American Academy of Pediatrics Oral Health E-Newsletter August 2011 Announcements In the News Awards/Funding Opportunities Training and Career Development Events Calendar Resources Journals Online Newsletters Opportunities AAP Oral Health Risk Assessment Tool Developed by the American Academy of Pediatrics (AAP) and tested in pediatric practices, the Oral Health Risk Assessment Tool is easy to incorporate into office practices and aids in the implementation of oral health risk assessment during health supervision visits. The tool is intended for documenting caries risk of children, and if appropriate, high-risk children should receive professionally applied fluoride varnish and have their teeth brushed daily with an age-appropriate amount of fluoridated toothpaste. Referral to a pediatric dentist or a dentist comfortable caring for children should be made with follow-up to ensure that the child is being cared for in the dental home. A tutorial is available online that explains how best to use the tool as well as the various risk factors, protective factors, and clinical findings. The Oral Health Risk Assessment Tool Guidance is also available for download. To learn more about the Brightening Oral Health Project in which this tool was tested, visit the Bright Futures Web site. http://www.aap.org/oralhealth/eNews.html August 2011 Page 1/22 ANNOUNCEMENTS Cement Standard Available for Review The American Dental Association (ADA) Council on Scientific Affairs has approved for review and comment Proposed ADA Specification No. 96-Dental Water-Based Cements. The proposed standard is a revision of ANSI/ADA Specification No. 96-2000 (R2005) and a modified adoption of ISO 9917-1:2007, Dentistry-WaterBased Cements-Part 1: Powder/Liquid Acid-Base Cements and ISO 9917-2:2010, Dentistry-Water-Based Cements-Part 2: Resin-Modified Cements. Part 1 of ADA Specification No 96 specifies requirements and test methods for powder/liquid acid-base dental cements intended for permanent cementation, lining, and restoration. Part 1 is applicable to both hand-mixed and capsulated cements for mechanical mixing. Part 1 specifies limits for each of the properties according to whether the cement is intended for use as a luting agent, a base or liner, or as a restorative material. Part 1 of this standard is not intended to address resin-modified water-based cements, which are addressed in Part 2. A copy of the draft specification may be obtained by calling the ADA toll-free number at 312/440-2500, ext 2506, or by e-mailing standards@ada.org. Free Access to Journal of Public Health Dentistry Special Issue The National Institute of Dental and Craniofacial Research has released a special issue of the Journal of Public Health Dentistry on the essentials of psychosocial intervention research to improve oral health. This issue gathers scientific guidance from leading experts in behavioral and social intervention research to advance the inclusion of best research practices in the oral health field. Online access to the issue is free. OSAP Seeking Program and Abstracts Submissions for 2012 Symposium The Organization for Safety, Asepsis and Prevention (OSAP) is seeking dental care professionals to conduct seminars, presentations, and workshops at its 2012 Symposium: Connecting to Drive Compliance, to be held June 21-23, 2012 at the Loews Atlanta Hotel in Atlanta, GA. The organization is seeking professionals with expertise in areas of compliance, preventing transmittable diseases, and increasing patient and provider safety who would like to host a course or workshop. The organization is particularly interested in those who can provide attendees with practical tools and best practices that they can take back to their schools, clients, clinics, practices, or companies. The submission deadline is September 19, 2011. OSAP is also seeking scientific abstracts on categories such as infection prevention, patient safety, occupational safety and health, and environmental science. The abstract judged best overall will receive the Tenth Annual James A. Cottone Award for Excellence in Investigative Research, which is accompanied by a cash award. The deadline for abstracts is March 5, 2012. For more information, contact Therese Long at tlong@osap.org or visit the symposium Web site. Smiles Change Lives If you know of children, ages 10-18 who need but cannot afford braces, please refer them to Smiles Change Lives. If you know of an orthodontist who is not a Smiles Change Life provider, please encourage them to learn how easy it is to create beautiful smiles for kids in their community. IN THE NEWS Filling Without Drilling Bioscience Technology – August 22 Researchers at the University of Leeds have discovered a pain-free way of tackling dental decay that reverses the damage of acid attack and re-builds teeth. Their solution is a peptide-based fluid that is painted onto the tooth's surface to stimulate regeneration of the tooth defect. "This may sound too good to be true, but we are essentially helping acid-damaged teeth to regenerate themselves. It is a totally natural non-surgical repair process and is entirely pain-free, too," says Professor Jennifer Kirkham, who led development of the technique. The fluid contains the P 11-4 peptide that under certain conditions will assemble together into fibers. When applied to the tooth, the fluid seeps into the micro-pores caused by acid attack and forms a gel. This gel then provides a framework that attracts calcium and regenerates the tooth's mineral from within. The technique was recently tested on a small group of adults whose dentist had spotted initial signs of tooth decay. The results from this trial show that P 11-4 can indeed reverse the damage and regenerate the tooth tissue. A Science Journal Published for Dentists Dentistry IQ – August 20 MGM Dental College has launched a science journal to give recognition to the research done by dentists. The Journal of Contemporary Dentistry depicts the extensive activities done regularly by doctors and was conceptualized to increase scientific exchange across college departments. The quarterly magazine will have http://www.aap.org/oralhealth/eNews.html August 2011 Page 2/22 articles that are evidence-based scientific writings expected to be useful for dentists. Additionally, it will publish case reports of innovative techniques, new instructional methodologies, and instructive interdisciplinary clinical reports. “This journal aims to promote a multi-disciplinary outlook in dentistry and encourage post-graduates, staff, and students to be involved in scientific literary work,” says Dr Sabita Ram, dean of the college. Dentists Balk at Referring Implant Patients to Endodonists DrBicuspid.com – August 19 When it comes to referring patients for dental implants, the majority of general dentists say they would not choose an endodontist, states a new survey in the Journal of Endodontics. The survey was part of an ongoing effort to better understand thoughts in the profession on the role of endodontists in implant placement. In a previous survey, similar questions were posed to endodontists, and the results showed that a higher percentage were in favor of endodontists placing implants. In the more recent study, general dentists who were most likely to support endodontists' implant placement were those who said they never or only sometimes referred patients for molar root canal treatment. Supporters also included general dentists who planned to retire in the next 5 years. “Historically, general dentists were expected to provide a vast range of treatment for their patients; thus, they may be more be tolerant of specialists providing a variety of services than more recent graduates who are encouraged to rely upon specialists for specific procedures,” the authors write. "Another possibility may be that dentists who plan to practice for an extended period may envision learning to place implants themselves … (Their) perception may be that there will be a decreased need for implant referral services.” Increase in Number of Children Having Fluoride Varnish Treatment in England Telegraph.co.uk – August 19 The number of children in England having fluoride painted on their teeth has risen by 55% in one year. The number of fluoride treatments for adults also increased by 22%. Fluoride varnish, now backed by the Department of Health as safe and effective for all children, is increasingly being used by dentists as a longerlasting form of protection against tooth decay than toothbrushing. According to the Department of Health, “Access to NHS dentistry is improving, but we know more needs to be done. … The Government is committed to improving access to NHS dental care and making high quality dental services available to everyone.” Carbonated Beverages Can Hurt Your Teeth Maxwell-Gunter Air Force Base – August 17 Drinking carbonated beverages and sports drinks can cause serious damage to your teeth, according to Col (Dr) Alan Sutton. The main ingredients in carbonated beverages are sugar and citric acids, which increase the chances of severe tooth decay and gum disease. Not only is the sugar content harmful, the acids attack and eat away at the tooth enamel. The human body's pH is around 6.8 to 7, and the pH of many carbonated beverages is as low as 2. “This is about 100,000 times more acidic than water,” Dr Sutton explains. “Once a liquid's acidity is below 5.5 pH, the enamel and dentin of our teeth will begin to dissolve.” New decay and tooth wear is common in young to middle-aged adults, evidence that they have a chronic acidic drink habit that is causing dental erosion and corrosion. “The bottom line is to always read the ingredients on the label before drinking it. If the beverage contains acid and/or sugar, limit the amount you drink each day,” Dr Sutton recommends. Early Intervention the Key to Treating Malocclusion Cosmetic Dentistry Guide – August 17 According to pediatric dentist Dr Leonard Carapezza, early intervention is the key to treating malocclusion. It is important that bad bites be treated early because they can contribute to oral health problems as well as low selfesteem and a lack of confidence. It is estimated that 70% of children will have developed a bad bite by the time they reach puberty, with most cases being attributed to oral health habits and repetitive actions such as thumbsucking and mouth breathing. The remaining 30% of cases are attributed to hereditary problems and neuromuscular conditions. Dr Carapezza says that the latest age a child should be examined is 7 years old. After their examination, a treatment plan can be formulated and the malocclusion can be corrected before it causes other structural problems. Can Oral Care for Babies Prevent Future Cavities? ScienceDaily – August 15 A study from the University of Illinois confirms the presence of bacteria associated with early childhood caries (ECC) in infant saliva. The study focused on infants before teeth erupted, compared to most studies that focus on children already in preschool or kindergarten—after many of them already have dental cavities. “We now recognize that the ‘window of infectivity’, which was thought to occur between 19 and 33 months of age years ago, really occurs at a much younger age," says Kelly Swanson, lead researcher. “Minimizing snacks and drinks http://www.aap.org/oralhealth/eNews.html August 2011 Page 3/22 with fermentable sugars and wiping the gums of babies without teeth … are important practices for new parents to follow to help prevent future cavities.” Researchers also learned that the