National Oral Health Conference® April 22 – April 24, 2013 VON BRAUN CENTER - Huntsville, Alabama Pre-Conference April 20-21, 2013

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

Odyssey 2013:

Exploring the Oral Health System Policy, Science and Practice

Funding for this conference was made possible in part by cooperative agreement 5U58DP001695-04 from the Centers for Disease Control and Prevention (CDC). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. The AAPHD Foundation Since its formation in 1997, the AAPHD Foundation has solicited support from AAPHD members. Thank you to those who have answered the call! To date, the Foundation has awarded nine Herschel S. Horowitz Scholarships and will present the 4th Foundation Grant during the NOHC in Huntsville. Special thanks to our founding members and 2012 Contributors. You can help the AAPHD Foundation do even more by joining your colleagues and making your pledge. Stop by the AAPHD Foundation Booth and sign up! FOUNDATION Founding Members Howard Lee Yarbough and Barbara Gooch William Maas Emery Joseph Alderman Harry Goodman John D. Mahilo J. Michael Allen Ralph Green Dolores M. Malvitz Myron Allukian Veronica Greene H. Berton McCauley Securing the Kathy Atchison Kathy Hayes Steven Uranga McKane Robert Bagramian Lawrence Hill Hermine McLeran Elizabeth Bernhard Irene Hilton Robert Mecklenburg Ron Billings Alice and Hersh Horowitz Nicholas Mosca Future Irene Bober-Moken Elvine Y. Jin Linda Niessen for Brian A. Burt Robert M. Johnson Sharon J. Perlman Robert Collins Donald W. Johnson Scott M. Presson Georgia dela Cruz Rhys Jones Gary Rozier Dental Public Joe and Helen Doherty David and Candace Jones Mary Tavares Terri Dolan Judith Jones George Taylor Chester Douglass Linda Kaste Scott Tomar Health through: Robert Dumbaugh Rebecca King Jeanine Tucker Caswell A. Evans Dushanka Kleinman Jane Weintraub  Support for AAPHD Denise Fedele Raymond Kuthy Robert Weyant Janie Fuller Steven Levy Alex White Mission and Goals Steve Geiermann Gene P. Lewis  Support for Thank you to our supporters for 2012! Student Chapters $500 or more Janet Coulter & Andrew Lennox Kathy Mangskau E. Joseph Alderman & Amos Deinard Don Marianos  Howard Lee Yarbrough Joseph Doherty Michelle McQuistan Scholarships Don Altman Sangetta Gajendra Carolyn Manz Kathryn Atchison Catherine Hayes Michael Manz  Grants Irene Bober-Moken Kathy Hayes Parivash Nourjah Diane Brunson Robert Isman Scott Presson David Cappelli Julie Janssen Gary Rozier Dentsply Yihong Li Vipul Singhal 2013 Herschel S. Horowitz Terri Dolan Robert Lloyd Alex White Caswell Evans Stanley Lotzkar Jana Winfree Scholarship Recipients Robert Faine Robert Mecklenburg Marilyn Woolfolk Dr. Nicholas B. Gordon Jay Friedman Elizabeth Mertz Karen Yoder Barbara Gooch Nick Mosca Tufts University Steve Geiermann Susan Reed $1 - $99 Irene Hilton Robert Selwitz Anonymous Dr. Samantha Jordan Alice Horowitz Pamela Tolson Jennifer Bankler Judith Jones Helene Bednarsh Harvard University Linda Kaste $100 - $249 Vinodh Bhoopathi Dushanka Kleinman ABDPH Colleen Brickle Steve Levy Myron Allukian Maria Canto 2013 Small Grant Recipient William Maas Ronald Billings Charles Czerepak Jeffrey Jackson Ana Karina Mascarenhas Jeff Chaffin Terry Dickinson Hermina McLeran Robert Collins Judith Feinstein Amanda Kerns Christopher Okunseri Kee-Wan Chang Carolyn Gray Dr. Rocio Quinonez Kathy Phipps Kip Duchon Beverly Isman Georgia Rogers Mike Easley Samantha Jordan University of North Carolina JJ Shelly Isabel Garcia James Lalumandier School of Dentistry Woosung Sohn Frances Kim Kathy Lituri George Taylor Rebecca King Vinod Miriyala Scott Tomar Jay Kumar Howard Pollick Contributions may be made online at John Warren Ray Kuthy Bob Russell www.aaphd.org by clicking on the AAPHD Jane Weintraub Lew Lampiris Thayer Scott Kecia Leary Eli Schwarz Foundation tab. Or, call the AAPHD Office at $250 - $499 Warren LeMay James Toothaker 217-529-6941. MasterCard and Visa accepted. William Bailey Reg Louie Genevieve Valdez National Oral Health Conference® April 22 – April 24, 2013 VON BRAUN CENTER - Huntsville, Alabama Pre-Conference April 20 – 21, 2013

The National Oral Health Conference is Special Thanks to our 2013 Program sponsored by the: Planning Committee Association of State and Territorial Dental Directors American Association of Public Health Dentistry Co-Chairs Centers for Disease Control and Prevention Harry Goodman, DMD, MPH Nicholas Mosca, DDS Conference Partners Include: Committee American Association for Community Dental Programs Melissa Albuquerque, BA American Dental Association Debi DeNure, RDH Cassandra Martin Frazier, MPH, CHES Catherine Hayes, DMD, DrPH Corporate Partners Making Significant Bev Isman, RDH, MPH Contributions to the Conference: Mike Monopoli, DMD, MPH Aseptico, Incorporated Pamela J. Tolson, CAE Chris Wood, RDH, BS Medical Products Laboratories, Inc. Kimberlie Yineman, RDH, BA

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

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

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

3 AAPHD Executive AAPHD President’s Welcome Council and Officers

President Welcome to the 14th National Oral Health Conference, the joint Nicholas G. Mosca, DDS Mississippi Department of Health scientific meeting of the Association of State and Territorial Dental Directors (ASTDD) and the American Association of President-Elect Public Health Dentistry (AAPHD). I want to thank the members Catherine Hayes, DMD, SC, DrMedSc of ASTDD and AAPHD who participated voluntarily in our Health Resources in Action Boston, MA conference planning. The conference theme is “Odyssey 2013—Exploring the Oral Health System: Policy, Science Vice President and Practice.” This theme encourages a number of inspirational Michael P. Monopoli, DMD, MPH, MS speakers who will challenge us to think differently about what DentaQuest Foundation is possible at the confluence of policy, science and practice. The Boston, MA Nicholas G. Mosca nearby Mitchell Space Flight Center is an example of innovation Secretary-Treasurer that can be achieved through imagination, ingenuity, and Christopher Okunseri, BDS, DDPHRCSE, involvement. Innovation requires more than just having knowledge; it requires freedom of MSc, FFDRCSI thought to challenge existing ideas and seek others that are not easily evident. Marquette University School of Dentistry Milwaukee, WI Our conference facility is named after one of the world’s great innovators, Dr. Wernher von Braun. He led the development of the Saturn rocket program that enabled U.S. astronauts Immediate Past President in 1969 to escape Earth’s orbit and land on the Moon. Imagination and ingenuity in dental Diane Brunson, RDH, MPH public health has led to innovations that benefit all collectively in society, such as community University of Colorado School of Dental Medicine water fluoridation and dental sealants in school-based settings. In some situations, freedom of Aurora, CO thought is triggered by intolerance and strengthened by involvement. In 1965, Alabama state troopers used violence against civil-rights demonstrators to stop a peaceful march against Executive Council racially discriminatory voting practices. This event, known as “Bloody Sunday,” encouraged David Cappelli, DMH, DMD, PhD others to get involved and hold marches, which influenced the passage of the Voting Rights San Antonio, TX Act of 1965. Imagination is also enhanced by diversity. AAPHD members include scientists, Julie Ann Janssen, RDH, MA educators, policy makers, and oral health professionals, many of whom are not board certified. Springfield, IL Arguably, the diversity of AAPHD encourages imagination, ingenuity and involvement. I thank everyone for attending this special southern conference. I want to thank the Frances Kim, DDS, DrPH San Diego, CA American Board of Dental Public Health and the American Association for Community Dental Programs for convening your members as part of this conference. I also appreciate the Donald Marianos, DDS, MPH contribution of other organizations for conference planning and implementation, including Pinetop, AZ the American Dental Association, the Children’s Dental Health Project, and Pew Center for the States, and many others. I sincerely thank our federal partners including the Centers for Disease Michael McCunniff, DDS Raymore, MO Control and Prevention for providing conference resources and support. I also welcome and extend my deep appreciation for the corporate exhibitors who support this conference. Your Elizabeth Mertz, DDS, PhD innovative product and service solutions are wonders of ingenuity and I encourage attendees San Francisco, CA to visit our exhibitors. Gina Thornton-Evans, DDS, MPH AAPHD now officially recognizes 16 student chapters that represent emerging leadership Atlanta, GA opportunities for innovation and entrepreneurship in dental public health. I want to thank the members of the student chapters who attend this conference and our annual student ABDPH Rep and Historian award winners. Your colleagues will share different ideas, opinions and beliefs that should E. Joseph Alderman, DDS, MPH serve as catalyst for your imagination and engagement. Atlanta, GA I hope you receive the best of southern hospitality during your stay in Huntsville. Y’all JPHD Editor have a great conference! Robert Weyant, DMD, DrPH Pittsburgh, PA Nicholas G. Mosca, DDS Foundation Chair President, AAPHD Kathryn Atchison, DDS, MPH Los Angeles, CA

Executive Director Pamela J. Tolson, CAE Springfield, IL

4 ASTDD Incoming President’s Welcome ASTDD Board of Directors

On behalf of the American Association of Public Health Dentistry President Harry Goodman, DMD, MPH (AAPHD) and the Association of State and Territorial Dental Directors MD Department of Health and Mental Hygiene (ASTDD), I would like to welcome you to Huntsville, Alabama, Baltimore, MD for the 2013 National Oral Health Conference, the 14th Annual Joint Meeting of our two great dental public health professional President Elect associations. Kimberlie J. Yineman RDH, BA North Dakota Department of Health The National Oral Health Conference (NOHC) is arguably the Bismarck, ND best dental public health meeting of its kind. Why? Simply said, there is something at the NOHC for everyone. You will have the Immediate Past-President opportunity to discover the latest in evidence-based or burgeoning Margaret M. Snow, DMD, MBA, MPH research, state and community best practices, and local grassroots New Hampshire Department of Health and Harry S. Goodman Human Services efforts at one of the many sessions, exhibits, and luncheons. Equally Concord, NH important, you will have the chance to network, conduct business or just converse and share stories with friends. Secretary This is the first time the NOHC will be held in Huntsville; we are most excited because it Julie Watts McKee, DMD Kentucky Department of Public Health Services has something for both history and technology buffs. Huntsville boasts a rich history that dates Frankfort, KY back to the early 19th century. It was named John Hunt who settled here in 1805 alongside what has become known as the “Big Spring.” And the “Big Spring” still flows from a rock bluff Treasurer and winds through a landscaped park into a city lake. Huntsville soon became a major cotton Katherine Weno, DDS, JD trading and railroad center in the region for many years; one can still sample the Twickenham Kansas Department of Health and Environment Topeka, KS historic district in the city, which has the largest collection of pre-Civil War homes in the state. During the Civil War, Huntsville did not experience the same fate as surrounding villages which Directors were burned by the Union Army. Bobby D. Russell, DDS, MPH As for modern technology, Huntsville is nicknamed the “Rocket City” and it is home to the Iowa Department of Public Health U.S. Space and Rocket Center because of its historic connection with U.S. space missions. Rocket Des Moines, IA scientists, including Wernher von Braun, were brought to the city to develop rockets for the U.S. Judith A. Feinstein, MSPH Army. By the end of the 1950’s, the team had developed the rocket that orbited America’s first Maine Center for Disease Control and Prevention satellite. They eventually put the first American in space and transported the first astronauts to Augusta, ME the moon. The Center, which will host our Tuesday evening reception, contains such attractions Jason M. Roush, DDS as the U.S. Space Camp, Moonbuggy races, as well as opportunities to experience and view West Virginia Department of Health astronaut-training activities. Because the Center also offers visitors the ability to feel simulated and Human Resources Office of Maternal, weightlessness, it will ease any guilt you might have after visiting the many restaurants and bars Child and Family Health that Huntsville offers. There are 11 active local breweries in Alabama including 3 in Huntsville. Charleston, WV But don’t eat and drink too much since you will want to use the time to discover other Huntsville Associate Member Director sites such as the NASA Marshall Space Flight Center at the Redstone Arsenal, the Huntsville A. Conan Davis, DMD MPH Botanical Gardens, the Von Braun Center, and the Huntsville Museum of Art. University of Alabama at Birmingham As always, ASTDD would like to express its appreciation to the Centers for Disease Control School of Dentistry and Prevention whose continued support has made the success of our organization and Birmingham, AL meeting possible. We also wish to thank our many organizational and corporate partners and Newsletter Editor Ex Officio exhibitors who enrich our conference through their generous support and participation. Please Lynn A. Bethel, RDH, BSDH, MPH be sure to find the time to stop by and visit with the exhibitors during the conference. Massachusetts Department of Public Health Finally, it is important to recognize the efforts and commitment of the meeting organizers Boston, MA and planning committees who make the NOHC the formative meeting that it is. Planning for each meeting begins well over a year before the actual event occurs and ranges from choosing Cooperative Agreement Manager Ex Officio Beverly Isman, RDH, MPH, ELS the appropriate hors d’oeuvres to selecting the best oral and written presentations from the Davis, CA vast and varied number of outstanding submissions. On behalf of both ASTDD and AAPHD, I welcome you to Huntsville and the 2013 NOHC Executive Director Ex Officio and invite you to help us make this conference a memorable and successful one. We hope that Christine Wood Sparks, NV your experience at the NOHC will be good one and that you find a path to propel our nation’s oral health agenda forward “to infinity and beyond” and to “boldly go where no one has gone Executive Director Emeritus Ex Officio before.” M. Dean Perkins, DDS, MPH New Bern, NC Harry Goodman, DMD, MPH President, ASTDD

