Maternal Oral Health Resource Guide Resource Guide 1-3.pdf · Hsieh NK, Herzig K, Gansky SA, Danley...

Maternal Oral HealthResource Guide

MATERNAL ORAL HEALTHRESOURCE GUIDE

EDITED BY

MICHELLE CLARK, M.S.W.KATRINA HOLT, M.P.H., M.S., R.D.

DECEMBER 2006

Cite asClark M, Holt K, eds. 2006. Maternal Oral Health Resource Guide. Washington, DC: National Maternal andChild Oral Health Resource Center.

Maternal Oral Health Resource Guide © 2006 by National Maternal and Child Oral Health Resource Center,Georgetown University.

The following National Maternal and Child Oral Health Resource Center (OHRC) staff members also assistedin the development of this publication: Ruth Barzel, Jolene Bertness, Sarah Kolo, Tracy Lopez, and ElizabethLowe.

This publication was made possible by grant number H47MC00048 from the Maternal and Child HealthBureau (MCHB) (Title V, Social Security Act), Health Resources and Services Administration (HRSA), U.S.Department of Health and Human Services (DHHS). Its contents are solely the responsibility of the authorsand do not necessarily represent the official views of MCHB, HRSA, and DHHS.

An electronic copy of this publication is available from the OHRC Web site. Permission is given to photo-copy this publication. Requests for permission to use all or part of the information contained in this publi-cation in other ways should be sent to

National Maternal and Child Oral Health Resource CenterGeorgetown UniversityBox 571272Washington, DC 20057-1272Telephone: (202) 784-9771Fax: (202) 784-9777 E-mail: [email protected] site: http://www.mchoralhealth.org

Introduction v

Acknowledgments vi

Journal Articles 1Access/Utilization 3Education and Care 4Emerging Issues 4

Materials 9

Policy 11Professional Education 12Professional Resources 14Public Education 18State Profiles 23

Organizations 25

Advocacy Organizations 27Federal Agencies 27Policy Centers 28Professional Associations 29Resource Centers 31Voluntary Organizations 31

CONTENTS

In 2003, the U.S. Surgeon General called forincreased attention to oral health education and

care during pregnancy as an important strategy forimproving maternal and infant health, and hehighlighted the link between oral health and over-all maternal health. Hormonal changes in preg-nancy impact a woman’s oral health. Many womenexperience inflammation of the gums, known aspregnancy gingivitis; increased risk of caries andenamel erosion due to fluctuations in saliva pro-duction and nausea; and lesions on the gums,often called pregnancy tumors. Conversely, oralhealth potentially impacts pregnancy outcomes.Several recent studies have identified periodontaldisease as a possible risk factor for preterm birthand low birthweight.

The findings of the Obstetrics and PeriodontalTherapy Study published in the New EnglandJournal of Medicine in November 2006 demon-strate that treatment during pregnancy is safe andeffective in improving the periodontal status ofwomen. The study did not show a significant dif-ference in birth outcomes among women treatedfor periodontal disease during pregnancy vs.those in a control group who received treatmentpostpartum. Although the occurrence of adverseevents before 32 weeks of gestation was not apre-specified outcome, it was less common in thetreatment group than in the control group. There-fore, additional research trials are needed withrefined outcome variables to further investigatethe association between periodontal disease andincreased risk for adverse birth outcomes.

Research indicates that tooth decay is an infec-tious disease that can be transmitted from motherto child. Providing oral health education and careto pregnant women will lead not only to improvedmaternal oral health but also to improved oralhealth among infants and children. Providing preg-nant women with anticipatory guidance on oraldevelopment and highlighting the importance ofthe first dental visit occurring by age 1 can furthercontribute to improved oral health among infantsand children.

The National Maternal and Child Oral HealthResource Center (OHRC) developed this publica-tion, Maternal Oral Health Resource Guide, to assisthealth professionals, program administrators, edu-

MATERNAL ORAL HEALTH RESOURCE GUIDE

v

INTRODUCTION

cators, researchers, policymakers and others work-ing to improve oral health care for women, infants,and children. The resource guide is divided intothree sections. The first section lists journal articlesappearing in the literature between 2004 and 2006.The second section describes materials, includingbrochures, fact sheets, guidelines, kits, manuals,reports, and papers. The third section lists advo-cacy organizations, federal agencies, policy cen-ters, professional associations, resource centers,and voluntary organizations that may serve asresources. Materials cited in the resource guidehave been added to the OHRC library.

Many of the items in the Materials section areavailable from the Internet. Others are availablefor loan from OHRC or can be requested directlyfrom the organizations that produced them. Inclu-sion in the resource guide does not implyendorsement by the U.S. Department of Healthand Human Services, the Health Resources andServices Administration, the Maternal and Child


vi

We are grateful to the following experts fortheir review of the resource guide: Mary Foley,R.D.H., M.P.H., Children’s Dental Health Project;Marjorie Jeffcoat, D.M.D., University of Pennsyl-vania School of Dental Medicine; Jayanth Kumar,D.D.S., M.P.H., New York State Department of

Health; and Beth McKinney, R.D.H., M.S., Mont-gomery County, Maryland Department of Healthand Human Services. We would also like to thankthose who submitted items for inclusion in theresource guide.

ACKNOWLEDGMENTS

Health Bureau, Georgetown University, or OHRC.Although we have tried to present a thoroughoverview of materials, we realize that this list isnot complete. For further information, we encour-age you to contact the organizations listed in thethird section. Your state and local departments of

public health and university-based libraries areadditional sources of information. OHRC willupdate the resource guide periodically, and wewould appreciate hearing from you if you knowof any resources that are not included in this edition.

JOURNAL ARTICLES


3

Most of the articles listed in this section appear inthe peer-reviewed literature from January 2004 toNovember 2006; a few seminal articles listed werepublished earlier.

ACCESS/UTILIZATION

COMMUNITY-BASED, CULTURALLYAPPROPRIATE ORAL HEALTH PROMOTIONPROGRAM FOR IMMIGRANT PREGNANTWOMEN IN NEW YORK CITY

Cruz GD, Roldos I, Puerta DI, Salazar CR. 2005.Community-based, culturally appropriate oralhealth promotion program for immigrant pregnantwomen in New York City. New York State DentalJournal 71(7):34–38.

Cruz et al. presented information on the designand implementation of an oral-health-promotionprogram to meet the needs of immigrant pregnantwomen with low incomes living in New York City.Baseline surveys showed a lack of current andappropriate oral health care knowledge amongthis group of women who have access to prenatalcare. Only 54 percent of the women reportedreceiving information about oral health care dur-ing pregnancy. Ninety-three percent of the womenrealized the importance of maintaining their oralhealth during pregnancy, and 62 percent reportedperceived need for oral health care. Seventy per-cent of the women reported having dental insur-ance, but only during their pregnancy.

DENTAL CARE USE AMONG PREGNANTWOMEN IN THE UNITED STATESREPORTED IN 1999 AND 2002

Timothe P, Eke PI, Presson SM, Malvitz DM. 2005.Dental care use among pregnant women in theUnited States reported in 1999 and 2002. Prevent-ing Chronic Disease 2(1):1–11.

Timothe et al. reviewed national and state-specif-ic estimates of oral-health-service utilizationamong adult pregnant women using data fromtwo 12-month periods. The study also determined

person-level characteristics that may predict fail-ure to utilize oral health services within this sub-group. Pregnant women who utilized oral healthservices were more likely to be non-Hispanicwhite, married, and with an education levelgreater than high school. Income and smokingstatus were significant predictors for not utilizingoral health services.

DENTAL CARE USE AND SELF-REPORTEDDENTAL PROBLEMS IN RELATION TOPREGNANCY

Lydon-Rochelle MT, Krakowiak P, Hujoel PP,Peters RM. 2004. Dental care use and self-reporteddental problems in relation to pregnancy. Ameri-can Journal of Public Health 94(5):765–771.

Lydon-Rochelle et al. examined the associationbetween selected sociodemographic, pregnancy,and health-service factors amenable to interven-tion and the likelihood of utilizing oral health ser-vices during pregnancy. Women were assessedbased on self-reported absence or presence oforal health problems during pregnancy. Over-weight, obesity, and smoking were risk factors fornot utilizing oral health services among womenwho reported oral health problems during preg-nancy. Not receiving oral health counseling dur-ing pregnancy was a significant risk factor for notutilizing oral health services among women whoreported oral health problems during pregnancyand among those who did not.

FACTORS RELATED TO UTILIZATION OFDENTAL SERVICES DURING PREGNANCY

Al Habashneh R, Guthmiller JM, Levy S, JohnsonGK, Squier C, Dawson DV, Fang Q. 2005. Factorsrelated to utilization of dental services duringpregnancy. Journal of Clinical Periodontology32(7):815–821.

Al Habashneh et al. assessed the extent ofwomen’s knowledge about the associationbetween oral health and pregnancy and investi-gated additional factors related to utilization oforal health services during pregnancy. Forty-nine

JOURNAL ARTICLES

percent of respondents reported dental visits dur-ing pregnancy, and 43 percent reported aware-ness of the possible association between oralhealth and pregnancy outcomes. Personal factors(being married, greater frequency of visiting thedentist before pregnancy, and use of inter-proxi-mal cleaning aids), financial factors (dental insur-ance), and knowledge of the possible connectionbetween oral health and pregnancy outcomeswere significantly associated with reporting den-tal visits during pregnancy.

EDUCATION AND CARE

CHANGING DENTISTS’ KNOWLEDGE,ATTITUDES AND BEHAVIOR REGARDINGDOMESTIC VIOLENCE THROUGH ANINTERACTIVE MULTIMEDIA TUTORIAL

Hsieh NK, Herzig K, Gansky SA, Danley D, Ger-bert B. 2006. Changing dentists’ knowledge, atti-tudes and behavior regarding domestic violencethrough an interactive multimedia tutorial. Jour-nal of the American Dental Association 137(5):596–603.

Hsieh et al. developed a brief interactive multime-dia tutorial with the goal of changing practicingdentists’ knowledge, attitudes, and behaviorregarding domestic violence. A 24-questiondomestic-violence-assessment instrument wascompleted at two points in time, and a 20-ques-tion empathy scale was also administered. Den-tists who received the brief interactive multime-dia tutorial improved their scores, on average,significantly more than dentists in the controlgroup. Empathy scores did not show significantcorrelation with change scores on the domestic-violence-assessment instrument.

ORAL HEALTH AND PREGNANCY: A REVIEW

Gajendra S, Kumar JV. 2004. Oral health and preg-nancy: A review. New York State Dental Journal70(1):40–44.

This article provides an overview of the oralhealth conditions associated with pregnancy,addresses considerations in providing oral healthcare to pregnant women, and describes barriersin access to oral health care during pregnancy.

PREPARING DENTAL STUDENTS TORECOGNIZE AND RESPOND TO DOMESTICVIOLENCE: THE IMPACT OF A BRIEFTUTORIAL

Danley D, Gansky SA, Chow D, Gerbert B. 2004.Preparing dental students to recognize andrespond to domestic violence: The impact of abrief tutorial. Journal of the American DentalAssociation 135(1):67–73.