oral bacterial community in infants without teeth was much more diverse than expected and identified hundreds of species. This demonstration that members of the bacterial community that cause biofilm formation or are associated with ECC are already present in infant saliva justifies more research on the evolution of the infant oral bacterial community. Licorice Lollipops May Reduce Tooth Decay in Kids EmaxHealth.com – August 15 A study conducted in Michigan among preschool children ages 2 to 5 years has found that sugar-free licorice lollipops reduce the bacteria associated with tooth decay. For the study, 66 preschool students were given a lollipop that contained licorice root extract for 10 minutes twice daily for 3 weeks. The researchers used a saliva test to measure the level of Streptococcus mutans in each child’s mouth before and during the study, as well as for several weeks after the children stopped getting the lollipops. Investigators found a significant reduction in S. mutans during the study, and the reduction lasted for an additional 22 days before the organisms began to rebound. In another study conducted at the University of California, Los Angeles, researchers evaluated sugarfree licorice root lollipops given twice a day for 10 days. They also found that the herbal lollipop markedly reduced S. mutans in the volunteers tested. The findings of the Michigan study are “important not only for dental caries prevention research,” notes the study’s principal investigator, Jacqueline Tallman, RDH, BS, MPA, “but also (demonstrate) the feasibility of a classroom protocol using a unique delivery system suitable for young children.” The authors believe the results warrant the next step—randomized clinical trials using sugar-free licorice root lollipops or licorice root extract in other forms that will help fight tooth decay in children. A.T. Still University Teaches Community-minded Dentistry DrBicuspid.com – August 10 In Mesa, AZ, a young dental school has carved out a progressive identity for itself. Along with its name (A.T. Still University's Arizona School of Dentistry & Oral Health is the only dental school in the United States to have "oral health" in its title), the school directly addresses access-to-care problems through a close partnership with the federal community health center network. The rotations of third- and fourth-year students are completed at public health centers and hospitals serving populations that need care the most, experiences that have an impact on the choices students make after graduation. According to Jack Dillenberg, DDS, MPH, dean of the dental school, “26% (of those who graduated) have worked at or are working at community clinics in the United States. Before our school started, the highest number was 8% to 9%.” Dr Dillenberg adds, “Too often the profession has been focused on just restorative dental procedures. … We have to go beyond that and reach out to other healthcare providers in the community and make them aware that we're part of the team." Connecting the Dots: Dental Medicine Team Describes How Enamel Forms ScienceDaily – August 9 Researchers at the University of Pittsburgh School of Dental Medicine are piecing together the process of tooth enamel biomineralization, which could lead to nanoscale approaches to developing biomaterials. The findings are reported online in the Proceedings of the National Academy of Sciences. According to Elia Beniash, PhD, the project recreates “the early steps of enamel formation so that we (can) better understand the role of a key regulatory protein called amelogenin in this process.” “The relationship isn't clear to us yet, but it seems that amelogenin's ability to self-assemble is critical to its role in guiding the dots … into this complex, highly organized structure.” Dr Beniash says. “This gives us insight into ways that we might use biologic molecules to help us build nanoscale minerals into novel materials, which is important for restorative dentistry and many other technologies.” Children's Sports: How Mouthguards Can Help to Save Face Irish Independent – August 8 The majority of children who suffer facial injuries during contact sports damage their permanent teeth, according to research by Margaret O’Malley, Oral Health Promoter for Mayo, who found that 1 in 10 of the youngsters surveyed suffered facial injury and 87% involved permanent teeth. Ms O’Malley states that “Parents, schools, and sporting organizations, locally and nationally, need to be made aware of the importance of dental protection. Facial and dental trauma are serious matters and their consequences can be long term and expensive." For her research, Ms O’ Malley was awarded the O’Mullane Prize at the Irish Society for Dentistry for Children’s scientific meeting. Gum Disease Can Increase the Time It Takes to Become Pregnant Science Daily – August 1 Researchers followed a group of pregnant women taking part in a Western Australian study and analyzed information on pregnancy planning and pregnancy outcomes. They found that women with gum disease took an http://www.aap.org/oralhealth/eNews.html August 2011 Page 4/22 average of just longer than 7 months to become pregnant, 2 months longer than the average of 5 months it took women without gum disease to conceive. According to Professor Roger Hart, "Our data suggest that the presence of periodontal disease is a modifiable risk factor, which can increase a woman's time to conception, particularly for non-Caucasians. … It now appears that all women should be encouraged to see their dentist to have any gum disease treated before trying to conceive.” Professor Hart adds, “Until now, there have been no published studies that investigate whether gum disease can affect a woman's chance of conceiving, so this is the first report to suggest that gum disease might be one of several factors that could be modified to improve the chances of a pregnancy.” Teething May Not Be Linked to Fever WebMD – August 8 Teething and fever don't usually go together, states new research in Pediatrics. That may come as a surprise to both parents and doctors, says researcher Joana Ramos-Jorge. She polled the parents of Brazilian infants while the infants were teething to see what symptoms accompanied it. “The most significant result … was that fever and primary tooth eruption aren't associated.” Based on that finding, parents and doctors should not automatically blame teething for a high fever; it may be related to something else that needs to be investigated. AAOMS Collaborates with Ad Council Coalition to Improve Children's Oral Health PR Newswire – August 4 The American Association of Oral and Maxillofacial Surgeons (AAOMS) is partnering with the Ad Council and members of the Partnership for Healthy Mouths, Healthy Lives coalition on a 3-year oral health literacy campaign. The goal of the campaign is to raise awareness and educate parents and caregivers about the value of good oral health for their children and how it can be achieved. Coalition members hope that the Ad Council's commitment to an extensive multi-year, national public service advertising campaign will help improve the oral health of America's children through oral health messages stressing prevention and the ways parents and caregivers can instill behaviors that will result in a lifetime of good oral health. The Effects Of Smoking And Alcohol Use On Risk Of Upper Aero-Digestive Cancers Medical News Today – August 4 Research from scientists at the International Agency for Research on Cancer shows that the combination of heavy alcohol use and cigarette smoking is the key factor in increasing the risk of upper aero-digestive tract cancers. The case-control analysis shows that both alcohol consumption and smoking tend to increase the risk of such cancers; however, the predominant cause of these cancers is the combination of smoking and alcohol consumption, with much higher risk than either exposure alone. Among ex-drinkers and former smokers, the study found that increased risks associated with alcohol and tobacco use decreased steadily as the time since quitting increased. According to the authors, most of these cancers "could be prevented by quitting the use of either of these two agents." Dental Decay on the Rise in Australian Kids Australian Broadcasting Corporation – August 3 A new report has found that dental decay is on the rise among Australian children. The study by the Australian Institute of Health and Welfare examined children at 6 and 12 years of age. According to Professor Kaye Roberts-Thomson, “Oral health in children has been getting worse in recent years. The proportion of children who are brushing their teeth twice a day is declining and more children are brushing only once a day. If you look at 6-year-old children … about half of those children have tooth decay, and it's a similar figure for children aged 12." The Australian government has said that dental health reform will be a priority for the 2012-2013 budget. Bone Fluoride Levels and Osteosarcoma Risk Not Interrelated, Study Shows WorlDental.org – August 1 A new study in the Journal of Dental Research shows that there is no direct association between the levels of bone fluoride and the risk of developing osteosarcoma. The issue of a direct link between bone fluoride levels and osteosarcoma risk has sparked a lot of controversy. According to Helen Whelton, vice president of the International Association for Dental Research, this new study is the best scientific proof that there is no association between the two. Centers Collaborate To Reveal Unexpected Genetic Mutations in Head and Neck Cancer Medical News Today – July 29 In two papers published in Science, researchers have confirmed genetic abnormalities previously suspected in head and neck cancer, including defects in the tumor suppressor gene known as p53. But the team also found mutations in the NOTCH family of genes, suggesting their role as regulators of an important stage in cell http://www.aap.org/oralhealth/eNews.html August 2011 Page 5/22 development may be impaired. “The mutational analysis of NOTCH clearly indicated the power of genetic changes determining the function of these genes,” says Kenneth W. Kinzler, one of the authors. "It gives us an important clue to start studying their function." Is the Tooth Fairy Getting Stingy? TIME – July 29 A new survey from Visa puts the national average for Tooth Fairy payouts at $2.60 per tooth. That’s supposedly down 40¢ a tooth from last year’s average of $3. But before believing that the Tooth Fairy’s newfound stinginess is an indicator the economy is tanking, note that it is not clear whether the tooth bubble has burst. Earlier this year, a Tooth Fairy Poll revealed that a child could expect $2.52 per tooth, on average, an increase of 18% from last year’s survey, when the national average was $2.13. Kids probably do not care about the national average anyway; they are only concerned about the generosity of the Tooth Fairy in their own homes. Are Dental Appliances a Source for Bad Breath? WorlDental.org – July 25 According to recent research, the oral appliances that patients wear are in direct connection with bad breath formation. A report in the American Journal of Orthodontics and Dentofacial Orthopedics states that people who wear braces or other dental appliances develop halitosis just as people who do not wear braces develop the condition. Throughout the study, the level of oral odor was measured and findings show that the level of the odor is strongest 4 weeks after having braces cemented to the