5 National Oral Health Conference® VON BRAUN CENTER – Huntsville, Alabama Pre-Conference Schedule

THURSDAY, April 18 8:00 a.m. – 5:00 p.m...... South Hall BR 1 7:00 a.m. – 1:00 p.m...... South Hall MR 3 AAPHD Executive Council Meeting ABDPH Board Oral Examination 12:00 p.m. – 1:30 p.m...... South Hall BR 2 7:00 a.m. – 5:30 p.m...... South Hall MR 2 ASTDD and AAPHD BOD/EC Joint Lunch ABDPH Board Oral Examination 1:00 p.m. – 3:30 p.m...... South Hall MR 1 FRIDAY, April 19 AACDP Executive Board Meeting 6:30 a.m. – 7:30 p.m...... South Hall MR 3 ABDPH Board Oral Examination 1:30 p.m. – 4:30 p.m...... South Hall BR 4 Tips, Tricks, and Resources to Diversify and Increase Funding 8:00 a.m. – 1:30 p.m...... South Hall MR 2 CDE 3.0 ABDPH Board Oral Examination Sponsored by: ADI Mobile and DentaQuest Institute 1:00 p.m. – 5:00 p.m...... South Hall MR 1 Dori Bingham, BA; Jim Kitch, BA, EMT-I ASTDD Board of Directors Meeting This will be an interactive session focusing on identifying potential funding sources including foundation and corporate philanthropic SATURDAY, April 20 organizations, and developing compelling messaging to engage funders, media, legislators, and the public. Presenters will share 7:00 a.m. – 5:00 pm...... South Hall the Funder’s perspective—what are they looking for in successful Registration Desk Open programs? How do they measure success? How to demonstrate ROI 7:30 a.m. – 6:00 p.m...... South Hall MR 3 (Return on Investment) to stakeholders. Common pitfalls and missteps ABDPH Board Oral Examination and Board Business Meeting grantees make. If you’re a program that doesn’t bill directly for services 8:00 a.m. - 12:00 p.m...... South Hall MR 1 (and thus needs to rely on grants/fundraising for sustainability), it’s ASTDD Board of Directors Meeting critically important to demonstrate meaningful outcomes. Learn how! 8:00 a.m. – 12:30 p.m...... South Hall MR 2 Learning Objectives: 1. Identify resources for foundation and corporate ABDPH Board Oral Examination philanthropic engagement. 2. Describe ways to engage foundation and corporate philanthropic organizations. 3. Communicate Return 8:00 a.m. – 12:00 p.m...... South Hall BR 5 on Investment. 4. Understand Funders’ perspectives. 5. Develop Speaking Up Effectively About Water Fluoridation: compelling stories to engage local and federal legislators and the A Speaker’s Training Workshop for Advocates and media. Spokespersons CDE 4.0 Sponsored by: CDC, Pew Children’s Dental Campaign, ADA, ASTDD 4:00 p.m. – 6:00 p.m...... South Hall BR 5 Matt Jacob, BA; Linda S. Orgain, MPH; William A. Smith, EdD, PhD; Leslee AACDP Session - Nuts and Bolts: Oral Health Literacy – CDE 2.0 Williams, BS Alice M. Horowitz, PhD; Scott Wolpin, DMD More than 65 years of experience and hundreds of studies prove This session will provide an update on oral health literacy and its that community water fluoridation is safe and effective in preventing impact on health outcomes. We will demonstrate how a health literacy dental disease. The CDC heralds fluoridation as one of ten great public environmental scan is done and what it consists of. Dr. Wolpin will share health achievements of the 20th century. Oral health professionals his views as a partner in one of these scans and his opinions on the and advocates are often called upon to explain and defend water pros and cons of doing them. fluoridation to the media, government officials and a variety of public At the conclusion of the course Participants will be able to: 1. Explain audiences. This interactive skill-building session will provide training what health literacy is and how low health literacy affects oral and tips for speakers, mock interviews with a voluntary videotaping health outcomes. 2. Describe at least 5 attributes of a health literate component, and other practical assistance. Evidence-based fluoridation organization. 3. Describe the elements included in a health literacy information and resources will be provided. Learn how to effectively environmental scan of dental clinics. 4. Specify at least 3 changes they frame responses with confidence; structure focused and effective media can make in their organization to make it more user friendly. responses to inquiries; and develop and deliver public presentations and testimony on this important public health topic. Recommended 6:00 p.m. – 7:00 p.m...... South Hall BR 3 for State Dental Directors and others interested in building their ASTDD/AACDP Member Reception communications skills. ASTDD Members/ Associate Members and AACDP Members are invited Participants will: 1. Be able to identify common issues in community to a reception where they can meet, mingle, and share ideas. water fluoridation discussions with media, supporters and opponents. 2. Be better able to frame responses to identified issues. 3. Evaluate and adapt their own styles for media contacts and public presentations. 4. Develop and plan at least two kinds of public presentations.

6 SUNDAY, APRIL 21 Learning Objectives: 1. Participants can describe differences between 7:00 a.m. – 5:00 pm...... South Hall similar sounding measures used in different settings with different Registration Desk Open data sources. 2. Participants can identify 5 organizations involved in development of measures for oral health and the primary purpose 7:00 a.m. – 5:30 p.m...... South Hall BR 2 of each organization’s measure set. 3. Participants can identify which AACDP Annual Symposium - CDE 6.75 measure set will most impact their primary work setting and the primary Pam Clasgens, MA; Teri Chafin, DMD, MPH; Michael Scandrett, JD; Matt work setting of one of their key partners from a different setting. Jacob, BA; Matt Crespin, MPH, RDH; Mel Rader, MS; Jeff Parker, MPA; Marcy Borofsky, DDS, MPH; George Harris; Frances Kim, DDS; Howard 8:00 a.m. – 11:45 a.m...... South Hall BR 5 Rhoads, DDS; Tera Bianchi, BS, MSW, Sarah Wovcha, JD, MPH ASTDD Board of Directors Meeting This symposium provides leading edge information on new and/or effective population-based dental programs, policies and best practices 10:00 a.m. – 11:30 a.m...... East Hall 3 that will be helpful to oral health personnel from city, county and local Tools for Oral Health Stakeholders to Foster Chronic Disease health departments, neighborhood health centers, community-based Integration Activities - CDE 1.5 dental programs and other nonprofits and private practitioners who Sponsored by: ASTDD and the Children’s Dental Health Project provide dental care to underserved populations. The morning sessions Susan Deming, RDH, RDA, BS; Kimberlie Yineman, RDH, BA; look at innovative programs in our host state of Alabama, safety net Ali Danner, MPH patient-centered health care homes that include oral health services Oral health is critical to overall health. Oral health stakeholders and the fight for public water fluoridation, with reports from the Pew interested in engaging and partnering to understand and relate oral Children’s Dental Campaign, and advocates from Portland, Oregon, health to other chronic medical conditions have incentives to move and Milwaukee, Wisconsin. Afternoon topics offer a wide variety of forward, but tools are still emerging. A pilot tool is an Oral Health strategies to provide effective local oral health programs (round table Literacy Quiz to use as an “Icebreaker” activity with stakeholders in discussion), not-for-profit and for-profit programs that increase access to other chronic disease areas. The Quiz, including variations targeted oral health care for the underserved while following a business model, for stakeholders in areas such as diabetes and heart disease, will be and the latest reports and initiatives demonstrating the effectiveness demonstrated and completed by session participants, with discussion of the dental therapist as an alternate dental provider. to follow. A panel representing states that have piloted the Quiz will Learning Objectives: 1. Strategies to improve and sustain local oral share their experience, including benefits and challenges. Selected health programs. 2. Innovative Alabama community oral health panelists will also provide an update on objectives and initiatives that initiatives. 3. What’s new in the development of a “health home” that relate to current public health goals for chronic disease integration includes oral health care. 4. The latest fights to sustain public water nationwide. fluoridation and lessons learned. 5. New and creative initiatives in oral Learning Objectives: 1. Identify new approaches that hold promise health care that demonstrate a business model. 6. The most current for advancing integration of oral disease and other chronic disease reports that show the outcomes of using dental therapists as an activities. 2. Participate in an Oral Health Literacy Quiz that can be alternative workforce. 7. Current news and models that can impact utilized by stakeholders in your state. 3. Discuss additional tools and your community dental program. methods and their implementation.

7:30 a.m. – 1:00 p.m...... South Hall MR 3 12:00 p.m. – 5:00 p.m...... South Hall BR 1 ABDPH Board Oral Exam and Business Meeting ASTDD Annual Member Lunch, Annual Business Meeting, Regional Roundtable Discussion, and Member/Associate 7:30 a.m. – 1:30 p.m...... South Hall MR 2 Member Meetings with Consultants AAPHD Executive Council Meeting 1:00 p.m. – 4:00 p.m...... South Hall BR 5 8:00 a.m. – 11:30 a.m...... South Hall BR 4 Dental Public Health Residency Director’s Meeting Objectives, Indicators, Measures and Metrics - CDE 3.5 Sponsored by: CDC 1:30 p.m. – 5:30 p.m...... South Hall MR 1 Krishna Aravamudhan, BDS, MS; Mary E. Foley, RDH, MPH; Jill Boylston American Network of Oral Health Coalitions Annual Meeting Herndon, PhD; Renee Joskow, DDS, MPH, FAGD; Laurie Norris, JD (By Invitation Only) Oral health measures to examine quality, performance, or progress toward goals have been developed or are being developed to meet the 6:00 p.m. – 8:00 p.m...... Courtyard needs of various federal agencies, comply with legislative requirements, Opening Reception or promote a continuous quality improvement culture in clinical dental Welcome to Huntsville and to Spring! Enjoy both at the NOHC and dental public health settings. The metrics proposed by different reception and take this first opportunity to see old friends and meet organizations often sound similar, but have important differences critical new colleagues. Networking, food, drink, good conversation and YOU to the purpose of each measure set. How do these efforts relate to one are the highlight of the evening. Ticketed Event – Must present ticket another? Are they redundant or coordinated? Will they lead to greater for entry. burdens of reporting on state and local programs, community health centers, or private practice dentists? Will they achieve their intended Sponsored in part by our friends at purpose? What role is being taken by: CDC, Centers for Medicare and Medical Products Laboratories, Inc. Medicaid Services (CMS), Health Resources and Services Administration (HRSA), United States Department of Health and Human Services (US Please note: Due to changes in liability DHHS), US National Oral Health Alliance, the National Quality Forum, the insurance, NOHC events will now offer a Dental Quality Alliance, ASTDD, Medicaid CHIP State Dental Association cash bar. However, thanks to our reception (MSDA), insurers, and the ADA? This session will update the audience sponsor, Medical Product Labs, 2 complimentary drink tickets will be on current efforts and the potential for collaborative efforts to improve offered to each participant this evening. (Drink tickets will be distributed the efficiency and effectiveness of oral health care. as you enter the reception).

7 National Oral Health Conference® April 22 – April 24, 2013 VON BRAUN CENTER - Huntsville, Alabama Pre-Conference April 20 – 21, 2013

Krishna Aravamudhan, BDS, MS George Harris Mel Rader, MS American Dental Association PrevMED Upstream Public Health Chicago, IL Stevensville, MD Portland, OR

Tera Bianchi, BS, MSW Jill Boylston Herndon, PhD Howard Rhoads, DDS Children’s Alliance College of Medicine, University of De Baca Family Practice Clinic Seattle, WA Florida Fort Sumner, NM Gainesville, FL

P resenters Dori Bingham, BA William Smith, EdD DentaQuest Institute Alice M. Horowitz, PhD Hager Sharp Westborough, MA University of Maryland College Park Washington, DC School of Public Health Marcy Borofsky, DDS, MPH College Park, MD Leslee Williams, BS Mobile Dentists American Dental Association Farmington Hills, MI Matt Jacob, BA Chicago, IL Pew Charitable Trusts / Pew Children’s Teri Chafin, DMD, MPH Dental Campaign Scott Wolpin, DMD Jefferson County Health Department Washington, DC Choptank Community Health Birmingham, AL System Dental Program Renee Joskow, DDS, MPH, FAGD Federalsburg, MD Pam Clasgens, MA Office of Strategic Priorities HEALS, Inc. (Health Establishments At Health Resource and Services Sarah Wovcha, JD, MPH Local Schools) Administration Children’s Dental Services Huntsville, AL Rockville, MD Minneapolis, MN

Matt Crespin, MPH, RDH Frances M. Kim, DDS, MPH, DrPH Kimberlie Yineman, RDH, BA onference Children’s Dental Health Alliance of Consultant North Dakota Department of Health Wisconsin San Diego, CA Bismarck, ND Milwaukee, WI Jim Kitch, BA, EMT-I Ali Danner, MPH ADI Mobile Health CDC Division of Oral Health Evansville, IN Atlanta, GA Laurie Norris, JD Susan Deming, RDH, RDA, BS Center for Medicaid and CHIP Services Center for Medicare and Medicaid P re -C Michigan Dept of Community Health Oral Health Program Services Lansing, MI Baltimore, MD

Mary E. Foley, RDH, MPH Linda S. Orgain, MPH Medicaid/CHIP State Dental Association CDC Division of Oral Health Washington, DC Atlanta, GA

Paul Glassman, DDS, MA, MBA Jeffrey Parker, MPA University of the Pacific School of Sarrell Dental Centers Dentistry Anniston, AL San Francisco, CA I nvited

8 von

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center - south VON BRAUN CENTER South CENTER Hall BRAUN VON

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9 MONDAY, APRIL 22 7:00 a.m. – 5:00 p.m. Registration Desk Open...... South Hall 7:00 a.m. – 8:00 a.m. Coffee with Exhibitors...... South Hall I 8:00 a.m. – 9:15 a.m. Opening Ceremony, Welcome and Opening Keynote - CDE 1.0 ...... South Hall II 9:15 a.m. – 9:30 a.m. Break ...... South Hall II 9:30 a.m. – 11:00 a.m. Opening Plenary - CDE 1.5 ...... South Hall II  What’s on the Federal Horizon? 11:00 a.m. – 11:30 a.m. AAPHD Special Merit and Student Awards ...... South Hall II 11:30 a.m. – 1:30 p.m. Roundtable Lunch - CDE 1.5 ...... South Hall I  AAPHD Student Chapter Session...... South Hall MR 1  Exhibits Open ...... South Hall I  Posters Open for viewing only ...... South Hall I 1:45 p.m. – 3:15 p.m. Afternoon Plenary - CDE 1.5 ...... South Hall II  Investments in Innovation (National Institute for Dental and Craniofacial Research (NIDCR) 3:15 p.m. – 3:30 p.m. Fluoridation Awards – Campaign for Dental Health ...... South Hall II 3:30 p.m. – 5:00 p.m. Poster Session I - CDE 1.5 ...... South Hall I  Break with Exhibitors ...... South Hall I 4:30 p.m. – 5:30 p.m. CDC Water Fluoridation Update ...... South Hall BR 5 5:00 p.m. – 6:00 p.m. ADHA Hosted Reception ...... South Hall I 5:00 p.m. – 6:00 p.m. ABDPH Future Examination Orientation ...... South Hall MR 1 5:00 p.m. – 7:00 p.m. Field Trip to Sarrell Dental Center - CDE 1.0 ...... Sarrell Dental Center RSVP required – Transportation provided 6:00 p.m. – 9:00 p.m. ASTDD School and Adolescent Oral Health Committee Member Dinner Meeting ...... South Hall MR 2 6:30 p.m. – 9:30 p.m. American Network of Oral Health Coalitions Dinner (By Invitation Only) ...... South Hall BR 4 6:30 p.m. – 9:30 p.m. ABDPH Annual Diplomates’ Dinner and Meeting (By invitation only) ...... South Hall BR 1 6:30 p.m. Dinner on your own or