Danley et al. evaluated the impact of a brief, inter-active multimedia tutorial designed to preparedentists to recognize and respond to domesticviolence. After the tutorial, compared with thecontrol group, both experimental groups demon-strated significantly improved attitudes andknowledge about the need to ask patients aboutdomestic violence, validate patients’ worth, docu-ment findings, and refer patients.

EMERGING ISSUES

CLINICAL RISK FACTORS ASSOCIATEDWITH INCIDENCE AND PROGRESSION OFPERIODONTAL CONDITIONS IN PREGNANTWOMEN

Moss KL, Beck JD, Offenbacher S. 2005. Clinicalrisk factors associated with incidence and pro-gression of periodontal conditions in pregnantwomen. Journal of Clinical Periodontology 32(5):492–498.

Moss et al. identified clinical factors that were pre-dictive of the incidence and progression of peri-odontal conditions in pregnant women. Thisresearch took place as part of a larger study, OralConditions and Pregnancy, conducted at DukeUniversity Hospital between 1997 and 2001. Par-ticipants received periodontal examinationsbefore 24 to 26 weeks’ gestational age and within48 to 72 hours of delivery. Several clinical mea-sures were identified, with the most predictivebeing the combination of bleeding on probingand four or more sites with probing depths of 4or more millimeters at the time of enrollment inthe study.


4

MATERNAL PERIODONTAL DISEASE INEARLY PREGNANCY AND RISK FORSMALL-FOR-GESTATIONAL-AGE INFANT

Boggess KA, Beck JD, Murtha AP, Moss K, Offen-bacher S. 2006. Maternal periodontal disease inearly pregnancy and risk for small-for-gestational-age infant. American Journal of Obstetrics andGynecology 194(5):1316–1322.

Boggess et al. examined the relationship betweenmaternal periodontal disease and delivery of asmall-for-gestational age (SGA) infant (birthweightless than the 10th percentile for gestational age)and the role of maternal systemic inflammation inthis relationship. Moderate or severe periodontaldisease early in pregnancy was associated withdelivery of an SGA infant, adjusted for age, smok-ing, drugs, marital and insurance status, and pre-eclampsia.

MATERNAL PERIODONTAL DISEASE ISASSOCIATED WITH AN INCREASED RISKFOR PREECLAMPSIA

Boggess KA, Lieff S, Murtha AP, Moss K, Beck J,Offenbacher S. 2003. Maternal periodontal diseaseis associated with an increased risk for pre-eclampsia. Obstetrics and Gynecology 101(2):227–231.

Boggess et al. examined whether maternal peri-odontal disease was associated with the develop-ment of preeclampsia, a common hypertensivedisorder of pregnancy. Maternal clinical periodon-tal disease at delivery was associated withincreased risk for the development of preeclamp-sia, independent of maternal age, race, smoking,gestational age at delivery, and insurance status.

MERCURY EXPOSURE FROM DENTALFILLING PLACEMENT DURING PREGNANCYAND LOW BIRTH WEIGHT RISK

Hujoel PP, Lydon-Rochelle M, Bollen AM, WoodsJS, Geurtsen W, del Aguila MA. 2005. Mercuryexposure from dental filling placement duringpregnancy and low birth weight risk. AmericanJournal of Epidemiology 161(8):734–740.

Hujoel et al. examined the potential associationsbetween mercury-containing dental fillings placedduring pregnancy and risk of delivering a low-

birthweight infant. The placement of mercury-containing dental fillings during pregnancy didnot result in an increased risk of delivering a low-birthweight infant.

THE ORAL CONDITIONS AND PREGNANCYSTUDY: PERIODONTAL STATUS OF ACOHORT OF PREGNANT WOMEN

Lieff S, Boggess KA, Murtha AP, Jared H, Madi-anos PN, Moss K, Beck J, Offenbacher S. 2004.The oral conditions and pregnancy study: Peri-odontal status of a cohort of pregnant women.Journal of Periodontology 75(1):116–126.

Lieff et al. examined oral health changes duringpregnancy and factors associated with maternalperiodontal health or disease. Race, smoking, andinsurance status were significantly associated withmaternal periodontal disease. African-Americanwomen were more likely than white women tohave periodontal disease at enrollment in thestudy, during the study, and at delivery.

ORAL HEALTH IN WOMEN DURINGPRECONCEPTION AND PREGNANCY:IMPLICATIONS FOR BIRTH OUTCOMESAND INFANT ORAL HEALTH

Boggess KA, Edelstein BL. 2006. Oral health inwomen during preconception and pregnancy:Implications for birth outcomes and infant oralhealth. Maternal and Child Health Journal10(Suppl. 7):S169–S174.

This literature review addresses the potentialinfluence of a woman’s preconception and preg-nancy experience with periodontal disease anddental caries on her overall health and her child’soral health. The authors summarize research find-ings on oral health and preterm birth and otheradverse pregnancy outcomes, children’s experi-ence with tooth decay, preconception preventiveoral health care, and access to oral health careduring pregnancy.


5

PERIODONTAL DISEASE AND ADVERSEPREGNANCY OUTCOMES: A SYSTEMATICREVIEW

Xiong X, Buekens P, Fraser WD, Beck J, Offen-bacher S. 2006. Periodontal disease and adversepregnancy outcomes: A systematic review. BJOG:An International Journal of Obstetrics and Gynae-cology 113(2):135–143.

Xiong et al. conducted a systematic review of 25studies that examined periodontal disease and itsassociation with adverse pregnancy outcomes.The studies included 13 case-control and 9 cohortstudies and 3 controlled trials. An associationbetween periodontal disease and an increased riskfor poor birth outcomes, particularly among eco-nomically disadvantaged populations, was sug-gested in 18 studies. However, the heterogeneityof study design and data analysis calls for moremethodologically rigorous research before a truerelationship between periodontal disease andadverse pregnancy outcomes can be confirmed.

PERIODONTAL DISEASE AND PRETERMBIRTH: RESULTS OF A PILOTINTERVENTION STUDY

Jeffcoat MK, Hauth JC, Geurs NC, Reddy MS, CliverSP, Hodgkins PM, Goldenberg RL. 2003. Periodon-tal disease and preterm birth: Results of a pilot inter-vention study. Journal of Periodontology 74(8):1214–1218.

Jeffcoat et al. assessed the feasibility of an inter-vention trial during pregnancy to determinewhether an association exists between treatmentof periodontitis and birth outcomes. The trialdemonstrated that performing scaling and rootplaning in pregnant women with periodontitismay reduce preterm birth in this population,whereas adjunctive metronidazole therapy did notreduce preterm birth.

PERIODONTAL DISEASE AND UPPERGENITAL TRACT INFLAMMATION IN EARLYSPONTANEOUS PRETERM BIRTH

Goepfert AR, Jeffcoat MK, Andrews WW, Faye-Petersen O, Cliver SP, Goldenberg RL, Hauth JC.2004. Periodontal disease and upper genital tractinflammation in early spontaneous preterm birth.Obstetrics and Gynecology 104(4):777–783.

Goepfert et al. examined the relationship betweenmaternal periodontal disease and both early spon-taneous preterm birth and selected markers ofupper-genital-tract inflammation. Women withearly spontaneous preterm birth were more likelyto have severe periodontal disease than womenwith anticipated preterm birth or term birth. Peri-odontal disease was not associated with selectedmarkers of upper-genital-tract inflammation.

PERIODONTAL INFECTION AND PRETERMBIRTH: RESULTS OF A PROSPECTIVESTUDY

Jeffcoat MK, Geurs NC, Reddy MS, Cliver SP,Goldenberg RL, Hauth JC. 2001. Periodontal infec-tion and preterm birth: Results of a prospectivestudy. Journal of the American Dental Association132(7):875–880.

Jeffcoat et al. conducted a prospective study tocorrelate the presence of periodontal infectionand preterm birth. The data showed an increasedrisk for preterm birth among pregnant womenwith periodontitis at 21 to 24 weeks’ gestation.The odds of increased prematurity were 4.5-foldto 7.0-fold.

PERIODONTITIS AND GESTATIONALDIABETES MELLITUS: EXPLORING THELINK IN NHANES III

Novak KF, Taylor GW, Dawson DR, Ferguson JE,Novak MJ. 2006. Periodontitis and gestational dia-betes mellitus: Exploring the link in NHANES III.Journal of Public Health Dentistry 66(3):163–168.

Novak et al. analyzed data collected in the ThirdNational Health and Nutrition Examination Survey(NHANES III) and compared the prevalence ofperiodontal disease in pregnant women with ahistory of gestational diabetes mellitus (GDM) vs.women without GDM. Women with a history ofGDM are more likely to have more severe peri-odontal disease than women with a history ofpregnancies without GDM.


6

PROGRESSIVE PERIODONTAL DISEASEAND RISK OF VERY PRETERM DELIVERY

Offenbacher S, Boggess KA, Murtha AP, Jared HL,Lieff S, McKaig RG, Mauriello SM, Moss KL, BeckJD. 2006. Progressive periodontal disease and riskof very preterm delivery. Obstetrics and Gynecol-ogy 107(1):29–36. Erratum in Obstetrics and Gyne-cology 107(5):1171.

Offenbacher et al. explored the role of periodon-tal conditions present before birth, periodontaldisease onset, and periodontal disease progres-sion during pregnancy on preterm birth risk.Maternal periodontal disease, identified eitherearly in pregnancy or progressing during preg-nancy, was a risk factor for preterm and verypreterm birth, respectively, independent of otherrisk factors.

TREATMENT OF PERIODONTAL DISEASEAND THE RISK OF PRETERM BIRTH

Michalowicz BS, Hodges JS, DiAngelis AJ, LupoVR, Novak MJ, Ferguson JE, Buchanan W, Bofill J,Papapanou PN, Mitchell DA, Matseoane S, TschidaPA. 2006. Treatment of periodontal disease andthe risk of preterm birth. New England Journal ofMedicine 355(18):1885–1894.

Michalowicz et al. found no significant differencein birth outcomes among women treated for peri-odontal disease during pregnancy vs. those in thecontrol group who received treatment postpar-tum. The study consisted of 823 pregnant womenrandomly assigned to either a treatment or a con-trol group. Those in the treatment group receivedscaling and root planing and oral hygiene instruc-tion before 21 weeks of gestation, as well asmonthly tooth polishing and ongoing scaling andplaning as needed until delivery. Control groupparticipants were offered the same treatment afterdelivery. This study is one of the first to demon-strate that treatment during pregnancy is safe andeffective in improving the periodontal status ofwomen.


7

MATERIALS


11

POLICY

AMERICAN ACADEMY OFPERIODONTOLOGY STATEMENTREGARDING PERIODONTAL MANAGEMENTOF THE PREGNANT PATIENT

American Academy of Periodontology, Task Forceon Periodontal Treatment of Pregnant Women.2004. American Academy of Periodontology state-ment regarding periodontal management of thepregnant patient. Journal of Periodontology 75(3):495.

This statement presents recommendations forperiodontal examinations of women who arepregnant or planning to become pregnant. Thestatement includes information on research find-ings, preventive oral health care and services, anddiagnosis and treatment considerations for preg-nant women.

Contact: American Academy of Periodontology,737 North Michigan Avenue, Suite 800, Chicago,IL 60611-2690. Telephone: (312) 787-5518; fax:(312) 787-3670; Web site: http://www.perio.org.Available at no charge from the Web site athttp://www.perio.org/resources-products/pdf/44-pregnancy.pdf.

