Access to Oral Health Care in Detroit: A Dental Partnership in Detroit School-Based Health Centers

The University of Detroit Mercy (UDM) School of Dentistry (SOD), Henry Ford Health System School-Based and Community Health Program (HFHS SBCHP) with the support of the Michigan Department of Community Health (MDCH), formed a partnership. The program targets children identified with high disease rates and lack of access to dental care. It is delivered in HFHS School-Based Health Centers (SBHC) and is facilitated by an Oral Health Coordinator and two UDM SOD PA 161 dental hygienists, providing preventive oral health care and oral health education. Dental hygiene students have been incorporated for educational learning and service. Children are referred to UDM SOD for restorative care. A unique web-based referral tracking system has been developed for this program.

The objectives are to: 1) increase oral health prevention services; 2) ensure restoration of active disease; and 3) reduce disparities through the provision of dental sealants and oral health education.

To date, over 1,800 unduplicated children have been treated. Approximately 70% of the students identified require restorative care. Yet, only 15% of the students requiring restorative care are successful at maintaining appointments. Although low, this number is similar to other dental programs in the area.

Restorative rates remain low. Other health providers and social workers have assisted with follow-up. A parental education component is being added to address lack of knowledge as one method to increase restorative rates. Providing on-site restorative care is also being considered. Poor public transportation and traditional work week appointment times are cited as barriers to restorative services.