Deonna M. Williams, MS, BS, CHES
Gina Sharps, MPH, RDH
 Session
Description – As the state oral health
program continues to advance and address oral
health disparities in the school-aged child, new
strategies have emerged to engage the schoolbased professional.

This hand-on session will highlight key opportunities
for professionals to participate in the promotion of
oral health education and preventive services.
Session Objectives1. Participants will gain an understanding of
the new standardized oral health curriculum
to be made available for the upcoming 2013
academic school year by exploring key
components of the curriculum.
2. Participants will explore opportunities to
become involved in the fluoride mouthrinse
project in an effort to reduce the rates of
childhood cavities in West Virginia.
 Mission:
To promote and
improve the oral health of
all West Virginians
 Responsibilities include
administering the WV State
Oral Health Plan
Monitoring workforce trends
and projections (FQHC,
private practice, schoolbased)
 Developing strategies to
address oral health disparities

 Help
maintain good
nutrition with proper
chewing
 Normal speech
development
 Appearance
 Maintain space for the
permanent teeth
 Help give the face its
shape and form
• Extreme Pain
• Spread of Infection
• Difficulty chewing, poor
nutrition, below average
weight
• Costly dental treatment
Additional decay and
malocculsion in permanent
dentition
•
•
Missed school days
•
Impaired speech
development
•
Inability to concentrate in
school
•
Reduced self-esteem
Boy Dies After Bacteria
From Tooth
Spread to Brain
Source: Washington Post , February 28, 2007, Page B01, Mary Otto
 Universal
Pre-K
 Grade School –K and 3rd grade
Prevalence of :
 UNTREATED DECAY 21%
 DECAY EXPERIENCE 34%
 WHITE SPOT LESIONS 35%
 NEED FOR DENTAL TREATMENT(EARLY/URGENT) 21%
Kindergarten
Third
Graders
Total
Untreated Decay
128 (20%)
77 (17%)
205 (19%)
Sealants on Permanent Molars
NA
130
(29%)
145 (13%)
Caries Experience
149 (28%)
139
(42%)
338 (31%)
No Obvious Problems
518 (80%)
371
(83%)
889 (81%)
Early Dental Treatment Needed
111 (17%)
65 (15%)
176 (16%)
Urgent Immediate Care Needed
15 (2%)
13 (3%)
28 (3%)
Treatment Urgency:
 WVDHHR
Oral Health Program to aid in
efforts of providing oral health education to
students prek-12.

To prevent any child from suffering due to oral
disease, a basic understanding on how to
achieve and maintain a healthy mouth is
essential.

The West Virginia Department of Education (WVDE)
Content Standards and Objectives (CSOs) pertaining to oral
health were utilized in developing the presentations and
materials.

The educational resources were designed to be crosscurricular in nature. The use of technology-based learning
has been infused throughout the resources to further assist
in implementation.
 How
will it be distributed and by whom?
 Is it available electronically? Where is it
housed?
 What are the terms of use?
 Cost?
 Evaluation?
ral Health Education
Resource Kit
Grades Universal PreK-5
ral Health Education
Resource Kit
Grades 6-8
ral Health Education
Resource Kit
1
Grades 9-12
1
•
•
•
•
•
Region I-
Ashley Logan, RDH
Phone: 304-663-3690
Email: logana@marshall.edu
Region II-
Wendy Mosteller, RDH
Phone: 304-541-2119
Email: fergee02@hotmail.com
Region III-
Marsha DeLancey
Phone: 304-483-5100
Email: jm.delancey@hotmail.com
Region IV-
Gina Sharps, MPH, RDH, BS
Phone: 304-276-0572
Email: sharpsg@marshall.edu
Statewide-
Bobbi Jo Muto, RDH, BS, MPH
Phone: 304-542-9592
Email: bjmuto.steele@marshall.edu
Teacher Evaluation
Please complete the following questions concerning the Oral Health Resource
Guide.
1. Did you find the Oral Health Resource Guide useful to incorporate oral
health education into your classroom?
Useful
Somewhat Useful
Not Useful
2. Did you like the layout of the binder?
Yes
No
3. Do you feel the material was age appropriate for the grade level
assigned?
Yes
No
4. How many times during the school year did you refer to the guide for
lesson materials?
None
1-3 times
3 or more times
5. Would you like to see more technology resources available?
Yes
No, technology available was sufficient
6. Would you recommend the guide to teachers that may not be utilizing
the material?
Yes
No
7. Do you plan to use the guide in your teaching in future years?
Yes
No
8. Please list any additional comments/concerns you may have below.
 Fluorine
is the 13th most abundant element and is
naturally released into water
 Not
all communities have sufficient naturally
occurring fluoride (CDC My Water’s Fluoride found on
www.cdc.gov)
 Water
fluoridation is safe and effective
•
One of ten great public health
achievements of the twentieth century
(CDC)
•
Water fluoridation has a 60-year history of
success
•
Cost to fluoridate water for one person for
entire lifetime is less than the cost of one
dental filling
•
Fluoridation has resulted in a remarkable
decline in the prevalence and severity of
tooth decay
•
Populations with increased risk:
Low SES
• Little, if any, access to “dental
care”
•

The purpose of the FMR project is to provide a safe and effective method
of reducing dental decay in elementary school children.

The OHP both recognizes and adheres to the latest evidence-based
scientific literature citing that the majority of tooth decay was being
experienced by children who were at higher risk for dental caries (risk
factors include sub-optimal exposure to fluoride, low income, Medicaid
eligibility, poor diet).

After carefully considering both the information from national studies
and the results of the West Virginia Universal Pre-Kindergarten
Surveillance, the OHP is pleased to offer the FMR to all schools.
West Virginia
Fluoride Mouthrinse Program:
Instruction Manual
The Fluoride Mouthrinse (FMR) Program Manual provides information
for school administrators and personnel, FMR coordinators and parents.
It includes program administration guidelines, policies and procedures, teacher recommendations and
forms.
-
What is the cost?
-
Selection Criteria? Who/What schools are eligible
-
Who can administer?
-
How are they trained?
-
When does the project start and end?
-
What type of documentation is required?
-
What supplies are required?
-
Is the FMR manual available electronically? And where is
it housed?
-
What are the terms of use?
West Virginia Department of Health and Human Resources
Bureau for Public Health
Office of Maternal, Child and Family Health
Oral Health Program

The FMR project is primarily for elementary school students
in grades K-6.

Students teeth will receive a topical (meaning the fluoride
will not be swallowed) benefit from the fluoride mouthrinse,
resulting in strengthening of the outer layer of tooth enamel.

A systematic review of the research on fluoride mouthrinses
concluded that one in two children with high levels of
tooth decay will have less decay by using fluoride
mouthrinses in school-based programs.
 The
FMR project is 30 weeks long and
participation is voluntary.
 Successful
implementation will result when
both the OHP and the participating school
coordinate efforts and understand their
respective responsibilities.
Fluoride Mouthrinse Project Operation
•
•
•
•
•
Region I-
Ashley Logan, RDH
Phone: 304-663-3690
Email: logana@marshall.edu
Region II-
Wendy Mosteller, RDH
Phone: 304-541-2119
Email: fergee02@hotmail.com
Region III-
Marsha DeLancey
Phone: 304-483-5100
Email: jm.delancey@hotmail.com
Region IV-
Gina Sharps, MPH, RDH, BS
Phone: 304-276-0572
Email: sharpsg@marshall.edu
Statewide-
Bobbi Jo Muto, RDH, BS, MPH
Phone: 304-542-9592
Email: bjmuto.steele@marshall.edu