ENHANCING DENTAL MEDICAIDOUTREACH AND CARE COORDINATION

Crall J, Schneider D, with American Dental Asso-ciation, eds. 2004. Enhancing Dental MedicaidOutreach and Care Coordination. Chicago, IL:American Dental Association. 9 pp.

This brief discusses ways to increase awarenessof the importance of oral health and to improvecare coordination for Medicaid participants, there-by decreasing the rate of no-show appointmentsand increasing compliance with oral healthinstructions. The brief focuses on innovativestrategies and approaches that some states areusing. Topics include consumer outreach, locat-ing Medicaid oral health professionals, obtainingoral health screenings and referrals, case manage-

ment and support services, reducing the numberof missed appointments, and coordinating oralhealth care for young children and pregnantwomen. Brief case studies of several state pro-grams are presented. Much of the information inthe report is presented in tabular form.

Contact: American Dental Association, 211 EastChicago Avenue, Chicago, IL 60611-2678. Tele-phone: (312) 440-2500; fax: (312) 440-7494; e-mail:[email protected]; Web site: http://www.ada.org.Available at no charge from the Web site at http://www.ada.org/prof/advocacy/issues/medicaid_outreach.pdf.

IMPROVING WOMEN’S HEALTH ANDPERINATAL OUTCOMES: THE IMPACT OFORAL DISEASES

Allston A. 2002. Improving Women’s Health andPerinatal Outcomes: The Impact of Oral Diseases.Baltimore, MD: Johns Hopkins Bloomberg Schoolof Public Health, Women’s and Children’s HealthPolicy Center. 12 pp.

This brief discusses the impact of oral diseases onwomen’s health and on perinatal outcomes. It isdivided into the following sections: (1) oral healthstatus of women in the United States, (2) determi-nation of women’s oral health status, (3) periodon-tal diseases and general health status, (4) maternaloral health status and perinatal outcomes, (5) addressing women’s oral health needs, and (6) implications of current research for improvingwomen’s oral and general health status. [Fundedby the Maternal and Child Health Bureau]

Contact: Women’s and Children’s Health PolicyCenter, Johns Hopkins University BloombergSchool of Public Health, 615 North Wolfe Street,Baltimore, MD 21205. Telephone: (410) 502-5450;fax: (410) 502-5831; e-mail: [email protected];Web site: http://www.jhsph.edu/wchpc. Availableat no charge from the Web site at http://www.jhsph.edu/wchpc/publications/oralbrief.pdf.

MATERIALS


12

PUBLIC AND PRIVATE-SECTOR EFFORTS TOIMPROVE THE ORAL HEALTH OF PREGNANTWOMEN: POLICIES, PROGRAMS, ANDPRACTICES

Edelstein B, VanLandeghem K. 2006. Public andPrivate-Sector Efforts to Improve the Oral Healthof Pregnant Women: Policies, Programs, andPractices.

This paper describes a sampling of policies, pro-grams, and practices in the public and private sec-tors that typify how some agencies have built uponthe putative relationship between periodontal dis-ease during pregnancy and unfavorable birth out-comes. This review provides information on howacademics, insurers, state governments, policyorganizations, professional societies, practitionersand others have featured this oral-systemic connec-tion in their efforts to address the oral health ofpregnant women. The Roger’s conceptual modelof innovation diffusion is employed to help explainthese efforts. This paper was commissioned for the“Research to Policy and Practice: Periodontal Healthand Birth Outcomes” forum held on December11–12, 2006, in Washington, DC.

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Available at no charge from the Website at http://www.mchoralhealth.org/PDFs/perio1.pdf.

PROFESSIONAL EDUCATION

AVDR TUTORIAL FOR DENTISTS: ASK,VALIDATE, DOCUMENT, AND REFER—INTERVENTION FOR DOMESTIC VIOLENCE

University of California San Francisco, Center forHealth Improvement and Prevention Studies.2005. AVDR Tutorial for Dentists: Ask, Validate,Document, and Refer—Intervention for DomesticViolence. San Francisco, CA: University of Califor-nia San Francisco, Center for Health Improvementand Prevention Studies. 1 DVD.

This DVD provides a multimedia learning experi-ence to help dentists and dental students recog-nize and respond to domestic violence. Contents

include a case study demonstrating how to con-duct the Ask, Validate, Document, and Refer(AVDR) intervention, which is a four-step inter-vention that oral health professionals can use aspart of a response to domestic violence. The folderfor dental schools includes an instructional plan,which explains how to use the other documentsincluded on the DVD. The folder for dentists con-tains a two-page downloadable document titled“Training Your Staff,” which explains how to usethe tutorial in a small group, practice the AVDRsteps, and assign follow-up tasks such as creatingor updating a list of local resources.

Contact: University of California San Francisco,Center for Health Improvement and PreventionStudies, School of Dentistry, 350 Parnassus Avenue,Suite 905, San Francisco, CA 94117. Telephone:(415) 502-7283; fax: (415) 502-7314; e-mail: [email protected]; Web site: http://www.ucsf.edu/chips.Single copies available at no charge.

DENTAL REFERRAL BY MEDICALPROFESSIONALS: MEDICAID PROGRAMFOR PREGNANT WOMEN

Louisiana Department of Health and Hospitalsand American College of Obstetricians and Gyne-cologists. 2003. Dental Referral by Medical Profes-sionals: Medicaid Program for Pregnant Women.New Orleans, LA: Louisiana Department of Healthand Hospitals. 3 items.

This information package contains two sets ofmaterials distributed to members of the AmericanCollege of Obstetricians and Gynecologists inLouisiana to encourage their participation in theimplementation and evaluation of a new Medic-aid oral health program for pregnant women. Thefirst set of materials includes (1) a letter that dis-cusses recent changes to oral health service cov-erage for pregnant women eligible for Medicaidand the health professional’s role in the successand continuation of the program, (2) a referralform for pregnancy-related oral health services,and (3) a 4- x 6-inch laminated card with clinicalsigns of periodontal disease printed on one sideand instructions for making oral health care refer-rals on the other. The second set of materialsincludes a letter, a survey, and a modified referralform used in analyzing the program’s effective-ness. Similar materials were distributed to nursesand dentists who participate in Louisiana’s Med-icaid program, and to public health clinics.


13

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Single photocopy available at nocharge.

DENTISTRY AND THE PREGNANT PATIENT

Colorado Community Health Network. 2006. Den-tistry and the Pregnant Patient. Denver, CO: Col-orado Community Health Network. 9 pp.

This booklet for oral health professionals in Col-orado provides guidance in managing oral healthcare for pregnant women. Topics include physio-logic changes in pregnancy, fetal developmentmilestones for each trimester, key principles toobserve, common oral health conditions that mayarise during pregnancy, oral health considerationsto observe in treating these conditions, and aguide to medication use in pregnancy.

Contact: Colorado Community Health Network,600 Grant Street, Suite 800, Denver, CO 80203.Telephone: (303) 861-5165; fax: (303) 861-5315;Web site: http://www.cchn.org. Available at nocharge from the Web site at http://www.cchn.org/activities/Pregnant_Patient.pdf.

ORAL HEALTH AND HEALTH IN WOMEN: A TWO-WAY RELATIONSHIP

Bertness J, Holt K. 2004. Oral Health and Healthin Women: A Two-Way Relationship. Washington,DC: National Maternal and Child Oral HealthResource Center. 2 pp.

This fact sheet provides general information andnational data on women’s oral health. Topicsinclude women’s oral health status, the relation-ship between oral health and general health inwomen, oral health care, and strategies forimproving women’s oral health. A list of refer-ences and resources is also provided. [Funded bythe Maternal and Child Health Bureau]

Contact: HRSA Information Center, P.O. Box2910, Merrifield, VA 22116. Telephone: (888) ASK-HRSA (275-4772); (877) 489-4772; fax: (703) 821-2098; e-mail: [email protected]; Web site: http://www.ask.hrsa.gov. Document code: MCH00123. Avail-

able at no charge; also available at no charge fromthe Web site at http://www.mchoralhealth.org/PDFs/WomensFactSheet.pdf.

ORAL HEALTH CARE DURING PREGNANCYAND EARLY CHILDHOOD: PRACTICEGUIDELINES

Kumar J, Samelson R, eds. 2006. Oral Health CareDuring Pregnancy and Early Childhood: PracticeGuidelines. Albany, NY: New York State Depart-ment of Health. 72 pp.

These practice guidelines are intended for use byprenatal, oral health, and child health profession-als in bringing about changes in the health caredelivery system and improving the overall stan-dard of care for pregnant women and young chil-dren. Content includes general information aboutoral health and pregnancy and oral health andearly childhood, along with background informa-tion and specific recommendations for prenatal,oral health, and child health professionals. Anexecutive summary, instructions for using theguide, and references are also provided. [Fundedby the Maternal and Child Health Bureau]

Contact: New York State Department of Health,Bureau of Dental Health, Empire State Plaza,Tower Room 542, Albany, NY 12237-0619. Tele-phone: (518) 474-1961; fax: (518) 474-8985; e-mail:[email protected]; Web site: http://www.nyhealth.gov/prevention/dental. Available atno charge from the Web site at http://www.health.state.ny.us/publications/0824.pdf.

ORAL HEALTH RISKS DURING THEPRENATAL PERIOD

Thornton M. 2004. Oral Health Risks During thePrenatal Period. Denver, CO: Colorado Depart-ment of Public Health and Environment, OralHealth Program. 5 pp.

These printed slides are from a presentation aboutoral health and pregnancy to help integrate anoral health component into Colorado’s NurseFamily Partnership Program. Topics include fre-quently asked questions, warning signs of peri-odontal disease, tips for pregnant women, andbarriers to accessing oral health care. An evalua-tion summary sheet is also included. [Funded inpart by the Maternal and Child Health Bureau]


14

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Single photocopy available at no charge.

PERIODONTAL DISEASE AND PREGNANCYOUTCOMES: STATE OF THE SCIENCE

Xiong X, Vastardis S, Buekens P. 2006. Periodon-tal Disease and Pregnancy Outcomes: State of theScience.

This paper synthesizes the current evidence onthe relationship between periodontal disease andadverse pregnancy outcomes. Forty-four studies(26 case-control, 13 cohort, and 5 controlled tri-als) were included in this review, which buildsand expands upon the findings of a previouslypublished systematic review article (Xiong et al.2006. Periodontal disease and adverse pregnancyoutcomes: A systematic review. BJOG: An Inter-national Journal of Obstetrics and Gynaecology113(2):135–143). This paper was commissionedfor the “Research to Policy and Practice: Perio-dontal Health and Birth Outcomes” forum held on December 11–12, 2006, in Washington, DC.

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail:[email protected]; Web site: http://www.mchoralhealth.org. Available at no charge fromthe Web site at http://www.mchoralhealth.org/PDFs/perio2.pdf.

PREGNANCY AND PERIODONTAL DISEASE

McGuire B. 2004. Pregnancy and Periodontal Dis-ease. Carson City, NV: Nevada State Health Divi-sion. 1 v.

This information package for health professionalsdiscusses periodontal disease in pregnant womenand its connection to negative pregnancy out-comes. Section topics include oral infections andhealth, oral infections and pregnancy, prematureand low-birthweight infants, periodontal disease,the tooth and the periodontium, 10 warning signsof periodontal disease, facts on periodontal dis-ease, and women and periodontal disease. A direc-tory of related links and references is provided.

