posters are avail-able in English and Spanish.

American Academy of Pediatrics, Campaign for Dental Health. 2015–2016. Oral Health Post-ers. Elk Grove Village, IL: American Academy of Pediatrics, Campaign for Dental Health. 5 items. http://ilikemyteeth.org/health-professionals

TEETH FOR TOTS: ORAL HEALTH EDUCATION FOR PARENTS & CAREGIVERS OF INFANTS AND TODDLERS—AN ORAL HEALTH RESOURCE GUIDE

This curriculum, which is designed to help health professionals provide oral health care and education to families of infants and children from birth through age 3, comprises 10 modules. Each module provides background information and a sample agenda. Topics include oral health and infancy, teething, the importance of primary teeth, the age 1 dental visit, oral health screen-ings, tooth decay, fluoride, toothbrushing and flossing, weaning, nutrition and feeding habits, oral habits, dental first aid, medications and oral health, and special conditions. Additional resources are included. The materials are avail-able in English and Spanish.

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New Hampshire Department of Health and Human Services, Oral Health Program. 2015. Pay for Prevention: Oral Health Services at NH WIC. Concord, NH: New Hampshire Department of Health and Human Services, Oral Health Pro-gram. 1 p. http://www.dhhs.nh.gov/dphs/bchs/oral/documents/pay-for-prevention.pdf

Public Awareness and Education

ARIZONA PARENT KIT

This kit is designed to help parents meet the challenges of parenting and support the healthy development of their infant or young child. Contents include resources about child develop-ment, health and safety, quality child care, and school readiness. Information about the impor-tance of oral health in young children, prevent-ing and treating tooth decay, oral hygiene during pregnancy and infancy, and finding a dentist is included.

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

BETEL NUT

This handout provides information about the potentially harmful effects of chewing betel nut, including increased risk for cancer and gum disease. The handout addresses risk associated with combining betel nut and tobacco and risks for chewing betel nut for pregnant women and children. The handout also includes information about the importance of talking with a doctor and dentist about betel nut use and early cancer detection and provides phone numbers for infor-mation about oral health care in North Carolina. The handout is available in English, Burmese, and Karen.

Clifford S, Austin C. 2015. Betel Nut. Hillsborough, NC: Orange County Health Department. 1 p. http://www.orangecountync.gov/departments/health/betel_nut.php

oral health disparities among young children and pregnant women.

Mariani M, Velazquez L, Kattlove J. 2016. Healthy Mouth, Healthy Start: Improving Oral Health for Young Children and Families Through Early Childhood Home Visiting. Santa Monica, CA: Chil-dren’s Partnership. 11 pp. http://www.childrens partnership.org/wp-content/uploads/2016/07/ Healthy-Mouth-Healthy-Start%E2%80%94 Improving-Oral-Health-for-Young-Children-and- Families-Through-Early-Childhood-Home-Visiting_ August-2016.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 performance monitoring. Topics include continu-ity 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 maternal and infant oral health services, and data-quality improvement.

Connecticut Voices for Children. 2016. Inde-pendent 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/h16huskyperfmonitoring.pdf

PAY FOR PREVENTION: ORAL HEALTH SERVICES AT NH WIC

This poster presentation describes a partnership between the state oral health program, public health dental hygienists, and Special Supple-mental Nutrition Program for Women, Infants and Children (WIC) staff at three sites in New Hampshire to provide on-site preventive oral health services to pregnant women and children enrolled in WIC. The goal of the project was to determine if this service-delivery model could be sustained without supplementary grants. Topics include background on clinical needs, barriers to care, current research, project services, project costs, and first-year findings.

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Connecticut Dental Health Partnership. 2014. Dental Care for You and Your Baby. Farmington, CT: Connecticut Dental Health Partnership. 2 pp. https://www.ctdhp.com/documents/124-dental_care_for_YOU_and_YOUR_BABY_2014-10-13.pdf

FIRST DENTAL VISITS [PRIMERAS VISITAS DENTALES]

This brochure for parents focuses on the impor-tance of primary teeth and of the age 1 dental visit for healthy child development. Topics include how to find a dentist, what happens at the first dental visit, how to prepare a child for the first visit, and what questions to ask the dentist. The brochure is available in English and Spanish.

