title: Expanding oral health preventative services for young children: a successful interprofessional model.
abstract: Progressive solutions are needed to solve the oral health chronic disease problem in the U.S. The importance of oral health coupled with urgent community oral health needs, shortage of primary providers, and emphasis on interprofessional collaboration make the timing ripe for allied health training and practice in oral health preventative services. A successful model is described that addressed the unmet oral health care needs of low-income and at-risk children. The model is a guide for integrating an oral health screen, fluoride varnish, anticipatory guidance, and dental referrals into allied health practice. An alternative oral health provider approach was used to address the low rate of early caries detection, preventative oral care, and access for underserved children. A comprehensive system for the administrative and clinical components of the project, including implementation plan, clinical protocols, prescriptive authority, a dental home referral system, clinical training and competency testing, was developed. The interprofessional project increased oral health services capacity and practice acceptance of oral health screening and fluoride varnishing among dietitians. Oral health care services provide allied health practitioners with unique opportunities to impact the poor access and unmet needs of at risk children and adults and to improve overall health.
authors.affiliation: The University of Akron, School of Nutrition and Dietetics, College of Health Professions, Schrank Hall South 210, Akron, Ohio 44325-6103. Tel 330-972-2836, fax 330-972-5563. etaylor@uakron.edu.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Taylor
authors.forename: Deborah
authors.initials: D
authors.lastname: Marino
authors.forename: Sherrey
authors.initials: S
authors.lastname: Thacker
authors.forename: Marguerite
authors.initials: M
authors.lastname: DiMarco
authors.forename: Marlene
authors.initials: M
authors.lastname: Huff
authors.forename: Diana
authors.initials: D
authors.lastname: Biordi
mesh_terms: D000488:Allied Health Personnel / Q000193:education / Q000458:organization & administration / Q000639:trends; D002675:Child, Preschool; D019140:Dental Care for Children / Q000191:economics / Q000458:organization & administration*; D003731:Dental Caries / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D005460:Fluorides, Topical / Q000008:administration & dosage; D063105:Food Assistance / Q000191:economics / Q000458:organization & administration; D054625:Healthcare Disparities / Q000191:economics; D006801:Humans; D058025:Interdisciplinary Studies; D007400:Interprofessional Relations; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration; D017146:Models, Organizational; D064686:Nutritionists / Q000193:education / Q000458:organization & administration* / Q000639:trends; D009820:Ohio / Q000453:epidemiology; D010290:Parents / Q000193:education; D011313:Preventive Dentistry / Q000458:organization & administration* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D000078329:Workforce
chemical_list: D005460:Fluorides, Topical