142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Increasing Access to Oral Health Services to Students through a Virtual Dental Home

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:30 AM - 11:50 AM

Maureen Harrington, MPH , Pacific Center for Special Care, University of the Pacific School of Dentistry, San Francisco, CA
Paul Glassman, DDS, MA, MBA , Pacific Center for Special Care, University of the Pacific School of Dentistry, San Francisco, CA
Maysa Namakian, MPH , Department of Dental Practice, University of the Pacific School of Dentistry, San Francisco, CA
Jesse Harrison-Noonan, BS , Pacific Center for Special Care, University of the Pacific School of Dentistry, San Francisco, CA
The Virtual Dental Home (VDH) is an innovative system of care currently practiced in several California elementary and preschools.  The system employs an onsite oral health provider, primarily a dental hygienist, who provides both clinical oral health services to school children and oral health education to students, parents, school administration, faculty, and staff in underserved communities. The dental hygienist uses telehealth technology including a web-based electronic health record, intraoral photos, dental charting and x-rays to communicate with the collaborating dentist located in a clinic offsite for diagnosis and treatment planning.  The students in the elementary schools receive an average of 2.19 visits occur during the school year with an average of 14 preventive procedures per child enrolled.  Children may receive a recommendation from the dentist to continue ongoing care at the school site or, if disease is significant, treatment by the dentist may be required.  The hygienist provides case management and referral support to complete treatment by the student. Parent surveys report 86 % are very satisfied while school administrators indicate 100% satisfaction with convenience to obtaining critical oral health services, reduced time away from school, and increased knowledge of personal oral health prevention practices.  VDH is a system that improves the oral health of school children; support parents who experience challenges in obtaining care from a dental clinic or office; and supporting schools that students miss days at school due to pain, infection or take time away from school to travel and receive care in a dental clinic.

Learning Areas:

Administer health education strategies, interventions and programs
Clinical medicine applied in public health
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
Identify the components of the Virtual Dental Home that are different from an oral health screening program. List the opportunities to provide health education and to whom. Define telehealth technology in an oral health system.

Keyword(s): Oral Health, Telehealth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been investigated the Virtual Dental Home for 5.5 years with schools and preschools in California. Among the research I have conducted in the systems that need to be in place to use teledentistry with oral health providers in school settings.
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.