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PubMed · 16569945

A collaborative community-based oral care program for school-age children.

Christina S Melvin
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Abstract

PURPOSE/OBJECTIVES: In Vermont in 2001, less than half of school-age children on Medicaid received dental services. Vermont is a designated resettlement area for refugees, many of whom have never had dental care. A school-based oral health program was designed to meet the needs of this high-risk pediatric population. PROGRAM: A plan was developed to offer dental services to this group of children. Through the efforts of a multidisciplinary committee the Tooth Tutor Program, developed by the Vermont Department of Health, dental care was made available to the children. The Tooth Tutor Program provides cost-effective dental hygienist care to children in the school setting and includes referral to community dentists. OUTCOME: The program was able to provide services to approximately 500 children in the first 2 years with an increase in preventative services and decrease in restorative services from year 1 to year 2. After 3 years, a school-based dental service opened in 1 of the 3 target schools. CONCLUSION: A school-based dental service that includes education, screening, and referral can be an effective program for improving oral health among impoverished children. IMPLICATIONS FOR NURSING PRACTICE: For the community health clinical nurse specialist, the client is the community. Clinical nurse specialist practice in this community resulted in improved oral health for high-risk school-age children. This program can be adapted for other communities.

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ChildCommunity Health NursingCommunity Health ServicesCooperative BehaviorDental Care for ChildrenHumansInterinstitutional RelationsMedicaidNurse CliniciansOutcome Assessment, Health CarePovertyProgram DevelopmentRefugeesSchool Health ServicesUnited StatesVermontJournal Article

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BibTeXRIS

Christina S Melvin. A collaborative community-based oral care program for school-age children.. https://doi.org/10.1097/00002800-200601000-00007

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