teeth. However, because oral appliances are important for oral health, people should not restrain from wearing them. Different Orthodontic Brackets Have Same Bacteria Levels DrBicuspid.com – July 8 Patients with elastomeric (traditional "rubber band" style) orthodontic brackets have similar levels of bacteria as patients wearing self-ligating (gated) orthodontic brackets when examined after 1 year, according to researchers at the Oregon Health & Science University (OHSU) School of Dentistry. The study appears in the Summer 2011 issue of Orthodontics: The Art and Practice of Dentofacial Enhancement. This information is in contrast to an OHSU study 1 year ago that determined elastomeric orthodontic bracket patients had significantly higher plaque retention than self-ligating orthodontic bracket wearers. “The disappearance of differences in total plaque bacteria surrounding the two bracket types after one year of orthodontic treatment may be due to decreases in patient compliance with oral hygiene practices,” notes Curt Machida, PhD, principal investigator. "It is (also) not known if the lack of differences can be generalized to all types of self-ligating brackets, or if design differences among self-ligating brackets could result in variations in plaque formation.” Young People Risking Oral Health Dentistry.co.uk – July 28 New figures suggest that young people are seriously putting their oral health at risk by smoking and drinking. According to research undertaken by the NHS Information Centre, 45% of 11- to 15-year-olds consumed alcohol, while 27% admitted to smoking. Although the figures represent an improvement over the last 10 years, the British Dental Health Foundation believes they are still cause for concern. According to Foundation Chief Executive Dr Nigel Carter, “If you smoke, you are at a higher risk of developing gum disease, the most common cause of tooth loss in adults. Smoking and alcohol are also the two predominant causes of mouth cancer and when combined they increase the risk of getting the disease by up to 30 times.” Australian Government Confirms Investment in Indigenous Oral Health Cosmetic Dentistry Guide – July 27 The Australian government is planning to inject funding into oral health services for Indigenous people in central Australia. Research has consistently shown that standards of oral health are poor among Aboriginal communities, with the national health statistics body revealing last year that 5 out of 6 children living in remote areas of the Northern Territory suffered from tooth decay or had missing teeth. It is hoped that the investment in oral health services will help to improve access to dental services for people living in remote areas. 'Bleachorexia' Growing Problem for People Addicted to Teeth Whitening, Dentists Say New York Daily News – July 27 Dentists say a growing number of Americans obsessed with whitening their teeth are using bright smiles to cover up a dark secret: bleachorexia. Addicted to tooth-whitening, bleach junkies deal with a sort of dental dysmorphia, or obsession with their appearance, abusing over-the-counter whitening products to the point that their teeth begin to erode, causing lasting damage, states ABC’s Good Morning America. The low price of whitening products has made it easy for bleach enthusiasts to double up on treatments. But carbamide http://www.aap.org/oralhealth/eNews.html August 2011 Page 6/22 peroxide, the whitening agent in bleach, can irritate gums, causing them to bleed and recede. Over-whitening can also cause teeth to become thin and brittle and can lead to high sensitivity and discoloration as tooth enamel becomes translucent. According to Dr Jennifer Jablow, bleaching is effective and safe in moderation. Problems occur “when you're bleaching all the time, beyond what is recommended”. To Help Doctors and Patients, Researchers Are Developing a ‘Vocabulary of Pain’ ScienceDaily – July 27 Patients with chronic pain often struggle to express how they feel to the doctors and health care providers who are trying to understand and treat them. Now, a University of Buffalo psychiatrist is attempting to help patients suffering from chronic pain. “Pain research is very difficult because nothing allows the physician to see the patient's pain directly,” says Werner Ceusters, MD. To more effectively help people suffering from chronic pain, Dr Ceusters and colleagues will study data gathered from patients in the United States, the United Kingdom, Sweden, Israel, and Germany who suffer from oral and facial pain, including temporomandibular disorder. “The goal is to integrate the data together so that we have a large pool of data that will allow us to obtain better insight into the complexity of pain disorders, specifically the assessment of pain disorders and how they impact mental health and a patients' quality of life.” Amalgam Repairs As Effective As Replacements DrBicuspid.com – July 26 According to a study in the Journal of the American Dental Association, too many dentists are replacing amalgam restorations when a repair may suffice. The 7-year clinical study, conducted at the University of Florida College of Dentistry, found that repairing amalgam restorations can be less costly and equally effective as replacements. “The presence of defective restorations is one of the most frequent problems encountered … and, too often, dentists replace restorations that could have been treated differently,” says lead author Valeria Gordan, DDS, MS. "The repair treatment remained stable over a 7-year observation period. Just the longevity result alone makes a strong argument to consider this option as a routine treatment." Options for treating defective amalgam restorations include repairing, sealing, refinishing, and replacement. Dental Groups Call for Oral Health Emphasis in UN Disease Document ADA.org – July 26 A 17-organization dental coalition has urged the US delegation to promote oral health in the UN General Assembly, and the president of Tanzania said he would offer language calling on the international community “to address the challenge of oral health as a matter of priority.” The World Health Assembly plan recognizes that oral diseases share common risk factors with noncommunicable diseases, but the General Assembly draft document does not mention oral disease. According to a letter to Ambassador Susan E. Rice, the plan “does not address the commitments made in the WHA’s Oral Health Action Plan and overlooks the commitments made to oral health in the Global Strategy on Diet, Physical Activity and Health, adopted by the WHA in 2004, which associates oral diseases with unhealthy diets and identifies dental caries by name as a widespread cause of morbidity.” The letter offers suggested changes to the draft document to indicate that oral diseases also contribute significantly to the global disease burden. McDonald's: Apple Slices in Every Happy Meal Intelihealth.com – July 26 McDonald's Corp is adding apples to all its Happy Meals and launching a nutrition-focused mobile phone app as part of a broader health push. The changes underscore how the restaurant industry is reacting to the demands of customers and regulators who blame it for health ills ranging from childhood obesity to diabetes. McDonald's also pledged to reduce sugars, saturated fats, and calories through "varied portion sizes, reformulations and innovations" by 2020. By the beginning of next year, McDonald's will instead include a half-order of apples and a half-order of fries in its Happy Meals. Customers can get all fries or all apples if they ask. Study Finds Too Few Kids Wearing Mouthguards Dentistry IQ – July 20 Most American children do not wear mouthguards while playing sports that pose a risk of injury to the mouth, contrary to recommendations made by dental professionals. That is one of the key findings from a survey of American children’s oral health, conducted on behalf of Delta Dental Plans Association. Although mouthguards are only mandatory for some youth sports, dental professionals recommend they be worn for all athletic activities in which there is strong potential for contact with other participants or hard surfaces. But 7 in 10 Americans (68%) report that their child does not wear a mouthguard at soccer, basketball, baseball, or softball practices or games. Studies also show that basketball players are 15 times more likely to sustain an orofacial injury than football http://www.aap.org/oralhealth/eNews.html August 2011 Page 7/22 players. “Parents need to encourage their young athletes to get in the habit of wearing mouthguards whenever they participate in sports, whether it’s for practice or a game,” says Dr William Kohn, DDS. Oral Health Can Indicate Diabetes Risk IrishDentist.ie – July 18 Researchers have found that a simple algorithm composed of only two dental parameters (number of missing teeth and percentage of deep periodontal pockets) is effective in identifying patients with unrecognized prediabetes or diabetes. In the study, which appears in the Journal of Dental Research, researchers at Columbia University College of Dental Medicine found that dental visits represented a chance to intervene in the diabetes epidemic by identifying individuals with diabetes or pre-diabetes who were unaware of their condition. According to lead author Dr Evanthia Lalla, “Relatively simple lifestyle changes in pre-diabetic individuals can prevent progression to frank diabetes, so identifying this group of individuals is also important. Our findings provide a simple approach that can be easily used in all dental-care settings.” Teenage Smokers Neglect Oral Hygiene Dentistry.co.uk – July 18 A recent study in the Journal of Clinical Periodontology has revealed that adolescents who smoke are more likely to abandon the basics of oral hygiene. Research suggests that young adults double up on poor oral health habits because they smoke and brush their teeth less than the recommended twice a day. Poor school performance and low socio-economic status also attribute to these oral and smoking habits, with the results drawing on an association between the children and their mother's education. According to Chief Executive of the British Dental Foundation, Dr Nigel Carter, “It is clear … that this particular age group could potentially have many oral health problems relating to their lifestyle choices. Multiple unhealthy behaviors, particularly at an age when you are still developing, can have a lasting impact. Parents and schools must look to educate young adults and adolescents on the choices they are making and the impact they have, not just on their oral health, but on their general health, too.” Using Twitter for Public Health Surveillance of Dental Pain ScienceDaily – July 18 In a recent study published in the Journal of Dental Research, researchers demonstrated that Twitter users are extensively sharing their experiences of toothache and seeking advice from other users. “This paper highlights the potential of using social media to collect public health data for research purposes,” says Editor-in-Chief William Giannobile. “Utilizing Twitter is an interesting, early stage approach with potential impact in the assessment of large sets of population information.” In "Using Social Media for Research and Public Health Surveillance," Paul Eke of the Centers for Disease Control and Prevention states that Twitter is currently being used successfully to distribute health information, but there are major limitations and challenges to be overcome before Twitter and its data products can be used for