- a -G lance at 6:30 p.m. – 11:00 p.m. AAPHD Foundation Event ...... Outside South Hall Entrance Registration Fee and RSVP Required

TUESDAY, APRIL 23 7:00 a.m. – 5:00 pm. Registration Desk Open ...... South Hall 7:00 a.m. – 8:00 a.m. Coffee with Exhibitors...... South Hall I 7:00 a.m. – 8:0 0 a.m. AACDP Business Meeting ...... South Hall MR 1 8:00 a.m. – 9:30 a.m. ABDPH Plenary Session - CDE 1.5 ...... South Hall II  American Board of Dental Public Health Symposium: Oral Health Literacy: A Pathway to Reducing Disparities 9:30 a.m. – 10:15 a.m. ASTDD Awards/65th Anniversary Celebration ...... South Hall II 10:15 a.m. – 10:45 a.m. Break with Exhibitors ...... South Hall I 10:45 a.m. – 12:15 p.m. Concurrent Sessions - CDE 1.5  Using the Tools of Quality and Accountability to Improve Oral Health ...... South Hall BR 1  Sports Dentistry for Everyone: Education, Policy Implications, and Importance to the Population ...... South Hall BR 2  The Changing Dental Hygiene Workforce: Options for Better Oral Health Outcomes ...... South Hall BR 3  Portland Water Fluoridation Campaign Lessons Learned ...... South Hall BR 4  Oral Presentations...... South Hall BR 5 12:15 p.m. – 2:15 p.m. AAPHD Members Only Lunch and Annual Business Meeting...... South Hall II  Networking Lunch (for those attendees who are not AAPHD Members) ...... South Hall I  Exhibits Open ...... South Hall I  Posters Open for viewing only ...... South Hall I

S chedule

10 TUESDAY, APRIL 23 - Continued S chedule

2:15 p.m. – 3:45 p.m. Concurrent Sessions - CDE 1.5  Older Adults and Oral Health–Learning from the Past, Embracing the Present, and Imagining the Future of Care Delivery ...... South Hall BR 1  Trends of Improved Oral Health of American Indian and Alaska Native Head Start Children .. South Hall BR 2  Health Care Reform: Where Do We Go From Here? ...... South Hall BR 3  Innovative and Sustainable Business Models to Provide Oral Health Care for Underserved Patients ...... South Hall BR 4  Oral Presentations ...... South Hall BR 5 3:45 p.m. – 5:15 p.m. Poster Session II – CDE 1.5 ...... South Hall I Break with Exhibitors ...... South Hall I 7:00 p.m. – 11:00 p.m. Tuesday Evening Reception...... U.S. Space and Rocket Center Ticketed Event – Must present ticket for entry. Transportation provided. Sponsored in part by our friends at Aseptico

WEDNESDAY, APRIL 24 7:00 a.m. – 5:00 pm. Registration Desk Open ...... South Hall 7:00 a.m. – 8:00 a.m. ASTDD Board of Directors Meeting ...... South Hall MR 1 7:00 a.m. – 8:00 a.m. Coffee with Exhibitors...... South Hall I 8:00 a.m. – 9:30 a.m. Concurrent Sessions - CDE 1.5  Using Geographic Information Systems (GIS) to Identify Challenges A in Access to Dental Care ...... South Hall BR 1  National Center on Health, Oral Health Project ...... South Hall BR 2  Integrating the Leading Oral Health Indicator into a State Chronic Disease Plan: One State’s Journey ...... South Hall BR 3  An Entrepreneurial Approach to Growing State and Local Dental Programs ...... South Hall BR 4

 Oral Presentations ...... South Hall BR 5 t - a glance 9:30 a.m. – 10:00 a.m. Break with Exhibitors ...... South Hall I 10:00 a.m. – 11:30 a.m. Concurrent Sessions - CDE 1.5  Advances in Oral Health Surveillance ...... South Hall BR 1  Promoting Integrated Health Care and Interprofessional Collaboration: The Oral Health Care During Pregnancy National Consensus Statement ...... South Hall BR 2  Strengthening the Dental Safety Net through Community Coordination: Use of the CDHC ...... South Hall BR 3  Defending Community Water Fluoridation: Insights and Tools to Help Locate Advocates ...... South Hall BR 4 11:30 a.m. – 12:45 p.m. Roundtable Luncheon with National Organizations and Federal Agencies - CDE 1.0 ...... South Hall II 1:00 p.m. – 2:30 p.m. Concurrent Sessions - CDE 1.5  Imagining a Caries-Free Generation: Implementing Caries Management by Risk Assessment .South Hall BR 1  Diversity of Successful School-based Sealant Programs and Factors that Sustain Them ...... South Hall BR 2  Evaluation of the Integrated Dental Medicine Care Model ...... South Hall BR 3  Understanding the Prospective Payment System ...... South Hall BR 4

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

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

11 National Oral Health Conference® April 22 – April 24, 2013 VON BRAUN CENTER - Huntsville, Alabama Pre-Conference April 20 – 21, 2013

Monday, APRIL 22 11:00 a.m. – 11:30 a.m...... South Hall II 7:00 a.m. – 8:00 a.m...... South Hall I AAPHD Special Merit and Student Awards Coffee with Exhibitors 11:30 a.m. – 1:30 p.m...... South Hall I 7:00 a.m. – 5:00 p.m...... South Hall Roundtable Lunch - CDE 1.5 Registration Desk Open The luncheon will be around small tables with facilitated discussion on scientific research, program planning and evaluation, community-based 8:00 a.m. – 9:15 a.m...... South Hall II interventions, partnerships and other topics related to dental public Opening Ceremony, Welcome and health. A complete list of topics and presenters will be included in the Keynote Presentations - CDE 1.0 conference registration packet. Participants will be able to attend two Senator Bernard Sanders (I-VT) (Invited) introduced roundtables during the 2-hour session. Ticketed Event – Must present the Comprehensive Dental Reform Act of 2012 and ticket for entry. has been invited to address the attendees. Student Chapter Session...... South Hall MR 1 Eva Grayzel, a nationally recognized Master Representatives of AAPHD’s 17 student chapters will come together Storyteller, was diagnosed at age 33 with late-stage to share stories and information on their activities, ask and give advice, oral cancer and told she had a 15 percent chance and learn of new AAPHD support for their programs. This session is of survival. Eva will share riveting details about her for Student Chapter representatives, advisors and others interested in delayed diagnosis and how she found the strength to getting involved in the AAPHD Student Chapter initiatives. persevere through the devastating effects of radical treatment. Exhibits Open...... South Hall I Learning Objectives: 1. Save lives through early Back by popular demand! Exhibits will be open during the lunch break. detection. 2. Transform your approach to patient Grab a bite and visit with our exhibitors. care. 3. Integrate thorough screenings with patient education. 4. Motivate passion and purpose in your Posters Open...... South Hall I work. Presenters will not be available for discussion, but attendees may view the posters during this time. Ms. Grayzel is Sponsored by Henry Schein and DentalEZ. 1:45 p.m. – 3:15 p.m...... South Hall II Afternoon Plenary - CDE 1.5 Investments in Innovation Martha Somerman, DDS, PhD, Director, National Institute of Dental and 9:15 a.m. – 9:30 a.m...... South Hall II Craniofacial Research, National Institutes of Health Break (NIDCR/NIH) The National Institute of Dental and Craniofacial 9:30 a.m. – 11:00 a.m...... South Hall II Research (NIDCR) is developing its Strategic Plan Opening Plenary - CDE 1.5 for 2014–2018. NIDCR Director, Dr. Somerman, What’s on the Federal Horizon? will outline the areas of research offering exciting Howard Koh, MD, MPH; William Bailey, DDS, MPH; innovative possibilities. Explaining how research is Lynn Mouden, DDS, MPH; Renee Joskow, DDS, MPH prioritized and funded, Dr. Somerman will outline Leaders from the Department of Health and key areas of the Strategic Plan and how all can have Human Services (HHS) will discuss what is on the a role in helping develop that plan. federal horizon for oral health in 2013 and beyond. Learning Objectives: 1. Be aware of the many trans-NIH activities Presentations will cover HHS plans and activities and opportunities. 2. Become familiar with NIDCR-supported efforts to support oral health with emphasis on national to address complex oral diseases resulting from biological, behavioral, planning efforts, implementation of the Affordable Care Act’s oral health environmental and genetic factors. 3. Be acquainted with NIDCR-funded provisions, and actions being taken to implement recommendations projects aimed at reducing health disparities and addressing pressing from recent Institute of Medicine reports. public health needs. Learning Objectives: 1. Describe the work being done at the federal level related to the Affordable Care Act. 2. Tell what steps are being 3:15 p.m. -3:30 p.m...... South Hall II taken to implement the recommendations in the IOM reports. 3. Discuss Fluoridation Awards – Campaign for Dental Health ways to better coordinate federal efforts in order to enhance programs at the state and community levels.

12 Monday, April 30 - Continued 6:30 p.m. – 11:00 p.m...... Outside South Hall Entrance AAPHD Foundation Event 3:30 p.m. – 5:00 p.m...... South Hall I Food, Fun, Foundation! Poster Session I - CDE 1.5 On Monday evening, join friends under the stars at the AAPHD Posters based on submitted abstracts of interest to attendees will be Foundation Event for food, music and fun! Dinner tickets are no longer available for viewing and discussion by their presenters. Poster abstracts available, but a $10 contribution at the door allows you to enjoy the are listed in numerical order. Copies of the presented abstracts are music, dance, and networking. A cash bar will also be available. A available for review in the Abstract Program. live band will entertain and dancing Learning Objectives: 1. To discuss new ideas related to the prevention will certainly be an option! But lots of of dental caries. 2. To evaluate specific approaches for improved oral networking is encouraged! health that may be applicable for use in one’s work setting. Sponsored in part by 3:30 p.m. – 5:00 p.m...... South Hall I our friends at DNTLworks Break with Exhibitors

4:30 p.m. – 5:30 p.m...... South Hall BR 5 TUESDAY, APRIL 23 CDC Water Fluoridation Update The CDC Water Fluoridation Program Update provides new information 7:00 a.m. – 5:00 p.m ...... South Hall to state program staff on CDC data applications, training materials, Registration Desk Open and water fluoridation program. State dental directors, fluoridation specialists, and others involved in water fluoridation will benefit by 7:00 a.m. – 8:00 a.m...... South Hall II attending this session. Coffee with Exhibitors

5:00 p.m. – 6:00 p.m...... South Hall I 7:00 a.m. – 8:30 a.m...... South Hall MR 1 ADHA Hosted Reception AACDP Business Meeting Ticketed Event – Must present ticket for entry 8:00 a.m. – 9:30 a.m...... South Hall II 5:00 p.m. – 6:00 p.m...... South Hall MR 1 ABDPH Plenary Session - CDE 1.5 ABDPH Future Examination Orientation American Board of Dental Public Health Symposium, Oral Health Literacy: A Pathway To Reducing Disparities 5:00 p.m. – 7:00 p.m...... Sarreli Dental Center William Bailey, DDS, MPH; George J. Isham, MD, MS; Kathleen O’Loughlin, Tour of Sarrell Dental Center – CDE 1.0 DMD, MPH; Lindsey Robinson, DDS Sarrell Dental is proud to showcase one of its large offices to NOHC This session will provide an overview and update on oral health literacy attendees. You will be shuttled by luxury motor coach to their Athens, in the United States. Specifically, speakers will address what oral health AL office, just outside of Huntsville. There you will have the chance literacy is, why it is important in efforts to improve oral health and to tour their practice while in operation, ask questions, hear a brief reduce disparities, and what different agencies are doing to become presentation and talk face-to-face with their CEO, Chief Dental Officer health literate. In addition, the session will provide information on and other members of their management team to learn how this how to incorporate health literacy science, skills and practice into daily abandoned building was transformed into a world class facility. In just activities. their third year of operation, in 2012, the Athens practice provided over Participants will be able to: 1. Explain why health literacy is considered 15,000 patient visits! Come learn why PBS Frontline, dental schools from a social determinant of health. 2. Describe what oral health literacy is and across the USA, private practice dentists, the Robert Wood Johnson its impact on oral health. 3. Discuss the role of the Institute of Medicine’s Foundation and others come to Sarrell to learn firsthand. Buses will (IOM) Round Table on Health Literacy. 4. Describe what DHHS is doing leave from the Convention Center and return in time for evening in connection with oral health literacy. 5. Identify one practice they can activities. Ticketed Event – Must present ticket for entry. use in their community/clinic/work setting. Participants will be able to: 1. Describe some of the business principles that allow a non-profit to provide cost effective dental care to patients 9:30 a.m. – 10:15 a.m...... South Hall II enrolled in Medicaid. 2. Analyze some of the reasons why Sarrell Dental ASTDD Awards and 65th Anniversary Celebration Center has been able to reduce the annual cost of care for patients enrolled in Medicaid. 3. List the reasons why Sarrell has such a high chair 10:15 a.m. – 10:45 a.m...... South Hall I utilization rate with a patient population with high Medicaid enrollment. Break with Exhibitors

6:00 p.m. – 9:00 p.m...... South Hall MR 2 10:45 a.m. – 12:15 p.m...... Concurrent Sessions - CDE 1.5 ASTDD School and Adolescent Health Committee Member Dinner Meeting Using the Tools of Quality and Accountability to Improve Oral Health...... South Hall BR 1 6:30 p.m. – 9:30 p.m...... South Hall BR 1 Burton Edelstein, DDS, MPH; Ralph Fuccillo, MA; Paul Glassman, DDS, ABDPH Annual Diplomates’ Dinner and Meeting – by invitation MA, MBA Across the nation, environmental pressures are building on healthcare 6:30 p.m. – 9:30 p.m...... South Hall BR 4 providers to assess and report their costs and outcomes. Patients and American Network of Oral Health Coalitions Dinner – by invitation payers, abetted by information technology and the Web, are asking for greater accountability from all types of providers. The oral health 6:30 p.m. industry, although less so than the medical industry, has begun to Dinner on your own develop strategies to respond. The DentaQuest Institute is convening a broad stakeholder multi-year effort to develop a “road map for using

