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
On 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. 
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About the Instructors


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Francisco Ramos-Gomez
University of California, Los Angeles
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Leah Fitzgerald, PhD, RN 
Syllabus
Course MAterials
SPICE-PD Orientation 
Contemporary Caries Management in Pediatric Dentistry I
Contemporary Caries Management in Pediatric Dentistry II
Anticipatory Guidance Topics: Are More Better?
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Medical Approach and Microbiology of Dental Caries
Clinical Cases and Clinical Implementation of Minimally Invasive Dentistry
Minimal Intervention Dentistry: Parts 1-7
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Fluoride & Sealants
Motivational Interviewing
Preventing Childhood Caries - A Review of Recent Behavioral Research
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Motivational Interviewing Case Scenarios
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Video Lectures
Videos are password-protected.  Please click here to watch lecture videos. ​
Additional Resources
Pediatric Oral Medicine Update
File Size: 5486 kb
File Type: pdf
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Mommy it hurts to chew
File Size: 2233 kb
File Type: pdf
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Cultural Med Case Res
File Size: 241 kb
File Type: pdf
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Surgeon General Report
File Size: 4931 kb
File Type: pdf
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Management of High Caries Patients
File Size: 116 kb
File Type: pdf
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Medical approach to dental caries: fight the disease, not the lesion.
File Size: 112 kb
File Type: pdf
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Achieving probiotic effects via modulating oral microbial ecology
File Size: 83 kb
File Type: pdf
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Journal of Dental Res
File Size: 249 kb
File Type: pdf
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Behavioral and Environmental Factors
File Size: 1769 kb
File Type: pdf
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Comparison of Sealants
File Size: 114 kb
File Type: pdf
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Sealants in 3-4 Year Olds
File Size: 62 kb
File Type: pdf
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5% Fluoride
File Size: 158 kb
File Type: pdf
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Targeted antimicrobial treatment to re-establish a healthy microbial flora for long-term protection
File Size: 751 kb
File Type: pdf
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CAMBRA Review and Resource Learning
AAPD Guidelines for Caries Risk Assessment
File Size: 286 kb
File Type: pdf
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Oral Health in Early Education and Child Care AAP Webinar
File Size: 3887 kb
File Type: pdf
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JADA- Fluoride for Young Children
File Size: 243 kb
File Type: pdf
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JADA 2014- Wright
File Size: 477 kb
File Type: pdf
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Disease Management & Risk Assessment