routine public health surveillance. Not Enough Americans Have Access to Dental Care: IOM Report Wall Street Journal – July 13 Oral health has not typically been considered a part of overall health, and that is a mistake according to a new report from the Institute of Medicine. The report calls for a number of systemic changes intended to improve access to care, including training non-dental health professionals such as pediatricians and nurses to play a bigger role in oral care, a reassessment of state practice laws to be sure they promote access to care, establishing CMS-funded state demonstration projects to include essential health benefits in adult Medicaid coverage, and increasing Medicaid and CHIP reimbursement rates. The American Dental Association praises the report’s focus on oral health access but reaffirms its opposition to allowing non-dentists to perform functions like extractions. The authors say they are cognizant of the financial pressures facing the federal and state governments; however, they hope that providing access to basic care might save money by preventing patients from visiting the ER with more advanced complaints. Take the Bite Out of Sports Injuries Chicago Daily Herald – July 13 For parents of kids who participate in organized youth sports, simple preventive steps can help save smiles and keep children off the injured list. “Dental and facial injuries represent a high percentage of total injuries experienced in youth sports,” says Dr Sonia Gutierrez, a pediatric dentist. Children are more susceptible to injury than adults, with kids ages 5 to 14 accounting for almost 40% of all sports-related injuries. Protective gear like helmets and pads are standard gear for most sports, but many parents don’t think of the need to protect http://www.aap.org/oralhealth/eNews.html August 2011 Page 8/22 their child’s smile with mouthguards until it’s too late. “It’s vital the mouthguards are comfortable, or coaches and parents don’t stand a chance of getting kids to keep them in their mouth during play,” Dr Gutierrez notes. Higher Medicaid Rates Mean More Dental Care for US Kids DrBicuspid.com – July 12 Children in states with higher Medicaid reimbursements got more dental care than those in states with lower payment rates between 2000 and 2008, but children covered by Medicaid received dental care less often than children with private insurance, according to a new study in the Journal of the American Medical Association. "Children covered by Medicaid use dental care less frequently than children with private insurance," the authors conclude, "but the frequency of children covered by Medicaid receiving dental care is associated with each state's provider payment policy for dental care." Poor Oral Health Passed Through Generations Cosmetic Dentistry Guide – July 12 A study in New Zealand has revealed that poor oral health can be passed down through generations. The study, which started in 1972 and monitored 1,000 children born between 1972 and 1973, reveals that mothers with poor oral health are likely to have children who suffer from poor oral health during their adult years. The study also shows that there is a strong link between poor oral health in mothers and poor oral health in children. The results of the study confirm beliefs that oral health during adulthood is linked to a combination of factors, including genetic and social factors. California Dental Association Journal Explores Barriers to Care, Dental Workforce DrBicuspid.com – July 11 The July issue of the Journal of the California Dental Association examines issues related to the dental workforce and overcoming barriers to care, issues currently in the forefront of a national debate regarding oral health disparities. This is the third issue of the journal devoted to the controversy over addressing barriers to care and includes articles on the community dental health coordinator, the importance of children's oral health needs, and the American Dental Association's response to proposed solutions to the access-to-care dilemma in the United States. Ideas are also presented about the dentist's role as a professional in the context of a societal contract and the need to work toward risk assessment, management, and prevention of caries rather than focusing on surgical intervention. AAP Programs Promote Dental Services in Physicians' Offices AAP News – July 7 In the past 3 years, the AAP has undertaken the Chapter Advocate Training on Oral Health (CATOOH) and a partnership with the Pew Children’s Dental Campaign to tackle tooth decay, the most common, preventable childhood disease. Aimed at improving access to oral health care for low-income, high-risk children, both programs position primary care physicians and other medical providers to perform early oral health assessment and prevention services in their offices. With the implementation of the Affordable Care Act, an additional 5.3 million children are expected to have dental coverage by 2014. It is vital that pediatricians and other health care providers be prepared to offer preventive oral health services and that they are paid adequately for this care. Mutations in One Gene Cause Craniosynostosis, Delayed Tooth Eruption, and Supernumerary Teeth Science Daily – July 7 Researchers have described a new, recessively inherited human syndrome featuring craniosynostosis, maxillary hyperplasia, delayed tooth eruption, and extra teeth. They have also identified causative mutations in gene IL11RA. In craniosynostosis, the sutures between skull bones become ossified prematurely, affecting skull shape and limiting space for the growth of the brain. It is observed in 1 out of 2,500 cases and often requires operative surgery. Supernumerary teeth are more common, and in most cases they also require dental surgery. “This is a quite novel discovery as IL11—or the signaling pathway it belongs to—has not previously been associated with any inherited human disorders," say researchers. “The results show that IL11 signaling is essential for the normal development of craniofacial bones and teeth, and that its function is to restrict suture fusion and tooth number.” Obesity Contributes To Poor Oral Health Medical News Today – July 6 Poor oral health has joined the list of obesity’s effects, a study in the Journal of Clinical Periodontology has concluded. The study reveals that the deeper a person’s periodontal pockets—food and plaque traps that irritate and decay teeth—the higher the proportion of subjects with a Body Mass Index of 30 or greater, a figure generally considered as obese. Chief Executive of the British Dental Health Foundation, Dr Nigel Carter, expressed his concern at the findings and encouraged doctors to take a greater role in tackling poor oral health. http://www.aap.org/oralhealth/eNews.html August 2011 Page 9/22 “As almost one in four adults in the UK are classed as being obese … there is clearly a significant oral health risk to a large proportion of people. There has been much discussion about broadening the role of the dentist to check for illnesses such as diabetes, and when it comes to obesity, there is definitely a case for doctors relaying information on how their diet is directly affecting their oral health.” Some Dentists Swear by Lasers LA Times – July 1 Dental lasers are either an indispensable tool in a dentist's toolkit or an emerging-but-unproven technology, depending on whom you ask. One of the greatest benefits of lasers is that they allow dentists to perform normally painful procedures without general or even local anesthesia and with no pain and little discomfort afterward. Lasers are particularly useful for patients who are allergic to anesthesia or highly sensitive to pain and for young children, who are often afraid of needles. But lasers aren't a miracle treatment that makes shots and drills completely unnecessary; certain treatments still require anesthesia when lasers are used. Orthodontist Dr Stephen Tracey regards hard-tissue lasers as too expensive, stating that they are “not something that's going to replace the drill any time soon." Tooth Decay is Contagious From Parents to Children Los Angeles Times – July 1 The growing understanding of the role of bacterial transmission in tooth decay in young children has, in part, led to enormous effort by organizations such as the AAP and the American Academy of Pediatric Dentistry to educate parents and even general dentists about the need to see children by the time they are 1 year of age or when their first teeth emerge. “With this has come (the realization) that 5 years is too late, that we need to begin at age 1 if we truly want to prevent the disease from starting," says Dr Indru Punwani, professor and head of the department of pediatric dentistry at the University of Illinois at Chicago. Dr Punwani notes that many people are not aware of the direct link between the health of baby teeth and long-term oral health in adults. Even when baby teeth fall out, bacteria continue to flourish. “If you are at higher risk with baby teeth for tooth decay, you're going to be at higher risk for decay in the permanent teeth,” Dr Punwani says. “Your habit patterns … get established very early in life.” Tooth Decay Is Prevalent Among Poor Children Los Angeles Times – July 1 One-fourth of US children have 80% of the nation's tooth decay, and most of them are underprivileged. The simplicity of these numbers from the US Government Accountability Office underscores the reality of dental care but gives little hint at its ultimate effects. Untreated tooth decay can be blamed largely on lack of access to care, lack of awareness about the importance of good oral health, and the fact that many dentists don't, or can't afford to, treat families with Medicaid coverage. The importance of education and awareness in changing the course of a child's future oral health cannot be overstated according to pediatric dentist Dr Warren Brill. “Even those youngsters that would ordinarily be in the high-risk population, by the parents bringing them in and establishing the dental home early on, they learn what to do and not to do for their children … I find that when the parents have the opportunity to learn these things, they latch right onto it.” How Cavity-Causing Microbes Invade Heart Science Daily – June 28 Scientists have identified the protein that allows Streptococcus mutans to gain a foothold in heart tissue in a study appearing in the journal Infection and Immunity. Normally, S. mutans confines its mischief to the mouth, but sometimes, particularly after a dental procedure or even a vigorous bout of flossing, the bacteria enter the bloodstream. There, the immune system usually destroys them, but occasionally they travel to the heart and colonize its tissue, especially the valves. The bacteria can cause endocarditis, an inflammation of the heart valves, which can be deadly. Until more research is done and a screening or preventive tool is in place, researchers say the usual advice for good oral health still stands: "No matter what types of bacteria a person has in his or her mouth, they should do the same things to maintain good oral health. They should brush and floss their teeth regularly. The smaller the number of S. mutans in your mouth, the healthier you'll be.” Study: Ads Boost Children's Appetite for Sweet, Fatty Foods Reuters – June 28 Television ads for junk food really do make children hungry for those treats, especially if they watch a lot of television, according to a study in Pediatrics. “Exposure to television food commercials enhanced