13 Tuesday Continued

the tools of quality and accountability to improve oral health for all.” and Susan Deming will be on hand to explain about PA161 (Public This session will review the evolving use of quality and accountability Prevention Program) in Michigan. This law allows dental hygienists tools to move general health and oral health toward the “Triple Aim” through public or non-profit programs to provide direct access to (better experience of care, better health outcomes, and lower costs). preventive oral health services for underserved populations. In addition, the DentaQuest facilitated, multi-stakeholder process will Learning Objectives: Participants will be able to: 1. Describe at least be described as well as the roles and responsibilities of advocates three alternative programs that provide direct access to preventable and government in driving and facilitating change in quality and oral health services for underserved populations. 2. Explain the accountability by healthcare providers of all types. Oregon and Maine model(s): dental hygienists collaborating with Learning Objectives: 1. Describe “tools of quality and accountability” nurse practitioners/dental hygienists collaborating with pediatricians. and how they are being applied to oral health care. 2. Describe the 3. Discuss the differences in alternative models of dental hygiene in multi-stakeholder process convened by the DentaQuest Institute public health. and its expected outcomes. 3. Discuss the sources of “environmental pressure” for healthcare providers of all types to adopt quality metrics Portland Water Fluoridation Campaign and reporting of measures useful in assessing accountability. 4. List Lessons Learned...... South Hall BR 4 roles and responsibilities of advocates and government in driving and Raquel Bournhonesque, MPH; Mel Rader, MS facilitating change in quality and accountability by healthcare providers Portland, Oregon, recently enacted water fluoridation, providing more of all types. than 900,000 residents with this community-based intervention. Although past efforts failed, learn why a recent effort made by a broad Sports Dentistry for Everyone: Education, Policy, .Implications, coalition, fended off local and national anti-fluoridation groups and and Importance to the Population ...... South Hall BR 2 individuals who cite unsubstantiated science as their basis of concern. Stephen C. Mills, DDS; Mark Roettger, DDS Presentations will focus on public health advocates use of the media Millions of people of all ages participate in sports. All athletic activities and political strategies to navigate through difficult political processes. contain a risk of injury. Orofacial injuries are not uncommon and are This case study will describe: 1) the policy approach and nature of the largely preventable. We need to educate players, coaches, athletic debate within a broad coalition; 2) effective types of messages used trainers, school nurses, sports administrators, and parents as to which to influence policymakers, the public, and the media; and 3) political sports carry risk, what to do in case of injury, what types of protection challenges and opportunities to passage. Presenters will focus on the exist, and which are most effective. It is important to know which elements of the campaign, including building a coalition of diverse groups are most important to target with our education efforts. These partners, communicating key messages, neutralizing opposition’s groups include state interscholastic rule-making bodies, national high arguments, and mobilizing key supporters. school and college organizations and individual sports governing Learning Objectives: 1. Explore the key elements in building a bodies such as Little League International and USA Hockey. Several broad coalition and a successful campaign for water fluoridation. states and national organizations have tried to legislate rules for youth 2. Identify anti-fluoridation key arguments and tactics, and effective sports with varying degrees of success. This session will summarize ways to counter these. 3. Demonstrate how scientific evidence can what needs to be done to successfully sustain safety legislation and be communicated effectively to the general public, media, and key rules. Finally, the most up-to-date information relative to concussions decision-makers. and performance enhancement will be presented. Learning Objectives: 1. Educate the attendees as to which factors Oral Presentations ...... South Hall BR 5 relate to rates of orofacial sports injuries. 2. Educate attendees as to This session will feature oral presentations of scientific research of the state of the art in orofacial protective devices. 3. Briefly educate the interest to attendees. Presentations are listed beginning on page 26. attendees as to the immediate recognition and treatment of common Please note: Abstracts are not listed in order of presentation. oroviewfacial injuries. 4. Discuss the major sports rule-setting bodies 1. Dental Therapists and Irreversible Restorative Procedures: A and how to best influence these groups. 5. Give an historical review Comprehensive Review of the Evidence on Technical Competence of which states have successfully and unsuccessfully tried to increase and Quality of Care mouthguard usage. 6. Discuss the factual basis of the mouthguard/ Elizabeth Phillips, PhD, MSSW, H. Luke Shaefer concussion connection. 2. Engaging Youth in Dental Careers - Let the Tooth be Told Sharon Grundel, MEd, Suzette Naylor The Changing Dental Hygiene Workforce: Options 3. Systematic Screening and Assessment of 25 Oral Health Workforce for Better Oral Health Outcomes ...... South Hall BR 3 Innovations Ann Battrell, MSDH; Susan Deming, RDH, RDA, BS; Christine Farrell, RDH, David Krol, MD, MPH, FAAP, Karen Cheung, MA, Michelle Revels, MA, BSDH, MPA Elizabeth Jacobs, MPH, Mary Ann Hall, MPH, Kari Cruz, MPH This session will describe how dental hygienists are contributing to 4. Implementing the Ready-To-Use AAPHD Dental Public Health (DPH) the success of public health programs across the country. Ann Battrell Curriculum for Pre-Doctoral Dental and Dental Hygiene Students will highlight how practice acts continue to evolve, allowing dental Kathryn Atchison, DDS, MPH, Ana Karina Mascarenhas, BDS, MPH, hygienists to provide oral health services in a host of nontraditional DScD, Vinodh Bhoopathi, BDS, MPH, DScD, Michael C Manz, DDS, settings without the onsite supervision of a dentist, expanding the MPH, DrPH public’s access to oral health services. The presentation will showcase Learning Objectives: 1. To demonstrate the role of dental therapists in the story of Lilia Hamblin, RDH, as she takes us into a day in her world improving the access to oral health care. 2. To describe the development working collaboratively with a nurse practitioner to improve access of various workforce models used in the curriculum for dental students and care in Oregon. Then Ann Battrell will introduce the story of Marie and dental hygiene students. 3. To describe the implementation of Doucette, a public health supervision dental hygienist in Maine, and workforce models in program settings and the evaluation criteria used how she has collaborated with a pediatrician to deliver care to hundreds to assess their impact on improving oral health care. of young children with a strong focus on prevention. Christine Farrell

14 Tuesday Continued 12:15 p.m. – 2:15 p.m...... South Hall II Survey data and Head Start Program Information Reporting (PIR) AAPHD Membership Luncheon and Annual Business Meeting data. The percent of children in AI/AN Head Start programs needing As AAPHD moves into the future, a new governance model will allow dental treatment has declined over the past 10 years, suggesting an the association to meet the challenges of the future. Some believe improvement in oral health or access to care for this high-risk population. that AAPHD has grown from a specialty trade association to one that At the same time, access to prevention services has increased. This is increasingly purposive and looking outward towards the broader session will provide an overview of the various prevention initiatives society. The Executive Council (EC) is trying to achieve the essential including the IHS Early Childhood Caries Collaborative and the IHS Head strategic operational governance, management structure, and financial Start Program Fluoride Varnish Initiative. Best practice models for oral stability necessary to enable us to serve these purposes. Members will health in Head Start will be presented. Finally, recommendations for be asked to provide feedback on proposed bylaw changes, resolutions further improvements will be discussed. and other changes proposed by the EC. Plan to attend and provide Learning Objectives: 1. Report trends in access to dental care, input. More information will be forthcoming in preparation for this prevention services, and need for dental treatment among children important membership meeting. Ticketed Event - Must present enrolled in American Indian/Alaska Native Head Start programs. luncheon ticket for entry. An AAPHD Members Only Luncheon – 2. Describe current prevention initiatives and best practice models for sign in required. improved oral health of Head Start children.

Networking Luncheon ...... South Hall I Health Care Reform: Where Do We Go For those not attending the AAPHD Annual Business Meeting. Ticketed From Here? ...... South Hall BR 3 Event - Must present ticket for entry. Colin Reusch, MPA; Eileen Espejo, BS; Jason Roush, DDS The panel will provide an overview of recent federal health reform Exhibits Open ...... South Hall I laws, including the Affordable Care Act as well as changes to Medicaid Back by popular demand! Exhibits will be open during the lunch break. and CHIP. From both a national and state perspective, presenters will Grab a bite and visit with our exhibitors. explore how these changes are being implemented at the state level; examine the challenges associated with implementing these reforms; Posters Open ...... South Hall I and discuss opportunities for state-level advocates, policymakers, and Presenters will not be available for discussion, but attendees may view public health officials to effectively and innovatively ensure these reform the posters during this time. efforts have the greatest possible impact on improving the overall health of children and families in their states. 2:15 p.m. – 3:45 p.m...... Concurrent Sessions - CDE 1.5 Learning Objectives: 1. Attendees will be able to describe the current national status of ACA dental provisions. 2. Attendees will recognize Older Adults and Oral Health-Learning from the how the ACA will impact oral health coverage in their state. 3. Attendees Past, Embracing the Present, and Imagining the will be able to identify the opportunities for state dental directors/ Future of Care Delivery ...... South Hall BR 1 SOHPs in the development of state Health Benefit Exchanges. Mary Foley, RDH, MPH; Lillian Mitchell, DDS By 2030, the number of adults ages 65 and older will double, with half Innovative and Sustainable Business Models to Provide having at least two chronic diseases that consume at least 75% of our Oral Health Care for Underserved Patients ...... South Hall BR 4 healthcare dollars. Despite the knowledge that oral health is integral to Tammi O. Byrd, RDH; Greg Folse, DDS; Jeffrey Parker, MPA maintaining overall health and function, oral health is still fragmented This panel includes presentations about dental practices that provide from the delivery of medical care. Despite these challenges, oral dental care to underserved children. Sarrell Dental is an Alabama non- health should, and must be part of future innovations in care delivery. profit dedicated to improving access for Medicaid/CHIP children. In Utilizing the findings from Oral Health America’s report, State of Decay 2011, they had over 105,000 patient visits. Sarrell has expanded to 14 2013, we will compare the progress we have made in caring for older offices and has driven Medicaid reimbursements from $328 per visit adults compared to children since 2003; examine “real time” solutions in 2005 to $131 in 2011. Outreach Dentistry is a Louisiana for-profit and emerging practices for interdisciplinary care; discuss proposed that utilizes dental vans, portable equipment, and an administrative funding polices, including governmental plans and their impact on oral service company to provide comprehensive dental services to Medicaid healthcare delivery; and explore innovations and new models of care, recipients. They have provided comprehensive dental services for 20,000 and how oral health can, and should be at the table in these chronic children in 3.5 years. Health Promotion Specialists (HPS) is a South disease model developments. Carolina for-profit and provides preventive education, services and Learning Objectives: 1. Gain an understanding of policies and future referral for care. HPS started in 2001; immediately Medicaid utilization trends that will affect the delivery of oral healthcare to older adults, rose, with a 10% drop in urgent treatment and an increase in children utilizing the concept of interdisciplinary care delivery as an example of receiving sealants. Policy and practice implications of all models will emerging trends. 2. Understand new and emerging trends for overall be discussed with audience participation. healthcare delivery for older adults, particularly utilizing chronic disease Learning Objectives: 1. Describe three different practice models models and how oral health may be inserted in these models. 3. Explore of care for improving access to care for underserved children. 2. different policies and funding mechanisms that may be available for Understand the unique business models that promoted success and oral health currently, as well as future policy recommendations. some of the difficulties faced in the development of the models. 3. Discuss the policy and practice implications of the different models of Trends of Improved Oral Health of American Indian care. and Alaska Native Head Start Children ...... South Hall BR 2 Bonnie Bruerd, DrPH; Kathy Phipps, DrPH; Kimberly K. Stice, MA This session will report trends in oral health among American Indian and Alaska Native (AIAN) children ages 3–5, using 2010 Basic Screening

15 TUESDAY Continued WEDNESDAY, APRIL 24

Oral Presentations ...... South Hall BR 5 7:00 a.m. – 5:00pm ...... South Hall This session will feature oral presentations of scientific research of Registration Desk Open interest to attendees. Presentations are listed beginning on page 26. Please note: Abstracts are not listed in order of presentation. 7:00 a.m. – 8:00 a.m...... South Hall MR 1 1. Developing a Patient-Centered Dental Home for Residents of Long- ASTDD BOD Meeting Term Care Facilities Bonnie Branson, RDH, PhD, Becky Smith 7:00 a.m. – 8:00 a.m...... South Hall I 2. Changes in Caries in Primary Dentition from 1988-1994 to 1999-2004 Coffee with Exhibitors Among U.S. Children Aged 2-5 Years: A Closer Look Mei Lin, MD, MSc, Eugenio Beltrãn, MSPH, Laurie Barker, MSPH 8:00 a.m. – 9:30 a.m...... Concurrent Sessions - CDE 1.5 3. Use of Dental Services by Children Enrolled in Wisconsin Medicaid Program Using Geographic Information Systems (GIS) to Pradeep Bhagavatula, BDS, MPH, MS, Qun Xiang, PhD, Aniko Identify Challenges in Access to Dental Care ...... South Hall BR 1 Szabo, PhD, Christopher Okunseri, BDS, MSc, MLS Sponsored by the ATSU School of Health Management, MPH 4. Calories, Caries and Culture: The Relationship of Body Mass Index program and Oral Health Status in Third Grade School Children Mark W. Horner, PhD; Angie Sechler Jon Roesler, MS, Bilquis Khan Jiwani, MPH, David Simmons, MPH, In Part I we will provide an overview of the Minnesota Department Merry Jo Thoele, MPH, RDH of Health (MDH) GIS surveillance activities. The goals are to define Learning Objectives: 1. Describe the barriers and provide strategies limitations and provide solutions for defining and mapping dental to overcome challenges to acquiring dental care in long-term care deserts using GIS in Minnesota; Describe the importance of facilities. 2. Examine dental caries experience in children by poverty understanding inequality and spatial distribution of oral health services status. 3. Examine the quality and type of dental services obtained by and workforce in planning, policy and evaluation. Content will include children enrolled in a Medicaid program. 4. Explore the impact of BMI information about traditional mapping variables and a variety of more and oral health status among third graders. specific indicators. In Part II we will discuss technical issues involving the use of GIS for dental workforce mapping. The goals are to: Describe 3:45 p.m. – 5:15 p.m...... South Hall I current research foci in GIS and spatial analysis and their applicability for Poster Session II – CDE 1.5 dental workforce mapping; Discuss GIS data issues relative to workforce Posters based on submitted abstracts of interest to attendees will be mapping activities; Identify key GIS and spatial analysis techniques available for viewing and discussion by their presenters. Poster abstracts that can aid in dental workforce assessments. Content will include a are listed in numerical order. Copies of the presented abstracts are variety of national examples and a summary of lessons learned and available for review in the Abstract Program. opportunities for innovation. Learning Objectives: 1. To discuss new ideas related to the prevention Learning Objectives Part I: 1. To understand inequality and spatial of dental caries. 2. To evaluate specific approaches for improved oral distribution of oral health services and oral health workforce in planning, health that may be applicable for use in one’s work setting. resource allocation, monitoring, and evaluation through GIS mapping. 2. To draw attention of oral health community to utilize GIS tool to 3:45 p.m. – 5:15 p.m...... South Hall I inform the development and implementation of policies to address Break with Exhibitors the needs of the most vulnerable and underserved populations. 3. To share lessons learned in Minnesota and other states. 7:00 p.m. – 11:00 p.m...... U.S. Space and Rocket Center Learning Objectives Part II: 1. To understand the role of GIS and spatial Tuesday Evening Reception analysis in current studies of dental workforce accessibility. 2. To provide The U.S. Space and Rocket Center is our host for the evening as we information on the types of GIS data required and their characteristics indulge our fascination with space exploration. Take in this truly unique for workforce mapping. 3. To understand major GIS-related technical opportunity to eat, drink and chat under a “full-stack” Space Shuttle. A issues in designing workforce mapping studies. Mission to Mars is closer than you think and will have you on the edge of your seat as you take a virtual journey to the Red Giant. Or if you are a National Center on Health, Oral Health Project...... South Hall BR 2 little more adventurous, Space Shot is for you. Experience the 4 G-force Kathy Geurink, RDH, MA; Katrina Holt, MPH, MS, RD; Kimberly Stice, of blast-off and weightlessness of space as you are launched 180 feet MA up in the air. Feel the same force of gravity the astronauts experience In September 2011, the Office of Head Start launched the National during a Shuttle launch with G-Force. There’s a little something for Center on Health (NCH) through a cooperative agreement awarded everyone! Transportation provided from each hotel. A schedule will to the American Academy of Pediatrics working in partnership with be provided. Ticketed Event – Must present ticket for entry. national organizations including the Association of State and Territorial Dental Directors (ASTDD) and the National Maternal and Child Oral Sponsored in part by Health Resource Center (OHRC). NCH supports Head Start program our friends at Aseptico directors, health managers, and other staff with the goal of improving overall health, oral health, mental health, and nutrition for infants and children, including those with special health care needs and pregnant women enrolled in Head Start. NCH’s Oral Health Initiative also supports Please note: Due to changes in liability insurance, NOHC events will now health professionals who provide oral health services to Head Start offer a cash bar. However, thanks to our reception sponsor, Aseptico, 2 participants. This presentation will describe NCH’s Oral Health Project complimentary drink tickets will be offered to each participating in this activities including supporting state-based activities; working in event (Drink tickets will be distributed as you enter the reception). collaboration with national organizations; integrating oral health into overall health activities; and identifying, developing, and disseminating

