Online Program

Incorporating dental screening into school health days: A best practice for oral health surveillance

Monday, November 4, 2013

Scott L. Tomar, DMD, DrPH, Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, FL
Elizabeth Lense, DDS, MSHA, Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, FL
Jaana Gold, DDS, MPH, PhD, CPH, Public Health, A. T. Still University and UF, Gainesville, FL
Jorge Salomon, MPH, Oral Health Coalition of Alachua County, Alachua County Health Department, Gainesville, FL
Background: Screening and surveillance for dental conditions are essential for identifying problems, planning programs, and monitoring population oral health. However, such programs may burden schools and be logistically difficult. We describe a countywide oral health screening and surveillance approach that minimized burden on schools, families, and the public health system. Methods: Before 2011, there were no data on the oral health status of children in Alachua County, FL. Schools screened children for height/weight/BMI, vision, hearing, and scoliosis; each screening disrupted the normal school day, a situation further compounded by addition of influenza vaccination. In 2011, the Alachua County Oral Health Coalition worked with school health officials to develop School Health Days at every public elementary school that included dental Basic Screening Survey. Each school devoted 1 day to screening and flu vaccination. Parents/guardians were informed of the screenings and could opt out; vaccination required active consent. Results: Nearly 100% of 3rd graders participated in dental screening in 2011-12 and 2012-13 (~1,800 each year). Prevalence of untreated cavities was 30.5% in 2012; range: 13.3%-45.7% among 23 elementary schools; 6.9% of 3rd graders had urgent need for dental care. Findings were widely disseminated and were successfully used to plan, advocate and obtain funding for dental sealant and other prevention programs. Dental screening is now institutionalized in the school district. Conclusions: Scheduling dental screening to coincide with required health screenings may be an effective and efficient approach to conduct oral health surveillance, minimize the burden to schools, and enable oral health program development.

Learning Areas:

Provision of health care to the public
Public health or related nursing
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Explain how oral health surveillance might be incorporated into existing school health screening. Describe at least 3 advantages of an integrated approach to school health screening and prevention.

Keyword(s): School Health, Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I chair the Alachua County Oral Health Coalition and have been involved in dental public health and oral epidemiology research and practice for more than 20 years.
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.