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Children's Oral Health Disparities: Community-Based and Programmatic Prevention

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2023 IADR/LAR General Session with WCPD

The 2023 IADR/LAR General Session & Exhibition with WCPD provided dental, oral, and craniofacial health scientists with the opportunity to present, discuss, and critique their latest and most cutting-edge research at a 100% in-person gathering in Bogotá, Colombia. The meeting was attended by 1,667 individuals from 76 countries.     

The recordings in this library from the meeting are a selection of the science that was presented at the General Session. These recordings give you the opportunity to participate in the meeting and hear from leading researchers. The recordings include IADR Distinguished Lecture Series speakers and symposia from a collection of scientific groups and networks.

This session can be purchased as part of the full meeting recordings within the product bundles





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Session Description
Oral health disparities persist in the United States (US), and early childhood caries (ECC) remains the most common chronic disease among children under the age of 5.1-2 The largest disparities in access to dental care relate to income and race/ethnicity.1,3-5 ECC prevalence among children 2-5 years of age is highest among the poor (<100% Federal Poverty Level).1 Additionally, ECC is highest among American Indian/Alaska Natives (71.3%) followed by Mexican-Americans (41.5%), non-Hispanic Blacks (30.3%), and non-Hispanic Whites (24.9%).1,6

This session will describe evidence-based, preventive community-based and programmatic approaches to combatting ECC including:
● BEhavioral EConomics for Oral health iNnovation (BEECON) – a randomized controlled trial that assessed the effects of financial incentives on predominantly Hispanic parents brushing their high caries risk preschool-aged children’s teeth.
● COordinated Oral health Promotion (CO-OP) Chicago – a cluster-randomized, controlled trial testing the ability of community health workers to improve oral health behaviors for children under age three.
● Value-Based Care – a pilot program targeting 0–3 year old high-risk children by incorporating chronic disease management, minimally invasive dentistry and care coordination. The provider is reimbursed based on outcomes rather than volume of services utilizing Alternative Payment Mechanisms.
● Sugared Fruit Drink Trial – a community-based sociobehavioral randomized trial aims to help Alaska Native families choose healthier beverages instead of sugared fruit drinks for their children.

Speakers will describe study findings pertaining to oral health inequities and evidence-based prevention, challenges encountered in research implementation, and implications for future research and policy.

References
(1) National Institutes of Health. Oral Health in America: Advances and Challenges. Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research 2021.
(2) Fleming E, Afful J. Prevalence of total and untreated dental caries among youth: United States, 2015–2016. NCHS Data Brief, no 307. Hyattsville, MD: National Center for Health Statistics 2018.
(3) Vujicic M, Nasseh K. 2014. A decade in dental care utilization among adults and children (2001-2010). Health Serv Res 2014;49(2):460-480.
(4) Henshaw MM, Garcia RI, Weintraub JA. 2018. Oral health disparities across the life span. Dent Clin North Am 2018;62(2):177-193.
(5) Northridge ME, Kumar A, Kaur R. 2020. Disparities in access to oral health care. Annu Rev Public Health2020;41:513-535.
(6) Phipps KR, Ricks TL, Mork NP, Lozon TL. The oral health of American Indian and Alaska Native children aged 1–5 years: results of the 2018-19 IHS oral health survey. IHS Data Brief 2019.

Learning Objectives
  • Highlight the existing oral health inequities in the US, especially as they relate to socioeconomic status and race/ethnicity.
  • Describe methods and findings of evidence-based research and implications for ECC prevention.
  • Explore next steps for improving preventive pediatric oral health care and oral health equity for children nationwide and globally.
Presentation Date
Wednesday, June 21, 2023

Session Organizer/Chair
Francisco Ramos-Gomez (Corresponding Organizer)
Stuart Gansky (Chair)

Presenters
  • Francisco Ramos-Gomez - BEhavioral EConomics for Oral health iNnovation (BEECON)
  • Molly Martin - COordinated Oral health Promotion (CO-OP) Chicago
  • Oscar Arevalo - Value-Based Care Pilot
  • Donald Chi - Sugared Fruit Drink Trial
Sponsoring Groups/Networks
Behavioral, Epidemiologic, and Health Services Research|Pediatric Oral Health Research

CE Credits
1.5 Hours

Financial Interest Disclosure:
US National Institutes of Health (NIH) National Institute of Dental and Craniofacial Research (NIDCR) provided funding for some of the studies. Proctor & Gamble and Philips Sonicare provided in-kind support for Dr Ramos-Gomez research.


Not eligible for individual purchase must purchase as part of a meeting bundle.