16 WEDNESDAY Continued

information and materials. foundations establish positive working relationships with state and local Learning Objectives: 1. Identify NCH purpose, goals, key national leaders that promote project success. partnership, and target audience. 2. Describe NCH’s Oral Health Initiative. 3. Identify NCH’s Oral Health Initiative activities that focus Oral Presentations ...... South Hall BR 5 specifically on oral health and on the integration of oral health into This session will feature scientific oral presentations of interest to overall health to promote the health of Head Start participants and attendees. Presentations are listed beginning on page 26. their families. Please note: Abstracts are not listed in order of presentation. 1. The Effect of Medicaid Primary Care Provider Reimbursement on Integrating the Leading Oral Health Indicator into a State Access to Early Childhood Caries Preventive Services Chronic Disease Plan: One State’s Journey ...... South Hall BR 3 Jill Herndon, PhD, Scott Tomar, DMD, Frank Catalanotto, DMD, Jane Korn, MD; Merry Jo Thoele, MPH, RDH Elizabeth Shenkman, PhD This session will describe general strategic approaches in developing the 2. The Burden of Dental Problems on Ohio’s Emergency Healthy Minnesota 2020: Minnesota Chronic Disease and Injury Plan and Departments how development of the plan created an opportunity for integrating Amber Detty, MA, Julia Kranenburg oral health into the plan and collaborating with the chronic disease 3. Brush: A Literacy-Based Oral Education Curriculum for Preschools staff in strategic planning. We will address challenges encountered and Serving Low-Income Populations Designed to Reduce Pediatric strategies used to overcome them when attempting to integrate the Dental Decay and Improve School Readiness. national Healthy People 2020 Oral Health Leading Health Indicators (LHI) Holli Seabury MA into the state level plan. These include innovative ideas used to select 4. Tobacco Cessation Guidelines for Dentistry: Implementing a 5AS proxy indicators, set oral health targets, assess progress, and measure Program for Dental Students impact of the activities. We will share the framework for implementation David Albert, DDS, MPH, Sharifa Williams, RDH, MA, Angela Ward, of LHI interventions in Minnesota to achieve the set targets and provide RDH, MA, Cindi Wiesenfeld, Noreen Myers-Wright, RDH, MA, CHES, a summary of lessons learned. Cindy Smalletz, MA Learning Objectives Part I: 1. Learn about a variety of national Learning Objectives: 1. To assess the feasibility of using medical examples and a summary of lessons learned and ideas for innovation. care providers to provide preventive dental caries services for young 2. Understand the process of mobilizing chronic disease leaders in children. 2. To evaluate the impact of treating dental conditions in an strategic planning. 3. Learn about general strategic approaches used in emergency room setting. 3. To describe the impact of including oral development of the State Chronic Disease and Injury Plan. 4. Describe health literacy curriculum in a Head Start program. 4. To assess the the goals for Minnesota Chronic Disease and Injury Plan. cost effectiveness of implementing a school based sealant program Learning Objectives Part II: 1. Understand how integration of the utilizing SEALS software. 5. To describe the value and effectiveness of Healthy People 2020 LHI can facilitate collaboration across sectors a Web-based tobacco cessation module. and promote action at the state and community level to improve oral health populations. 2. Share lessons learned incorporating the national 9:30 a.m. – 10:00 a.m...... South Hall I indicator into the Coordinated Chronic Disease Plan in Minnesota Break with Exhibitors with other states. 3. Share the framework for implementation of LHI interventions in Minnesota to achieve the set target. 4. Recognize 10:00 a.m. – 11:30 a.m...... Concurrent Sessions - CDE 1.5 challenges in the process of implementation of the framework to achieve LHI target in the state. 5. Learn about strategies to implement Advances in Oral Health Surveillance ...... South Hall BR 1 and assess proxy indicators. Gina Thornton-Evans, DDS, MPH; Stuart Lockwood, DMD, MPH Surveillance methods change over time to meet the information needs An Entrepreneurial Approach to Growing State of national and state oral health programs. The past few years have been and Local Dental Programs ...... South Hall BR 4 especially productive in this area, with changes driven by the transition Jason Roush, DDS; Kim Tieman to a new decade of the Healthy People project and recent findings from When state and local dental programs are faced with level or reduced science and national surveillance data. This session showcases findings budgets, it becomes increasingly difficult for program directors to grow, from 1) the National Health and Nutrition Examination Survey (NHANES) or even maintain, the infrastructure necessary to perform essential 2009-2010 on prevalence and severity of periodontal disease; 2) pilot public health functions. “Do the best we can with what we have” is a testing methods for estimating periodontal disease prevalence at the common reaction to this situation, but it is a default response – not a state level using self-reported questions on the Behavioral Risk Factor winning long-term strategy. A more promising leadership strategy is an Surveillance System (BRFSS); 3) the American Dental Association’s entrepreneurial approach, where the oral health program aggressively Survey of Current Practice to track Healthy People objectives on seeks external sources of support to help meet its organizational goals, how often dental providers screen patients for tobacco use and refer such as through partnerships with philanthropic foundations, oral tobacco users to cessation counseling (development of questions, data, health coalitions, and organized dentistry. This session is a case study findings and methodological issues from the 2010 and 2011 data); and that describes recent progress made in West Virginia. The panel provides 4) development of an NHANES module for the 2013-2014 survey cycle the perspectives of both the state dental director and the project officer to measure fluoride content of water among survey participants and of a charitable foundation that has made a significant investment in assess enamel fluorosis using photographic methods. building oral health infrastructure in the state. Learning Objectives: 1. Describe new developments in surveillance Learning Objectives: 1. Session participants will learn how a state for periodontal diseases. 2. Describe new developments in surveillance dental director uses an entrepreneurial leadership style to promote of tobacco screening and referral for cessation counseling among U.S. infrastructure development. 2. Session participants will learn how the dental offices. 3. Understand the role of human papillomavirus in the state of West Virginia has benefited from increased external support of development of some oropharyngeal cancers, particularly the base of its oral health program. 3. Session participants will learn how charitable the tongue and tonsils.

17 Promoting Collaborative Care: The Oral Health Care During Learning Objectives: 1. Gain an understanding of the cultural and Pregnancy National Consensus Statement ...... South Hall BR 2 political dynamics of this community and how these dynamics shape Dianne Riter, MPH, CHES; Mary Foley, RDH, MPH Renee Samelson, MD, the dialogue. 2. Identify the resources (experts, fact sheets, etc.) that can MPH, FACOG assist oral health advocates who are striving to preserve fluoridation in a Oral Health Care During Pregnancy: A National Consensus Statement community. 3. Understand the value that a “rapid response” component provides guidance to shape the practices of both medical and oral can add to a campaign aimed at initiating or preserving fluoridation. health care professionals serving pregnant women. Soon after its release, the Health Resources and Services Administration completed 11:30 a.m. – 12:45 p.m...... South Hall II the development of inter-professional oral health core clinical Roundtable lunch with national organizations and federal competencies for non-oral health primary care health professionals. agencies - CDE 1.0 This session will provide an overview of the consensus statement Network with colleagues and presenters to discover how national and the core competencies and present promising interprofessional organizations and federal agencies are improving the oral health of collaboration efforts that ensure oral health is a focus of prenatal care. underserved populations. Table presentations will not repeat but extra The session will review guidance for oral health care during pregnancy handouts will be available. Ticketed Event - Must present ticket for and the opportunity and need for a competent workforce to bring entry. about changes in the health care delivery system, ultimately improving the overall standard of care, including oral health care, for pregnant 1:00 p.m. – 2:30 p.m...... Concurrent Sessions - CDE 1.5 women. Learning Objectives: 1. Learn about the Oral Health Care During Imagining a Caries-Free Generation: Implementing Pregnancy: A National Consensus Statement and the guidance it offers Caries Management by Risk Assessment ...... South Hall BR 1 for the integration of oral health into perinatal care for pregnant women. Margherita Fontana, DDS, PhD; John Luther, DDS; Douglas Young, DDS, 2. Learn about HRSA’s development of an essential minimum core set MS, MBA of competencies for non-dental primary care providers that address In January 2011, the California Dental Association Foundation hosted oral health, promote preventive care and services, and improve access a symposium on caries management by risk assessment (CAMBRA) and outcomes for the most vulnerable populations. 3. Recognize the in which diverse stakeholders from across the nation discussed the common ground for the non-dental primary care health professional current and future status of CAMBRA. A subsequent SWOT analysis in promoting oral health during the perinatal period. 4. Describe laid the foundation for developing a national strategy for CAMBRA the action steps Washington Dental Service Foundation took to implementation. What is needed to change the mindset of practitioners, implement partnerships amongst primary care providers to successfully payers and the public to embrace this shift in practice philosophy operationalize oral health guidelines for pregnant women. from treatment to prevention? What system changes are needed to improve outcomes and realign allocation of benefits? What is already Strengthening the Dental Safety Net through Community happening in academia and with Practice-Based Research Networks to Coordination: Use of the CDHC ...... South Hall BR 3 model this change and provide visible high impact outcomes? What Dunn Cumby, DDS; Melissa Tyler, CDHC are the strengths, weaknesses, opportunities, and threats to universal The Community Dental Health Coordinator (CDHC), a new member of CAMBRA adoption? Which decision makers are needed to make these the oral health team, is from the community served and is responsible system changes a reality? Find and embrace your pivotal role in moving for promoting oral health through organized and dentally-coordinated CAMBRA forward. Don’t just dream it…be it! community-based prevention programs. Working in underserved Learning Objectives: Participants will understand the importance communities with no or limited access to dental care, the CDHC is of 1) changing the mindset of practitioners, payers and the public to able to influence local health and community organizations to adopt embrace this shift in practice philosophy from treatment to prevention; initiatives to promote oral health. CDHCs are employed by health 2) catalyzing this change in practice philosophy and providing a viable centers, the Indian Health Service (IHS) and tribal clinics. Under the public health infrastructure to support it in both the public and private supervision of a dentist, CDHCs implement community programs that sectors; and 3) being able to discuss examples of system models that are integrated with clinics providing dental services to this community. are already applying these concepts. The CDHC works in collaboration with other interested oral health stakeholders to promote good oral health and provide community- Diversity of Successful School-based Sealant Programs and focused oral health promotion, prevention services and coordination Factors that Sustain Them ...... South Hall BR 2 of dental care. This presentation provides an overview of the training Matt Crespin, MPH, RDH; Jane Hamilton, RN; William Maas, DDS, MPH; of the CDHC and the success stories of CDHCs currently working in the Mark Siegal, DDS, MPH field. School-based sealant programs are an important venue for reaching Learning Objectives: At the conclusion of this presentation, high-risk children. This session will present successful approaches for participants will be able to describe: 1. What is a Community Dental school-based and school-linked sealant programs and present state Health Coordinator, 2. Understand the components of the CDHC and local examples of innovative strategies to expand coverage and training, and, 3. How a CDHC can increase efficiency, productivity and promote sustainable sealant programs, including significant federal profitability with a dental practice. supports such as Maternal and Child Health Bureau funding. Session developed by CDC/DOH, CDHP, and HRSA/MCHB. Defending Community Water Fluoridation: Insights and Tools Learning Objectives: 1. Describe the diversity of SBSPs and the roles to Help Locate Advocates ...... South Hall BR 4 of state oral health programs and local agencies, organizations and Matt Crespin, MPH, RDH; Jane Gillette, DDS; Johnny Johnson, DMD, MS businesses that operate them. 2. Identify facilitators and obstacles to The purpose of this session is to enable attendees to understand SBSP success and sustainability. 3. Identify attributes of successful and the strategies and resources that oral health advocates are using to sustained programs, including supports provided by federal programs combat attempts to roll back water fluoridation in various communities. such those provided through HRSA’s Maternal and Child Health Presenters will offer their insights on which tactics or tools proved most Bureau. helpful and which ones, if any, backfired or failed to have the intended impact.

