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Bright Futures in Practice: Oral Health. What Is Bright Futures?. Bright Futures is A vision A philosophy A set of expert guidelines A practical developmental approach to providing health supervision. Bright Futures Guidelines.

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what is bright futures
What Is Bright Futures?

Bright Futures is

  • A vision
  • A philosophy
  • A set of expert guidelines
  • A practical developmental approach to providing health supervision
bright futures guidelines
Bright Futures Guidelines

The first edition of the Bright Futures guidelines was published in 1994.

A second edition was published in 2000.

bright futures in practice series
Bright Futures in Practice Series
  • Oral Health
  • Nutrition
  • Physical Activity (forthcoming)
  • Mental Health (forthcoming)
  • Children with Special Health Care Needs (forthcoming)
bright futures in practice oral health manual
Bright Futures in Practice: Oral Health Manual


  • Coordinate services between dental professionals and health professionals
  • Assess risk factors and protective factors
  • Measure oral health outcomes
  • Make oral health care accessible
  • Provide early intervention
bright futures in practice oral health manual6
...Bright Futures in Practice:Oral Health Manual
  • Designed for healthprofessionals, this guideprovides:
    • An overview of preventive oral health supervision for children andadolescents from birthto age 21
    • Risk assessment
    • A model for appropriateoutcome measures.
bright futures in practice oral health manual7
….Bright Futures in Practice:Oral Health Manual
  • Introduces the concepts ofindividualized, cost-effective risk assessment
  • Emphasizes the contributionand partnership of dentalprofessionals, other healthprofessionals, and families inoral health supervision.
  • Stresses the importanceof early oral healthintervention for children.
bright futures focus one question
Bright Futures Focus - One Question
  • What do children and families need to prevent disease and promote health?
    • Family is focus forhealth supervision.
    • Dental professionals alsohave a larger role in theirpreventive care partnership with families.
four innovations in oral health supervision
Four Innovations in Oral Health Supervision
  • Contributions of Dental and Nondental Professionals in Oral Health Provision
  • Early Intervention
  • Risk Assessment
  • Oral HealthOutcomes
how bright futures in practice oral health is organized
How Bright Futures in Practice: Oral Health is Organized
  • Section I – Oral Health Supervision Guidelines
  • Section II – Risk Assessment
  • Section II – Measuring Outcomes
  • Section IV – Making Oral Health Supervision Accessible
  • Section V – Essentials ofOral Health
section i five developmental periods
Section I:Five Developmental Periods
  • Prenatal
  • Infancy
  • Early Childhood
  • Middle Childhood
  • Adolescence
section ii risk assessment
Section II: Risk Assessment
  • Dental Caries
  • Periodontal Disease
  • Malocclusion
  • Injury
section iii measuring outcomes
Section III: Measuring Outcomes

Must be:

  • Comprehensible
  • Attainable
  • Measurable
section iv making oral health supervision accessible
Section IV: Making Oral Health Supervision Accessible
  • Financial Concerns
  • Cultural Differences
  • Special Health CareNeeds
  • Fear of Discomfort/Infections
section v essentials of oral health
Section V:Essentials of Oral Health
  • To provide background on key points concerning oral conditions/diseases.
to use effectively
To Use Effectively:
  • Tailor to the individual needs of the children and the community.

Dental OfficeWoodlawn Elementary SchoolCarroll County School Division, Va.

to use effectively17
...To Use Effectively:
  • Recognize the Culture
  • Competing HealthConcerns
  • Health Behavior
  • Social Conditions
resources dental services
ResourcesDental Services

Dental services are provided in the multiple localities to pre-school and school age children who meet eligibility requirements.

resources fluoride mouthrinse program
...ResourcesFluoride Mouthrinse Program

Children "Swish and Spit" for one minute once a week in a school fluoride mouthrinse program in Goochland, Virginia.

resources health education
...ResourcesHealth Education

A public health hygienist teaches children about their"first trip to the dentist."

resources materials
  • Brochures Developed by VDH:
    • Dental Sealant "Seal Away Tooth Decay"
    • Baby Bottle Tooth Decay "Baby's First Step to Healthy Teeth"
    • School Fluoride MouthrinseProgram "Swish Away Decay"
    • Why Floss?
    • Tips for Healthy Smiles: Prevention/Care/Education(Public Health Dentistry in VA)

...ResourcesNational Maternal and Child Oral Health Resource Center

  • Publications
    • Fact Sheets
    • Resource Materials
    • Practice and Policy Guidelines
    • Conference Proceedings
oral health in america
Oral Health in America
  • “Silent Epidemic”

Oral Health in America:A Report of the Surgeon GeneralMay 2000

David Satcher, M.D., Ph.D.Assistant Secretary for Health and Surgeon GeneralOffice of Public Health and Science

dental caries tooth decay
Dental Caries (Tooth Decay)
  • The Single Most CommonChronic ChildhoodDisease
    • 5 Times More Common Than Asthma
    • 7 Time More Common Than Hay Fever
children and oral health
Children and Oral Health
  • This preventable health problem begins early:
    • 17% of children aged 2-4 years have already had decay.
    • By the age of 8, approximately 52% of children have experienced decay
    • By the age of 17, dental decay affects 78% of children.

*Centers for Disease Control and Prevention

children and oral health26
...Children and Oral Health
  • Studies by VDH show that 45% of children ages 5 to 18 have dental decay.
  • Children on free or reduced lunch have higher disease rates.
  • Only 38% of children have their filling needs met.

*VDH Studies 1950-1998

oral cancer
Oral Cancer
  • Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur.
  • Preventing high risk behaviors
    • Cigarette, cigar or pipe smoking
    • Use of smokeless tobacco
    • Excessive use of alcohol

*Centers for Disease Control and Prevention

virginia oral health profile
Virginia Oral Health Profile
  • Dental Visits
    • 71.9% of the population visited the dentist or dental clinic within the past year.
  • Teeth Cleaning
    • 73.1% of the population had their teeth cleaned by a dentist or dental hygienist within the past year.
  • Complete Tooth Loss
    • 28.5% of the population 65+ have lost all of their teeth.
  • Fluoridation Status
    • 72.1% of the population on public water systems is receiving fluoridated water.
dental disease trends
Dental Disease Trends
  • In 1993
  • Children 5 to 17:
    • 632,000 school days were lost.
  • Adults > 18:
    • 3.6 million Work Days were lost.
  • *National Center for Health Statistics
dental disease trends30
...Dental Disease Trends
  • The rate of progression of diseases has slowed.
  • The substantial risk for new dental decay may extend beyond early adolescence.
dental disease trends new studies
...Dental Disease TrendsNew Studies

New studies indicate that periodontal disease may be linked with:

  • Cardiovascular Disease
  • Diabetes
  • Premature Births

Dentist to Population Ratio:

  • 1 general dentist to 2,536 people.
  • 43 out of 136 cities and counties were identifiedas having less than dentist per 5,000 people.

*Item 311-Report of Availability of Dental Services in Virginia

gaps in access to care
Gaps in Access to Care
  • Children with or without dental insurance and non provider
  • Special Populations
    • Elderly/Nursing Home
    • Head Start
    • Disabled
    • Adult Indigent
bright futures oral health
Bright Futures: Oral Health

No matter how many brushes or paints that we use…each canvas will be different.