high television viewers' preferences for branded foods and increased reported preferences for all food items (branded and unbranded) relative to the low television viewers,” researchers write. This was especially true for children who http://www.aap.org/oralhealth/eNews.html August 2011 Page 10/22 usually watched more than 21 hours of TV a week. But researchers say the effects of the food ads are modest, making only a small difference in the average number of food items the children said they wanted "right now." In real life, a lot of other factors would be at work, including parents' willingness to buy those foods. “This study confirms the cumulative, sustained effect of food marketing on TV: the more children watch TV, the more susceptible they are to advertising,” says Lori Dorfman, director of the Berkeley Media Studies Group. Cigarette Ads, Packages Must Include Oral Cancer Warnings, Says FDA ADA.org – June 24 The Food and Drug Administration (FDA) will require use of a “cancerous lesion on lip” image in cigarette advertising and packaging for its potential to motivate positive behavioral change, influence youth and young adults in particular, and inform the public that cigarettes cause oral cancer. Nine graphic health warnings will be placed on all cigarette packs, cartons, and ads no later than September 22, 2012. The selected image of a cancerous lesion on the lip is likely to have particular relevance for youth, who are likely to relate to and be susceptible to cigarette warnings depicting the negative short-term impacts of smoking on personal appearance, including their lips and teeth. Scientists Accurately Predict Age With Saliva Sample Science Daily – June 23 New research in Public Library of Science (PLoS) ONE reveals that geneticists can use saliva to determine a person’s age. Researchers looked at a process called methylation, a chemical modification of 1 of the 4 building blocks that make up our DNA. “While genes partly shape how our body ages, environmental influences also can change our DNA as we age,” they explain. “Methylation patterns shift as we grow older and contribute to agingrelated disease.” Using this data, scientists may one day be able to calculate a person's “bio-age”—the measurement of a person's biological age versus their chronological age. Physicians could then evaluate the risk of age-related diseases in routine medical screenings and tailor interventions based on the patient's bio-age rather than their chronological age. The researchers are currently exploring whether people with lower bio-age live longer and suffer less disease. They also are examining whether higher bio-age is linked to a greater rate of disease and early death. Dentist Students Learn With Virtual Drill BBC Health – June 22 Dental students at King's College London are using technology work stations to learn how much pressure they should use when drilling. The device, known as HapTEL, is based on tactile feedback technology through which the user can sense touch and force in a virtual-reality environment. The work station lets the student feel the difference between drilling hard enamel and softer decayed tooth and helps them learn how much pressure is needed. Professor Margaret Cox, who led the project, says, “When the students first learn, they lean very heavily on the drill and go straight through the tooth to the gum … This (tool) allows the student to learn both skill and speed.” Currently the work station is a development system, with each unit having to be made and calibrated individually. It is hoped that it will eventually become a plug-and-play system that allows students to practice in the library or dentists to brush up on their skills at home. No More Toys in Children's Meals at Jack in the Box Reuters – June 21 Fast-food chain Jack in the Box has pulled toys from its kids' meals. The move comes as fast-food companies are under pressure to stop using toys to market children's meals that are high in calories, sugar, fat, and salt. “Our advertising and promotions have focused exclusively on the frequent fast-food customer, not children,” says spokesman Randy Carmical. The company pulled toys from the meals when it began offering parents the option of substituting sliced apples with caramel sauce as an alternative to French fries. “We believe that providing these kinds of options is more appealing to a parent than packaging a toy with lower-quality fare,” says Mr Carmical. Consumer and health advocates are using the announcement to put pressure on other fast food chains that still include toys in kids' meals. Researcher Invents Less Painful Dental Injection JournalLive.co.uk – June 20 Trips to the dentist could be become less painful thanks to a syringe invented by Dr John Meechan. Dental injections are acidic so they can be stored safely, but that leads to pain when they are used. This invention lessens the pain of dental injections by pushing down the plunger that opens a valve and mixing neutralizer moments before an injection is administered. The cartridge, developed by researchers from Newcastle University, is still a prototype but could have far-reaching implications across all areas of medicine. http://www.aap.org/oralhealth/eNews.html August 2011 Page 11/22 Research Suggests That Vitamin D Can Help Protect the Gums From Bacterial Infections ScienceDaily – June 18 Laboratory-grown gingival cells treated with vitamin D boosted their production of an endogenous antibiotic and killed more bacteria than untreated cells, according to a paper in Infection and Immunity. Research suggests that vitamin D can help protect the gums from bacterial infections that lead to gingivitis and periodontitis. It also shows that vitamin D coordinates expression of a number of genes not previously considered part of the vitamin D pathway and that those genes may be involved in additional infection-fighting pathways. AWARDS / FUNDING OPPORTUNITIES ADEAGies Foundation Announces William J. Gies Awards Nomination Deadline: November 1, 2011 Nominations are currently being accepted for the 2012 William J. Gies Awards for Vision, Innovation, and Achievement (the Gies Awards). Presented by the ADEAGies Foundation, the Gies Awards recognize exceptional contributions to and support of oral health and dental education around the world. They will be presented at a celebration on March 19 in conjunction with the 2012 ADEA Annual Session & Exhibition, which will be held March 17-21 in Orlando, FL. The Gies Awards, named after dental education pioneer William J. Gies, PhD, have honored individuals and organizations that exemplify dedication to the highest standards of vision, innovation, and achievement in global oral health and dental education, research, and leadership since 2008. Honorees will be selected by a distinguished panel of judges consisting of the ADEAGies Board of Trustees. The Gies Awards offer significant visibility both within and outside the dental education community, drawing much-needed attention to the essential role of dental education and educators in enhancing global oral health. Obtain a copy of the Gies Awards Call for Nominations online or call 202/289-7201. National Institute of Dental and Craniofacial Research Funding Announcements Deadline for New Submissions: November 18, 2011 Most evidence supporting treatment for caries or periodontal diseases is derived from clinical trials/studies in relatively healthy subjects, and the long-term success of different treatment and restorative approaches for oral diseases has not been assessed in individuals with the highest risk for poor oral health. The objectives of funding announcements Effectiveness of Treatment for Oral Diseases in Medically Compromised Patients R01 and R21 are to support research to inform prioritization of evidence-based treatment for patients with disorder or disease-related compromised oral health and suggest appropriate adaptations (in timing, frequency, procedure or material) of recommended preventive and restorative guidelines for these patients. The funding opportunities will not support epidemiological studies of disease prevalence without assessment of treatment outcome or randomized clinical trials. Examples of research that could be supported include: dental restoration, implant, crown, or prosthetic survival in post head-and-neck radiation patients, patients with Sjögren's syndrome, or individuals with Ectodermal Dysplasias; impact of early interventions (such as those for babies born with oral clefts) on later clinical outcomes; effectiveness of prophylactic interventions to prevent post-surgical complications; and outcomes of grafting or particular techniques for facial reconstruction after major surgery or trauma. For more information, including eligibility, refer to the individual funding announcements. National Institutes of Health Pioneer and New Innovator Awards Application Deadline: October 7, 2011 (Pioneer Award) and October 14, 2011 (Innovator Award) The National Institutes of Health (NIH) Director’s Pioneer Award Program is a unique aspect of the NIH Roadmap for Medical Research, a high-risk research initiative of Research Teams of the Future. Pioneer Awards are designed to support individual scientists of exceptional creativity who propose pioneering and possibly transforming approaches to major challenges in biomedical and behavioral research. NIH expects to make at least 7 Pioneer Awards and at least 33 New Innovator Awards in summer 2012 and encourages women and members of groups that are underrepresented in NIH research to apply. For more information about the Pioneer Awards, refer to instructions in the Funding Opportunity Announcement RFA-RM-11-004, visit NIH Director's Pioneer Award Program, or submit questions to pioneer@nih.gov. To learn more about the New Innovator Awards, see instructions in the Funding Opportunity Announcement RFA-RM-11-005, visit NIH Director’s New Innovator Award, or submit questions to newinnovator@nih.gov. Request for Proposals for DentaQuest Foundation Venture Fund for Oral Health The DentaQuest Foundation has announced a request for proposals from oral health programs that have demonstrated positive outcomes for its Venture Fund for Oral Health. The Venture Fund supports the achievement of optimal oral health through strategic investments in proven initiatives that have the potential to http://www.aap.org/oralhealth/eNews.html August 2011 Page 12/22 make an impact on a wider scale. To qualify for funding, organizations must demonstrate proven past successes in one of the systems that the Foundation seeks to impact (policy, funding, care, community) and a well thought-out plan for expansion. Each grantee in the portfolio will receive funding and technical assistance to support the expansion of their program on a larger scale. Funding will specifically support business planning, capacity building, and program evaluation to allow grantees the ability to expand while maintaining the quality of their programs. There are 2 stages in the competitive proposal process for the Venture Fund: Interested applicants should first submit a Letter of Intent describing their proposed project. The DentaQuest Foundation will then invite qualified applicants to submit full proposals. Letters of Intent and applications for the Venture Fund will be accepted on a rolling basis through December 2011. For more information on the Venture Fund for Oral Health and proposal requirements, please contact Brenda Lavasta, Programs and Grants Associate, at 617/886-1760 or brenda.lavasta@dentaquestfoundation.org. TRAINING