18 Evaluation of the Integrated Dental Medicine delivery sites. This presentation will provide an overview of the PPS Care Model ...... South Hall BR 3 system, including how encounter rates are established, negotiations Sean G Boynes, DMD, MS take place, and how the payment model affects finances, access to The overall vision of integrated dental medicine is based on oral health care, oral health outcomes, and partnerships between community as an integral aspect to total body wellness (systemic care). Poor and private practice dentists. The pros and cons of the PPS model oral health can lead to many systemic issues and adverse events as will be discussed including the impact of the model on key federal well as poor systemic health leading to adverse oral conditions. It is initiatives such as the CMS Oral Health Initiative. Participants will gain imperative that providers across all disciplines and with these patient information from payers, community health center administrators, and commonalities work together in order to produce positive patient policy makers on how PPS can impact oral health care service delivery outcomes. This session will review and evaluate the various aspects as well as a community health center’s business model. to this care delivery model as well as provide analysis of currently Learning Objectives: Participants will: 1. Gain knowledge of the operating integrated dental medicine clinics. The presenter will also Prospective Payment System (PPS) reimbursement system used by review updates on methodology and outcomes assessment for dental community health centers across the nation. 2. Gain knowledge of care used for systemic medical treatment. the potential impact of the PPS rate on a community health center. Learning Objectives: 1. Gain knowledge and understanding on how 3. Learn the implications (both positive and negative) of the Prospective dentistry improves medical outcomes. 2. Discuss the role of dental Payment System. care providers as screeners for medical disease. 3. Evaluate the current use of non-dentist clinicians and its impact on the patient experience. 4. Discuss the enhancement of inter-professional relationships. THURSDAY, APRIL 25 8:00 a.m. – 12:00 p.m...... South Hall MR 1 Understanding the Prospective Payment CDC State Oral Health Grantees Meeting System ...... South Hall BR 4 Mary Foley, RDH, MPH; Lynn Mouden, DDS, MPH; Ted Waters, Esq. The Prospective Payment System (PPS) or the often called “encounter rate” system, is the method by which most community health centers receive reimbursement for oral health care services. PPS rates can be highly variable between states, and within states between service

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

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

AAPHD is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.

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

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

19 National Oral Health Conference® April 22 – April 24, 2013 VON BRAUN CENTER - Huntsville, Alabama Pre-Conference April 20-21, 2013

William Bailey, DDS, MPH Eileen Espejo, BS Katrina Holt, MPH, MS, RD CDC Division of Oral Health Children NOW National Center on Health Atlanta, GA Oakland, CA Washington, DC

Ann Battrell, MSDH Christine Farrell, RDH, BSDH, MPA Mark W. Horner, PhD American Dental Hygienists’ Michigan Department of Community/ Florida State University Association Oral Health Department of Geography Chicago, IL Lansing, MI Tallahasee, FL

resenters Raquel Bournhonesque, MPH Mary Foley, RDH, MPH George J. Isham, MD, MS Upstream Public Health Medicaid CHIP State Dental Association HealthPartners Portland, OR Washington, DC Bloomington, MN

Sean G. Boynes, DMD, MS Greg Folse, DDS Johnny Johnson, DMD, MS P CareSouth Carolina Outreach Dentistry Dr. Johnny Johnson and Associates Society Hill, SC Lafayette, LA Palm Harbor, FL

Bonnie Bruerd, DrPH Margherita Fontana, DDS, PhD Renee W. Joskow, DDS, MPH, Indian Health Service Head Start University of Michigan FAGD Program School of Dentistry Health Resource and Services Salem, OR Ann Arbor, MI Administration Rockville, MD Tammi O. Byrd, RDH Ralph Fuccillo, MA Health Promotion Specialists DentaQuest Institute and DentaQuest Howard Koh, MD, MPH Columbia, SC Foundation U.S. Department of Health and Boston, MA Human Services Jennifer Cleveland, DDS, MPH Washington, DC CDC Division of Oral Health Kathy Geurink, RDH, MA Atlanta, GA National Center on Health Jane Korn, MD Granite Shoals, TX Minnesota Department of Health session Matt Crespin, MPH, RDH St. Paul, MN Children’s Health Alliance of Wisconsin Jane Gillette, DDS Milwaukee, WI Sprout Oral Health Stuart Lockwood, DMD, MPH Bozeman, MT Former State Dental Director, Dunn Cumby, DDS Alabama University of Oklahoma Paul Glassman, DDS, MA, MBA Montgomery, AL Oklahoma City, OK University of the Pacific School of Dentistry John Luther, DDS Susan Deming, RDH, RDA, BS San Francisco, CA DentaQuest Michigan Department of Community/ Boston, MA Oral Health Eva Grayzel Lansing, MI Six-Step Screening William Maas, DDS, MPH Easton, PA Bethesda, MD Burton Edelstein, DDS, MPH Columbia University Jane Hamilton, RN Stephen C. Mills, DDS New York, NY Mary Imogene Bassett Hospital Academy for Sports Dentistry nvited Cooperstown, NY Scarborough, ME I

20 Lillian Mitchell, DDS Mark Siegal, DDS, MPH I

University of Alabama at Birmingham Worthington, OH nvited School of Dentistry Birmingham, AL Martha Somerman, DDS, PhD National Institute of Dental and Lynn Douglas Mouden, DDS, MPH Craniofacial Research Centers for Medicare & Medicaid Services/ Bethesda, MD Center for Medicaid and CHIP Services Baltimore, MD Kimberly K. Stice, MA Head Start National Center on Health Kathleen T. O’Loughlin, DMD, MPH American Academy of Pediatrics American Dental Association Washington, DC Chicago, IL Merry Jo Thoele, MPH, RDH Jeffrey Parker, MPA Minnesota Department of Health Sarrell Dental Centers St. Paul, MN Anniston, AL Gina Thornton-Evans, DDS, MPH session Kathy Phipps, DrPH CDC Division of Oral Health Morro Bay, CA Atlanta, GA

Mel Rader, MS Kim Tieman, MSW Upstream Public Health Benedum Foundation Portland, OR Pittsburgh, PA

Colin Reusch, MPA Melissa Tyler, CDHC Children’s Dental Health Project Kiamichi Family Medical Center Washington, DC Broken Bow, OK

Dianne Riter, MPH, CHES Ted Waters, Esq. Washington Dental Service Foundation Feldesman Tucker Leifer Fidell LLP Seattle, WA Washington, DC

Lindsey Robinson, DDS Douglas Young, DDS, MS, MBA P California Dental Association Arthur A. Dugoni School of Dentistry Grass Valley, CA San Francisco, CA

Mark Roettger, DDS resenters Valley Ridge Dental Lake Elmo, MN

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

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

The Honorable Bernard Sanders United States Senator Burlington, VT *Contributed paper presenters are Angie Sechler listed under session information. Poster Minnesota Department of Health presenters are listed with their abstract. St. Paul, MN

21 ASTDD Presidents

2011-13 Harry S. Goodman 1990 William Maurer 1968-70 Charles Gish 2009-11 Margaret M. Snow 1989 C. Michael Fitzgerald 1966-68 E. A. Pearson, Jr 2008-09 Christine Wood 1988 Gregory Connolly 1964-66 Lloyd Richards 2006-08 Steven J. Steed 1987 Michael Morgan 1962-64 Linwood Grace 2004-06 Lewis N. Lampiris 1986 Joseph Doherty 1958-62 Henry Ostrow 2002-04 Lynn Mouden 1985 Paul Reid 1956-58 William Jordan 2000-02 Diane Brunson 1982-85 Carlos Lozano 1954-56 Carl Sebelius 1998-00 Kathleen Mangskau 1980-82 Nazeeb Shory 1952-54 James Owens 1995-98 M. Dean Perkins 1978-80 Durward Collier 1950-52 Richard Leonard 1994 Richard Hastreiter 1976-78 Fred Lewis 1948-50 Ernest Branch 1993 E. Joseph Alderman 1974-76 William Johnson 1992 Robert Isman 1972-74 Naham Cons 1991 John Daniel 1970-72 John Peterson

AAPHD Presidents

2013 Nicholas G. Mosca 1988 Michael Easley 1963 David C. Witter 2012 Diane Brunson 1987 Joseph M. Doherty 1962 Charles L. Howell 2011 Ana Karina Mascarenhas 1986 James Beck 1961 William P. Kroschel 2010 Scott L. Tomar 1985 Myron Allukian, Jr. 1960 David B. Ast 2009 Mark H.K. Greer 1984 W. Thomas Fields 1959 Polly Ayers 2008 Caswell Evans, Jr. 1983 Robert C. Faine 1958 Roy D. Smiley 2007 Kathryn Atchison 1982 M. Raynor Mullins 1957 Thomas L. Hagan 2006 Robert Weyant 1981 Gene P. Lewis 1956 Franklin M. Erlenback 2005 Jane Weintraub 1980 John T. Hughes 1955 Fred Wertheimer 2004 Candace Jones 1979 John L. Elliott 1954 Francis A. Bull 2003 William R. Maas 1978 Kenneth R. Elwell 1953 Carl L. Sebelius 2002 Kimberly McFarland 1977 Richard F. Murphy 1952 Philip E. Blackerby, Jr. 2001 Rebecca King 1976 Robert E. Mecklenburg 1951 William A. Jordon 2000 Dushanka V. Kleinman 1975 Durward R. Collier 1950 Robert A. Downs 1998 B. Alex White 1974 Edward B. Gernert 1949 John T. Fulton 1997 Robert J. Collins 1973 Ernest A. Pearson, Jr. 1948 Frank P. Bertram 1996 Dennis Leverett/ 1972 J. Earl Williams 1947 Edward Taylor Robert J. Collins 1971 David A. Sorcelli 1946 Frank G. Cady 1995 Rhys B. Jones 1970 Gerald R. Guine 1945 William R. Davis 1994 Hermine McLeran 1969 Charles W. Gish 1944 James G. Williams 1993 Jack Dillenberg 1968 John K. Peterson 1943 Allen O. Gruebbel 1992 Alice Horowitz 1967 John R. Zur 1942 Ernest A. Branch 1991 E. Joseph Alderman 1966 Albert H. Trithart 1941 R. C. Dalgleish 1990 R. Gary Rozier 1965 Charles J. Gillooly 1940 Leon R. Kramer 1989 Linda C. Niessen 1964 David R. Wallace 1939 Vern O. Irwin 1937 Richard C. Leonard 22 ABDPH Past Presidents

Walter J. Pelton – 1950-1955 Naham C. Cons – 1975 R. Gary Rozier – 1995 William A. Jordan – 1956 John C. Greene – 1976 E. Joseph Alderman – 1996 Walter J. Pelton – 1957 John T. Hughes – 1977 Linda C. Niessen – 1997 John W. Knutson – 1958 Quentin M. Smith – 1978 Stephen B. Corbin – 1998 Phillip E. Blackerby – 1959 William T. Johnson – 1979 Jayanth Kumar – 1999 Robert A. Downs – 1960 Edward M. Campbell – 1980 Jayanth Kumar – 2000 Chester V. Tossy – 1961 Stanley Lotzkar – 1981 Robert H. Dumbaugh – 2001 Donald J. Galagan – 1962 John E. Butts – 1982 Brian A. Burt – 2002 John T. Fulton – 1963 Herschel S. Horowitz – 1983 Caswell A. Evans – 2003 Arthur Bushel – 1964 Durward R. Collier – 1984 Raymond A. Kuthy – 2004 Polly Ayers – 1965 Richard F. Murphy – 1985 Robert J. Collins, Jr. – 2005 Norman F. Gerrie – 1966 J. Earl Williams – 1986 Teresa A. Dolan – 2006 John K. Peterson – 1967 Richard D. Mumma – 1987 B. Alexander White, Jr. – 2007 Albert L. Russell – 1968 Robert C. Faine – 1988 Reginald Louie – 2008 David F. Striffler – 1969 Richard C. Graves – 1989 A. Isabel Garcia – 2009 Wesley O. Young – 1970 Joseph M. Doherty – 1990 Catherine Hayes – 2010 Wesley O. Young – 1971 (Acting) Gene P. Lewis – 1991 Rebecca S. King – 2011 Harry W. Bruce Jr. – 1972 Chester W. Douglass – 1992 Steven M. Levy – 2012 Frank E. Law – 1973 Dushanka V. Kleinman – 1993 George Taylor – 2013 David A. Soricelli – 1974 Myron Allukian Jr. – 1994 ! Special thanks to the following:  Mike Monopoli and Gina Thornton-Evans, Co-Chairs AAPHD Education Committee.  AAPHD Education Committee for coordinating contributed papers/poster session  Joe Alderman, and Eugenio Beltrãn for conference photographs.  Diane Brunson for coordinating AAPHD Special Merit Awards.

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

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

Melissa Albuquerque, BA Nicholas Mosca, DDS Myron Allukian, Jr., DDS, MP Pamela Tolson, CAE Debi DeNure, RDH Chris Wood, RDH Harry Goodman, DMD, MPH Kimberlie Yineman, RDH, BA Catherine Hayes, DMD, SC, Dr.Med. Sc Larry Hill, DDS, MPH Bev Isman, RDH, MPH, ELS Cassandra Martin-Frazier, MPH, CHES Michael Monopoli, DMD, MPH T hank

23 Recipients of Awards of the American Association of Public Health Dentistry

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

2012 Susan Griffin 2003 US Senator Raymond A. Rawson 1990 Julius Richmond 2011 Shelly Gehshan 2002 US Senator Jeff Bingaman 1989 The Honorable John David Waihee, III 2010 US Senator Sherrod Brown 2001 VADM David Satcher 1988 Marian Wright Edelman 2009 Mary Otto 1998 Scott Litch and Judy Sherman 1987 C. Everett Koop 2008 Rasmuson Foundation 1997 The Honorable Steny Hoyer 1986 The Honorable Claude Pepper 2007 Richard H. Carmona 1996 The Honorable Edward Kennedy 1985 The Honorable Henry Waxman 2006 Lawrence A. Tabak and Assemblywoman Jackie Speier 1984 President Jimmy Carter 2005 US Senator Susan Collins 1995 Joe Garagiola 2004 Rob Reiner 1991 Kay Johnson

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

2012 E. Joseph Alderman 1998 Naham C. Cons and 1986 David Soricelli 2011 William Maas John K. Peterson 1985 John T. Hughes 2010 Mark Siegal 1997 Joseph M. Doherty and 1984 Donald J. Galagan 2009 Burton Edelstein Helen K. Doherty 1983 Albert L. Russell 2008 Helen Gift 1996 John C. Greene 1982 Polly Ayers 2007 William Bird 1995 Robert E. Mecklenberg 1981 Frank E. Law 2006 Linda Niessen 1994 Martha Liggett 1980 John W. Knutson 2005 Dushanka Kleinman 1993 Dennis Leverett 1979 James Morse Dunning 2004 Scott L. Tomar 1992 Durward Collier 1978 Ernest A. Pearson, Jr. 2003 Lois Cohen 1991 Irwin D. Mandel 1977 David F. Striffler 2002 Myron Allukian, Jr. 1990 Stanley Lotzkar 1975 Charles W. Gish 2001 Brian Burt 1989 Max H. Schoen 1973 John T. Fulton 2000 R. Gary Rozier 1988 David Edward Barmes 1972 Kenneth Easlick 1999 Alice Horowitz 1987 Herschel Horowitz President’s Award Presented at the discretion of the President to an individual for significant contributions to the welfare of the Association.