TeethFirst!. 2014. First Dental Visits [Primeras Visi-tas Dentales]. Providence, RI: TeethFirst!. 6 pp. http://www.teethfirstri.org/sites/default/files/site- content/pdfs/TeethFirst-Brochure.pdf

FIRST SMILES

This video for parents and other caregivers provides information about the importance of oral health in infants and young children. Topics include preventing dental caries in primary teeth; early examination, detection, and treatment; and education. The video shows an oral health professional performing a lap-to-lap examina-tion, applying a fluoride-varnish treatment, and encouraging a mother to give her child milk and water rather than juice.

Kids Smiles. 2016. First Smiles. Philadelphia, PA: Kids Smiles. 1 video (3 min., 20 sec.). https://www.youtube.com/watch?v=myFGpBw36_c

FLUORIDE: WHAT PARENTS NEED TO KNOW

This fact sheet for parents provides information about the role of fluoride in preventing tooth decay and actions they can take to prevent tooth decay in their child. Topics include what fluoride is, how it works, fluoride safety, and how to get fluoride. Additional topics include brushing for 2 minutes, brushing twice per day using fluoridated toothpaste, visiting the dentist regularly, and ask-ing the doctor’s office about applying fluoride varnish during well-child visits.

BRUSHING FOR TWO: A HEALTHY START FOR YOUR BABY

This fact sheet for pregnant women explains why oral health is important and how to main-tain good oral health during pregnancy. Contents include information about oral hygiene, nutrition, and the safety of receiving oral health care during pregnancy. The fact sheet is printed in English on one side and in Spanish on the other.

Virginia Department of Health, Division of Dental Health. 2016. Brushing for Two: A Healthy Start for Your Baby. Richmond, VA: Virginia Depart-ment of Health, Division of Dental Health. 2 pp. http://www.vdh.virginia.gov/content/uploads/ sites/30/2016/10/HL03-7-2016_BrushingforTwo cardES.pdf

CAVITIES GET AROUND [LAS CARIES SE PROPAGAN]

These resources are designed to help health professionals and others raise public awareness about ways to prevent tooth decay and promote oral health in infants and young children. Topics include the importance of primary teeth, limit-ing consumption of sugar-sweetened beverages (SSBs), and giving children water between meals and at bedtime. Contents include a partner toolkit (written in English and Spanish) containing cam-paign brand standards, facts and tips on child oral health, radio spots, infographics, logos, and an SSB policy. The resources also discuss children’s health insurance coverage and finding oral health care.

Delta Dental of Colorado. 2014 –. Cavities Get Around [Las Caries Se Propagan]. Denver, CO: Delta Dental of Colorado. Multiple items. http://cavitiesgetaround.com

DENTAL CARE FOR YOU AND YOUR BABY

This flyer provides parents with information about oral health care for themselves and their infant. It offers tips for how to keep the mouth healthy during pregnancy and explains why doing so is important for both pregnant women and their infant. Also included are tips for taking care of infants’ and children’s mouths, contact information for help finding a dentist in Connecti-cut, and illustrated instructions for how to use dental floss. [Funded by the Maternal and Child Health Bureau]

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GIVE YOUR CHILD A HEALTHY MOUTH FOR LIFE

This brochure for pregnant women and parents of infants and young children explains why oral health is important to overall health and provides tips on oral hygiene during pregnancy, infancy, and early childhood. Topics include toothbrush-ing with fluoridated toothpaste and visiting the dentist. Information about oral health coverage for pregnant women and children and adoles-cents up to age 20 is also included. The brochure is available in English, Amharic, Arabic, Burmese, Dari (Afghan Persian), Farsi (Persian), Karen, Kinyarwanda, Kreyol (Haitian Creole), Pashto, and Spanish.

Maryland Dental Action Coalition. 2015. Give Your Child a Healthy Mouth for Life. Columbia, MD: Maryland Dental Action Coalition. 6 pp. https://healthreach.nlm.nih.gov/document/115/Healthy-Teeth-Healthy-Kids

A HEALTHY DIET IS SOMETHING TO SMILE ABOUT

This bookmark for parents describes the relation-ship 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 Depart-ment 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 impor-tant to do so. The video shows an oral health professional explaining to a new mother how to take care of an infant’s mouth, demonstrating

Michigan Caries Prevention Program. 2016. Fluo-ride: What Parents Need to Know. Ann Arbor, MI: Altarum Institute. 2 pp. http://miteeth.org/images/Flint-Parent.pdf

FLUORIDE VARNISH: A PART OF A HEALTHY CHILD

This video for parents and other caregivers describes fluoride varnish and how it is used to prevent tooth decay in infants and young chil-dren. Topics include what fluoride varnish is, how it works, and why it is important for infants’ and children’s health. Information about the safety and effectiveness of fluoride varnish and the importance of establishing an oral hygiene routine that includes regular oral health visits is included. The video is available in English, French, Hmong, Karen, Oromo, Russian, Somali, and Spanish.

