dental visits to schools

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Oral Health in Schools

This information outlines the key components of effective school-based oral health practices and provides practical tips and resources to help schools and primary care providers improve oral health for students.

• Early childhood caries (ECC) are the most common chronic childhood disease in the United States. Left untreated, tooth decay (dental caries, cavities) can lead to infection and pain that inhibit a child’s ability to eat, sleep, speak, play and learn.
• Students miss an average of more than 34 million school hours each year because of acute/unplanned dental care.
• Dental disease is often accompanied by other chronic childhood comorbidities such as diabetes, heart disease and food insecurity/malnourishment.
• Persistent oral health disparities result from the same social determinants of health that drive other disparities affecting children, families, communities and the health care system. For more information about these impacts, see the Centers for Disease Control and Prevention (CDC) resource on Disparities in Oral Health .
• According to the most recent surveillance data from the National Health and Nutrition Examination Survey (2011-2016), 23% of children aged 2-5 and 52% of children aged 6-8 have cavities in their primary teeth. Additionally, 10% of tooth decay in children aged 2-5 and 16% of tooth decay in children aged 6-8 went untreated. In permanent teeth, 17% of children aged 6-11 had cavities, and 57% of adolescents aged 12-19 had cavities

School-based Oral Health Programs

School-based oral health programs are designed to address access barriers for high-risk children to prevent dental decay and improve overall health and academic success. Aligned with the CDC’s Whole School, Whole Community, Whole Child (WSCC) model , these programs can provide:

• Oral health education for students, parents, and school staff
• Promotion of healthy school nutrition
• Oral health screening including topical fluoride application and referral as needed
• Dental sealants
• Comprehensive dental care including preventive services as well as treatment for oral disease and dental injury
• Oral healthcare coordination and identification of a dental home

Programs are optimally coordinated through, or in partnership with, school nurses to insure integration with overall school health services. Services may be provided in school buildings through school nursing or school-based health centers, drop-in services - including mobile vans operating on school grounds or maybe school-linked but provided in the community.

The AAP oral health risk assessment tool can by incorporated to assist in screening, counseling, and referral of children to a dental home.

The Role for Pediatricians in Supporting School-Based Oral Health Programs

Pediatricians can promote child oral health through collaboration with schools and districts and with school nurses to advocate for evidence-based school oral health programs.

Existing AAP recommendations for pediatricians are:

• One full-time professional school nurse in every school with medical oversight from a school physician in every school district. School nurses are critical in coordinating school-based oral health services in the context of school health services and the WSCC model.
• Support school-based health centers (SBHCs) – SBHCs can provide oral healthcare coordination and/or direct oral health services as well as primary care, mental, and vision care.
• Coordinate care with school nurses and school-based health centers.
• Develop school health advisory councils or participate on established school health advisory councils .

Pediatricians can also:

• Learn about oral health programs in local schools and provide patients with information to support their access to critical oral health services.
• Advocate for comprehensive school-based oral health programs as described above.
• Support coordination between school-based programs and medical and dental homes, particularly through partnership with school nurses.

The Critical Role of School Nurses

Pediatricians have long recognized the important role school nurses play in the health and well-being of school-age children. According to the AAP policy Role of the School Nurse in Providing School Health Services, when pediatricians collaborate with, support, and promote school nurses in their communities, the health and safety of children and adolescents improve. The statement addresses the expanding role of school nurses and the importance of the relationship between pediatricians and school nurses to improve the health and academic achievement of students.

Helpful Resources:

AAP Oral Health Practice Tools These tools help pediatricians integrate oral health into practice and learn how to perform an oral health risk assessment, provide anticipatory guidance and apply fluoride varnish as vital components of well-child exams.

AAP Oral Health and Education Training These resources help pediatricians identify oral disease, provide caries prevention services and establish referral relationships with dental professionals.

Smiles for Life National Oral Health Curriculum The Smiles For Life curriculum is made up of discrete modules to ensure the integration of oral health into primary care.  

The Partnership for Integrating Oral Health Care into Primary Care Project (PIOHCPC) 2019–2021: Final Report This document discusses the importance of integrating oral health care into primary care. It also provides information about the implementation of the PIOHCPC project including project strategies, activities and findings.

The Community Preventive Services Task Force (CPSTF)- Improving Oral Health: School-Based Dental Sealant Delivery Programs Community Guide This guide summarizes recommendations for school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Oral Health in America: Advances and Challenges 2021 A culmination of 2 years of research and writing by over 400 contributors. As a follow up to the Surgeon General’s Report on Oral Health in America, this report explores the nation’s oral health over the last 20 years.