2012 Amos Deinard 1999 Teresa Dolan 2009 Reginald Louie 1998 Jane A. Weintraub 2008 Eugenio Beltrãn 1997 Raymond Kuthy 2007 Alice Horowitz 1996 Robert J. Collins 2006 Nicholas Mosca 1994 Stephen B. Corbin 2005 Steven Geiermann 1989 Richard D. Mumma, Jr. and Joseph M. Doherty 2004 Joseph Doherty and Stuart Lockwood 1988 Edward N. Brandt, Jr. and Crystal Gayle 2003 Stanley Lotzkar 1987 Robert E. Mecklenburg 2001 James Toothaker

24 Recipients of Awards of the Association of State and Territorial Dental Directors

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

2012 Rebecca S. King 2001 Kathleen Mangskau 1990 Joseph Yacavone 2011 Steven Steed 2000 Robert Isman 1989 George Dudney 2010 M. Dean Perkins 1999 M. Dean Perkins 1988 Carlos Lozano 2009 Brad Whistler 1998 Raymond Flanders 1987 Durward R. Collier 2008 Michael L. Morgan 1997 Raymond A. Kuthy 1986 Charles Gish 2007 Lynn Douglas Mouden 1996 Mark D. Siegal 1985 Lloyd Richards and Warren LeMay 1995 E. Joseph Alderman 1984 Carl L. Sebelius 2006 A. Conan Davis 1994 William Maurer 1981 Robert A. Downs 2005 Don Altman 1993 Joseph Doherty 1980 E. A. Pearson 2003 Diane Brunson 1992 Paul Reid 2002 Greg Connolly 1991 Naseeb Shory

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

2012 Jane A. Weintraub 1999 Dolores Malvitz and Donald Schneider 2011 Kathy Geurink 1998 Gerry Beverley 2010 BJ Tatro 1997 Robert A. Sappington 2009 Sue C. Dodd and Robert Klaus 1996 Jack Dillenberg 2008 Judy Sherman and Reginald Louie 1995 John Rossetti 2007 Lewis N. Lampiris 1994 Darrell Sanders 2005 Julie Tang and Barbara Gooch 1993 Alice Horowitz 2004 Beverly Isman 1991 Tom Reeves 2003 Rhys Jones and Lawrence Hill 1990 Ken Goff and Jim Collins 2002 VADM David Satcher 1987 Jim Saddoris and Mary Winkeljohn-Kough 2001 Wendy E. Mouradian 1984 Cora Leukhart and John Small 2000 Burton L. Edelstein

President’s Award Presented at the discretion of the President to individuals or organizations who have contributed to the advancement of state dental programs and dental public health.

2012 John Rossetti 2005 Monette McKinnon and Christine Wood 2011 Jaynath V. Kumar 2004 Nicholas Mosca 2010 Hispanic Dental Association 2003 Steven Geiermann 2009 Kathy Mangskau 2001 Stuart Lockwood 2008 Joseph M. Doherty 2000 Michael W. Easley 2007 Donald Marianos 1999 The Honorable Christopher S. Bond 2006 Beverly Isman, Julie M. W. Tang, Nicholas G. Mosca and Judith A. Feinstein

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

1. DENTAL THERAPISTS AND IRREVERSIBLE RESTORATIVE to provide an overview of the basics of good oral health and PROCEDURES: A COMPREHENSIVE REVIEW OF THE emphasize the important connections between oral health and total EVIDENCE ON TECHNICAL COMPETENCE AND QUALITY health, while engaging students around career options in the dental OF CARE field. Opportunities to integrate dental career information into the Elizabeth Phillips (1), PHD, MSSW, H. Luke Shaefer (1), PhD standard high school curriculum are included. Ideas for engaging University of Michigan, Ann Arbor, MI, USA oral health hands-on activities, games, guest speakers and the Dental therapists are members of the dental team in many countries, outcome performance assessments will be available for discussion where they perform a limited number of irreversible restorative and demonstration. procedures. In the U.S. they currently practice only in Alaska and Conclusion: The curriculum will be available for attendees and Minnesota, although other states are considering adding them is easily replicated. in an effort to improve access to oral health care. While critics of Funding: Health Resources and Services Administration this workforce model cite concern for patient safety, proponents argue that dental therapists provide treatment that is as technically 3. SYSTEMATIC SCREENING AND ASSESSMENT OF 25 ORAL competent as that provided by dentists. HEALTH WORKFORCE INNOVATIONS Objectives: While nearly two dozen studies from industrialized David Krol (1) MD, MH, FAAP, Karen Cheung (2), MPH, Michelle Revels (2), countries address this subject, there is no comprehensive review of MA, Elizabeth Jacobs (2), MPH, Mary Ann Hall (2), MPH, Kari Cruz (2), MPH their findings. We attempt to fill this gap by looking at the existing The Robert Wood Johnson Foundation, Princeton, New Jersey, USA (1), literature to determine what can be concluded about the quality of 2ICF International, Atlanta, Georgia, USA (2) care provided by non-dentists performing irreversible restorative Objectives: To describe the systematic screening and assessment procedures. methodology for identifying promising and innovative workforce Methods: We identify and review all 23 studies addressing this practices that increase access to and availability of preventive oral topic, and present them in a way that makes it easy to compare health services. methodologies and findings. Methods: We solicited nominations of workforce models and Results: Of these reports, all but two conclude that dental innovations that utilized dental providers or other providers in therapists performed at an acceptable level. Every study that directly non-dental settings; new types of professionals trained to provide compared their work to dentists or dental students found that the preventive services; or new preventive practices that prioritize therapists (or specially-trained hygienists) performed at least as well. prevention, risk assessment, and disease management. Using a set Conclusions: While dental therapists are not the only solution of criteria related to potential impact, generalizability, feasibility for improving access to oral health care, the existing evidence clearly of implementation, an expert panel selected 25 innovations for suggests they are clinically competent to perform the limited set evaluability assessments to determine whether the innovations of irreversible procedures that falls within their scope of practice. were ready for a rigorous, outcome-based evaluation. Each Whether they are able to safely treat patients should no longer be a evaluability assessment was conducted by 2 researchers and point of contention. included the development of a logic model, a 3-day site visit to Funding: This research has been generously supported by a stakeholders, and a summary report describing the innovation and grant from the Nokomis Foundation. potential evaluation design options. After reviewing the results of the evaluability assessments, the expert panel determined which 2. ENGAGING YOUTH IN DENTAL CAREERS – LET THE TOOTH programs appeared ready for evaluation. BE TOLD Results: We received nominations from 99 organizations and Sharon Grundel (1), Med, Suzette Naylor (1), RDH MassAHEC Network, conducted evaluability assessments of 25 innovations across the University of Massachusetts Medical School, Worcester, MA, USA (1), country. Based on the findings of the evaluability assessment, expert Berkshire Area Health Education Center, Pittsfield, MA, USA (2) panel members found a number of innovations ready for a rigorous Objectives: The participants will be able to: a) Describe a evaluation. workforce development program that introduces high school Conclusions: While the workforce models and innovations students to career options in the dental field; b) Summarize an we examined typically had clinical data available, very few are educational approach that helps students to recognize the multi- conducting rigorous evaluations to measure outcomes and impact. cultural crisis in the dental field and the need for minority providers Further, provisions of the Affordable Care Act will affect delivery of in dentistry to reduce barriers to equitable care; and c) Recognize the health services, and a thorough evaluation of these innovations may connection between oral health and total health and emphasize the be used to inform new approaches to access issues under health important role of the dentist and dental hygienist in maintaining the care reform. total health of the patients. Funding: The Robert Wood Johnson Foundation. Methods and Results: This presentation will showcase curricula about an Oral Health Careers program that was developed 4. IMPLEMENTING THE READY-TO-USE AAPHD DENTAL by a dental hygienist and educator to introduce educationally PUBLIC HEALTH (DPH) CURRICULUM FOR PRE- disadvantaged high school students to careers in the dental field. DOCTORAL DENTAL AND DENTAL HYGIENE STUDENTS The core components focus on workforce development, equitable Kathryn Atchison (1), DDS, MPH, Ana Karina Mascarenhas (2), BDS, access to dental care and diversity by teaching students about MPH, DrPH, Vinodh Bhoopathi, BDS, MPH, DScD, Michael Manz (3), the multi-cultural crisis in America due to the underrepresentation DDS, MPH, DrPH, UCLA, Los Angeles, USA (1), Nova Southeastern of minorities in dentistry. The program also uses interactive and University, Fort Lauderdale, USA (2), Association of State and Territorial engaging lesson plans, at the introductory and intermediate level, Dental Directors (3)

26 Objective: To present novel ways to develop or update school 6. CHANGES IN CARIES IN PRIMARY DENTITION FROM 1988- curriculum using a ready-to-use DPH curriculum for pre-doctoral 1994 TO 1999-2004 AMONG U.S. CHILDREN AGED 2-5 programs. YEARS: A CLOSER LOOK Methods: The authors used an evaluative process to develop Mei Lin, MD, MSc, Eugenio Beltrãn, DMD, MPH, DrPH, Laurie Barker, ready-to-use DPH curriculum for pre-doctoral dental and dental MSPH, Centers for Disease Control and Prevention, Atlanta, GA, USA hygiene education programs, including: 1) Selection of a curriculum Objectives: To examine degree and directionality of changes experts who developed 8 DPH competencies 2) Identification of 23 from 1988-1994 to 1999-2004 in prevalence and severity of dental DPH themes by a curriculum sub-committee; 3) Consolidation into caries by a combination of race/ethnicity and poverty status among 5 module content areas which were reviewed and approved by the U.S. children aged 2-5 years. curriculum experts; 4) Creation of syllabi and learning objectives Methods: Analyses included 5,735 Non-Hispanic-White (NHW), for each module; and 5) Development of 8-hour PowerPoint Non-Hispanic-Black (NHB), and Mexican-American (MA) children presentations, instructor guides, and student activities for each of from National Health and Nutrition Examination Survey, who had the approved five curriculum modules: Principles of DPH; Evidence poverty status information (≤100% Federal Poverty Level (FPL), 101%- Based Dentistry; Comparison of Practitioner and DPH Ethics; Policy, 200% FPL, >200% FPL) and completed the oral health examination. Advocacy and Inter-professional Care; and Prevention and Oral Caries prevalence was defined as having ≥1 dft. Untreated caries Health Promotion. prevalence was defined as having ≥1 dt. Severity was measured by Results: A variety of options will be discussed regarding how mean dft, dt, and ft. Adjusted absolute changes (AAC) from 1988-1994 this ready-to-use curriculum may be implemented by schools and to 1999-2004 for nine groups defined by race/ethnicity and poverty instructors: 1) Develop new curriculum for a program by a new or status were assessed by predicted marginal probabilities and means experienced instructor; 2) Update existing in-class curriculum using with control of medical insurance status. Statistical significance of selected lectures, student activities and instructor guides; 3) Expand AAC was determined at p-value≤0.05. Analyses accounted for the existing curriculum using selected lectures or student activities; complex sampling design. 4) Create an online course for all or a portion of the DPH curriculum Results: Three groups NHW-≤100%FPL, NHW->200%FPL, to augment or accommodate student rotations; 5) Develop a DPH and NHB-≤100%FPL showed significant increases in certain caries selective available to students participating in AAPHD student outcomes. The pattern of the increase varied. The increases for chapters. NHW->200%FPL and NHB-≤100%FPL were predominantly due to an Conclusions: A DPH curriculum has been developed and is increase in dt (AAC=0.11, 95% CI: 0-0.22) or ft (AAC=0.27, 95% CI: 0.01- available for use in dental and dental hygiene programs. 0.54) respectively. The NHW-≤100%FPL showed the highest increase Funding: This program was supported by Health Resources and in most caries outcomes among the nine groups though only the Service Administration grant, D83HP19949. increase in dft (AAC=1.18, 95% CI: 0.24-2.11) was significant. Conclusions: Changes in caries among children aged 2-5 5. DEVELOPING A PATIENT-CENTERED DENTAL HOME FOR years from 1988-1994 to 1999-2004 varied in pattern, degree and RESIDENTS OF LONG-TERM CARE FACILITIES directionality among groups defined by race/ethnicity and poverty Bonnie Branson (1), RDH, PhD, Becky Smith (1), DDS; University of combinations, suggesting complex disparity patterns. Missouri-Kansas City-School of Dentistry, Kansas City, MO, USA (1), Funding: None. University of Missouri-Kansas City-School of Dentistry, Kansas City, MO, USA (2) 7. USE OF DENTAL SERVICES BY CHILDREN ENROLLED IN Objectives: Discuss the process of developing a dental home THE WISCONSIN MEDICAID PROGRAM in a long-term care facility. Discuss methods of overcoming barriers Pradeep Bhagavatula (1), BDS, MPH, MS, Qun Xiang (2), MS, Aniko associated with providing dental care in a long-term care facility. Szabo (2), PhD, Christopher Okunseri (1), BDS, MSc, MLS; Program Methods: An on-site dental home was established in a in Dental Public Health, Marquette University School of Dentistry, long-term care facility utilizing a team approach of a dentist Milwaukee, WI, USA (1), Division of Biostatistics, Institute for Health and and dental hygienist. Funds were secured by a local health care Society, Medical College of Wisconsin, Milwaukee, WI, USA (2) foundation. The process required multiple activities. These included Objective: To compare patterns of dental procedures received engagement of all stakeholders; securing funds; ordering equipment; by children enrolled in the Wisconsin Medicaid Program administered managing legal consents; developing billing procedures; providing as capitated plans through Health Maintenance Organizations care; analyzing data and establishing sustainability. (HMOs) in four southeastern counties in Wisconsin and the fee-for- Results: 65 residents of a long-term care facility have utilized service (FFS) plans in other parts of the state. the services offered in this project and received preventive Methods: We analyzed enrollment and claims data for 0-18 year and restorative care. Oral conditions have been monitored and old children enrolled in Wisconsin Medicaid (2002-2008). Children improvement is seen in the areas of oral cleanliness and access to were categorized into 4 groups based on insurance type and care. Establishing sustainability has been an on-going activity and residence in designated dental Health Professional Shortage Areas continues to produce challenges. (HPSAs) into HPSA-HMO, non-HPSA-HMO, HPSA-FFS, and non-HPSA- Conclusions: This paper will describe the steps followed to FFS groups. Descriptive and multivariable analysis using Poisson engage stakeholders, secure funds, order equipment, provide generalized estimating equation modeling were performed to test care, analyze data and establish sustainability. The paper will for differences in the receipt of dental procedures by children in each describe barriers that were encountered and suggest ways that category, after adjusting for age and year of treatment. these can be avoided by others seeking to establish a dental home Results: Overall, 371, 609 and 231, 885 children were enrolled in a long-term care facility. in FFS and HMO plans over the study period. Approximately 3%, 8%, Funding: Health Care Foundation of Greater Kansas City. 34% and 42% of HPSA-HMO, non-HPSA-HMO, HPSA-FFS, and non- HPSA-FFS children had at least one preventive procedure in a year, respectively. Compared to children in HPSA-HMO group, children in the other three groups were significantly more likely to receive all dental procedures examined. For example, children in the non-