Minnesota Oral Health Coalition. 2016. Fluoride Varnish: A Part of a Healthy Child. Plymouth, MN: Minnesota Oral Health Coalition. 1 video (2 min., 16 sec.). https://www.youtube.com/ channel/UCJn_RooxLVcnhojqS92_AyQ/videos? view=0&shelf_id=0&sort=dd

FLUORIDE VARNISH: WHAT PARENTS NEEDS TO KNOW (UPD.)

This fact sheet for parents provides information about the role of fluoride varnish in preventing tooth decay in young children. Topics include safety, how fluoride varnish is applied, and how to care for children’s teeth after it is applied. Information on getting regular oral health care, toothbrushing, and healthy eating is also provided.

American Academy of Pediatrics. 2015. Fluoride Varnish: What Parents Need to Know (upd.). Elk Grove Village, IL: American Academy of Pediatrics. 1 p. https://www.healthychildren.org/English/ healthy-living/oral-health/Pages/Fluoride-Varnish-What-Parents-Need-to-Know.aspx

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KIDS SAY THE DARNEDEST THINGS

These videos feature young children talking about oral health. Topics include when children brush their teeth, how they brush, what happens when they go to the dentist, and how fluoride helps prevent cavities.

American Academy of Pediatrics, Campaign for Dental Health. 2016. Kids Say the Darned-est Things. Elk Grove Village, IL: American Academy of Pediatrics, Campaign for Den-tal Health. 3 items. http://ilikemyteeth.org/blog-post-kids-say-darnedest-things

PROTECT YOUR CHILD’S SMILE: FLUORIDE VARNISH FOR YOUNG CHILDREN

This fact sheet for parents and other caregivers provides tips on oral hygiene and oral health care for infants and young children, including infor-mation about taking them to the dentist by age 1 and protecting their teeth with fluoride varnish. Topics include toothbrushing with fluoridated toothpaste; nutrition; how fluoride varnish is applied; and what to expect and what to do before and after fluoride varnish treatment. The fact sheet is available in English on one side and in Chinese or Spanish on the other side.

Kaiser Permanente. 2014. Protect Your Child’s Smile: Fluoride Varnish for Young Children. Oak-land, CA: Kaiser Permanente. 2 pp. https://my doctor.kaiserpermanente.org/ncal/Images/Protect %20Your%20Child's%20Smile_tcm75-905119.pdf

RETHINK YOUR DRINK, CHOOSE WATER

These resources provide information about sugar-sweetened beverages (SSBs) and tips on healthy alternatives. Contents include a poster and a bro-chure. Topics include the potential impact of SSB consumption on oral health; the amount of sugar in different beverages; and recommended daily limits on sugar for infants, children, adolescents, and adults. Information about reading nutrition labels, limiting juice, and choosing water is pro-vided. A form for ordering a drink display kit is also available.

Delta Dental of Michigan, Ohio, and Indi-ana. 2016. Rethink Your Drink, Choose Water. Okemos, MI: Delta Dental Foundation. 2 items. http://www.deltadentalmi.com/About/Brighter-Futures/Teaching-Tools.aspx

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 (12 min.). https://go.umd.edu/healthymouths

HEALTHY TEETH FOR YOU AND YOUR BABY [DIENTES SALUDABLES PARA USTED Y SU BEBE]

This brochure for pregnant women focuses on the importance and safety of oral health care dur-ing pregnancy. It also includes information about the age 1 dental visit for children and how to find a dentist. The brochure is printed in English on one side and in Spanish on the other.

