Disease Management & Risk Assessment

DISEASE MANAGEMENT & RISK ASSESSMENT

Course Description
In this course residents learn the fundamental concepts of health promotion and disease prevention. Emphasis is on assessment, health promotion, and risk reduction/ prevention related to oral health. The American Academy of Pediatric Dentistry and the American Association of Pediatrics currently recommend that children receive their first dental evaluation within the first year of life. In general, there is an increasing trend toward providing dental care to children before the age of three. The reasons for early dental intervention with pregnant women, infants and parents are to determine the risk status based on the information from the parents and to perform a screening risk assessment and examination of infants’ mouths. This early care provides an opportunity to educate and inform parents about their children’s oral health. Anticipatory guidance/counseling for children’s dental health is an important part of preventive care, and may be the most effective way to prevent problems (such as early childhood caries (ECC)) that traditional infectious-disease models have failed to address.

Course Competencies

Describe caries development, progression and pathophysiology
Learn the fundamental concepts of oral health promotion and disease prevention at the individual and at the community level.
Describe access to care issues and develop strategies for oral disease prevention at the individual and at the community level.
Apply risk based diagnosis and treatment planning

Course Objectives
Upon successful completion of this course, residents will be prepared to:

Understand why pregnancy provides a unique opportunity to provide oral health interventions for women and their infants.
Realize the impact of maternal oral health on the longer-term oral disease status in families.
Know the background and clinical evidence in support of perinatal and infant oral care.
Be able to perform a caries risk assessment through the use of the CAMBRA tool for 0-5 and clinical exam results in a private practice or in a community based clinical environment.
Identify the dental products available for patient interventions and develop a treatment care path to manage dental caries for any patient based upon CAMBRA risk assessment protocols.
Understand the benefits and challenges in creating buy-in from dental team members, and the influence of third party payers on patient acceptance.
Learn to examine, diagnose, and treat very young children using an Infant Oral Care model.
Effectively utilize Motivational Interviewing skills to elicit positive behavior change.
Comprehend the barriers to access in care for lower income families,
Deliver perinatal and infant/toddler oral health prevention and education, and
Be able to offer dental practitioners information on a dental practice model in working with the youngest population of pediatric patients and to gain more in depth pediatric dental experience.

About the
Instructor

Francisco Ramos-Gomez
DDS, MPH, MS

Syllabus

Disease Management & Risk Assessment Course Syllabus

Course MAterials

SPICE-PD Orientation

The Association of ECC and Race/Ethnicity

An FQHC Research Network in Oral Health: Enhancing the Workforce and Reducing Disparities

Implementation of an Infant Oral Care Program

Influences on Children's Oral Health: A Conceptual Model

Into the Future

Contemporary Caries Management in Pediatric Dentistry I

2011 CAMBRA Journal

Oral Health During Pregnancy & Early Childhood: CDA Guidelines

Rethinking MCH: The Life Course Model

Six Step Protocol for a Successful Infant Oral Care Visit

Contemporary Caries Management in Pediatric Dentistry II

Anticipatory Guidance Topics: Are More Better?

Fluoride Varnish 2011/2012

Mother and Youth Access (MAYA) 2011

Medical Approach and Microbiology of Dental Caries

Fluoride Toothpaste Efficacy and Safety: JADA Journal

Fluoride Toothpastes for Preventing Dental Caries

Fluoridated Toothpaste for ECC

Maternal Oral Bacterial Levels Predict ECC Development

Clinical Cases and Clinical Implementation of Minimally Invasive Dentistry

Minimal Intervention Dentistry: Parts 1-7

Fluoride & Sealants

Caries Remineralisation & arresting effect in children by professionally applied fluoride treatment - a systematic review

Evidence-Based Clinical Practice Guidelines for the Use of Pit-and-Fissure Sealants (Optional)

Dental Caries - An Update on Dental Trends & Therapy

Randomized Clinical Trial on Effectiveness of Silver Diamine Fluoride and Glass Ionomer in Arresting Dentine Caries in Preschool Children (Optional) 

Sealants for Preventing and Arresting Pit-and-Fissure Occlusal Caries in Primary and Permanent Molars (Optional)

Motivational Interviewing

Motivational Interviewing Case Scenarios

Preventing Childhood Caries - A Review of Recent Behavioral Research

Video Lectures

Click here to view the CHAT/SPICE PD video library. Videos are password protected.

Additional Resources

Motivational Interviewing Seminar, Matt Allen, DDS
www.dentaquestinstitute.org/learn/effective-communication-videos

10 Strategies for Evoking Change Talk
File Size:	252 kb
File Type:	pdf

DISEASE MANAGEMENT & RISK ASSESSMENT

Motivational Interviewing Seminar, Matt Allen, DDS​​www.dentaquestinstitute.org/learn/effective-communication-videos

Cariology Seminar

Resources

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Motivational Interviewing Seminar, Matt Allen, DDS
www.dentaquestinstitute.org/learn/effective-communication-videos