Promoting Oral Health Care in Schools: A Resource Guide (4 th Edition) This resource guide is divided into two sections. The first section describes materials, such as brochures, fact sheets, guidelines, curricula, and reports. The materials listed in this section were published from 2015 to 2019. The second section lists federal agencies, national professional associations, resource centers, and national coalitions that may serve as resources.

Best Practice Approaches for State and Community Oral Health Programs (March 2017) This report describes a public health strategy, assesses the strength of evidence on the effectiveness of the strategy, and uses practice examples to illustrate successful/innovative implementation.

Resources for Families:

Healthychildren.org Oral Health This website provides information to families about various oral health issues, needs, and strategies throughout childhood.

American Academy of Pediatric Dentistry My Children’s Teeth This website provides oral health information based on ages and stages as well as the special needs of children.

CDC Children’s Oral Health This website provides prevention strategies for families to help improve oral health and hygiene as well as prevent caries.

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Don't miss this back-to-school essential

While you may be busy getting ready to send your children back to school, life will likely get even busier once school starts. That’s why now is a good time to schedule a dental visit for your children. It’s not only good for their health, but it may even be required by law. 

Why screenings are important. 

Dental screening requirements were passed in some areas to emphasize the importance of oral health to children and to prepare them for the school year. 1  Screenings are also designed to identify which children are in need of treatment. 2

Oral diseases can interfere with learning 3 , lead to missed school days 4  and cause unnecessary pain. In fact, 29% of parents with kids in school said their child missed class due to an oral health issue in the past year, according to a Delta Dental survey. 5

Tooth decay is the most common chronic condition among American children. 6  Early detection and treatment of dental diseases can help keep problems from becoming more serious and costly to treat.

Schedule a thorough oral exam for your children.

An oral health screening can be done by several health care professionals. However, a simple screening is not as thorough as an examination performed by a dentist. 7

At a dental exam, your dentist will identify any issues and recommend treatment. In addition to the exam, you can get your children’s teeth cleaned to help prevent future issues. These preventive services are often covered at 100% by dental plans.

Your dentist will help your children understand the importance of brushing, flossing and eating healthy and also show them the proper techniques for taking the best care of their teeth. 8

See if you have a dental screening law in your location.

If you live in the District of Columbia, California, Georgia, Illinois, Iowa, Kansas, Kentucky, Nebraska, New York, Oregon, Pennsylvania, Rhode Island, South Carolina, Utah or West Virginia, your children may be required to have a dental screening. 9

1 https://idph.iowa.gov/ohds/oral-health-center/school-screenings

2 https://www.astdd.org/docs/final-school-screening-paper-10-14-08-9-21-2015-edits.pdf

3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765973/

4 https://www.deltadental.com/us/en/about-us/press-center/2018/parents-confess-flossing-is-most-challenging-thing-to-get-child-.html

5 https://www.deltadental.com/us/en/about-us/press-center/2018/parents-confess-flossing-is-most-challenging-thing-to-get-child-.html

6 https://www.cdc.gov/healthywater/hygiene/disease/dental_caries.html

7 https://www.mchoralhealth.org/OpenWide/mod4_3.htm

8 https://www.colgate.com/en-us/oral-health/life-stages/childrens-oral-care/dental-health-for-kids-a-parents-guide-1013

9 https://www.cdhp.org/resources/341-state-dental-screening-laws-for-children-examining-the-trend-and-impact

The importance of in-school dental care

January 11, 2022.

Next month is Children’s Dental Health Month!  This is a particularly exciting month for OHP as it is a national celebration of OHP’s mission: To change the lives of our community’s children through access to excellent oral health services and education. Did you know that OHP offers school-based dental services across Brown County?  In Green Bay Area Public Schools (GBAPS) alone, OHP offers school-based clinics at over 20 schools and the number is growing!

School-based dental care.

 Why is it important to provide dental services right at the schools? 

Howe student has his teeth looked at by an OHP dentist.

