Current Practices National and International Models of Oral

Current Practices: National and International Models of Oral Health Care for Persons with Developmental Disabilities Maricelle Abayon, DDS, MS Adela Guset, DDS Beth Kettell, MLS 12 March 2012

Oral Health Care Delivery Models New Zealand – dental nurse Canada – dental therapist Denmark – public dental health care programs Washington, Minnesota, Connecticut, Iowa, Kansas, and California – dental hygienists in collaborative practice settings New Jersey – school-based dental program

Oral Health Care Delivery Models Minnesota – Oral Health Care Solutions project (proposed): centralized/computerized Help Center Missouri – Elks mobile dental van Massachussetts – Tufts Dental Facilities (TDF) Serving Persons with Special Needs; TDF Special Needs Community Dental Health Program

Oral Health Care Delivery Models North Carolina – Iverson Riddle Developmental Center and Murdoch Center (institution-based dental clinics) Ohio – Butler County Dental Care Program (case management) Philadelphia – Special Smiles (private office)

Prevention of Oral Disease Models Northern California – preventive training program for caregivers in community facilities Chemotherapeutic agents – xylitol, fluoride varnish, fluoride rinses, chlorhexidine Oral health care plan – for caregivers to organize treatment and preventive measures to be used for particular individual

Characteristics of Models • Earliest possible education, prevention, screening, diagnosis, and treatment • New/expanded points of entry into community-based settings

Characteristics of Models • Expanded community health roles for allied health professionals and dentists • “Respectful Referral” /case management system that matches patients with dentists

Characteristics of Models • Integrated with other community health and social service systems • Engages caregivers closest to individual to play major role in oral health maintenance

Characteristics of Models • Tiered delivery system: increasingly complex care is performed by those with most intensive training and less complex care is performed by those with less extensive training • Focused on prevention