Contact: Christine Wood. Nevada State HealthDivision, Oral Health Initiative, 3427 Goni Road,Suite 108, Carson City, NV 89706. Telephone:(775) 684-4285; e-mail: [email protected];Web site: http://health2k.state.nv.us/oral. Availableat no charge from the Web site at http://health2k.state.nv.us/oral/SpecialFolder/index.html.

PREGNANCY CRAVINGS CAN HARM YOURORAL HEALTH

Academy of General Dentistry. 2006. PregnancyCravings Can Harm Your Oral Health. Chicago,IL: Academy of General Dentistry. 1 p.

This fact sheet for health professionals discussescravings during pregnancy, including pica, an eat-ing disorder characterized by the desire to eatnon-nutritious substances that is often accompa-nied by bulimia. The fact sheet describes symp-toms for health professionals to look for if theysuspect pica, as well as substances that those withpica crave.

Contact: Academy of General Dentistry, 211 EastChicago Avenue, Suite 900, Chicago, IL 60611-1999. Telephone: (888) 243-3368; fax: (312) 440-0559; Web site: http://www.agd.org. Available atno charge from the Web site at http://www.agd.org/media/2006/june/cravings.asp.

PROFESSIONAL RESOURCES

BRIGHT FUTURES IN PRACTICE: ORALHEALTH—POCKET GUIDE

Casamassimo P, Holt K, eds. 2004. Bright Futuresin Practice: Oral Health—Pocket Guide. Washing-ton, DC: National Maternal and Child Oral HealthResource Center. 89 pp.

This guide is designed to help health profession-als implement specific oral health supervisionguidelines during pregnancy and the postpartumperiod, infancy, early childhood, middle child-hood, and adolescence. It addresses risk assess-ment for dental caries, periodontal disease, mal-occlusion, and injury. Appendices include atooth-eruption chart, a caries-risk-assessment tool,and recommended dosages for systemic fluoridesupplements. The guide concludes with a glos-sary and resources. [Funded by the Maternal andChild Health Bureau]

Contact: Bright Futures Distribution Center, c/oRMS Direct, Department B, 4510 BuckeystownPike, Unit M, Frederick, MD 21704-3539. Tele-phone: (301) 279-8890; fax: (301) 838-0648; Website: http://www.rmsdirectinc.com. 1–19 copies,$10.00 each; 20–49 copies, $7.50 each; 50+ copies,$5.00 each; plus 7% shipping and handling; alsoavailable at no charge from the Web site at http://www.mchoralhealth.org/PDFs/BFOHPocketGuide.pdf.

CAVITY FREE KIDS: AN EARLY START—ORAL HEALTH EDUCATION FOR PREGNANTWOMEN, INFANTS, AND TODDLERS (REV. ED.)

Huntley B, Hagen J. 2004. Cavity Free Kids: AnEarly Start—Oral Health Education for PregnantWomen, Infants, and Toddlers (rev. ed.). Seattle,WA: Washington Dental Service Foundation. 117pp., 1 CD-ROM.

This curriculum includes information and activitysuggestions for preschool teachers, family healthadvocates, oral health professionals, and nutritioncoordinators to use in formulating sessions on theimportance of oral health and proper oral healthcare for pregnant women, infants, and toddlers.Sections include (1) getting started (2) essentialinformation for parents, (3) references for teachersand parent educators, (4) the tooth kit, (5) trainingguide, (6) a training agenda, (7) oral health train-ing, (8) training aids, and (9) resources. Theresources section provides sources for supplies,printed or downloaded materials sources, songlyrics, a book list, and references. Handouts andother reproducible materials are included through-out. The curriculum is extensively illustrated, andsome materials are offered in Spanish. A CD-ROMof the curriculum is provided, along with presen-tation materials and downloadable materials for-matted as PDF files.

Contact: Washington Dental Service Foundation,P.O. Box 75688, 9706 Fourth Avenue, N.E., Seat-tle, WA 98115-2157. Telephone: (206) 522-1300;(800) 367-4104; e-mail: [email protected];Web site: http://www.deltadentalwa.com. Avail-able in conjunction with train-the-trainer sessionsonly; host organization to assume printing costs.

HEALTHY SMILES FOR YOUNG CHILDREN

Iowa Healthy Smiles. 2005. Healthy Smiles forYoung Children. Des Moines, IA: Iowa Depart-ment of Public Health, Oral Health Bureau. 100pp., 8 items.

This kit for parent educators, including home visi-tors from Head Start and other programs, compris-es a series of learning modules about pregnancyand oral health, and about early childhood and oralhealth, to provide education to pregnant womenand parents. Topics covered include (1) effects ofthe mother’s oral health on the fetus and newborn,(2) effects of pregnancy on oral health, (3) oralhealth care during pregnancy, (4) gingivitis andperiodontitis, (5) oral hygiene habits, (6) actionsteps to a healthier mouth, and (7) nutrition. Alsoincluded in the kit are a variety of booklets andbrochures about oral health during pregnancy andoral health for infants and children, a tip sheet forEarly Head Start staff about working with healthprofessionals to improve access to oral health care,and a flip chart with color photographs about oralhealth during pregnancy and childhood.

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Available for loan.

HELP ME SMILE: ORAL HEALTH RISKASSESSMENT PROTOCOLS, TRAININGMODULES, AND EDUCATIONAL MATERIALSFOR USE WITH FAMILIES OF YOUNGCHILDREN

Ohio Department of Health, Bureau of OralHealth Services. 2006. Help Me Smile: Oral HealthRisk Assessment Protocols, Training Modules, andEducational Materials for Use with Families ofYoung Children. Columbus, OH: Ohio Depart-ment of Health, Bureau of Oral Health Services. 1 v.

This collection of materials provides oral healthprofessionals with protocols, modules, and edu-cational materials to promote good oral health forpregnant women and families with young chil-dren. The collection is divided into the followingsections: prenatal and mother, infancy (0–11months), toddler (12–35 months), and early child-


15


16

hood (3–5 years). Topics include fluoride in thewater; teeth cleaning; nutrition; the dental home;bad breath, bleeding gums, and toothache; and“lift the lip” protocols for infants and young chil-dren. Also included are handouts, a laminatedand illustrated flip chart, an instruction sheet, achecklist, and instructions for obtaining a fluorideanalysis of a water sample. [Funded by the Mater-nal and Child Health Bureau]

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Available from the Web site at nocharge at http://www.mchoralhealth.org/materials/multiples/helpmesmile; also available for loan.

IMPROVING WOMEN’S AND CHILDREN’SORAL HEALTH / MEJORANDO LA SALUDORAL DE MUJERES Y NIÑOS

Illinois Department of Public Health, Division ofOral Health. 2005. Improving Women’s and Chil-dren’s Oral Health / Mejorando la Salud Oral deMujeres y Niños. Springfield, IL: Illinois Depart-ment of Public Health, Division of Oral Health. 32 pp.

This illustrated flipchart provides information fornew mothers and other women on the impor-tance of good oral health during pregnancy andof preventing early childhood caries (ECC). Sec-tions summarize issues related to tooth decay,periodontal disease, pregnancy and oral health,brushing, flossing, ECC, fluoride, dental sealants,and visiting the dentist, and provide tips for clean-ing infants’ and toddlers’ teeth. A summary ofimportant points is also provided. The informa-tion is presented in English and Spanish. [Fundedby the Maternal and Child Health Bureau]

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Available for loan; content alsoavailable at no charge from the Web site at http://www.idph.state.il.us/HealthWellness/oralhlth/Improving%20Oral%20Health.pdf.

ORAL HEALTH INFORMATION FOR THEEARLY CARE AND EDUCATION COMMUNITY

Kansas Head Start Association with KansasDepartment of Health and Environment, KansasDental Hygienists Association, and Kansas Asso-ciation for Child Care Resource and Referral Agen-cies. 2001. Oral Health Information for the EarlyCare and Education Community. Topeka, KS:Kansas Department of Health and Environment.16 pp.

This manual for trainers and educators providesbasic information about oral health in pregnantwomen, infants, and young children. The manualis divided into sections according to age group(prenatal, birth to 6 months, 6–12 months, 12–24months, and 3–5 years). Each section explains thetheory and rationale behind good oral healthpractice and then outlines that practice in a seriesof bullet points suitable for use in presentationsor handouts. Following each section is a list ofWeb sites and other resources that provide addi-tional information. The manual also includesreproducible sheets that can be used as trans-parencies or handouts to illustrate key points.

Contact: Kansas Department of Health and Envi-ronment, Curtis State Office Building, 1000 SouthWest Jackson Street, Topeka, KS 66612. Tele-phone: (785) 296-1500; (785) 296-1538; fax: (785)368-6368; e-mail: [email protected]; Web site:http://www.kdhe.state.ks.us. Available at no chargefrom the Web site at http://www.kdhe.state.ks.us/ohi/download/early_care_and_edu.pdf.

PREGNANCY AND YOUR ORAL HEALTH

De la Cruz G. 2004. Pregnancy and Your OralHealth. Aberdeen Proving Grounds, MD: ArmyCenter for Health Promotion and Preventive Med-icine.

This PowerPoint presentation is part of the Preg-nancy/Postpartum Physical Training Program ofthe U.S. Army to establish a safe, standardizedprogram that can be used to educate pregnantsoldiers on the topic of pregnancy and oralhealth. Topics include when to see a dentist, safeoral health treatment, fetal growth and develop-ment, childhood enamel hypoplasia, changes dur-ing pregnancy that affect oral health, plaque andtooth decay, diet and dental caries, pregnancygingivitis and granuloma, possible treatments, oral


17

diseases that can affect pregnancy, and preven-tion through proper oral hygiene and nutrition.Slides with test questions and photographs areincluded throughout the presentation.

Contact: U.S. Army Center for Health Promotionand Preventive Medicine, 5158 Blackhawk Road,Aberdeen Proving Ground, MD 21010-5403. Tele-phone: (800) 222-9698; Web site: http://chppm-www.apgea.army.mil. Available at no charge fromthe Web site at http://chppm-www.apgea.army.mil/dhpw/Readiness/PregnancyAndYourOralHealth.ppt.

PRENATAL ORAL HEALTH EDUCATIONPROJECT: A RESOURCE MANUAL

New Hampshire Area Health Education Center.2005. Prenatal Oral Health Education Project: A Resource Manual. Concord, NH: New Hamp-shire Department of Health and Human Services,Division of Public Health Services. 58 pp.

This resource manual from New Hampshire’s Pre-natal Oral Health Education Project includes aPowerPoint presentation on prenatal oral health;articles on periodontal disease during pregnancy;an article on nutrition and oral health for pregnantwomen, infants, and children; and the AmericanAcademy of Periodontology’s statement on peri-odontal management of pregnant women.

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Available for loan.

PRENATAL PROVIDER PACKET “GOODHEALTH STARTS WITH A SMART MOUTH”

Oral Health Awareness Colorado! 2004. PrenatalProvider Packet “Good Health Starts with a SmartMouth.” Denver, CO: Oral Health Awareness Col-orado! 7 items.