AND CAREER DEVELOPMENT AADR Fall Focused Symposium: “Oral Health Disparities Research and the Future Face of America” Plan to attend the American Association for Dental Research (AADR) Fall Focused Symposium, taking place in Washington, DC from November 3-4, 2011. General meeting and registration information is available on the AADR Web site. Poster presentations are being accepted through September 20, 2011. For more information, submission guidelines, and the link to begin a submission, please visit the Call for Abstracts Web page. For questions about submitting an abstract for the meeting, e-mail meetings@aadronline.org. ADA CE Course Offers Guidance on Appropriate Use of Radiography ADA CE Online is offering Choosing the Right Patients and Equipment, a course authored by the American Dental Association (ADA) Council on Scientific Affairs, Radiographic Examinations. The course is designed to help dentists and the dental team limit patients’ exposure to radiation by explaining when it is best used, a decision often based on the patient’s health history, vulnerability to oral disease, and the results of the clinical exam. Upon completion, participants should gain a better understanding of how to select patients for radiographic exams and the technical aspects of choosing and using equipment. The course is available 24 hours a day/7 days a week. Member fee is $35, and the nonmember fee is $53. Participants will earn 1 CE credit upon completion. The ADA CE Online course library features more than115 courses with free course options. Courses for dental team members are marked “DT” on the Web site. In addition, all ADA CE Online courses can be scanned and downloaded on smartphones and tablet devices. Users can download the app at the iTunes App Store or their mobile service’s marketplace by searching for “QR Reader.” AAOMR to Hold 62nd Annual Session The American Academy of Oral and Maxillofacial Radiology (AAOMR) will hold its 62nd annual session December 7-10, 2011 at the Millennium Knickerbocker Hotel in Chicago, IL. This year’s session features a daylong cone beam computed tomography certification course on December 10 that was designed to provide the dental practitioner with a thorough knowledge of the principles behind CBCT, including CBCT image and technique selection; reducing radiation risk; understanding 3D anatomical variations; recognizing key pathological processes; and the process of CBCT interpretation and reporting. Following the course, participants must successfully pass an online examination to be awarded the AAOMR Certificate in CBCT Use (Level 1). The meeting will also offer scientific sessions on leading-edge research in radiology and the Clinico-Radiologic Conference, an interactive discussion of diagnostically challenging cases. For more information, visit the AAOMR Web site and click on Annual Session, or contact Dr Christos Angelopoulos, AAOMR Executive Director, at 101 West End Ave, Ste 14C, New York, NY 10023. Applying Quality Improvement Principles to Your Dental Practice Webinar On September 21, 2011, at 12 pm EDT, Speaker Richard Scoville, PhD will provide an introduction to quality improvement principles and will provide an overview of several quality improvement projects taking place at the DentaQuest Institute. Upon completion of this presentation, participants will: 1) Understand fundamental principles of the model for improvement; 2) Understand the relationship between theory of improvement, measures, and change ideas; and 3) Recognize the application of improvement models to dental care as illustrated by the DentaQuest Institute's Early Childhood Caries and Dental Sealants projects. A total of 1.5 CE credits will be available for this webinar. An archive of this webinar will be available for on-demand viewing on the DentaQuest Institute Learning Center Web site after the initial broadcast. You must register to attend this event. http://www.aap.org/oralhealth/eNews.html August 2011 Page 13/22 Institute for Oral Health Conference The Institute for Oral Health will host its sixth annual national conference, Prevention: Rebranding the Profession, at the Sofitel Hotel in Chicago, IL, on October 27- 28, 2011. The conference will bring together nationally recognized experts in oral health care from academia, private, and public health disciplines and will feature presentations and discussions focused on Prevention: Rebranding the Profession. A total of 9 CE credits will be available. For more information and to register, visit the Institute for Oral Health Web site. Protecting All Children’s Teeth (PACT): A Pediatric Oral Health Training Program PACT is a 13-chapter module that aims to educate pediatricians, pediatricians in training, and others interested in infant, child, and adolescent health about the important role oral health plays in the overall health of patients. PACT features topics such as dental development, fluoride, and oral injury and includes interactive tools such as roll-over definitions, chapter photo galleries, and self-assessments. The AAP is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians and designates this educational activity for a maximum of 11.0 AMA PRA Category 1 Credits™. Users will receive 11.0 CME credits for answering 75% of the PACT Post-Test (42 of 56 questions) correctly. Downloadable PowerPoint presentations are also available for use in trainings or educational settings. Smiles for Ohio—Fluoride Varnish: Free Training for Primary Medical Care Providers Serving Children Enrolled in Medicaid This series of 4 modules is designed to provide Medicaid/Healthcheck primary medical care providers and other health care providers with knowledge to reduce the incidence of dental caries among children younger than age 3 and to contribute to the establishment of a dental home. Topics include: Role of Primary Medical Care Providers; Dental Caries Process; Caries Risk Assessment; and Anticipatory Guidance, Fluoride Varnish, and Referral. Upon successful completion of the curriculum, physicians licensed in Ohio will receive 1.0 hour of AMA Physician Recognition Award category 1 continuing medical education credit through the joint sponsorship of the Nationwide Children’s Hospital and the Ohio Department of Health. Nurses licensed in Ohio will receive 1.25 contact hours of continuing nursing education credit through the Ohio Department of Health. EVENTS CALENDAR FDI World Dental Congress (September 14-17, 2011) Centro Banamex – Mexico City, Mexico 2011 ADA Annual Session: The Future of Dentistry Meets Here (October 10-13, 2011) Mandalay Bay Convention Center – Las Vegas, NV AAP National Conference & Exhibition (October 15-18, 2011) Boston Convention and Exhibition Center – Boston, MA Institute for Oral Health 6th Annual Conference (October 27-28, 2011) Sofitel Hotel – Chicago, IL American Public Health Association Annual Meeting and Exposition (October 29 – November 2, 2011) Washington, DC AADR Fall Focused Symposium (November 3-4, 2011) Renaissance Washington, DC Downtown Hotel 2011 HDA 19th Annual Meeting (November 3-5, 2011) Mission Bay Hilton Resort & Spa – San Diego, CA Fifth International Congress on 3-D Dental Imaging (November 4-5, 2011) Gaylord Texan – Dallas, TX AAOMR 62nd Annual Session (Dec 7-10, 2011) The Knickerbocker Hotel – Chicago, IL National Oral Health Conference (Apr 30-May 2, 2012) Milwaukee, WI http://www.aap.org/oralhealth/eNews.html August 2011 Page 14/22 RESOURCES New Dental Billing Code Check App The American Dental Association (ADA) is making it easier and faster for dentists to find dental billing codes by introducing the new CDT Code Check app for the iPhone, iPad, and Android-powered mobile devices. The app, which contains every code on dental procedures and nomenclature, is designed to assist dental professionals who use procedure codes for developing treatment plans, managing patient medical charts, and submitting insurance claims. The app has new and revised codes with marked changes. It also includes a listing of each CDT code, including category of service, subcategory, procedure code, nomenclature, and descriptor. Users can also search by code number or keyword. The app is available for $19.99 in the Apple iTunes store and the Android market by searching for the phrase “CDT Code Check.” For more information, visit the ADA Web site. New Resources on Providing Oral Health Care for Children With Special Needs The National Maternal and Child Oral Health Resource Center (OHRC) has developed 2 new oral health resources. Resource Highlights: Focus on Children with Special Health Care Needs provides a list of highquality journal articles, materials, and Web sites focusing on children with special health care needs. The tool also offers automated PubMed and OHRC library search options for finding additional resources. Oral Health Services for Children and Adolescents with Special Health Care Needs: A Resource Guide, 2nd edition provides annotated lists of journal articles, materials, and organizations that may serve as resources. Topics include continuing education for professionals, financing of care, disease prevention and early intervention strategies, public education, and state and national data and programs. Single or multiple print copies of the resource guide are available at no charge from OHRC and can be ordered online. Please allow 4 weeks for processing. Reports Focus on Policy Efforts to Promote Child and Adolescent Well-Being The National Center for Children in Poverty has released new resources on state policy choices to promote the health and well-being of children and adolescents and support them as they prepare to enter adulthood. Improving the Odds for Adolescents: State Policies that Support Adolescent Health and Well-Being provides a comprehensive picture of state policies that support adolescent health and well-being. Who Are America's Poor Children? Examining Health Disparities by Race and Ethnicity includes a section on dental health. JOURNALS AAP Grand Rounds (Vol 26, Issue 1, Jul 2011) • Maternal Dental Status Impacts Children’s Dental Status AAP News (Vol 32, Issue 7, Jul 2011) • AAP Programs Promote Dental Services in Physicians’ Offices American Journal of Orthodontics and Dentofacial Orthopedics (Vol 140, No 2, Aug 2011) • Accuracy of Cone-Beam Computed Tomography in Predicting the Diameter of Unerupted Teeth • Impact of a Rapid Palatal Expander on Speech Articulation • Release of Toxic Ions From Silver Solder Used in Orthodontics: An In-Situ Evaluation • Initial Cleft Severity and Maxillary Growth in Patients With Complete Unilateral Cleft Lip And Palate • Longitudinal Growth Changes in Subjects With Deepbite • Stability of Class II Treatment With an Edgewise Crowned Herbst Appliance in the Early Mixed Dentition: Skeletal and Dental Changes • Impacted Maxillary Central Incisor: Surgical Exposure and Orthodontic Treatment • Accidental Swallowing of Orthodontic Expansion Appliance Key • Managing Second Molars American Journal Of Orthodontics And Dentofacial Orthopedics (Vol 140, No 1, July 2011) • Evaluation and Management of Asymptomatic Third Molars: Lack of Symptoms Does Not Equate to Lack of Pathology • Evaluation and Management of Asymptomatic Third Molars: Watchful Monitoring Is a Low-risk Alternative to Extraction http://www.aap.org/oralhealth/eNews.html August 2011 Page 15/22 • • • • • • • • Cervical Vertebral Column Morphology Related to Craniofacial Morphology and Head Posture in Preorthodontic Children With Class II Malocclusion and Horizontal Maxillary Overjet Analysis of Genetic