新生児・小児医学

抽象的な

Improving Oral Health of Young Children: An Interprofessional Demonstration Project

Marguerite A. DiMarco*, Karen Fitzgerald, Evelyn Taylor, Deborah Marino, Marlene Huff, Diana Biordi and Eric Mundy

Introduction: The CDC report on oral health found that preschool children have increasing incidence of dental caries especially poor children. Profound disparities exist in dental services obtained by children, especially the poor. Objectives: The purpose of this project is to improve the oral health of vulnerable children via an interprofessional model through the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods: This project tested the feasibility of integrating primary preventive interventions of oral health assessments/teaching, fluoride varnishing and referral to a dental home into regular practice at an urban and rural WIC site using nurses, registered dieticians and students. Results: After three years, 4091 children were enrolled and received fluoride varnish. Children who were seen by the nurse/dietician at the urban or rural WIC sites were found to have more children seeking dental services through a dentist between the 2nd and 3rd WIC visits (p<0.001). Children at both sites increased their brushing or cleaning their child’s teeth between the first and second visits (p<0.05 for the rural site; p<0.001 for the urban site). Conclusion: Interprofessional cooperation along with a community based approach is needed to tackle this increasing problem of early childhood dental caries.