This information package, which is intended foruse by health professionals who provide prenatalcare to women in Colorado, discusses the impor-tance of oral health for pregnant women and con-tains key messages to impart to women aboutensuring their own oral health. The package con-tains a cover letter, health professional reference

guides, a client brochure, a policy brief, an eval-uation form, and a materials order form. [Fundedin part by the Maternal and Child Health Bureau]

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Single photocopy available at no charge.

THE SMILE GUIDE: DENTAL HEALTH ANDPREGNANCY

Class on Demand. 2002. The Smile Guide: DentalHealth and Pregnancy. Evanston, IL: United Learn-ing. 3 items; 1 facilitator’s guide, 1 set of masterhandouts, 1 videotape (VHS, 13 min.).

This kit for health professionals contains a video-tape, a facilitator’s guide, and master handouts foruse in educating pregnant women and newmothers about oral health during pregnancy andinfancy. Advice on eating a variety of foods forgood health, on developing good oral healthhabits, and on finding a dentist are presented. Thecariogenic process is described, with an empha-sis on sugar as a key component. Basic tooth-brushing and flossing skills are demonstrated, andgraphics and illustrations are included. A sectionon newborn oral health care offers information onpreventing early childhood caries. A pre-test andpost-test, recipes, and fact sheets are also included.

Contact: Jason Altschul. Discovery Education, 1560Sherman Avenue, Suite 100, Evanston, IL 60201.Telephone: (800) 323-9084; (800) 421-2363, ext.7201; fax: (847) 328-6706; e-mail: [email protected]; Web site: http://school.discovery.com. $89.00, plus shipping and handling (video-tape); facilitator’s guide and handout mastersavailable at no charge from the Web site athttp://www.unitedstreaming.com/videos/11176/11176_TG.pdf (facilitator’s guide) and http://www.unitedstreaming.com/videos/11176/11176_BM.pdf(handout masters). Bulk discounts are available.

SOUNDBITES: NUTRITION AND ORALHEALTH GUIDELINES FOR PREGNANTWOMEN, INFANTS, AND YOUNG CHLDREN.VIDEO AND VIDEO GUIDEBOOK

Owens A, Palmer C. 2002. Soundbites: Nutritionand Oral Health Guidelines for Pregnant Women,Infants, and Young Children. Video and VideoGuidebook. Boston, MA: Tufts University Schoolof Dental Medicine, Frances Stern Nutrition Cen-ter. 29 pp., 1 videotape (VHS 1/2 inch, 15 minutes).

This videotape and guidebook are designed forhealth professionals to use to help promote goodnutrition and oral health for pregnant women,infants, children, and infants’ and children’s care-givers. The videotape discusses common oralhealth topics such as care of the mouth, nutritionto promote good oral health, and how to preventcommon childhood oral health problems. Theguidebook includes the following sections: preg-nancy, birth to 6 months, 6 months to 1 year, 1year to 2 years, 2 years to 3 years, and childrenwith special health care needs. Additional sectionsinclude a review of the Soundbites program goalsand suggestions for learning; a discussion of theimportance of nutrition and oral health care dur-ing pregnancy, infancy, and early childhood; avideotape; and an evaluation form.

Contact: Carole Palmer. Tufts-New England Med-ical Center, Francis Stern Nutrition Center, 750Washington Street, Box #783, Boston, MA 02111.Telephone: (617) 636-6808; fax: (617) 636-6834;e-mail: [email protected]; Web site: http://www.nemc.org/fsnc. $40.00 plus shipping andhandling.

TEETH FOR TWO: PREGNANCY ANDPRENATAL ORAL HEALTH

Kansas Head Start Association. 2005. Teeth forTwo: Pregnancy and Prenatal Oral Health. Shaw-nee, KS: Kansas Head Start Association. 80 pp., 5 items.

This kit for parent educators, including home vis-itors from Early Head Start and other programs,includes a series of learning modules about preg-nancy and oral health to provide education topregnant women. Topics covered include (1) ef-fects of the mother’s oral health on the fetus andthe newborn, (2) effects of pregnancy on oralhealth, (3) oral health care during pregnancy,

(4) gingivitis and periodontitis, (5) oral hygienehabits, (6) action steps to a healthier mouth, and(7) nutrition. Also included in the kit are a varietyof booklets and brochures about oral health dur-ing pregnancy.

Contact: Marcia Manter. Kansas Head Start Asso-ciation, 22521 West 53rd Terrace, Shawnee, KS66226. Telephone: (913) 422-1700; fax: (913) 422-5002; e-mail: [email protected]; Website: http://www.ksheadstart.org/current.html. Con-tact for cost information.

PUBLIC EDUCATION

BABY YOUR ORAL HEALTH: WHAT YOUNEED TO KNOW ABOUT ORAL HEALTHAND PREGNANCY

National Healthy Mothers, Healthy Babies Coali-tion. 2005. Baby Your Oral Health: What You Needto Know About Oral Health and Pregnancy.Alexandria, VA: National Healthy Mothers, Heal-thy Babies Coalition. 6 pp.

This brochure discusses the importance of goodoral health during pregnancy. Topics include theeffects of poor oral health and periodontal diseaseon the risk for premature birth or low-birthweightinfants, visiting the dentist while pregnant, risksassociated with having dental work performedduring pregnancy, and oral health tips. Internetresources are provided, along with brief factsabout periodontal disease during pregnancy andrisks to the fetus.

Contact: National Healthy Mothers, HealthyBabies Coalition, 2001 North Beauregard Street,12th Floor, Alexandria, VA 22311-1732. Telephone:(703) 836-6110; fax: (703) 836-3470; e-mail: [email protected]; Web site: http://www.hmhb.org. Avail-able at no charge from the Web site at http://www.hmhb.org/oralhealth_april03.pdf.

BRUSH FOR TWO . . . FOR BABY AND YOU

National Healthy Mothers, Healthy Babies Coali-tion. 2006. Brush for Two . . . for Baby and You.Alexandria, VA: National Healthy Mothers, Heal-thy Babies Coalition. 2 pp.

This brochure describes the importance of properoral health during pregnancy, the risks that gum


18

disease can pose to both a pregnant woman andher developing infant, and how gum disease maycontribute to premature delivery or low birth-weight. The brochure provides advice on nutri-tion, oral hygiene, vaccination, use of multivita-mins, avoiding smoking and alcohol use, exercise,and the use of seatbelts. Also discussed are theimportance of seeing an oral health professionalbefore and during pregnancy and how pregnancycan affect the teeth and gums.

Contact: National Healthy Mothers, HealthyBabies Coalition, 2001 North Beauregard Street,12th Floor, Alexandria, VA 22311-1732. Telephone:(703) 836-6110; fax: (703) 836-3470; e-mail: [email protected]; Web site: http://www.hmhb.org. Avail-able at no charge from the Web site at http://www.hmhb.org/pdf/brush-for-two_brochure.pdf.

DENTAL HEALTH DURING PREGNANCY

Texas Department of Health, Bureau of NutritionServices. 2003. Dental Health During Pregnancy.Austin, TX: Texas Department of Health, Bureauof Nutrition Services. 9 pp.

This lesson plan provides information about oralhealth problems that women may experience dur-ing pregnancy and the consequences of theseproblems, foods that contribute to tooth forma-tion in developing infants, and what pregnantwomen can do to prevent oral health problems.The lesson plan provides teaching tips for theinstructor, handouts for participants, and twoevalulation survey forms, one for the instructorand one for participants. The lesson plan isintended for use with the videotape Dental Healthand Pregnancy, produced by United Learning.

Contact: Texas Department of State Health Ser-vices, Bureau of WIC Nutrition, 1100 West 49thStreet, Austin, TX 78756-3199. Telephone: (512)458-7444; (800) 942-3678; fax: (512) 458-7446; e-mail: [email protected]; Web site: http://www.dshs.state.tx.us/wichd. Available from theWeb site at no charge at http://www.dshs.state.tx.us/wichd/nut/pdf/mn00012.pdf.

DENTAL HEALTH DURING PREGNANCY:WHAT YOU NEED TO KNOW

Healthy Mothers, Healthy Babies Coalition ofWashington State. 2004. Dental Health DuringPregnancy: What You Need to Know. Seattle, WA:

Healthy Mothers, Healthy Babies Coalition ofWashington State. 2 pp.

This brochure offers tips on oral health care dur-ing pregnancy. The brochure discusses the impor-tance of oral health, preventing gum diseases,prematurity risks, and when to visit the dentist.Additional information is provided on nutrition asit relates to oral health. The brochure is also avail-able in Spanish.

Contact: Healthy Mothers, Healthy Babies Coali-tion of Washington State, 11000 Lake City Way,N.E., Suite 301, Seattle, WA 98125. Telephone:(800) 322-2588; (206) 284-2465; e-mail: [email protected]; Web site: http://www.hmhbwa.org.Available at no charge to Washington residents,one sample copy available at no charge to out-of-state residents, unable to fulfill internationalorders; may be ordered online at http://www.hmhbwa.org/forprof/materials/requestform.php,or print form and mail.

DENTAL HEALTH TIPS FOR PREGNANTMOMS

Maryland Department of Health and MentalHygiene, Office of Oral Health. 2002. DentalHealth Tips for Pregnant Moms. Baltimore, MD:Maryland Department of Health and MentalHygiene, Office of Oral Health. 2 pp.

This two-sided bookmark provides tips on oralhygiene during pregnancy, including brushing,flossing, visiting the dentist, snacking on healthyfoods, and avoiding foods that are high in sugar.Information is also provided on oral health ser-vices and insurance available to pregnant womenin Maryland through Medicaid and the MarylandChildren’s Health Program.

Contact: Maryland Department of Health andMental Hygiene, Office of Oral Health, 201 WestPreston Street, Third Floor, Baltimore, MD 21201.Telephone: (410) 767-5300; fax: (410) 333-7392;e-mail: [email protected]; Web site:http://www.fha.state.md.us/oralhealth. Availableat no charge.


19


20

DO WOMEN NEED TO BE MORE CAREFULWITH THEIR ORAL HEALTH?

Academy of General Dentistry. 2006. Do WomenNeed to Be More Careful with Their Oral Health?Chicago, IL: Academy of General Dentistry. 2 pp.

This fact sheet discusses the oral health of womenduring their lifespans. It outlines the role of hor-mones on oral health during puberty, pregnancy,and menopause, and when oral contraceptivesare being used. The fact sheet also touches onoral health consequences of diet-pill consump-tion, eating disorders, and smoking.

Contact: Academy of General Dentistry, 211 EastChicago Avenue, Suite 900, Chicago, IL 60611-1999. Telephone: (888) 243-3368; fax: (312) 440-0559; Web site: http://www.agd.org. Available atno charge from the Web site at http://www.agd.org/consumer/topics/women/main.asp.

FREQUENTLY ASKED QUESTIONS: ORAL HEALTH

National Women’s Health Information Center.2004. Frequently Asked Questions: Oral Health.Fairfax, VA: National Women’s Health InformationCenter. 9 pp.

This handout provides answers to frequentlyasked questions about oral health, how oralhealth and general health are connected, specialconcerns during the prenatal and postnatal peri-ods, and infant oral health care. Resources formore information are included.

