Save A Molar A volunteer program serving the

Save A Molar A volunteer program serving the endodontic needs of children in Palm Beach County

COHARP: Comprehensive Oral Health Access Referral Program Rationale

Sources of Patient Referrals Sealant Progra m School Nurse Referra l Nurse Family Partner ship Dental Volunteer Providers Adopt – A – Mom Save a Molar Teen Parent Program s COHARP Coordinated Oral Health Access Referral Program Contracted Dental Providers Network of Providers RAMS Clinic WHIN TOPWA Health Departmen t Health Department Dental Clinics

Recruitment of Volunteer Providers n Area Endodontists located in all areas of Palm Beach County were recruited and asked to perform one Root Canal a month for children under the age of eighteen. n Volunteers are granted Sovereign Immunity through the Volunteer Health Provider Program. n Volunteer Providers are able to receive up to 7 Continuing Education Credits. n Although services provided are not able to be claimed for tax purposes, the volunteer providers do have the ability to claim materials, travel expenses, etc. related to treating the referred child. We recommend that they contact their accountant to ensure that the volunteer provider is afforded all of the tax benefits of participating as a volunteer in the program.

Nine Volunteer Endodontists n n n n n Dr. Rory E. Mortman, DDS Dr. Sang Y. Shin, DMD Dr. Bradley Ginzler, DMD Dr. Wayne Bradshaw, DMD Dr. Charlyn Rappa Bradshaw, DMD Dr. Bruce Shulman, DDS Dr. Jaime Silberman, DMD Dr. Theodore Lerner, DMD Dr. Charles Mohaupt, DDS

Root Canal Heroes~!

Criteria n Child must be a patient of the Palm Beach County Health Department n Referral must be under the age of 18. n Teenager must be well behaved. n Parents/Guardians are case managed including proper etiquette in private practice settings as well as committing to not miss or be late for appointments with endodontic provider. Dental staff stresses the tremendous service that the teenager is receiving. n Parent must meet income eligibility requirements.

Dental Assessment Performed by clinic dentist: n Tooth must be restorable after root canal therapy by restoration. n Pulpotomy is completed by clinic dentist and temporary filling placed – final endodontic treatment is needed within 3 -4 weeks. n Film given to teenager/parent to take to endo appt. n Appointment to endodontic office is made by Mary Pagana, referral coordinator, for the child. n Depending on age of the referral, Parent/Guardian/Teenager are advised that the tooth will eventually need to have a crown placed on it. n After root canal therapy, the teenager returns to PBC Health Department Clinic for permanent restoration of tooth or Atlantic Coast Pediatric Research Clinic at Palm Beach State College for a crown. Endodontist sends back digital x-ray with final fill for patient record.

Save A Molar Data n 2010 -2011 51 children received endodontic treatment n 2011 -2012 27 children received endodontic treatment Only 2 patients did not show for scheduled appointments over 2 year period of time ~!! We attribute this low no show rate to the following of established criteria for the program

Dental Sealant Program By Patricia Caroscio, RDH

Sealant Program n n n n Prevention We go to them First Dental Experience Oral Health Education Nutrition Education Identify and treat Urgent Needs Identify children without coverage

Who gets Sealants? n Title I Schools n Highest rate of Free and Reduced lunch n Underserved Population n Low Income Families n 2 nd Graders n First permanent molars

History n Started by Dr. Bilger in 1997. n 8 Glades schools (west county) n Belle Glade Dental Clinic had to be closed during Sealant Days. n 1999 added 7 east coast schools. n April 2010 Tooth Fairy bus Arrives. n 2010/2011 School Year with Tooth Fairy.

Expansion of Program # of schools School Year

Tooth Fairy Arrives April 2010 Marjorie S. Fisher. $1. 2 million trust. Construction of Bus. Operate program for five years.

Two operatories. Reception area. Flat screens and DVD’s 2 x-ray machines. Sterilization area. Back-up Generator. Leveling system. Automatic Wheel Chair Lift.

On the Dental Van n Dedicated Staff of 5. n 2 to 7 days to complete school. n Comfortable for staff and students. n Traveling dental office. n Clinics Remain Open for Services

Process n Meet and Greet n Parent Permission Forms n In-Classroom Presentation n Sealant Day n Urgent Needs Identified n School Nurse Notified n Evaluation on 3 rd Graders

Logistics Where to park? Front of School. Bus Loop. Times.

Parent Permission Forms n Prior parental consent n Number of patients n Medicaid or No Coverage n Pencils and Pizza Party

Education Day The day before sealants 1. Introduce ourselves 2. Tooth decay 3. Flossing and Brushing 4. Nutrition and snacking 5. Sealants - paint protection

Treatment Class & Urgency n Urgent – pain or abscess n Referred to Clinics for treatment n Early – rampant decay n Restorative – need fillings n Preventive – no decay

Data by School Year # of Children School Year

The Following 28 Schools are currently visited by the Dental Sealant Program n n n n n n n Barton Elementary Belle Glade Elementary Belvedere Elementary Canal Point Elementary Dr. Mary Mc. Cloud Bethune Forest Park Elementary Gladeview Elementary Gove Elementary Greenaces Elementary Highland Elementary Hope-Centennial Elementary Indian Pines Elementary Lake Park Elementary Lincoln Elementary Northmore Elementary Pahokee Elementary Palmetto Elementary Pine Grove Elementary Pioneer Park Elementary Pleasant City Elementary Rolling Green Elementary Roosevelt Elementary Rosenwald Elementary South Grade Elementary Washington Elementary West Gate Elementary West Riviera Elementary Wynnebrook Elementary

Meet our bosses~!! The End