270225 Translating research to practice: Implementing fluoride varnish during well-child vists in a primary care safety-net system

Wednesday, October 31, 2012 : 10:30 AM - 10:50 AM

Diane Dooley, MD , Contra Costa Regional Medical Center, Martinez, CA
Nicolette Moultrie, RDHAP, MS , School of Dentistry - Master of Science in Dental Hygiene, University of California, San Francisco, San Francisco, CA
Barbara Heckman, RDH, MS , Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, CA
Margaret M. Walsh, MS, EdD , Department of Preventive and Restorative Dental Sciences; Center to Address Disparities in Chidren's Oral Health (CAN DO), University of California, San Francisco, San Francisco, CA
This presentation will discuss the pathway and successes of adopting fluoride varnish applications in primary care clinics in a safety net system. Fluoride varnish is a professionally applied topical resin that has been shown to significantly reduce early childhood caries. In California, fluoride varnish application became a paid Medi-Cal benefit for children younger than 6 years of age in 2006, yet in 2009, only 4.7% of eligible California children aged 1 5 years received one fluoride varnish application. Contra Costa Regional Medical Center is the safety net hospital and clinic system serving the majority of low-income children in Contra Costa County. In partnership with the UCSF School of Dentistry's Center to Address Disparities in Children's Oral Health (CANDO), in 2009 we initiated an interdisciplinary work group to pilot routine application of fluoride varnish to children ages 1 -5 during well child exams. To date, we have demonstrated that with intensive training and support, a large safety net clinic system can successfully apply fluoride varnish to 79% of eligible toddlers and significantly reduce staff perceptions of barriers to the procedure. Session speakers will outline the development of this quality initiative, along with addressing perceived barriers and assuring sustainability of this effort.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
By the end of the presentation, the participant will be able to: 1. Describe the role that primary care providers can play in children's oral health 2. Identify three perceived barriers to implementing fluoride varnish in a primary care setting 3. Discuss three facilitators to successfully implementing fluoride varnish in a primary care setting

Keywords: Access and Services, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have extensive experience as a public health dental hygienist. I am the Project Liaison for the Pediatric Oral Health Intervention Project for Contra Costa Health Services to increase access to oral health services for young children. The project included training physicians and treatments nurses to identify early childhood dental caries, apply fluoride varnish to children during well child visits, distribute oral health educational brochures, and refer children and families to appropriate services.
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.