Contact: National Women’s Health InformationCenter, 8500 Arlington Boulevard, Suite 300, Fair-fax, VA 22031. Telephone: (800) 994-9662; (888)220-5446; fax: (703) 560-6598; Web site: http://www.womenshealth.gov. Available at no charge;also available at no charge from the Web site athttp://www.4woman.gov/faq/oral_health.pdf.

HOW DOES PREGNANCY AFFECT MYORAL HEALTH?

Academy of General Dentistry. 2006. How DoesPregnancy Affect My Oral Health? Chicago, IL:Academy of General Dentistry. 2 pp.

This fact sheet describes how changes duringpregnancy, particularly hormonal changes, canaffect oral health. Topics include plaque develop-

ment, pregnancy tumors, gingivitis, and theimportance of proper oral hygiene and regulardental visits. The fact sheet also touches uponprocedures such as the use of anesthesia and X-rays that should be discussed with the dentistand the obstetrician before being implementedduring pregnancy.

Contact: Academy of General Dentistry, 211 EastChicago Avenue, Suite 900, Chicago, IL 60611-1999. Telephone: (888) 243-3368; fax: (312) 440-0559; Web site: http://www.agd.org. Available atno charge from the Web site at http://www.agd.org/consumer/topics/pregnancy/main.asp.

MENSTRUATION, PREGNANCY ANDMENOPAUSE SPELL TROUBLE FOR TEETH

Academy of General Dentistry. 2006. Menstrua-tion, Pregnancy and Menopause Spell Trouble forTeeth. Chicago, IL: Academy of General Dentistry.1 p.

This fact sheet briefly explains oral health issuesthat may occur during a woman’s lifespan. Thefact sheet describes symptoms such as swollengums, pain, changes in taste, and dry mouth, aswell as osteoporosis (bone loss) that may occuras part of puberty, pregnancy, lactation, menstru-ation, and menopause.

Contact: Academy of General Dentistry, 211 EastChicago Avenue, Suite 900, Chicago, IL 60611-1999. Telephone: (888) 243-3368; fax: (312) 440-0559; Web site: http://www.agd.org. Available atno charge from the Web site at http://www.agd.org/consumer/topics/women/wom.asp.

ORAL HEALTH AND PREGNANCY

Healthy Smile Happy Child. 2006. Oral Healthand Pregnancy. Carson City, NV: Nevada StateHealth Division, Oral Health Initiative. 2 pp.

This fact sheet outlines the importance of goodoral hygiene and proper nutrition during preg-nancy. It discusses gingivitis, premature andunderweight infants, tooth decay, oral treatments,and dental visits. The fact sheet is available inEnglish and Spanish.

Contact: Christine Wood. Nevada State HealthDivision, Oral Health Initiative, 3427 Goni Road,Suite 108, Carson City, NV 89706. Telephone:(775) 684-4285; e-mail: [email protected];

Web site: http://health2k.state.nv.us/oral. Avail-able at no charge from the Web site at http://health2k.state.nv.us/oral/OHP%20English.pdf (Eng-lish) and http://health2k.state.nv.us/oral/OHP%20Spanish.pdf (Spanish).

ORAL HEALTH AND YOUR HEALTHY BABY

Colorado Community Health Network and Col-orado Oral Health Network. 2005. Oral Healthand Your Healthy Baby. Denver, CO: ColoradoCommunity Health Network. 1 p.

This handout for consumers with low literacyskills tells a story about the importance of properoral health during pregnancy. The handout alsoillustrates how the bacteria in gum disease mayresult in premature or low-birthweight infants.The handout is available in English, Spanish,French, and Russian.

Contact: Colorado Community Health Network,600 Grant Street, Suite 800, Denver, CO 80203.Telephone: (303) 861-5165; fax: (303) 861-5315;Web site: http://www.cchn.org. Available at nocharge from the Web site at http://www.cchn.org/activities/PEM_Preterm_LBW_Babies.pdf (English),http://www.cchn.org/activities/PEM_Preterm_LBW_Babies_SPA.pdf (Spanish), http://www.cchn.org/activities/PEM_Preterm_LBW_Babies_RUS.pdf (Rus-sian), and http://www.cchn.org/activities/PEM_Preterm_LBW_Babies_French.pdf (French).

ORAL HEALTH TIDBITS

Department of Agriculture, Food and NutritionInformation Center. 2003. Oral Health Tidbits.Beltsville, MD: Department of Agriculture, Foodand Nutrition Information Center. 4 pp.

This fact sheet provides information about toothdecay and early childhood caries (ECC). Topicsinclude ECC prevalence and etiology; foods,snacking, and oral health; oral health and infants,children, and pregnant women; breastfeeding andECC; and the Special Supplemental Nutrition Pro-gram for Women, Infants and Children. The factsheet also provides references and a chart illus-trating the caries process.

Contact: Food and Nutrition Information Center,National Agricultural Library, 10301 BaltimoreAvenue, Room 105, Beltsville, MD 20705-2351.Telephone: (301) 504-5719; fax: (301) 504-6409;

e-mail: [email protected]; Web site: http://www.nal.usda.gov/fnic. Available at no charge from theWeb site at http://www.nal.usda.gov/wicworks/Topics/oralhealth.pdf.

PERIODONTAL DISEASE AND PRETERMBIRTH

March of Dimes, Office of the Medical Director.2004. Periodontal Disease and Preterm Birth. WhitePlains, NY: March of Dimes. 2 pp.

This fact sheet describes research into the associ-ation between periodontal disease and pretermbirth. Sections include a summary of the evidenceand issues; brief descriptions of research on thelinks between periodontal disease, preterm birth,and low birthweight; potential mechanisms andpathways; and preventive factors in treating peri-odontal disease to reduce the risk of pretermbirth.

Contact: March of Dimes, 1275 MamaroneckAvenue, White Plains, NY 10605. Telephone: (914)428-7100; (888) MODIMES; (914) 997-4764; e-mail:[email protected]; Web site: http://www.marchofdimes.com. Available at no charge fromthe Web site at http://www.marchofdimes.com/files/MP_PeriodontalDiseaseAnPretermBirth031004.pdf.

PREGNANCY AND GINGIVITIS

Academy of General Dentistry. 2006. Pregnancyand Gingivitis. Chicago, IL: Academy of GeneralDentistry. 2 pp.

This fact sheet describes oral health concerns forwomen during pregnancy or when oral contra-ceptives are being used. Conditions such as gin-givitis and other oral health factors that may leadto premature delivery or that may affect fetaldevelopment are described, and treatment op-tions are outlined.

Contact: Academy of General Dentistry, 211 EastChicago Avenue, Suite 900, Chicago, IL 60611-1999. Telephone: (888) 243-3368; fax: (312) 440-0559; Web site: http://www.agd.org. Available atno charge from the Web site at http://www.agd.org/consumer/topics/pregnancy/pregnancy_gingivitis.asp.


21

PREGNANCY AND ORAL HEALTH: DENVERHEALTH PATIENT INFORMATION

Denver Health and Hospital Authority. 2002.Pregnancy and Oral Health: Denver HealthPatient Information. Denver, CO: Denver Healthand Hospital Authority. 1 p.

This handout provides answers to frequentlyasked questions about oral health during preg-nancy. The handout discusses how pregnancy canaffect oral health, why maintaining proper oralhygiene is important, and what happens at a den-tal visit during pregnancy. The handout also out-lines how payment for an appointment is arrangedas well as other administrative issues.

Contact: Colorado Community Health Network,600 Grant Street, Suite 800, Denver, CO 80203.Telephone: (303) 861-5165; fax: (303) 861-5315;Web site: http://www.cchn.org. Available at nocharge from the Web site at http://www.cchn.org/activities/Pregnancy_and_Oral_Health.pdf (English)and http://www.cchn.org/activities/Embarazo_Oral.pdf (Spanish).

PREGNANCY AND YOUR MOUTH

Colorado Community Health Network and Col-orado Oral Health Network. 2005. Pregnancy andYour Mouth. Denver, CO: Colorado CommunityHealth Network. 1 p.

This handout for consumers with low literacyskills describes oral health issues that may ariseduring pregnancy. The handout discusses hor-monal changes that affect bacteria in the mother’smouth and how bacteria may affect the infant’sdevelopment. The handout advises pregnantwomen to maintain proper oral hygiene, visit thedentist for cleanings, stop smoking, and eat nutri-tious food. A story-like format provides informa-tion about when is the best time during preg-nancy to visit a dentist. The handout is availablein English, Spanish, Russian, and French.

Contact: Colorado Community Health Network,600 Grant Street, Suite 800, Denver, CO 80203.Telephone: (303) 861-5165; fax: (303) 861-5315;Web site: http://www.cchn.org. Available at nocharge from the Web site at http://www.cchn.org/activities/Pregnancy_and_Oral_Health.pdf (English),http://www.cchn.org/activities/PEM_Pregnancy_and_Oral_Health_SPA.pdf (Spanish), http://www.cchn.org/activities/PEM_Pregnancy_and_Oral_

Health_RUS.pdf (Russian), and http://www.cchn.org/activities/PEM_Pregnancy_and_Oral_Health_French.pdf (French).

PREGNANT WOMEN AND ORAL HEALTH

Louisiana State University Health Sciences Center,School of Dentistry Oral Health Program. 2003.Pregnant Women and Oral Health. New Orleans,LA: Louisiana State University Health SciencesCenter, School of Dentistry Oral Health Program.2 items; 1 brochure, 1 CD-ROM.

This information package includes one printbrochure and one CD-ROM containing a 30-sec-ond public-service announcement on the impor-tance of oral health care during pregnancy. Top-ics include periodontal disease, services coveredby the Louisiana Medicaid oral health program,how and when pregnant women should seek oralhealth care, and healthy habits for oral health dur-ing pregnancy.

Contact: National Maternal and Child Oral HealthResource Center, Georgetown University, Box571272, Washington, DC 20057-1272. Telephone:(202) 784-9771; fax: (202) 784-9777; e-mail: [email protected]; Web site: http://www.mchoralhealth.org. Single copies available at no charge.

PRENATAL DENTAL CARE

West Virginia Department of Health and HumanResources, Oral Health Program. 2004. PrenatalDental Care. Charleston, WV: West Virginia Depart-ment of Health and Human Resources, Oral HealthProgram. 6 pp.

This brochure discusses the importance of oralhealth care during pregnancy. Topics include eat-ing the right foods, going to the dentist, brushingand flossing daily, and oral health problems thatmay arise during pregnancy.

Contact: West Virginia Department of Health andHuman Resources, Oral Health Program, 350 Capi-tol Street, Charleston, WV 25301. Telephone: (800)642-9704; Web site: http://www.wvdhhr.org/mcfh/ICAH/oral_health_program.asp. Available at nocharge from the Web site at http://www.wvdhhr.org/mcfh/ICAH/Prenatal_6pages.pdf.


22

START MOTHERHOOD WITH A HEALTHYMOUTH

Healthy Mothers, Healthy Babies Coalition ofWashington State. 2003. Start Motherhood with aHealthy Mouth. Seattle, WA: Healthy Mothers,Healthy Babies Coalition of Washington State. 2 pp.

This bookmark provides information about theimportance of good oral health and nutrition dur-ing and after pregnancy. The bookmark includestips for preventing gum disease during pregnancy,when to talk with an oral health professional andwhat to talk about, and steps for preventing dentalcaries in infants. The bookmark is available in Eng-lish, Spanish, Russian, Vietnamese, and Somali.