27 HPSA-FFS group had more than seven times as many preventive 9. THE EFFECT OF MEDICAID PRIMARY CARE PROVIDER procedures when compared to children in the HPSA-HMO group. REIMBURSEMENT ON ACCESS TO EARLY CHILDHOOD Conclusions: Children under FFS plans had more dental visits CARIES PREVENTIVE SERVICES and more preventive or treatment procedures compared to children Jill Herndon, PhD, Scott Tomar, DMD, MPH, DrPH, Frank Catalanotto, in HMO plans. Similarly, residents of HPSA regions had fewer visits DMD, Elizabeth Shenkman, PhD, University of Florida, Gainesville, FL, and procedures in both plans. USA Funding: Supported in part by a Grant from the Faye McBeath Objectives: Early childhood caries is a significant national Foundation, Milwaukee and by grant 1UL1RR031973 from the Clinical problem that disproportionately affects low-income children. Two- and Translational Science Award (CTSI) program of the National thirds of state Medicaid programs have implemented reimbursement Center for Research Resources, National Institutes of Health. to medical primary care providers (M-PCPs) to provide early childhood caries preventive services (ECCPS). However, there is limited rigorous 8. CALORIES, CARIES and CULTURE: THE RELATIONSHIP OF evaluation of these policies. The purpose of this study is to evaluate BODY MASS INDEX AND ORAL HEALTH STATUS IN 3RD the effect of M-PCP reimbursement on access to ECCPS using data GRADE SCHOOL CHILDREN from the Florida and Texas Medicaid programs and to examine Jon Roesler, MS, Bilquis Khan Jiwani, MSc, MBA, MSc, David Simmons, disparities in ECCPS receipt among vulnerable subgroups, including MPH, Merry Jo Thoele, MPH, RDH, Minnesota Department of Health, children with special health care needs (CSHCN) and racial/ethnic St. Paul, MN, USA minorities. Objective: This analysis is to investigate the association between Methods: Data sources include child-level longitudinal body mass index (BMI) and oral health outcomes measured by the enrollment databases linked to claims data for children 0-3 years basic screening survey (BSS) including caries experience, sealant old in Florida and Texas Medicaid from 2006-2010. Modified Poisson prevalence, and treatment urgency in 3rd grade Minnesota school regression, combined with generalized estimating equations, is used children. to estimate the effect of M-PCP reimbursement on the likelihood Methods: The Minnesota Department of Health included of an ECCPS visit. The key predictor is a dichotomous variable measures for BMI calculation from height and weight data collected indicating pre/post implementation of M-PCP reimbursement. when conducting a statewide BSS that measured caries experience, Covariates include health status, age, race/ethnicity, gender, rural/ sealant prevalence, and treatment urgency. Demographic urban residence, and enrollment duration. information collected included date of birth, gender, and race/ Results: M-PCP reimbursement was significantly and positively ethnicity. School-based measures were also obtained, including associated with an increase in ECCPS receipt (IRR=1.107; p<0.001). urban/rural and proportion of children eligible for free and reduced CSHCN, those with longer enrollment spans, older children and lunch pricing. Populations were a representative, state-wide, sample Hispanic and non-Hispanic blacks were more likely to have an ECCPS of 3rd grade Minnesota school children, and a sentinel population visit. selected from notably high risk students (high proportions of Conclusions: M-PCP reimbursement improves access to ECCPS recent immigrants, minority status, and free and reduced lunches) and may reduce disparities. Ongoing research is needed to evaluate Participants were actively consented from 40 randomly selected longer-term effects and to identify additional strategies to continue schools and 10 sentinel schools, all within Minnesota. to improve access to ECCPS with particular attention to sub- Results: Preliminary results indicate that caries status, lack of populations at increased risk of not receiving these essential caries sealants, unhealthy weight (over/under-weight), and attendance preventive services. at a school with a high proportion of free and reduced lunches are Funding: This project is supported by NIH/NIDCR Grant Number positively correlated. DE021701. Its contents are solely the responsibility of the authors Conclusions: Detected inequities should be addressed by and do not necessarily represent the official views of the NIH. targeted prevention/intervention activities with progress measured by similar surveys done at five-year intervals. Prevention and 10. THE BURDEN OF DENTAL PROBLEMS ON OHIO’S intervention activities may differ depending on the type of disparity EMERGENCY DEPARTMENTS being addressed (e.g., regional vs. racial differences). The data indicate Amber Detty (1), MA, Julia Kranenburg (2), MPH candidate, Ohio a need to further assess dietary intake along with oral health status. Department of Health, Columbus, OH, USA, (1), The Ohio State Dietary intake indicators alone may help in determining patterns of University, Columbus, OH, USA (2) eating associated with risk for dental disease. Objectives: When it comes to treating dental problems, Funding: Health Resources and Services Administration emergency departments (EDs) are an expensive and ineffective way T12HP14659, and Centers for Disease Control and Prevention RFA- of delivering dental care. ED physicians are only able to temporarily DP08-802. alleviate pain and infection, leaving the underlying dental disease untreated. The purpose of this analysis is to explore the burden of non-trauma related dental problems on EDs in Ohio. Methods: Data was provided by the Ohio Hospital Association (OHA) for an 18-month period from January 2010 through June 2011. Data for patients who visited the ED with a primary diagnosis code that indicated a non-traumatic dental problem were analyzed. Medicaid claims data for enrollees provided through the Ohio Department of Job and Family Services using the same diagnosis criteria was also analyzed. Results: Preliminary results indicate that during this 18-month period, almost 100,000 visits to Ohio EDs were associated with non- trauma related dental problems. The charges for these visits total over $58 million; $24 million for uninsured patients and an equal amount for patients covered by public insurance.

28 Conclusions: In Ohio, there are almost 200 visits per day to the ED should be responsible for tobacco use cessation activities. Students for non-trauma related dental problems, costing more than $100,000 also believed that tobacco cessation was an important component each day, mostly for uninsured or publically-insured patients. Since of a preventive dentistry program (78%). At baseline about half the the data provided by OHA is limited to member hospitals (OHA class (46%) thought dentists were only somewhat successful at members include 167 out of an estimated 250 hospitals in Ohio), helping their patients quit. After viewing the module, nearly 30% this is likely an underestimation of the burden to Ohio EDs. thought dentists were very successful at helping patients quit and Funding: None 63% thought dentists were somewhat successful. Conclusions: The course is designed to provide knowledge and 11. BRUSH: A LITERACY-BASED ORAL EDUCATION skills on how to incorporate tobacco cessation into clinical practice, CURRICULUM FOR PRESCHOOLS SERVING LOW-INCOME and to encourage dentist participation in tobacco cessation POPULATIONS, DESIGNED TO REDUCE PEDIATRIC counseling. DENTAL DECAY AND IMPROVE SCHOOL READINESS Funding: None. Holli Seabury, MA McMillen Center for Health Education, Fort Wayne, IN, USA Objective: To reduce pediatric dental decay in low-income preschoolers (ages birth through 5 years) through parent education, preschool teacher training and weekly curricular activities, while promoting the link between dental health and school readiness. Methods: The McMillen Center is collaborating with Early Head Start and Head Start preschools to train teachers and home visitors on the importance of primary teeth, how to prevent decay, and the link between oral health and school readiness. Low literacy, colorful educational materials are distributed to parents twice a month; children receive a weekly educational lesson through their preschool, a monthly brushing chart, and a book about brushing their teeth. Materials are also available in Spanish. Results: In the first program year Brush is serving 2,500 low- income preschoolers in Northeast Indiana. In 2012–2013 the program will be offered nationwide, with an online video training component. Conclusions: Preschool directors and teachers see the negative results of dental decay, but do not feel they have the training or the resources to address the issue. They have enthusiastically embraced the Brush program because it encourages literacy, focuses on the link between dental health and school readiness, and educates parents about oral health and nutrition in an easy to understand manner. Funding: Private foundations (Schneider Foundation, Isaac Knapp Dental Education Foundation, PNC Foundation).

12. TOBACCO CESSATION GUIDELINES FOR DENTISTRY: IMPLEMENTING A 5AS PROGRAM FOR DENTAL STUDENTS David Albert (1), DDS, MPH, Sharifa Williams (1), MPH, CPH, MA, Angela Ward(1), Cindi Wiesenfeld (1), Noreen Myers-Wright (1), RDH, MA, CHES, Cindy Smalletz (2), MA, Columbia University College of Dental Medicine, YOUR OPINION COUNTS! New York, NY, USA (1), Columbia Center for New Media Teaching and Learning, New York, NY, USA (2) Although it is not required we encourage all Objective: A web-based, self-paced, interactive module on attendees to complete an Overall Conference tobacco cessation was developed and evaluated for effectiveness. Evaluation. Your feedback will assist us in planning Methods: The course consists of 3 sections: Pre-exam, Post- exam, and Helping Your Patient Quit. These are designed to align for future conferences. with typical dental practice and help students assimilate tobacco cessation counseling into their clinic experience. The educational To complete an Overall Conference Evaluation content in the program is presented as text and video, brief interactive knowledge and skills assessments, and a final virtual patient exercise. simply go to www.ceevaluations.net The initial The module was fully incorporated into the curriculum after two screen should prompt you to enter your CDE# and phases of usability testing and revision. Prior to viewing or taking last name as listed on your name badge. Simply the tobacco course, students were administered a survey to assess pre-program tobacco related knowledge, attitudes, and behaviors. click the "Proceed to Overall Evaluation." When Follow-up surveys are being administered at yearly intervals until finished click the "Save/Logout" button. graduation. Results: Results from the pre-survey are presented for 72 sophomore dental students. Nearly all students (87%) think a dentist We appreciate your participation!

29 AAPHD Student Merit Awards Program

Leverett Graduate Student Merit Award for Outstanding Third Place Achievement in Dental Public Health Todd Billington School of Dentistry University of Washington First Place Title: CAREER EXPLORATIONS IN DENTISTRY AND PEER-LED ORAL HEALTH Ashley Kranz EDUCATION AMONG YOUTH OF THE MAKAH INDIAN TRIBE Gillings School of Global Public Health, Sponsor: Dr. Beatrice Gandara University of North Carolina at Chapel Hill Title: COMPARATIVE EFFECTIVENESS OF PREVENTIVE ORAL HEALTH Honorable Mention SERVICES PROVIDED IN MEDICAL AND DENTAL SETTINGS FOR YOUNG Danielle Currier MEDICAID-ENROLLED CHILDREN Tufts University School of Dental Medicine Sponsor: Dr. R. Gary Rozier Title: THE SHAREWOOD DENTAL PROJECT Sponsor: Dr. John P. Morgan Second Place Aderonke Akinkugbe Suzanna Ellzey National Institute of Dental and Craniofacial Research, Department of University of Mississippi Medical Center Health and Human Services School of Dentistry Title: EPIDEMIOLOGY OF DENTAL FLUOROSIS IN THE UNITED STATES: Title: GRANT WRITING FOR JACKSON FREE CLINIC: FREE DENTAL CARE EXAMINING THE ROLE OF PARTIAL REPORTING PROTOCOLS (PRPS) IN FOR THE UNDERPRIVILEGED OF JACKSON, MISSISSIPPI REPORTING DENTAL FLUOROSIS Sponsor: Dr. Robin Howard Sponsor: Dr. Amit Chattopadhyay Dental Hygiene Student Merit Award for Outstanding Third Place Achievement in Community Dentistry Elham Kateeb, BDS, MPH, PhD University of Iowa College of Dentistry First Place Title: FACTORS RELATED TO THE USE OF ATRAUMATIC RESTORATIVE Tiffany Mendryga, RDH, BSDH TREATMENT (ART) AS A DENTAL CARIES MANAGEMENT TECHNIQUE: University of Michigan School of Dentistry AN EXAMPLE OF THE USE OF CONJOINT ANALYSIS IN ORAL HEALTH Title: ASSESSMENT OF WIC PROVIDERS’ PERCEPTIONS OF ORAL HEALTH RESEARCH COUNSELING AND AVAILABILITY OF ASSOCIATED RESOURCES Sponsor: Dr. John J. Warren Sponsor: Janet Kinney, RDH, MS, MS

Honorable Mention Second Place Rania Abasaeed, BDS, MPH Li Chen Gillings School of Global Public Health, University of North Carolina at Chapel Hill University of North Carolina at Chapel Hill School of Dentistry Title: THE IMPACT OF THE GREAT ECONOMIC RECESSION ON UNTREATED Title: DEVELOPING AN EDUCATIONAL TRAINING VIDEO FOR HOME DENTAL CARIES AMONG CHILDREN IN NORTH CAROLINA HEALTH AIDES Sponsor: Dr. R. Gary Rozier Sponsor: Sally M. Mauriello, RDH, EdD

Susan McKernan, DMD, MS, PhD Third Place University of Iowa College of Dentistry Angela Haynes, RDH, BS Title: GEOGRAPHIC ACCESSIBILITY AND UTILIZATION OF ORTHODONTIC College of Clinical Rehabilitative Health Sciences East Tennessee State SERVICES AMONG MEDICAID CHILDREN AND ADOLESCENTS University Sponsor: Dr. Raymond Kuthy Title: HELEN TUCKER CENTER RIPLEY, TENNESSEE Sponsor: Deborah Dotson, RDH, PhD Predoctoral Dental Student Merit Award for Outstanding Achievement in Community Dentistry Honorable Mention Sarah Lansdell and Kelly Morgan First Place Southern Illinois University Carbondale Brian Jackson Title: COMMUNITY ORAL HEALTH PROGRAM University of Mississippi Medical Center Sponsor: Sherri M. Lukes, RDH, MS School of Dentistry Title: CREATING JACKSON FREE DENTAL CLINIC: SERVING THE UNDERPRIVILEGED AND UNDERSERVED PEOPLE IN INNER CITY JACKSON Sponsor: Dr. Robin Howard

Second Place Katherine Blair Jones University of Louisville School of Dentistry Title: “BEAT THE PUMPKIN” WALK/RUN FOR PEDS Sponsor: Dr. Lee S. Mayer

30 NOTES:

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31 Save the National Oral Date Health Conference April 28-30, 2014 Pre-Conference April 26-27, 2014 Fort Worth, Texas

Watch: www.nationaloralhealthconference.com for details.

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