A Model Dental Public Health Program : Alameda County California. Jared I. Fine, DDS, MPH. Percent of Children with Dental Decay at WIC ** compared to Healthy People 2010 Objective. *. *Includes white spot lesions ** 7/2009-3/2010.
Jared I. Fine, DDS, MPH
*Includes white spot lesions ** 7/2009-3/2010
Percentage of School Children with Untreated Decay by School Poverty Status, Alameda County, 2002-2004
Federal Law EPSDT(CHDP) defined by the Social Security Act specifies that dental services are :
1) to be provided at intervals that meet standards…in consultation with recognized dental organizations;
2)provided at medically necessary intervals;
3) at minimum include relief of pain and infection, restoration of teeth and maintenance of dental health.
“..every child should begin to receive oral health risk assessments by 6 months…”
“…children should be seen by a dentist following eruption of 1st tooth but no later than 12 months of age..”
Capacity to :
Pediatric Dentistry or Oral Surgery
Aetna- Columbia University 144,000 insured
Cigna, and Blue Cross Blue Shield of Michigan
Washington Dental Service,Costco,MetLife Inc.
Kellog Co.,Ford Motor Co.
Reduced Medical Cost
Coronary Artery Disease
To strengthen partnerships that enables WIC to be the “entry point” for dental care :
To increase the number of at risk one year olds who :
Pave way to tx
Educate to self care
Limit lost school hours
Minimize barriers eg geography, language.
Positive dental experience
School BasedSchool Linked
Examinations Case management
Education for Dental Care
Dental sealants for Insurance
Fluoride treatments other services
Title XIX Medicaid funding for MCH,CHDP
“Advocacy without recommendations is no advocacy at all”
“It’s never ‘self serving’ if you are serving”