177588 Big smiles: Expanding oral health care for infants, toddlers, and pre-schoolers in Chicago

Tuesday, October 28, 2008: 9:00 AM

Jan Strozer, MPA, MSW, LSW , Access Community Health Network, Chicago, IL
Tiy Smith, MD , Access Community Health Network, Chicago, IL
Jenifer Fabian, MPH , Access Community Health Network, Chicago, IL
Access Community Health Network (ACCESS), is a leader in innovating practices and providing cutting-edge services which enable our patients to have a stable, high-quality medical home. ACCESS, a network of federally-qualified health centers, became positioned to address pediatric oral health in 2007 by partnering with the Illinois Chapter of the American Academy of Pediatrics in a project to provide oral health screenings, fluoride varnish applications, and education to our pediatric patients. Our Big Smiles project tackles the problems of poor oral health among low-income children on four fronts: access, surveillance, prevention, and education. ACCESS' community health centers are well-positioned to provide these services given our roots in the community and importance we place on ongoing professional education and prevention.

A two-step training (including didactic and clinical components) and Big Smiles toolkit empower primary care providers and health center staff to offer selected oral health services to our pediatric patients that address problems early and provide culturally- and linguistically-appropriate caregiver education for maximizing children's ongoing oral health.

We will discuss several program components: training format; site support and resources; parent and community outreach; physician buy-in; and evaluation. Originally piloted at 5 ACCESS sites, the model developed has been replicated to 15 sites. By building this solid infrastructure for providing selected pediatric oral health services to our patients, we are able to increase the capacity of our patients and families to sustain good oral health, thereby increasing their overall physical well-being.

Learning Objectives:
1. Understand the interrelationship of oral and primary health, specifically in an underserved, underinsured population. 2. Define the scope of appropriate oral health interventions by primary care providers specifically screening, education, and fluoride varnish treatment. 3. Articulate the training and administrative processes required for successfully implementing a pediatric oral health intervention in a community-based pediatric primary care setting. 4. Evaluate the successes of oral health screening in the primary care setting.

Keywords: Oral Health, Pediatrics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have managed the planning, implementation, and sustainment of the project presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.