Polymorphisms in Skeletal Class I Crowding White-Spot Lesions During Multibracket Appliance Treatment: A Challenge for Clinical Excellence Physical Properties of Root Cementum: Part 19. Comparison of the Amounts of Root Resorption Between the Right and Left First Premolars After Application of Buccally Directed Heavy Orthodontic Tipping Forces Galvanic Corrosion Between Various Combinations of Orthodontic Brackets and Archwires Mandibular Second Molar Impaction. Part I: Genetic Traits and Characteristics Chincup Treatment Modifies the Mandibular Shape in Children With Prognathism Clinical, Microbiologic, and Immunologic Factors of Orthodontic Treatment-Induced Gingival Enlargement American Journal of Public Health (Vol 101, Issue 8, Aug 2011) • Encouraging Consumption of Water in School and Child Care Settings: Access, Challenges, and Strategies for Improvement • Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City British Dental Journal (Vol 211, No 2, Jul 2011) • Clinical Applications of Preheated Hybrid Resin Composite • Oral Health-Related Quality of Life of Children in Relation to Dental Appearance and Educational Transition British Dental Journal (Vol 210, No 12, Jun 2011) • Effectiveness and Acceptability of Intravenous Sedation in Child And Adolescent Dental Patients: Report of a Case Series at King's College Hospital, London Caries Research (Vol 45, No 3, Jul 2011) • Natural Products in Caries Research: Current (Limited) Knowledge, Challenges and Future Perspective • Influence of Different Professional Prophylactic Methods on Fluorescence Measurements for Detection of Occlusal Caries • Partial Caries Removal in Primary Teeth: Association of Clinical Parameters with Microbiological Status • Association between Caregiver Behaviors to Prevent Vertical Transmission and Dental Caries in Their 3Year-Old Children • Clinical Performance of Two Fluorescence-Based Methods in Detecting Occlusal Caries Lesions in Primary Teeth • Effects of Zinc and Fluoride on the Remineralization of Artificial Carious Lesions under Simulated Plaque Fluid Conditions Community Dentistry and Oral Epidemiology (Vol 39, Issue 4, Aug 2011) • Family Characteristics and Caries Experience in Preschool Children. A Longitudinal Study From Pregnancy to 5 Years of Age • Language and Literacy Relate to Lack of Children’s Dental Sealant Use • Assessing Consistency in Oral Health-Related Quality of Life (OHRQOL) Across Gender and Stability of OHRQOL Over Time for Adolescents Using Structural Equation Modeling • Oral Health–Related Quality of Life of 11- and 12-Year-Old Public School Children in Rio De Janeiro • Influence of Oral Health-Related Behaviors on Income Inequalities in Oral Health Among Adolescents • Trends in Oral Health From Childhood to Early Adulthood: A Life Course Approach Dental Clinics of North America (Vol 55, No 3, Jul 2011) • Advances in Pediatric Dentistry • Technological Advances in Caries Diagnosis • Advances in Local Anesthesia in Dentistry Dental Traumatology (Vol 27, Issue 4, Aug 2011) • Knowledge of Elementary School Teachers in Tel-Aviv, Israel, Regarding Emergency Care of Dental Injuries • Fiber Bragg Grating Sensor for Measurement of Impact Absorption Capability of Mouthguards • Avulsion of Permanent Teeth: Theory to Practice http://www.aap.org/oralhealth/eNews.html August 2011 Page 16/22 • • • The Art and Science of Managing Traumatic Injuries to Primary Teeth Importance of Magnetic Resonance Imaging for Evaluation of a Child With Prominent Swelling of the Facial Region After Trauma: Report of a Case Delayed Removal of a Primary Incisor Embedded in the Upper Lip After Dental Trauma: A Case Report About the Importance of Soft Tissue Examination Dutch Journal of Dentistry (Vol 118, No 7, Jul 2011) • Caries: Diagnostics, Monitoring and Guidance in Good Oral Health Behavior - A Reorientation European Archives of Paediatric Dentistry (Vol 12, Issue 4, Aug 2011) • Impact of Exposure to Positive Images on Dental Anxiety Among Children: A Controlled Trial • Severe Early Childhood Caries and Behavioral Risk Indicators Among Young Children in Ajman, United Arab Emirates • Case Report: Hypodontia and Short Roots in a Child With Fraser Syndrome • Case Report: Infantile Systemic Hyalinosis: A Dental Perspective • Influence of Parental Presence on the Child’s Perception of, and Behavior, During Dental Treatment • A Comparative Evaluation of Probiotics on Salivary Mutans Streptococci Counts in Indian Children • Case Report: Unusual Dental Morphology in a Child With Ankyloblepharon-Ectodermal Defects-Cleft Lip/Palate (AEC) Syndrome European Archives of Paediatric Dentistry (Vol 12, Issue 3, Jun 2011) • Prevalence of Dental Caries and Dental Care Utilization in Preschool Urban Children Enrolled in a Comparative-Effectiveness Study • Oral Health Related Quality of Life of Greek Adolescents: A Cross-Sectional Study • Use of the ‘Hall Technique’ for Management of Carious Primary Molars Among Scottish General Dental Practitioners • Disease Outcome for Children Who Present With Oral Manifestations of Crohn’s Disease • Socio-Behavioral Factors Influencing Oral Health of 12 and 15 Year Old Greek Adolescents. A National Pathfinder Survey • Oral Health in Young Individuals With Foreign and Swedish Backgrounds – A Ten-Year Perspective • The Effect of Fluoride Slow-releasing Devices on Fluoride in Plaque Biofilms and Saliva: A Randomized Controlled Trial • Evaluation of a Resin Modified Glass Ionomer Serving Both as Indirect Pulp Therapy and as Restorative Material for Primary Molars Evidence-based Dentistry (Vol 12, Issue 2, Jun 2011) • Limited Evidence of the Effect of Chlorhexidine Varnish (CHX-V) on Root Caries • Fluoride Varnish May Be Effective in Preschoolers International Dental Journal (Vol 61, Issue 4, Aug 2011) • Extent and Quality of Systematic Review Evidence Related to Minimum Intervention in Dentistry: Essential Oils, Powered Toothbrushes, Triclosan, Xylitol • In Vivo Remineralizing Effect of GC Tooth Mousse on Early Dental Enamel Lesions: SEM Analysis • Prevalence and Severity of Dental Caries in Libyan Schoolchildren • Oral Health Status, Salivary Factors and Microbial Analysis in Patients With Active Gastro-Esophageal Reflux Disease International Dental Journal (Vol 61, Issue 3, Jun 2011) • The Caries Assessment Spectrum and Treatment (CAST) Index: Rational and Development • Efficacy of an Electric Toothbrush on Plaque Control Compared to Two Manual Toothbrushes • Dental Caries Prevalence and Treatment Needs of 5- to 12-Year-Old Children in Relation to Area-Based Income and Immigrant Background in Greece • Oral Health Status of 5-Year-Old Aborigine Children Compared With Similar Aged Marginalized Group in South Western India • Oral Health Behaviors According to Demographic Characteristics in Korean Adolescents: A National Representative Sample http://www.aap.org/oralhealth/eNews.html August 2011 Page 17/22 International Journal of Dental Hygiene (Vol 9, Issue 3, Aug 2011) • The Effects of Hydrogen Peroxide Mouthwashes on the Prevention of Plaque and Gingival Inflammation: A Systematic Review • The Effect of Hexetidine Mouthwash on the Prevention of Plaque and Gingival Inflammation: A Systematic Review • Comparison of Marginal Bleeding Using a Periodontal Probe or an Interdental Brush as Indicators of Gingivitis • Can Anti-Erosion Dentifrices Also Provide Effective Plaque Control? International Journal of Paediatric Dentistry (Vol 21, Issue 5, Sept 2011) • Survey on Sedation in Pediatric Dentistry: A Global Perspective • The Pedsql™ Oral Health Scale in Iranian Children: Reliability and Validity • Microbial Culture and Checkerboard DNA–DNA Hybridization Assessment of Bacteria in Root Canals of Primary Teeth Pre- and Post-Endodontic Therapy With a Calcium Hydroxide/Chlorhexidine Paste • Primary Teeth Show Less Protecting Factors Against Root Resorption • Comparison of Oral-Health-Related Quality of Life During Treatment With Headgear and Functional Appliances • Remineralization Effects of Casein Phosphopeptide-Amorphous Calcium Phosphate Crème on Artificial Early Enamel Lesions of Primary Teeth • Association of Maternal Risk Factors With Early Childhood Caries in Schoolchildren of Moradabad, India • Changes in Facial Morphology After Adenotonsillectomy in Mouth-Breathing Children • An Analysis of Pattern of Dental Injuries After Fall Accidents in 0- to 2-Year-Old Children – Does the Use of Pacifier at the time of Injury Make a Difference? Journal of Dental Education (Vol 75, Issue 8, Aug 2011) • Dental Students’ Attitudes Toward Underserved Populations Across Four Years of Dental School • Development of a Sustainable Community-Based Dental Education Program Journal of Dental Hygiene (Vol 85, No 3, Summer 2011) • Preventing Oral Disease • Extending Oral Health Care Services to Underserved Children Through a School-Based Collaboration: Part 1 - A Descriptive Overview • Extending Oral Health Care Services to Underserved Children Through a School-Based Collaboration: Part 2 - The Student Experience • Improving Access to Preventive Dental Services Through a School-Based Dental Sealant Program • The Impact of a Continuing Education Oral Health Program on Providing Services for Young Children by Dentists, Dental Hygienists, and Dental Assistants Journal of Dental Research (Vol 90, No 8, Aug 2011) • Clinical Effectiveness of Orthodontic Miniscrew Implants: a Meta-analysis • Finn Brudevold: Discovery of Acidulated Phosphate Fluoride in Caries Prevention Journal of Dentistry for Children (Vol 78, No 2, Jul 2011) • Effect of Light Curing Methods on Microleakage and Microhardness of Different Resin Sealants • Gingival Health Status of 2- to 15-year-old Benghazi Children With Type-I Diabetes Mellitus • Temporomandibular Joint Ankylosis Surgery in a Child: Case Report • Management of a Case of Ectodermal Dysplasia: A Multidisciplinary Approach • Treatment of a Large Dentigerous Cyst in a Child • Ascorbic Acid Deficiency: A Case Report • Surgical Treatment of Tongue Lymphangioma in a Pediatric Patient: A Case Report • Maxillary Reconstruction with Particulate Bone Graft and Titanium Mesh: A Treatment Option for Large Complex Odontoma of the Maxilla Journal of Endodontics (Vol 37, No 9, Sept 2011) • Bacterial and Candida albicans Adhesion on Different Root Canal Filling Materials and Sealers Journal of Endodontics (Vol 37, No 8, Aug 2011) • Characterization of Dental Pulp Stem Cells Isolated from Canine Premolars • Biofilm Dissolution and Cleaning Ability of Different Irrigant Solutions on Intraorally Infected Dentin http://www.aap.org/oralhealth/eNews.html August 2011 Page 18/22 Journal of Evidence Based Dental Practice (Vol 11, Issue 3, Sept 2011) • Fluoride-Containing Orthodontic Adhesives may Reduce the Occurrence of Enamel Demineralization in Patients with Fixed Orthodontic Appliances • Rinsing with Fluoride Toothpaste Slurry may Prevent Dental Caries in Orthodontic Patients • Similar Outcomes in the Use of 4 Different Sedation Techniques for Pediatric Dental Surgery • Direct Composite Buildup can be a Treatment Option to Improve Tooth Shape Irregularity • Periodontitis and Dental Caries Occur Together • Diet may be Associated with the Detection of Cariogenic Bacteria in Children with Early Childhood Caries • The Relationship Between Birth Weight and Growth with Caries Development in Young Children Remains Uncertain • Gingival Recession is Likely Associated with Tongue Piercings Journal of Health Care for the Poor and Underserved (Vol 22, No 3, Aug 2011) • The Role of Clinicians to Empower Communities through Utilization of the Built