• Students will experience fewer barriers to access such as transportation or work schedules.
• Students will miss less time away from classes in order to receive dental care. They can simply walk to the clinic on-site and return to class.
• OHP team members are able to catch dental concerns before they become dental emergencies. Students are seen in school-based and then, if necessary, referred to one of OHP’s clinics for ops.
• Students receive preventative dental care and develop good dental habits like getting their teeth checked and cleaned every six months. OHP has changed its school-based dental schedule and now visits schools every six months to help develop these healthy habits.
• Students are learning to navigate and actively seek dental care. If students are experiencing dental pain, they can talk to their school nurse or social worker who can ensure they have the proper paperwork on file to be seen during school-based clinics.
• Through school-based services, OHP’s work and mission have been more widely spread amongst district staff personnel. OHP’s presence in the buildings is a reminder that its services are available to all students who qualify. OHP team members have been able to build positive relationships with school staff and the larger school community, which has allowed OHP to be present during events such as the back to school registration nights and family nights in order to collect authorization and dental history forms, as well as inform parents of their services.

Student gets their teeth cleaned at Danz Elementary in one of OHP’s fixed-site clinics.

GBAPS and OHP partnership

In addition to providing space for OHP to operate school-based dental clinics, GBAPS is so committed to the school-based program that OHP has been able to install permanent dental equipment in several schools! These schools have a room dedicated solely to the clinic. In some cases, they even have their logo posted outside of the clinic doors creating a greater awareness for students and staff alike.

Before COVID, OHP started partnering with local schools to offer a ToothBrush Program. This program provides toothbrushes, storage bins, cleaning supplies and toothpaste to teachers, allowing students to brush their teeth at school after eating the school breakfast and lunch. OHP also provides fun and child-friendly resources to teachers to use with their students to teach the importance of proper dental hygiene.  

The greater Green Bay community is fortunate to have Oral Health Partnership offering school-based dental care, ensuring that all students have equitable access to quality dental exams, treatment, prevention and education.  As their services and outreach continue to grow, so does their impact, improving the lives of children across our community.  

Dental Visits with your Autistic Child

Healthy smiles tips for children’s dental health month, celebrating 2023 with healthy smiles.

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School-Based Dental Programs Reduce Cavities by 50%

Peter Cade / Getty Images

Key Takeaways

• A study links school-based cavity prevention programs to a 50% decrease in childhood cavities. 
• Many logistical barriers keep children from visiting a dentist and receiving preventative oral care.
• Poor oral health can lead to many health conditions including diabetes, oral cancer, and heart disease.

A study led by the NYU College of Dentistry found that bringing school-based cavity prevention programs directly to school settings reduced cavities in both baby and permanent teeth by 50% after six visits, signifying that dental care in schools can make a significant impact on children’s oral health.  

The study, which implemented the free dental clinic at 33 public, high-risk elementary schools in Massachusetts using dental hygienists, serviced nearly 7,000 children. This eliminated two major barriers to dental care: cost and transportation. 

“Screenings are mandated in many states, but they haven’t been shown to improve health,” lead study author Richard Niederman, DMD, professor and chair of the department of epidemiology and health promotion at NYU College of Dentistry, tells Verywell. “With our program, we are able to actually treat them right there in a matter of minutes.”

What This Means For You

Experts recommend going to the dentist twice a year to maintain good oral health and prevent illness and disease. But a lack of insurance, transportation, and more can all be barriers to accessing dental care. If you're encountering issues scheduling a dental appointment for yourself or your children, try reaching out to your local school, doctor, or public health agency to learn about any potential dental programs in place.

Barriers to Access

Poor oral health is prevalent in the United States. The Centers for Disease Control and Prevention (CDC) estimates that 52% of children have had a cavity in their baby teeth by the time they are 8 years old, and children in lower-income families are twice as likely to have cavities as their higher-income-family classmates.

Lack of oral hygiene not only negatively affects students' health but also impacts their school attendance, with over 34 million learning hours lost to emergency dental care each year. Although many parents understand the importance of good oral health, there are barriers that keep them from taking their children to see a dentist. According to the Rural Health Information Hub, the most prominent barriers to oral care include:

• Too few providers for the population (dental deserts) 
• Too few providers who accept Medicaid or the Children's Health Insurance Program 
• Limited or no dental insurance benefits
• Lack of transportation
• Lack of child care
• Limited or no water fluoridation
• Insufficient knowledge of oral health
• Geographic isolation
• Cultural differences

The COVID-19 pandemic has only added to the list of challenges thanks to office and school closures. And even once dentists' offices were open, fears that aerosols and dental equipment could help spread the deadly virus remained. To meet this particular challenge head-on, Niederman’s research team moved their clinic and used new tools to help deliver care to the children that needed it most.

“We are able to treat cavities with glass ionomer gel, which doesn’t require any shots or drilling,” Niederman said. “We can apply this gel in a matter of minutes, and six months later, we do a follow-up with no problems.”

