Improving Perinatal and Infant Oral Health

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Improving Perinatal and Infant Oral Health

• American Academy of Pediatric Dentistry
• and
• Childrens Dental Health Project

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Improving Perinatal and Infant Oral Health Project

• Partnership
• HRSA, Maternal and Child Health Bureau
• American Academy of Pediatric Dentistry
• Childrens Dental Health Project
• Alliance for Information on Maternal and Child
  Health
• Purpose Support membership organizations that
  have a maternal and child health focus

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AIM Collaborative Goals

• Improve public and private Maternal and Child
  Health programs
• Encourage multidisciplinary collaboration
• Raise awareness
• Disseminate new information
• Develop policies and clinical guidelines
• Improve delivery of MCH care services

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AIM partners

• American Academy of Pediatrics (AAP)
• American Academy of Pediatric Dentistry (AAPD)
• American Bar Association (ABA)
• Association of Maternal and Child Health Programs
  (AMCHP)
• Association of State and Territorial Health
  Officials (ASTHO)
• CityMatCH (University of Nebraska)
• Grantmakers for Children, Youth Families (GCYF)
  
• Family Voices
• Grantmakers in Health (GIH)
• National Association of County and City Health
  Officials (NACCHO)
• National Business Group on Health (NBGH)
• National Conference of State Legislatures (NCSL)
• National Conference of State Legislatures
  Consortium (with NGA, ASTHO, AMCHP)
• National Governors Association (NGA)
• National Healthy Start Association (NHSA)
• National Institute for Health Care Management
  (NIHCM)
• Today's Child Communications
• Maternal and Child Health Bureau

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Current Trends in Perinatal and Infant Oral Health

• 1 in 5 women who gave birth in 2004 saw a dentist
  during pregnancy
• Recent studies report associations between oral
  diseases and an increased risk for poor birth and
  pregnancy outcomes (preterm birth, low
  birthweight, and gestational diabetes)
• CDC tooth decay in baby teeth has increased 15
  among U.S. toddlers and preschoolers ages 2 to 5
  years old. During the 1999-2004, 28 of young
  children had experienced cavities
• Dental caries is the most common, chronic disease
  of childhood, and is usually established before
  age 2
• Prevention is cost-effective Low-income children
  who have their first dental visit by age one are
  less likely to have subsequent restorative or ER
  visits, and their average dentally related costs
  are almost 40 lower over a 5 year period than
  children who receive their first visit preventive
  visit after age one

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Goals of Improving Perinatal and Infant Oral
Health

• 1.Expand availability of prenatal oral health
  care
• 2.Expand availability of infant oral health care
• 3.Raise public awareness regarding dental care
  for pregnant women and infants

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Goal 1 Expand availability of prenatal oral
health care

• Addressing existing barriers
• Disseminate resources on dental care for pregnant
  women to clinicians, health educators, and
  patients
• Identify, develop, and disseminate resources on
  preventive oral health guidance for infants

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Primary Activities

• Maternal and Child Health Bureau Perinatal Oral
  Health Workgroup
• Collaboration with New York State Department of
  Public Health
• New Parent Kit pilot study
• Inclusion of perinatal component in AAPD
  Guideline on Infant Oral Health Care
• Resource guide for Medicaid Coverage of Dental
  Services for Pregnant Women
• Provision of CE to AAPD membership

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Goal 2 Expand availability of infant oral health
care

• Addressing existing barriers
• Expand adoption of age one dental visit and
  dental home policies by pediatric and general
  dentists
• Expand dental care for infants at greatest risk
  for early oral disease

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Primary Activities

• Pre-doctoral dental school survey of infant and
  toddler oral health curricula
• Provision of CE to AAPD membership on promoting
  infant oral health
• Promotion of age one and dental home policies by
  general dentists, hygienists, and pediatricians,
  and promotion of training resources
• AAPD Periodicity Schedule Initiative
• Documents ECC chapter, model benefit, ASTDD Best
  Practices

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Goal 3 Raise public awareness regarding dental
care for pregnant women and infants

• Addressing existing barriers
• Target AAPDs public awareness campaigns and
  policies to pregnant women
• Promote inclusion of perinatal oral health
  components in public health campaigns
• Development of a cadre of professionals to
  provide training on science-based perinatal and
  infant oral health practices

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Primary Activities

• Research on health literacy and health messaging
• Distribution of AAPD public education resources,
  policies, and recommendations
• Development and distribution of parent education
  materials, materials for MCH providers, and
  policy briefs
• Childrens Dental Health Month parent education
  events
• Provision of TA and consultation
• Exploring new, nontraditional collaborative
  relationships

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Summary

• Dental disease is transmissible, chronic, and
  progressive, but it is also SOLVABLE
• Together we can promote the oral health of
  children and ensure they begin life with the best
  chances to succeed

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Contact Information

• Jessie Buerlein, MSW
• Project Manager, Improving Perinatal and Infant
  Oral Health
• jbuerlein_at_cdhp.org
• [phone] ext. 208
• Dr. Ned L. Savide, Chair, AAPD Ad Hoc Committee
  on Perinatal Oral Health
• nlsavide_at_aol.com