Contact: Healthy Mothers, Healthy Babies Coali-tion of Washington State, 11000 Lake City Way,N.E., Suite 301, Seattle, WA 98125. Telephone:(800) 322-2588; (206) 284-2465; e-mail: [email protected]; Web site: http://www.hmhbwa.org.Available at no charge to Washington residents,one sample copy available at no charge to out-of-state residents, unable to fulfill internationalorders.

WANT SOME LIFE SAVING ADVICE? ASKYOUR DENTAL HYGIENIST ABOUT WOMENAND SMOKING

American Dental Hygienists’ Association. 2005.Want Some Life Saving Advice? Ask Your DentalHygienist About Women and Smoking. Chicago,IL: American Dental Hygienists’ Association. 1 p.

This handout for women describes how importantit is not to smoke. Topics include the connectionsbetween smoking and secondhand smoke andvarious forms of cancer, research on smoking-linked cancer in women, the effects of smokingon appearance, and the relationship betweensmoking and oral health issues such as stainedteeth and periodontal disease. Additional informa-tion focuses on the effects of smoking on adoles-cent females and young women.

Contact: American Dental Hygienists’ Association,444 North Michigan Avenue, Suite 3400, Chicago,IL 60611. Telephone: (312) 440-8900; fax: (312)467-1806; e-mail: [email protected]; Web site: http://www.adha.org. Available at no charge from theWeb site at http://www.adha.org/downloads/women_smoking.pdf.

WOMEN AND PERIODONTAL DISEASE

American Academy of Periodontology. 2005. Wo-men and Periodontal Disease. Chicago, IL: Amer-ican Academy of Periodontology. 3 pp.

This fact sheet describes oral health issues uniqueto women throughout their lifespans. The brochurediscusses periodontal disease, plaque, gingivitis,and the effect of hormonal changes on gums andon oral health during puberty, menstruation, preg-nancy, and menopause and when using oral con-traceptives.

Contact: American Academy of Periodontology,737 North Michigan Avenue, Suite 800, Chicago,IL 60611-2690. Telephone: (312) 787-5518; fax:(312) 787-3670; Web site: http://www.perio.org.Available at no charge from the Web site at http://www.perio.org/consumer/women.htm.

STATE PROFILES

ORAL HEALTH: A LINK TO GENERALHEALTH

Illinois Department of Health, Division of OralHealth. 2004. Oral Health: A Link to General Health.Springfield, IL: Illinois Department of Health, Divi-sion of Oral Health. 7 pp.

This brief provides a snapshot of oral health sta-tus in Illinois. Topics include information on preg-nancy and oral health, children’s oral health sta-tus, and early childhood caries; issues in access tooral health care for children; oral cancer; and oralhealth and general health.

Contact: Illinois Department of Public Health,Division of Oral Health, 535 West Jefferson Street,Room 500, Springfield, IL 62761. Telephone: (217)782-4977; (800) 547-0466; fax: (217) 524-2831; e-mail: [email protected]; Web site: http://www.idph.state.il.us/HealthWellness/oralhlth/home.htm. Available at no charge from the Web site athttp://www.idph.state.il.us/HealthWellness/oralhlth/BurdenDocument.pdf.


23

ORAL HEALTH CARE AMONG PREGNANTWOMEN AND WOMEN IN ALASKA

Alaska Department of Health and Social Services,Women’s, Children’s, and Family Health Section.2005. Oral Health Care Among Pregnant Womenand Women in Alaska. Anchorage, AK: AlaskaDepartment of Health and Social Services,Women’s, Children’s, and Family Health Section.3 pp.

This fact sheet outlines the oral-health and oral-health-related-service needs of pregnant womenand other women in Alaska, a chosen priorityissue for the Title V Block Grant needs-assessmentreporting requirement. Topics include prevalenceof tooth decay among women in Alaska andnationwide, interventions and recommendations,and capacity. [Funded by the Maternal and ChildHealth Bureau]

Contact: Alaska Department of Health and SocialServices, Women’s, Children’s, and Family HealthSection, 4501 Business Park Boulevard, Suite 24,Anchorage, AK 99503-7167. Telephone: (907) 269-3400; (800) 799-7570; fax: (907) 269-3465; Website: http://www.hss.state.ak.us/dph/wcfh. Avail-able at no charge from the Web site at http://epi.alaska.gov/mchepi/MCHFacts/fs2005na_v1_02.pdf.

PREGNANT WOMEN, MOTHERS ANDINFANTS: DENTAL HEALTH FOR WOMEN

Minnesota Department of Health. 2004. PregnantWomen, Mothers and Infants: Dental Health forWomen. St. Paul, MN: Minnesota Department ofHealth. 2 pp.

This fact sheet outlines the oral-health and oral-health-related-service needs of pregnant women,mothers, and infants in Minnesota, a chosen pri-ority issue for the 2005 Title V Block Grant needs-assessment reporting requirement. The fact sheetaddresses the following topics: the magnitude andseriousness of the problem, interventions toincrease access to oral health services and inte-grate oral health care within the current system ofcare accessed by women throughout their life-spans, the effectiveness of specific interventions,and state programs and strategies to increaseaccess to oral health services for women of child-bearing age. [Funded by the Maternal and ChildHealth Bureau]

Contact: Minnesota Department of Health, Mater-nal and Child Health Section, P.O. Box 64882, 85East Seventh Place, Suite 400, St. Paul, MN 55164.Telephone: (651) 215-8960; Web site: http://www.health.state.mn.us/divs/fh/mch. Available at nocharge from the Web site at http://www.health.state.mn.us/divs/cfh/na/factsheets/pwmi/dentalhealth.html.


24

ORGANIZATIONS


27

ADVOCACY ORGANIZATIONS

NATIONAL HEALTHY MOTHERS, HEALTHYBABIES COALITION2001 North Beauregard Street, 12th FloorAlexandria, VA 22311-1732Telephone: (703) 836-6110Fax: (703) 836-3470E-mail: [email protected] site: http://www.hmhb.org

The National Healthy Mothers, Healthy BabiesCoalition (HMHB) is a coalition of governmentaland national professional and voluntary organiza-tions with a common interest in maternal, infant,and child health. HMHB fosters education effortsfor pregnant women, children, and familiesthrough collaborative activities and sharing ofinformation and resources, and the coalition con-ducts outreach and legislative advocacy activities.The Web site provides resources for professionalsand consumers on topics including nutrition andoral health and pregnancy.

ORAL HEALTH AMERICA410 North Michigan Avenue, Suite 352Chicago, IL 60611-4211Telephone: (312) 836-9900Fax: (312) 836-9986Web site: http://www.oralhealthamerica.org

The mission of Oral Health America (OHA) is toraise awareness of oral health’s importance tooverall health. The organization developsresources for improving and promoting the oralhealth of people through broad-based publicadvocacy. OHA’s programs strive to raise aware-ness about oral health issues among policymak-ers, opinion leaders, and the public; improveaccess to effective oral health services; and devel-op innovative projects that improve the effective-ness of the nation’s oral-health-care system inreaching those without access to care. The orga-nization’s programs include the National Peri-odontal Disease Coalition, which meets annuallyto discuss recent scientific developments, includ-ing developments related to the possible linkbetween periodontal disease and preterm birth

and low birthweight. The Web site contains anelectronic newsletter, program descriptions, andinformation about hearings and legislation relatedto oral health.

FEDERAL AGENCIES

CENTERS FOR DISEASE CONTROL ANDPREVENTIONNational Center for Chronic Disease Prevention

and Health PromotionDivision of Oral Health4770 Buford Highway, N.E., Mailstop F-10Atlanta, GA 30341-3717Telephone: (770) 488-6054E-mail: [email protected] site: http://www.cdc.gov/OralHealth

The Centers for Disease Control and Prevention(CDC) is responsible for promoting oral healththrough public health interventions. Activities ofthe Division of Oral Health include supportingstate- and community-based programs to preventoral disease, evaluating the cost-effectiveness ofprevention strategies, and fostering appliedresearch to enhance oral-disease prevention incommunity settings. The Web site includes linksto fact sheets, journal articles (including articlesreporting on the possible link between periodon-tal disease and preterm and low birthweight),press releases, guidelines, data systems, anddescriptions of activities in states receiving CDCfunding for oral health programs.

CENTERS FOR MEDICARE AND MEDICAIDSERVICESOffice of Oral Health7500 Security Boulevard, C2-26-12Baltimore, MD 21244Telephone: (410) 786-3000Fax: (410) 786-3194Web site: http://cms.hhs.gov/oralhealth

The Centers for Medicare and Medicaid Services(CMS) provides health insurance to Americansthrough Medicare, Medicaid, and the State Chil-dren’s Health Insurance Program. CMS’s Office of

ORGANIZATIONS


28

Oral Health provides guidance to states adminis-tering these programs and services to beneficia-ries and providers. The Web site provides anoverview of Medicaid oral health services andlinks to state Medicaid contacts

MATERNAL AND CHILD HEALTH BUREAUHealth Resources and Services Administration5600 Fishers LaneParklawn Building, Room 18-05Rockville, MD 20857Telephone: (301) 443-2170Fax: (301) 443-1797Web site: http://www.mchb.hrsa.gov

The Health Resources and Services Administra-tion’s Maternal and Child Health Bureau (MCHB)provides leadership, partnership, and resources toadvance the health of mothers, infants, children,and adolescents, including those from familieswith low incomes, those with diverse racial andethnic backgrounds, and those living in rural orisolated areas who lack access to care. The objec-tive of MCHB’s oral health program is to promotecomprehensive, community-based oral health ser-vices that combine public and private deliverysystems, maximize the effectiveness of Medicaidand the State Children’s Health Insurance Pro-gram’s oral health programs, and encourage theapplication of science to practice to reduce dis-ease burden (see http://www.mchb.hrsa.gov/pro-grams/default.htm). The Web site provides infor-mation about funding opportunities, data, andpublications.

NATIONAL INSTITUTE OF DENTAL ANDCRANIOFACIAL RESEARCHNational Institutes of Health31 Center Drive, MSC2190Building 31, Room 5B55Bethesda, MD 20892Telephone: (301) 496-4261Fax: (301) 496-9988E-mail: [email protected] site: http://www.nidcr.nih.gov

The National Institutes of Health’s National Insti-tute of Dental and Craniofacial Research seeks toimprove oral, dental, and craniofacial healththrough research, training, and the disseminationof health information. Activities include perform-ing and supporting basic and clinical research;conducting and funding research training and

career development; coordinating and assistingrelevant research and research-related activitiesamong all sectors of the research community; andpromoting the timely transfer of knowledgegained from research and its implications forhealth to researchers, health professionals, policy-makers, and the public. The Web site providesinformation about oral diseases and conditions,funding opportunities, research, clinical trials, andpress releases on a variety of topics, includingperiodontal disease in pregnancy.

