Skip to main content

Advertisement

Log in

Effectiveness of Disease Prevention in Community Health Center Dental Programs

  • Dental Public Health (R Collins, Section Editor)
  • Published:
Current Oral Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The goal of this paper is to describe and analyze oral health disease prevention at Community Health Center (CHC) dental programs in order to summarize the effectiveness of activities at the individual and community levels.

Recent Findings

Recent efforts to expand oral health prevention and care with children at community health centers have shown positive results. Although there is considerable literature regarding oral health disease prevention aimed at individuals and communities, there are few articles that specifically address preventive oral health programs at CHC.

Summary

CHC dental programs are well positioned to address the prevention of dental diseases as an integral part of care based on their organization and strong community-based orientation. Recent trends in the integration of medical and dental care at CHC support dental disease prevention activities to increase oral health and provide opportunities for further research in monitoring effectiveness of disease prevention in CHC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Lefkowitz B. Community health centers: a movement and the people who made it happen: Rutgers University Press; 2007.

  2. Nath JB, Costigan S, Hsia RY. Changes in demographics of patients seen at federally qualified health centers, 2005-2014. JAMA Intern Med. 2016;176:712–4.

    Article  PubMed  Google Scholar 

  3. Gao YN, Nocon RS, Sharma R, Huang ES. What factors are associated with Medicaid patients’ use of health centers? J Prim Care Community Health 2017; 2150131916687919.

  4. Jones E, Shi L, Hayashi AS, Sharma R, Daly C, Ngo-Metzger Q. Access to oral health care: the role of federally qualified health centers in addressing disparities and expanding access. Am J Public Health. 2013;103:488–93.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Health Resources And. HRSA Oral Health Across the Agency [Internet]. 2015. Available: https://www.hrsa.gov/oralhealth/oralhealthfactsheet.pdf

  6. • Crall JJ, Pourat N, Inkelas M, Lampron C, Scoville R. Improving the oral health care capacity of federally qualified health centers. Health Aff. 2016;35:2216–23. This manuscript documents the success of a comprehensive initiative designed to increase CHC service capacity in providing preventive, diagnostic, and therapeutic dental care over a 2-year period.

    Article  Google Scholar 

  7. Grisanti SM, Boyd LD, Rainchuso L. An assessment model for evaluating outcomes in federally qualified health centers’ dental departments: results of a 5 year study. J Dent Hyg. 2016;90(Suppl 1):22–32.

    PubMed  Google Scholar 

  8. Griffin SO, Naavaal S, Scherrer C, Patel M, Chattopadhyay S. Community preventive services task force. Evaluation of school-based dental sealant programs: an updated community guide systematic economic review. Am J Prev Med. Elsevier Inc. 52:407–15.

  9. Cohen AJ, Richardson CR, Heisler M, Sen A, Murphy EC, Hesterman OB, et al. Increasing use of a healthy food incentive: a waiting room intervention among low-income patients. Am J Prev Med Elsevier. 2017;52:154–62.

    Article  Google Scholar 

  10. Emami E, Harnagea H, Girard F, Charbonneau A, Voyer R, Bedos CP, et al. Integration of oral health into primary care: a scoping review protocol. BMJ Open. 2016;6:e013807.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Emami E, Couturier Y, Girard F, Torrie J. Integration of oral health into primary health Care Organization in Cree Communities: a workshop summary. J Can Dent Assoc. 2016;82:g30.

    PubMed  Google Scholar 

  12. Zimmerman E. Integration of Oral Health and Primary Care Practice: An Interprofessional Approach. MEP. 2015; doi:10.15766/mep_2374-8265.10252.

  13. Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF Jr. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health. 2012;102:923–9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Burgette JM, Lee JY, Baker AD, Vann WF Jr. Is dental utilization associated with oral health literacy? J Dent Res. 2016;95:160–6.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Arvey SR, Fernandez ME. Identifying the core elements of effective community health worker programs: a research agenda. Am J Public Health. 2012;102:1633–7.

    Article  PubMed  PubMed Central  Google Scholar 

  16. • Maxey HL, Norwood CW, Liu Z. State policy environment and the dental safety net: a case study of professional practice environments’ effect on dental service availability in federally qualified health centers. J public health Dent. 2016;76:295–302. This study demonstrated that the number of CHC providing dental services was higher in states which supported dental hygiene practice autonomy in public health settings than those CHC in states with more restrictive dental hygiene policies.

    Article  PubMed  Google Scholar 

  17. Smith EA, Lapinski J, Lichty-Hess J, Pier K. Using health information technology and data to improve chronic disease outcomes in federally qualified health centers in Maryland. Prev Chronic Dis. 2016;13:E178.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Daniel SJ, Wu L, Kumar S. Teledentistry: a systematic review of clinical outcomes, utilization and costs. J Dent Hyg. 2013;87:345–52.

    PubMed  Google Scholar 

  19. Friedman JW, Nash DA, Mathu-Muju KR. The virtual dental home: a critique. J Public Health Dent. 2017; doi:10.1111/jphd.12208.

  20. Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, et al. The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Commun Dent Oral Epidemiol. Wiley Online Library. 2016;44:435–41.

    Article  Google Scholar 

  21. Nakre PD, Harikiran AG. Effectiveness of oral health education programs: a systematic review. J Int Soc Prev Commun Dent. 2013;3:103–15.

    Article  Google Scholar 

  22. Lai H, Fann JC-Y, Yen AM-F, Chen L-S, Lai M-H, Chiu SY-H. Long-term effectiveness of school-based children oral hygiene program on oral health after 10-year follow-up. Community Dent Oral Epidemiol. 2016;44:209–15.