TeethFirst!. 2016. Healthy Teeth for You and Your Baby [Dientes Saludables para Usted y Su Bebe]. Providence, RI: TeethFirst!. 6 pp. http://www.teethfirstri.org/sites/default/files/site-content/TF-OBGYN-QuadFold-PROOF_V2.pdf

INFORMATION FOR PATIENTS

This mobile app and poster provide informa-tion 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, Indo-nesian, Italian, Malay, Northern Sami, Norwegian Bokmal, Polish, Portuguese, 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, Turkish, and Vietnamese.

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

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Baby’s 1st Birthday. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 2 pp. http://www.chawisconsin.org/documents/OH3Facts1yr.pdf

WATER FIRST: A TOOLKIT FOR PROMOTING WATER INTAKE IN COMMUNITY SETTINGS

This guide is designed to help communities prevent obesity and dental caries by promoting drinking water as an alternative to sugar- sweetened beverages such as soda and sports drinks. Contents include strategies for building a team and defining and spreading the message in child care facilities, clinics, parks, schools, and other community-based settings. A two-page fact sheet is also available.

Hecht A, Buck S, Patel A. 2016. Water First: A Toolkit for Promoting Water Intake in Community Settings. Battle Creek, MI: W.K. Kellogg Founda-tion. 2 items. http://cfpa.net/Water/WaterToolkits/Water%20First/WaterFirst%20Toolkit-Final.pdf

WHAT TO EXPECT AT YOUR CHILD’S FIRST DENTAL VISIT

This video for parents explains what happens at an early dental visit. The video shows oral health professionals discussing good oral hygiene and how early and regular professional oral health care can help to establish a positive professional-family relationship and can contribute to healthy child development. The video is presented in English with Spanish subtitles.

TeethFirst!. 2015. What to Expect at Your Child’s First Dental Visit. Providence, RI: TeethFirst!. 1 video (4 min., 17 sec.). http://www.teethfirstri.org/content/what-expect-your-childs-1st-dental- visit

WHY EARLY DENTAL VISITS MATTER

This video for parents and other caregivers explains why they should take their infant to the dentist by age 1. Oral health professionals discuss good oral hygiene and nutrition and how early and regular professional oral health care can help to establish a positive professional-family relationship and healthy child development. The video is presented in English with Spanish subtitles.

SMILE FOR GOOD HEALTH

This tip sheet provides information about the importance of oral health for overall health for infants and children. Contents include tips on preventing tooth decay, such as cleaning an infant’s gums and teeth 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 Mater-nal and Child Health Bureau]

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

SUGAR BITES

These resources are part of a public-awareness campaign aimed at preventing the development of chronic diseases by encouraging parents to choose water for their young child instead of drinks that are high in sugar. The resources focus on reducing children’s risk for obesity, tooth decay, and type 2 diabetes by reducing their consumption of flavored milk, juice drinks, soda, and sports drinks. Contents include brochures, posters, videos, and web graphics. The resources are available in English and Spanish.

First 5 Contra Costa Children and Families Com-mission, Healthy+Active Before 5. 2015–. Sugar Bites. Concord, CA: First 5 Contra Costa Children and Families Commission, Healthy+Active Before 5. Multiple items. http://cutsugarydrinks.org/en/downloads

VISIT THE DENTIST BY BABY’S 1ST BIRTHDAY

This fact sheet encourages parents and other caregivers to schedule a dental appointment when an infant’s first tooth appears or no later than an infant’s first birthday. The fact sheet also describes the problem of dental caries, what to expect during a dental visit, and how to make the visit a positive experience. Tips on choosing a dentist and how to find an oral health profes-sional are also included.

Wisconsin Oral Health Coalition, Children’s Health Alliance of Wisconsin, Wisconsin Department of Health Services. 2015. Visit the Dentist by

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TeethFirst!. 2015. Why Early Dental Visits Mat-ter. Providence, RI: TeethFirst!. 1 video (4 min., 17 sec.). http://www.teethfirstri.org/content/why-early-dental-visits-matter

WHY FLUORIDE IN YOUR TAP WATER IS A GOOD THING

This video explains why adding fluoride to community water systems is safe and effective at preventing tooth decay. The video features commentary from oral health professionals and pediatric health professionals about the value of community water fluoridation for children and adults.