POLICY CENTERS

CHILDREN’S DENTAL HEALTH PROJECT1990 M Street, N.W., Suite 200Washington, DC 20036Telephone: (202) 833-8288Fax: (202) 318-0667Web site: http://www.cdhp.org

The Children’s Dental Health Project (CDHP)forges research-driven policies that improve chil-dren’s access to oral health care and engages abroad base of partners committed to children andoral health. CDHP’s Improving Perinatal andInfant Oral Health Care Project is an initiativedesigned to reduce oral health disparities amongwomen and infants and to increase access to oralhealth services. The three main goals of the pro-ject are to (1) expand availability of prenatal oralhealth care, (2) expand availability of infant oralhealth care, and (3) raise public awareness aboutoral health care for pregnant women and infants.The Web site contains a database of state-specificdata pertinent to oral health policy and currentand archived issues of News*Bytes, CDHP’sbiweekly e-mail newsletter that collects and dis-seminates press reports on children’s oral health.

NATIONAL ORAL HEALTH POLICY CENTERUCLA Center for Healthier Children, Families and

Communities1100 Glendon Avenue, Suite 850Los Angeles, CA 90095-6939Telephone: (310) 794-2583Fax: (310) 794-2728Web site: http://www.healthychild.ucla.edu/

nohpc

The National Oral Health Policy Center seeks toidentify policy roadblocks and improvements to


29

accessing oral health care, with a particular focuson children and families with low incomes whoare covered by Medicaid. The center provides con-sultations and technical assistance to organizationsand states and develops publications on maternaland child oral health policy. The Web site containslinks to publications, legislative issues, and policyapproaches.

PROFESSIONALASSOCIATIONS

ACADEMY OF GENERAL DENTISTRY211 East Chicago Avenue, Suite 900Chicago, IL 60611-1999Telephone: (888) 243-3368Fax: (312) 440-0559Web site: http://www.agd.org

The Academy of General Dentistry (AGD) facili-tates the practice of the profession of general den-tistry by investigating and determining policiesthat advance dentists professionally and provideoptimal oral health care for consumers. AGD fos-ters the continued proficiency of membersthrough high-quality continuing-oral-health edu-cation. The Web site features information aboutannual conferences, membership, and publica-tions. In addition, the site provides links to con-sumer fact sheets on various oral health topics.Consumers can submit questions via the Web site,which are answered by academy members.

AMERICAN ACADEMY OFPERIODONTOLOGY737 North Michigan Avenue, Suite 800Chicago, IL 60611-2690Telephone: (312) 787-5518Fax: (312) 787-3670Web site: http://www.perio.org

The American Academy of Periodontology seeksto advance the periodontal health of the publicand to represent and serve the academy’s mem-bers. The academy publishes position papers,develops guidelines, and, through its media-rela-tions campaign, distributes more than 1,000 sto-ries annually to the press on a variety of subjects,including women’s oral health. Oral health infor-mation for the public is available on the Web siteon a range of topics, such as women’s oral healthacross the lifespan. Resources for professionals

include information about the annual meeting,clinical and scientific papers, and online access tothe Journal of Periodontology.

AMERICAN ASSOCIATION OF PUBLICHEALTH DENTISTRYP.O. Box 75361224 Centre West, Suite 400BSpringfield, IL 62791-7536Telephone: (217) 391-0218Fax: (217) 793-0041Web site: http://www.aaphd.org

The American Association of Public Health Den-tistry (AAPHD) is committed to educating healthprofessionals and the public to advance oral-dis-ease prevention and health promotion. AAPHDmembership is open to all individuals concernedabout improving the oral health of the public.AAPHD has a variety of committees to addressoral health issues; sponsors annual conferences,workshops, and training seminars; and producespublications, including a quarterly newsletter,Communiqué, and a quarterly journal, Journal ofPublic Health Dentistry. PowerPoint presentationsfrom previous National Oral Health Conferencesessions on topics including perinatal oral healthare available on the Web site.

AMERICAN ASSOCIATION OF WOMENDENTISTS216 West Jackson BoulevardChicago, IL 60606Telephone: (800) 920-2293Fax: (312) 750-1203E-mail: [email protected] site: http://www.womendentists.org

The American Association of Women Dentists(AAWD) is a national network for employmentopportunities and scientific exchange. It representswomen dentists across the United States, interna-tionally, and in the armed forces. AAWD’s not-for-profit foundation, Smiles for Success, assists womenin transition from welfare to work who cannotafford oral health care. The Smiles for Success foun-dation Web site (http://smilesforsuccess.org) con-tains more information about the program.

AMERICAN DENTAL ASSOCIATION211 East Chicago AvenueChicago, IL 60611-2678Telephone: (312) 440-2500Fax: (312) 440-7494E-mail: [email protected] site: http://www.ada.org

The American Dental Association encouragescommunity-health improvement, promotes the artand science of dentistry, and represents the inter-ests of the oral health profession and the public.Activities include research, education, and promo-tion of legislation. The association also publishesthe Journal of the American Dental Association.Resources are available on the Web site for mem-bers and the public. The Oral Health Topics A-to-Z section includes an overview of oral health carefor women and links to other resources.

AMERICAN DENTAL HYGIENISTS’ASSOCIATION444 North Michigan Avenue, Suite 3400Chicago, IL 60611Telephone: (312) 440-8900Fax: (312) 467-1806E-mail: [email protected] site: http://www.adha.org

The American Dental Hygienists’ Association’smission is to advance the art and science of den-tal hygiene and to promote the highest standardsof education and practice in the profession.Through its public health section, the associationadvocates for treatment of underserved popula-tions and for inclusion of comprehensive oralhealth services in the design of health care pro-grams. Fact sheets on topics including womenand smoking and premature birth are available onthe Web site, along with position papers, onlinecontinuing-education courses, and press releases.

ASSOCIATION OF STATE AND TERRITORIALDENTAL DIRECTORS105 Westerly RoadNew Bern, NC 28560Telephone: (272) 637-6333Fax: (252) 637-3343E-mail: [email protected] site: http://www.astdd.org

The Association of State and Territorial DentalDirectors formulates and promotes the establish-ment of national oral health public policy and

assists state oral health programs in developingand implementing programs and policies for theprevention of oral diseases. The association buildsawareness and strengthens oral public health pro-fessionals’ knowledge and skills by (1) develop-ing position papers and policy statements on oralhealth issues, (2) conducting special studies onoral public health practices, (3) providing infor-mation on oral health to health officials and policy-makers, (4) publishing a quarterly newsletter, and(5) conducting conferences for the oral publichealth community. The Web site includes an A-to-Z topics section with information on oral healthconditions, programs, and special populations; amember directory; guidelines for state and terri-torial oral health programs; and examples of best-practices approaches.

HISPANIC DENTAL ASSOCIATION1224 Centre West, Suite 400BSpringfield, IL 62704Telephone: (312) 577-4013Fax: (217) 793-0041E-mail: [email protected] site: http://www.hdassoc.org

The Hispanic Dental Association (HDA) providesleadership and represents professionals whoshare a commitment to improving the oral healthof the Hispanic community and increasing thenumber of Hispanics entering the oral health pro-fession. Services include responding to informa-tion requests, publishing a newsletter, hosting adiscussion list, and sponsoring an annual meet-ing, which will include a presentation on perina-tal oral health care in 2007. The Web site containslinks to HDA state chapters; news and announce-ments; scholarship information; and tips for peri-natal, infant, and children’s oral health care inSpanish and English.

NATIONAL DENTAL ASSOCIATION3517 16th Street, N.W.Washington, DC 20010Telephone: (202) 588-1697Fax: (202) 588-1244E-mail: [email protected] site: http://www.ndaonline.org

The National Dental Association (NDA) is dedicat-ed to improving the oral health of the under-served. It is the parent organization of the StudentNational Dental Association, the National DentalHygienists Association, and the National Dental


30

Assistants Association. The association’s founda-tion provides funding for research projects andfinancial aid to African Americans and otherunderrepresented minority students pursuingcareers in oral health. The Web site contains posi-tion statements and describes the NDA’s manyongoing outreach projects.

RESOURCE CENTERS

HRSA INFORMATION CENTERP.O. Box 2910Merrifield, VA 22116Telephone: (888) ASK-HRSA (275-4772)Fax: (703) 821-2098E-mail: [email protected] site: http://www.ask.hrsa.gov

The HRSA Information Center provides publica-tions, resources, and referrals on health care ser-vices for individuals with low incomes, those withno insurance, and those with special health careneeds. Materials developed by the HealthResources and Services Administration’s (HRSA’s)bureaus and offices are available free of charge.The Web site features information on organiza-tions, news sources, current HRSA initiatives, andpublications on women’s oral health.

NATIONAL MATERNAL AND CHILD ORALHEALTH RESOURCE CENTERGeorgetown UniversityBox 571272Washington, DC 20057-1272Telephone: (202) 784-9771Fax: (202) 784-9777E-mail: [email protected] site: http://www.mchoralhealth.org

The National Maternal and Child Oral HealthResource Center (OHRC) responds to the needsof health professionals, program administrators,educators, policymakers, and others working instates and communities to address current andemerging public oral health issues with the goalof improving oral health services for infants, chil-dren, adolescents, and their families. Activitiesinclude collecting programmatic materials such asstandards, guidelines, curricula, manuals, policies,and reports for the resource collection; develop-ing and disseminating publications; and provid-ing technical assistance and responses to informa-

tion requests. The OHRC Web site provides elec-tronic materials produced by the resource center,links to materials produced by others, and linksto relevant Web sites.

NATIONAL WOMEN’S HEALTHINFORMATION CENTER8500 Arlington Boulevard, Suite 300Fairfax, VA 22031Telephone: (800) 994-9662Fax: (703) 560-6598Web site: http://www.4woman.gov

The National Women’s Health Information Center(NWHIC) is a service of the U.S. Department ofHealth and Human Services (DHHS) Office onWomen’s Health. NWHIC serves as a gateway toa wide variety of federal and other women’shealth-information resources. Through its toll-freecall center and Web site, NWHIC helps individualsorder, link to, and download materials related towomen’s health that were developed by DHHS,other federal agencies, and private-sector sources.

VOLUNTARY ORGANIZATIONS

MARCH OF DIMES1275 Mamaroneck AvenueWhite Plains, NY 10605Telephone: (914) 428-7100Fax: (914) 428-8203E-mail: [email protected] site: http://www.marchofdimes.com

The March of Dimes (MOD) works to preventbirth defects and infant mortality throughresearch, education, and advocacy programs.MOD’s Pregnancy and Newborn Health EducationCenter provides information and referral servicesfor the general public and professionals. MODalso produces educational materials, and somematerials are available in Spanish. The Web siteprovides information about changes in oral healthstatus during pregnancy, tips for keeping teethand gums healthy during pregnancy, and adviceabout when women should consult an oral healthprofessional.


31

NATIONAL NETWORK FOR ORAL HEALTHACCESS115 Second StreetFort Lupton, CO 80621Telephone: (720) 838-7739Fax: (866) 316-4995Web site: http://www.nnoha.org

The National Network for Oral Health Access isdedicated to improving the health status of theunserved and underserved through improvedaccess to oral health services. The organizationrepresents dentists and dental hygienists whopractice in federally funded migrant, homeless,and community health centers. The Web site con-tains low-literacy and non-English-language factsheets on women’s oral health, among otherresources.


32

Maternal Oral Health Resource Guide Resource Guide 1-3.pdf · Hsieh NK, Herzig K, Gansky SA, Danley...

Documents

Transcript of Maternal Oral Health Resource Guide Resource Guide 1-3.pdf · Hsieh NK, Herzig K, Gansky SA, Danley...