Elizabeth C. Lense, DDS, MSHA University of Florida College of Dentistry

July 31, 2014

32 counties have no pediatric dentist accepting

Medicaid 19,232 kids <19 yo were seen in the Emergency-

Room in 2012 for dental care In FY 2011, FL ranked lowest among all states for

children ages 1-20 for Medicaid dental services <14% of children received a preventive dental service <8% of children received a dental treatment service

CMS- 416 Reports, 2011

2011 2012 2013

• Untreated decay: 27.2% 30.5% 31.7%

• Caries experience: 46.1% 49.0% 51.6%

• Sealants present: 35.7% 36.9% 49.6%

• Need urgent care: 5.8% 6.9% 7.9%

• Need early dental care: 21.3% 25.0% 24.8%

0.0 10.0 20.0 30.0 40.0 50.0New Hampshire

VirginiaNebraska

MassachusettsMinnesota

GeorgiaMaineIowa

South CarolinaUtah

MarylandMissouri

PennsylvaniaKansas

Rhode IslandMontana

South DakotaDelaware

ALACHUA COUNTYKentucky

New MexicoLouisiana

Untreated Decay in Third Graders (%)

Data from National Oral Health Surveillance System. http://www.cdc.gov/nohss/index.htm

Alachua County

0.0% 20.0% 40.0% 60.0% 80.0%

GLEN SPRINGS ELEMENTARY SCHOOLLAKE FOREST ELEMENTARY SCHOOLSTEPHEN FOSTER ELEMENTARY SCHLCHARLES W. DUVAL ELEM SCHOOLJ. J. FINLEY ELEMENTARY SCHOOL

LAWTON M. CHILES ELEM. SCHOOLC. W. NORTON ELEMENTARY SCHOOL

WILLIAM S. TALBOT ELEM SCHOOLIDYLWILD ELEMENTARY SCHOOL

MEADOWBROOK ELEMENTARYHIDDEN OAK ELEMENTARY SCHOOL

KIMBALL WILES ELEM. SCHOOLMARJORIE KINNAN RAWLINGS ELEM

W. A. METCALFE ELEMENTARY SCHOOLARCHER ELEMENTARY

LITTLEWOOD ELEMENTARY SCHOOLJOSEPH WILLIAMS ELEM. SCHOOL

ALACHUA ELEMENTARY SCHOOLHIGH SPRINGS COMMUNITY SCHOOL

NEWBERRY ELEMENTARY SCHOOLMYRA TERWILLIGER ELEM. SCHOOLCHESTER SHELL ELEMENTARY SCHL

WALDO COMMUNITY SCHOOL

3.6

19.6 17.4

66.7

46.3

24.5

0

10

20

30

40

50

60

70

80

Shell Elementary Metcalfe Rawlings

2010-112011-12

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

DUVAL*FOSTERTALBOT

WILLIAMSWILES

LITTLEWOODCHILES

RAWLINGS*GLEN SPRINGS

ARCHERTERWILLIGER*

HIGH SPRINGSHIDDEN OAK

MEADOWBROOKNORTON

LAKE FOREST*METCALFE*

NEWBERRY*WALDO*

FINLEY*ALACHUA

IDYLWILD*SHELL*

2013 2012

* Schools served by UF/United Way Sealant Program in SY 2012-13

2011 2012 2013

• Untreated decay: 27.2% 30.5% 31.7%

• Caries experience: 46.1% 49.0% 51.6%

• Sealants present: 35.7% 36.9% 49.6%

• Need urgent care: 5.8% 6.9% 7.9%

• Need early dental care: 21.3% 25.0% 24.8%

United Way of North Central Florida, in

collaboration with UFCD, received a 2-year $20,000/year grant from Oral Health America

Start-up funds from Oral Health America supported a Program Coordinator and supplies

College of Dentistry purchased 3 portable dental units with funds from HRSA grant

Launched in 2010-2011 school year An additional portable set-up was purchased

in 2012 with HRSA funds

United Way of North Central Florida University of Florida College of Dentistry, Department

of Community Dentistry Oral Health America School Board of Alachua County Director of School Health

Alachua County Health Department and Alachua School Nurses Santa Fe College Dental Hygiene Program 2nd-year dental students & UF pre-dent students Alachua County Community Agency Partnership

Program (CAPP)

Elementary schools selected from among those with highest decay and untreated decay as determined by survey, for 2013-14: 13 elementary schools 3 middle schools

All schools have greater than 80% of children qualifying for FRL

Targeted grades 2 and 6 Participation for all schools

averaged 60% in 2013-2014

SERVICES TOTAL 11-12

TOTAL 12-13

TOTAL 13-14

Total Number of Children Served 249 541 628

Number of Oral Health Screenings/Assessments

1737 1822 1,978

Number of Uninsured children served 69 146 233

Number of CHIP/Medicaid children served 149 276 283

Number of Schools Participating 9 13 14

Number of Children receiving Sealants 219 434 476

Total Number of Teeth sealed 800 1561 1624

Number of children received fluoride varnish

249

527

619

• First dental visit for many children

• Educates children about good oral hygiene

• Substantial cost savings by preventing decay

• Provides a learning experience for dental and dental hygiene students; increases awareness of dental problems in the community

Donate Your Services

• Choose a school • Bring your own

supplies- we provide equipment

• Commit 2-3 days to seal an entire 2nd or 6th grade

Transportation & Equipment

Needs- choose $$ amount