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Interprofessional oral health initiative in a nondental, American Indian setting.

Authors
  • Murphy, Kate L1
  • Larsson, Laura S1
  • 1 College of Nursing, Montana State University, Bozeman, Montana.
Type
Published Article
Journal
Journal of the American Association of Nurse Practitioners
Publication Date
Dec 01, 2017
Volume
29
Issue
12
Pages
733–740
Identifiers
DOI: 10.1002/2327-6924.12517
PMID: 28922571
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Tooth decay is the most common chronic childhood disease and American Indian (AI) children are at increased risk. Pediatric primary care providers are in an opportune position to reduce tooth decay. The purpose of this study was to integrate and evaluate a pediatric oral health project in an AI, pediatric primary care setting. The intervention set included caregiver education, caries risk assessment, and a same-day dental home referral. All caregiver/child dyads age birth to 5 years presenting to the pediatric clinic were eligible (n = 47). Most children (n = 35, 91.1%) were scored as high risk for caries development. Of those with first tooth eruption (n = 36), ten had healthy teeth (27.8%) and seven had seen a dentist in the past 3 months (19.4%). All others were referred to a dentist (n = 29) and 21 families (72.4%) completed the referral. In fewer than 5 min per appointment (x = 4.73 min), the primary care provider integrated oral health screening, education, and referral into the well-child visit. Oral health is part of total health, and thus should be incorporated into routine well-child visits. ©2017 American Association of Nurse Practitioners.

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