Environment • Improving Access to Oral Health Care Services Among Underserved Populations in the United States: Is There a Role for Mid-Level Dental Providers? • Potentially Preventable Hospital Use for Dental Conditions: Implications for Expanding Dental Coverage for Low Income Populations Journal of Periodontology (Vol 82, No 7, Jul 2011) • Effect of Environmental Tobacco Smoke From Smoker Parents on Gingival Pigmentation in Children and Young Adults: A Cross-Sectional Study Journal of the American Dental Association (Vol 142, Issue 7, Jul 2011) • Modern Perspectives on Caries Activity and Control • Study: Saliva Can Be Effective in Screening for Cytomegalovirus Infection in Newborns • JADA Continuing Education: Dental Patients’ Self-Reports of Xerostomia and Associated Risk Factors • Diffuse Brown Pigmentation of the Buccal Mucosa and Tongue • JADA Continuing Education: Alternative Treatments to Replacement of Defective Amalgam Restorations: Results of a Seven-Year Clinical Study • Periodontal Plastic Surgery Procedures Reduce Localized Gingival Recession Defects Journal of the American Medical Association (Vol 306, No 2, Jul 13, 2011) • Medicaid Payment Levels to Dentists and Access to Dental Care Among Children and Adolescents Journal of the Canadian Medical Association (Vol 183, No 9, Jun 14, 2011) • Battle Renewed Over Value of Fluoridation Oral Diseases (Vol 17, Issue 6, Sept 2011) • Maternal Malnutrition, Environmental Exposure During Pregnancy and the Risk of Non-syndromic Orofacial Clefts • A Novel Mutation in the OFD1 (Cxorf5) Gene May Contribute to Oral Phenotype in Patients With OralFacial-Digital Syndrome Type 1 Oral Health Journal (Aug 2011) • Clinical Guideline for the Vertical Position of the Maxillary Incisal Edge: The Key Is the Canine • New Glass Ionomer System and Application in Children Oral Health & Preventive Dentistry (Vol 9, No 2, 2011) • A Survey of Teething Beliefs and Related Practices Among Child Healthcare Workers in Ile-Ife, Nigeria • The Relationship of Two Orthodontic Indices, With Perceptions of Aesthetics, Function, Speech, and Orthodontic Treatment Need • Clustering of Obesity and Dental Caries with Lifestyle Factors Among Danish Adolescents • Effectiveness of Triple-headed Toothbrushes and the Influence of the Person Who Performs the Toothbrushing on Biofilm Removal • Comparison of Two Different Forms of Varnishes in the Treatment of Dentine Hypersensitivity • CPP-ACP Complex as a New Adjunctive Agent for Remineralization: A Review • The Influence of Toothbrush Age on Plaque Control and Gingivitis • Biofilm Removal and Gingival Abrasion with Medium and Soft Toothbrushes http://www.aap.org/oralhealth/eNews.html August 2011 Page 19/22 Pediatric Dentistry (Vol 33, No 4, Jul/Aug 2011) • A Clinical Study Evaluating Success of 2 Commercially Available Preveneered Primary Molar Stainless Steel Crowns • Antibacterial Effects of Chemomechanical Instrumentation and Calcium Hydroxide in Primary Teeth With Pulp Necrosis • Radiographic Evaluation of Alveolar Bone Height in the Primary Dentition: A Retrospective Follow-up Study • Long-term Outcomes of Primary Tooth Pulpectomy With and Without Smear Layer Removal: A Randomized Split-mouth Clinical Trial • Factors Related to Postoperative Discomfort in Young Children Following Dental Rehabilitation Under General Anesthesia • Sodium Hypochlorite Pulpotomies in Primary Teeth: A Retrospective Assessment • Factors Associated With Sealant Outcome in Two Pediatric Dental Clinics: A Multivariate Hierarchical Analysis • Treatment of Anterior Crossbite in the Primary Dentition With Esthetic Crowns: Report of Three Cases • A Survey Study of Sedation Training in Advanced Pediatric Dentistry Programs: Thoughts of Program Directors and Students Pediatrics (Vol 128, Issue 1, Jul 2011) • Food Commercials Increase Preference for Energy-Dense Foods, Particularly in Children Who Watch More Television Pediatric News (Vol 45, Issue 7, Jul 2011) • Medicaid Children Lack Access to Specialty Care RDH Magazine (Vol 31, Issue 7, Jul 2011) • Fear and Anxiety in the Dental Environment: How Relevant Is the Patient's Social Culture in the Development of Dental Phobias? • Health Screening: A Focus on Chronic Medical Conditions That Devastate Oral Health • It's Not Rocket Science! (But It Is Laser Physics) RDH Magazine (Vol 31, Issue 6, Jun 2011) • The Mid-level: Alternative Workforce Models Continue to Develop in Dentistry • Amalgam Separators ONLINE NEWSLETTERS ADA News Daily (Aug 2011) • ADA Barriers Statement Assesses 'Tattered Safety Net': Reforms Achievable, Says ADA President Dr Gist • Study: Patients Don’t Benefit From Antibiotic Prophylaxis • School Nurse Oral Health Resource Project Progressing • Red Sox Star Works With Massachusetts Dental Society to Publicize Smokeless Tobacco Dangers • IOM Sought ADA Input for Women’s Preventive Care Recommendations • Dentists, Pharmacists Announce Oral Health Collaboration • CODA Votes to Establish Standards for Dental Therapy Education Programs Dentistry News – Canadian Dental Association (Jul-Aug 2011) • Oral Health Included in New Guidelines for Physicians Treating Newly Arriving Immigrants and Refugees • Oral-B Mouthwash Recall • Position Statement on Early Childhood Caries in Indigenous Communities HDA News and Reports – Hispanic Dental Association (Summer 2011) • Code Red: The Oral Health Crisis In Your Classroom©: Empowering the Teacher to Teach Oral Health Education - A curriculum Resource Reference. • Advancing Oral Health in America http://www.aap.org/oralhealth/eNews.html August 2011 Page 20/22 Medical Homes@Work E-newsletter (Aug 2011) • New AAP Children's Oral Health Web Site • New Reports from the Interprofessional Education Collaborative (IPEC) Expert Panel MCH Alert – Maternal & Child Health Library (Aug 5, 2011) • Report Characterizes US. Maternity Practices Related to Breastfeeding MCH Alert – Maternal & Child Health Library (Jul 15, 2011) • Article Describes the Association Between State Medicaid Fees and Children's Receipt of Oral Health Care NNOHA News – National Network for Oral Health Access (Summer 2011) • Dental PBRN Blood Glucose Study #15 Has a Major Impact on a Study Participant • Building a Workforce Pipeline on the Enthusiasm of New Hampshire Dentists • New Fact Sheet – Characteristics of a Quality Oral Health/Dental Program Oral Health Alert: Focus on Head Start (Jun 2010) • Children's Oral Health in the Health Home • From the Tooth's Point of View: Communicating Serious Health Messages with Wit and Whimsy Podcast • Smiles for Ohio: Fluoride Varnish – Training for Primary Medical Care Providers Serving Children Enrolled in Medicaid • The State of Children's Dental Health: Making Coverage Matter Report and Fact Sheets • Dentist-Patient Communication Techniques Used in the United States: The Results of a National Survey • Disparities in Child Access to Emergency Care for Acute Oral Injury • Early Childhood Caries in Indigenous Communities • Oral Health Activities of Early Head Start Teachers Directed Toward Children and Parents • Teledentistry-Assisted, Affiliated Practice for Dental Hygienists: An Innovative Oral Health Workforce Model Update – Friends of the National Institute of Dental and Craniofacial Research (Jun 2011) • Friends of NIDCR Applauds Lawmakers' Effort to Save the CDC's Division of Oral Health • OPPORTUNITIES NIDCR Supplement to the Journal of Public Health Dentistry PedJobs is the electronic recruitment resource for pediatrics. View available jobs or post a resume. National Listings Indian Health Service Indian Health Service (IHS) has vacancies in facilities large and small in some of the most beautiful areas of the United States. Whether you choose the Commissioned Corps, Civil Service, or direct Tribal hire career path, IHS has a position that will meet your specific needs for opportunity, adventure, and purpose. National Network for Oral Health Access (NNOHA) Job Listings The NNOHA Web site lists health center dental openings throughout the United States. Permanent and Locum Tenens Jobs Search the New England Journal of Medicine’s CareerCenter for both permanent and locum tenens jobs within the United States. Apply online and set up e-mail alerts to have jobs automatically sent to you. Also available is a Resource Center that addresses trends in compensation, employment contracts, and more. State Listings Chicago, IL—Associate Director, Evidence Based Dentistry (American Dental Association) This position is responsible for leading development of evidence-based clinical recommendations on behalf of the American Dental Association (ADA) Council on Scientific Affairs and disseminating the results through a variety of media outlets; managing the interactive ADA Evidence-based Dentistry (EBD) Web site; assisting in http://www.aap.org/oralhealth/eNews.html August 2011 Page 21/22 planning national conferences on EBD and training EBD volunteers; developing educational tools to translate results of evidence-based findings into practice; conducting dissemination and implementation research; and assisting the director with reporting and other management functions. For a more detailed job description with job requirements or to apply, visit the ADA Web site. Gainesville or Naples, FL—Certificate in Pediatric Dentistry and Master of Public Health Degree (University of Florida) This 36-month certificate and degree program is designed to prepare dentists for the specialty practice of pediatric dentistry, to qualify for certification by the American Board of Pediatric Dentistry, and to prepare them for leadership positions in dental public health. The didactic curriculum includes courses on sedation, growth and development, orthodontics, research design, oral medicine, oral biology, and oral pathology. The clinical curriculum includes experience in comprehensive preventive and restorative care, sedation and monitoring, treatment of patients with oral and craniofacial anomalies, diagnosis and treatment of developing malocclusion, and emergency dental care. Residents will participate in a 4-week rotation in anesthesiology and year-round pediatric medicine rotations. They will also complete coursework for an MPH degree. No tuition is required—a $35,000 stipend will be provided for each of the 3 years. Candidates must meet the entrance requirements for admission to both the Pediatric Dental Residency and the Master of Public Health degree programs. To receive an application or additional program information, contact Dr Pamela Sandow, Assistant Dean for Admissions, University of Florida College of Dentistry, PO Box 100402, Gainesville, FL 32610-0402 or call 352/273-5956. Oakland, CA—Executive Director (Center for Oral Health) The Center for Oral Health, previously the Dental Health Foundation, is seeking an Executive Director. The Center is a nonprofit, California-based organization, dedicated to promoting public oral health and policy development, with a focus on children and vulnerable populations. Located in Oakland, CA, the Center has a core professional staff of 6 persons and additional project-related staff. The full job announcement can be found online. Please submit a cover letter describing your interest and experience and a CV or resume to jobs@tc4oh.org by September 2, 2011. Include “Executive Director Application” in the e-mail subject line. Inclusion in this publication does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of these resources. Web site addresses are as current as possible but may change at any time. http://www.aap.org/oralhealth/eNews.html August 2011 Page 22/22