American Dental Association. 2016. Why Fluo-ride in Your Tap Water Is a Good Thing. Chi-cago, IL: American Dental Association. 1 video (2 min., 59 sec.). https://www.youtube.com/watch?v=wK4Fb1CGEKE

Systems Integration

DENTAL CARE IN ACCOUNTABLE CARE ORGANIZATIONS: INSIGHTS FROM 5 CASE STUDIES

This report presents case study findings on suc-cesses and challenges related to incorporating oral health care into accountable care organiza-tions (ACOs) in Iowa, Minnesota, Oregon, and Southwest Washington. Each case study provides the ACO’s background and market overview and describes payment arrangements and risk-sharing, care coordination, provision of oral health care, challenges to oral health care provision, and results.

American Dental Association Health Policy Insti-tute and American Academy of Pediatric Dentistry Pediatric Oral Health Research & Policy Center. 2015. Dental Care in Accountable Care Organi-zations: Insights from 5 Case Studies. Chicago, IL: American Dental Association. 27 pp. http://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_0615_1.pdf?la=en

Organizations

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ACADEMY OF GENERAL DENTISTRY560 West Lake Street, Sixth FloorChicago, IL 60661-6600Telephone: (888) 243-3368Website: http://www.agd.org

The Academy of General Dentistry serves the needs of general dentists, represents their inter-ests, and provides continuing education.

AMERICAN ACADEMY OF PEDIATRIC DENTISTRY211 East Chicago Avenue, Suite 1600Chicago, IL 60611-2637Telephone: (312) 337-2169Website: http://www.aapd.org

The American Academy of Pediatric Dentistry is committed to promoting optimal oral health and oral health care for infants, children, and adoles-cents, including those with special health care needs.

AMERICAN ACADEMY OF PEDIATRICSSection on Oral Health141 Northwest Point BoulevardElk Grove Village, IL 60007-1098Telephone: (800) 433-9016E-mail: oralhealthinfo@aap.orgWebsite: http://www.aap.org/oralhealth

The American Academy of Pediatrics’ Section on Oral Health focuses on improving communication between pediatricians and pediatric dentists and improving advocacy for oral health, nutrition, and early diagnosis and prevention of oral disease in children, including those with special health care needs.

AMERICAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY3085 Stevenson Drive, Suite 200Springfield, IL 62703Telephone: (217) 529-6941E-mail: info@aaphd.orgWebsite: http://www.aaphd.org

The American Association of Public Health Dentistry works to improve health for all citi-zens through the development and support of oral-health-promotion and disease-prevention programs.

AMERICAN DENTAL ASSOCIATION211 East Chicago AvenueChicago, IL 60611-2678Telephone: (312) 440-2500Website: http://www.ada.org

The American Dental Association is committed to the public’s oral health and to ethics, science, and professional advancement. Initiatives include those related to advocacy, education, research, and the development of standards.

AMERICAN DENTAL HYGIENISTS’ ASSOCIATION444 North Michigan Avenue, Suite 3400Chicago, IL 60611Telephone: (312) 440-8900Website: http://www.adha.org

The American Dental Hygienists’ Association works to advance the art and science of dental hygiene, promote standards of education and practice in the profession, and provide profes-sional support and educational programs.

ASSOCIATION OF STATE AND TERRITORIAL DENTAL DIRECTORS3858 Cashill BoulevardReno, NV 89509Telephone: (775) 626-5008E-mail: cwood@astdd.orgWebsite: http://www.astdd.org

The Association of State and Territorial Dental Directors formulates and promotes the establish-ment of national oral health public policy and assists state oral health programs in developing and implementing programs and policies for the prevention and control of oral diseases.

Organizations

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INDIAN HEALTH SERVICEDivision of Oral Health5600 Fishers Lane, Mail Stop 08N34 ARockville, MD 20857Telephone: (301) 447-3368Website: https://www.ihs.gov

The Indian Health Service, Division of Oral Health, addresses the oral health needs of Ameri-can Indians and Alaska Natives.

MATERNAL AND CHILD HEALTH BUREAUHealth Resources and Services Administration5600 Fishers LaneParklawn Building, Room 18-05Rockville, MD 20857Website: http://www.mchb.hrsa.gov

The Maternal and Child Health Bureau provides leadership, partnership, and resources to advance the health of mothers, infants, children, and ado-lescents, including those with special health care needs.