    PubMed  Google Scholar 

  23. Marinho VCC. Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments. Faculty Dent J. Royal College of Surgeons. 2015; doi:10.1308/rcsfdj.2014.5.2.78.

  24. Ahovuo-Saloranta A E al. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. - PubMed - NCBI [Internet]. [cited 20 Feb 2017]. Available: https://proxy.library.upenn.edu:2063/pubmed/26780162

  25. Iheozor-Ejiofor Z, Worthington HV, Walsh T, O’Malley L, Clarkson JE, Macey R, et al. Water fluoridation for the prevention of dental caries. The Cochrane Library. Wiley Online Library; 2015; Available: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010856.pub2/pdf

  26. Pachêco-Pereira C, Spivakovsky S. Patient compliance and periodontal outcomes. Evid Based Dent. 2016;17:21–2.

    Article  PubMed  Google Scholar 

  27. Gallob J, Mateo LR, Chaknis P, Morrison BM Jr, Panagakos F. Randomized controlled trial comparing a powered toothbrush with distinct multi-directional cleaning action to a manual flat trim toothbrush. Am J Dent. 2015;28:351–6.

    PubMed  Google Scholar 

  28. Grender J, Williams K, Walters P, Klukowska M, Reick H. Plaque removal efficacy of oscillating-rotating power toothbrushes: review of six comparative clinical trials. Am J Dent. 2013;26:68–74.

    PubMed  Google Scholar 

  29. Ghezzi EM. Developing pathways for oral care in elders: evidence-based interventions for dental caries prevention in dentate elders. Gerodontology 2014; Available: http://onlinelibrary.wiley.com/doi/10.1111/ger.12081/full

  30. Carson SJ, Burns J. Impact of smoking on tooth loss in adults. Evid Based Dent. 2016;17:73–4.

    Article  PubMed  Google Scholar 

  31. Mai X, Wactawski-Wende J, Hovey KM, LaMonte MJ, Chen C, Tezal M, et al. Associations between smoking and tooth loss according to the reason for tooth loss. The Journal of the American dental association. Elsevier. 2013;144:252–65.

    CAS  Google Scholar 

  32. Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev. 2012; CD005084.

  33. American Academy of Family Physicians. Office Champions Tobacco Cessation Federally Qualified Health Centers Project. 2014.

  34. Sheiham A, James WPT. Diet and Dental Caries. J Dent Res. 2015;94:1341–7.

    Article  CAS  PubMed  Google Scholar 

  35. Hurlbutt M, Young DA. A best practices approach to caries management. J Evid Based Dent Pract. 2014;14(Suppl):77–86.

    Article  PubMed  Google Scholar 

  36. Datta A, Datta G. Nutritional counseling in prevention of caries–a team approach. Int J Dent Sci Res Science and Education Publishing. 2014;2:31–3.

    Article  Google Scholar 

  37. Ryan ME, Raja V. Diet, obesity, diabetes, and periodontitis: a syndemic approach to management. Curr Oral Health Rep Springer international publishing. 2016;3:14–27.

    Article  Google Scholar 

  38. Schmitz KE, Liles S, Hyman AN, Hofstetter CR, Obayashi S, Parker M, et al. Youth receiving orthodontic care are not immune to poor diet and overweight: a call for dental providers to participate in prevention efforts. Pediatr Dimens. 2016;1:59–64.

    Article  PubMed  PubMed Central  Google Scholar 

  39. • Norwood CW, Maxey HL, Randolph C, Gano L, Kochhar K. Administrative challenges to the integration of oral health with primary care: a SWOT analysis of health care executives at federally qualified health centers. J Ambul Care Manage. 2016; doi:10.1097/JAC.0000000000000151. Using an analysis of strengths, weaknesses, opportunities and threats, this manuscript identified administrative challenges that CHC face in successful oral health integration

  40. Pere D. Building physician competency in lifestyle medicine: a model for health improvement. Am J Prev Med Elsevier. 2017;52:260–1.

    Article  Google Scholar 

  41. Taylor EF, Machta RM, Meyers DS, Genevro J, Peikes DN. Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. Ann Fam Med. 2013;11:80–3.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Allen GC, Allen CG, Brownstein N. Capacity Building and Training Needs for Community Health Workers Working in Health Care Organizations. J Community Med Health Educ. 2016;06. doi:10.4172/2161-0711.1000403

  43. Allen CG, Brownstein JN, Satsangi A, Escoffery C. Community health workers as allies in hypertension self-management and medication adherence in the United States, 2014. Prev Chronic Dis. 2016;13:E179.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Lopez PM, Islam N, Feinberg A, Myers C, Seidl L, Drackett E, et al. A place-based community health worker program: feasibility and early outcomes, New York City, 2015. Am J Prev Med. Elsevier Inc.; 2017;52: S284–S289.

  45. • Bernstein J, Gebel C, Vargas C, Geltman P, Walter A, Garcia RI, et al. Integration of oral health into the well-child visit at federally qualified health centers: study of 6 clinics, August 2014–March 2015. Prev Chronic Dis. 2016;13:E58. Using structured observations and interviews with administrators and staff, this study documented factors that facilitate and also cause barriers in the integration of oral health into pediatric primary care at two CHC in two states.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joan I. Gluch.

Ethics declarations

Conflict of Interest

Both authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Dental Public Health

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gluch, J.I., Hexem, K. Effectiveness of Disease Prevention in Community Health Center Dental Programs. Curr Oral Health Rep 4, 169–175 (2017). https://doi.org/10.1007/s40496-017-0141-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40496-017-0141-3

Keywords

Navigation