NATIONAL DENTAL ASSOCIATION6411 Ivy Lane, Suite 703Greenbelt, MD 20770Telephone: (240) 241-4448E-mail: info@ndaonline.orgWebsite: http://www.ndaonline.org

The National Dental Association (NDA) works to improve the delivery of oral health care in underserved communities and to improve the educational opportunities of minorities underrep-resented in the oral health field. NDA’s website features information on events, dental education, dental schools, programs, and initiatives.

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCHNational Institutes of Health31 Center Drive, MSC2290Building 31, Room 2C39Bethesda, MD 20892Telephone: (866) 232-4528E-mail: nidcrinfo@mail.nih.govWebsite: http://www.nidcr.nih.gov

The National Institute of Dental and Craniofacial Research seeks to improve oral health through research, research training, and the dissemination of information.

CENTERS FOR DISEASE CONTROL AND PREVENTIONDivision of Oral Health4770 Buford Highway, N.E., Mailstop F-10Atlanta, GA 30341-3717Telephone: (770) 488-6054E-mail: oralhealth@cdc.govWebsite: http://www.cdc.gov/OralHealth

The Centers for Disease Control and Prevention, Division of Oral Health, provides leadership in preventing and controlling oral disease, promot-ing oral health, and improving the quality of community water fluoridation.

CENTERS FOR MEDICARE & MEDICAID SERVICES7500 Security Boulevard, C2-26-12Baltimore, MD 21244Telephone: (410) 786-3000Website: http://www.cms.gov

The Centers for Medicare & Medicaid Services provides guidance to states administering Medicaid and the Children’s Health Insurance Program and provides services to beneficiaries and health professionals.

CHILDREN’S DENTAL HEALTH PROJECT1020 19th Street, N.W., Suite 400Washington, DC 20036Telephone: (202) 833-8288E-mail: info@cdhp.orgWebsite: http://www.cdhp.org

The Children’s Dental Health Project creates and advances research-driven policies and solutions by engaging a broad base of partners committed to children and oral health, including profession-als, communities, policymakers, and parents.

HISPANIC DENTAL ASSOCIATION3910 South IH-35, Suite #245Austin, TX 78704Telephone: (512) 904-0252Website: http://www.hdassoc.org

The Hispanic Dental Association provides leader-ship and represents professionals who share a commitment to improving the oral health of the Hispanic community.

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SOCIETY OF AMERICAN INDIAN DENTISTS5320 West Sahara Avenue, Suite 4Las Vegas, NV 89146Telephone: (702) 744-7243E-mail: saidentistry@gmail.comWebsite: http://www.thesaidonline.org

The Society of American Indian Dentists pro-motes oral health in the American Indian com-munity, serves as a resource for American Indian students interested in the dentistry profession, promotes American Indian heritage and tradi-tional values, and promotes and supports the concerns of American Indian dentists.

SPECIAL CARE DENTISTRY ASSOCIATION2800 West Higgins RoadHoffman Estates, IL 60169Telephone: (312) 527-6764E-mail: scda@scdaonline.orgWebsite: http://www.scdaonline.org

The Special Care Dentistry Association is dedi-cated to promoting good oral health and well-being for individuals with special health care needs.

NATIONAL MATERNAL AND CHILD ORAL HEALTH RESOURCE CENTERGeorgetown UniversityBox 571272Washington, DC 20057-1272Telephone: (202) 784-9771E-mail: OHRCinfo@georgetown.eduWebsite: http://www.mchoralhealth.org

The National Maternal and Child Oral Health Resource Center gathers, develops, and shares information and materials to respond to the needs of states and communities in addressing current and emerging public oral health issues.

NATIONAL NETWORK FOR ORAL HEALTH ACCESS181 East 56th Avenue, Suite 501Denver, CO 80216Telephone: (303) 957-0635E-mail: info@nnoha.orgWebsite: http://www.nnoha.org

The National Network for Oral Health Access provides advocacy and support for health centers working to improve the oral health status of underserved populations.

NATIONAL RESOURCE CENTER FOR HEALTH AND SAFETY IN CHILD CARE AND EARLY EDUCATIONUniversity of Colorado Denver13120 East 19th Avenue, Mail Stop F541P.O. Box 6511Aurora, CO 80045Telephone: (800) 598-5437; (800) 598-KIDSE-mail: info@nrckids.orgWebsite: http://nrckids.org

The National Resource Center for Health and Safety in Child Care and Early Education promotes health and safety in out-of-home child care settings throughout the nation.