School-Based Dental Prevention Programs  

School-based dental prevention programs are at the forefront of oral health equity models designed to break down barriers in accessing preventative dental care in at-risk communities. 

The Ecological Model to Advance Oral Health Equity highlights many positive outcomes that school-based dental clinics can provide including:

• Improve healthcare access
• Improve general health and well-being
• Improve skills-based health education 
• Increase positive healthy behaviors 
• Provide important health education to students and parents

According to the Centers for Medicare and Medicaid Services, in 2015, about 2,000 school-based health centers (SBHC) were operating nationwide and 16% of these centers had oral health providers on-site. SBHC can offer oral health services onsite, like screenings, fluoride treatments, and oral health education.

Even though cavities are preventable, they remain the most common chronic condition among school-age children.  

Importance of Oral Health

Oral health isn’t just about white teeth and pleasant breath. Our mouth acts as a gatekeeper to keep germs out, but with the absence of preventative care, the mouth can act as a key entry-point for illness and disease, possibly leading to negative outcomes in our overall health. 

Research has found associations between poor oral health and other illnesses, such as cardiovascular diseases and diabetes. It is not yet clear whether poor oral health actually causes these diseases.

“If I wore a dozen of different hats, I would mandate school-based cavity prevention programs nationwide," Niederman says.

Starr JR, Ruff RR, Palmisano J, Goodson JM, Bukhari OM, Niederman R. Longitudinal caries prevalence in a comprehensive, multicomponent, school-based prevention program . J Am Dent Assoc. 2021;152(3):224-233.e11. doi: 10.1016/j.adaj.2020.12.005

Centers for Disease Control and Prevention. Oral health fast facts .

Rural Health Information Hub. Barriers to oral care in rural communities .

Gargano L, Mason M, Northridge M. Advancing oral health equity through school-based oral health programs: An ecological model and review . 2019;7:359. doi: 10.3389/fpubh.2019.00359

Centers for Medicare and Medicaid Services Oral Health Initiative. Engaging schools to support better health for low-income children .

Gargano L, Mason M, Northridge M. Advancing oral health equity through school-based oral health programs: An ecological model and review . Front Public Health . 7:359. doi:10.3389/fpubh.2019.00359

American Dental Association. Oral-systemic health .

By Amy Isler, RN, MSN, CSN Isler is a registered nurse with over six years of patient experience. She is a credentialed school nurse in California.

Questions? Give us a call: 888.833.8441

No Cost Dental Care

In-school dental care, no cost to your school.

Smile Programs…the mobile dentists is an in-school dental program designed to address today’s dental crisis and keep children healthy. Our innovative model offers state of the art dental care to students in the comfortable and familiar surroundings of their school; keeping them in class and learning. Easy and convenient for parents at no cost to them*, and no cost to your school .

Many children sadly find themselves without affordable access to dental care. Our program uses the latest technology in portable equipment, bringing dental services directly to your school. We use our network of locally licensed dentists, hygienists, and assistants to provide high quality care to your students. Our program sets up a mini dental clinic directly in your school.

Your Students Will Receive

• Complete Oral Exam
• Pulpotomies #
• (Treatment of the nerve inside of a baby tooth)
• Simple extractions #
• Oral Health Education
• A Report Card from the dentist
• A Free Toothbrush

# As needed, in select areas * In most states for children with Medicaid

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8 Secrets to a Successful Back-to-School Dental Checkup

Backpack? Check. Booster shots? Check. Teeth cleaning? Check!

Regular dental visits are important year-round, but a back-to-school checkup  is key in fighting the most common chronic disease found in school-age children: cavities . In fact, dental disease causes children to miss more than 51 million school hours each year. Even though going back to school looks a little different this year, scheduling your child's back-to-school appointment is still important. Read " COVID-19: What to Expect When Your Dentist's Office Reopens " to learn about the additional steps dentists are taking to protect patients.

Prevention and early detection can help avoid pain, trouble eating, difficulty speaking and school absences. “When people are beginning to do their pediatrician checks to make sure their kids are school-ready, make sure teeth are part of it,” says pediatric dentist and American Dental Association spokesperson Dr. Mary Hayes.

Between cookouts, camping trips and everything else on your family’s summer bucket list, it’s easy for school to sneak up on you. Unfortunately, many parents may not think about making that appointment until August, which Dr. Hayes says is one of her busiest times. “The rush is pretty intense,” she says.

Give yourself enough time by making it a habit to call when your child gets her spring report card each year. “Planning ahead is good,” she says. “If families want to avoid the rush to go back to school in August, then plan on getting appointments for the beginning of the summer.”

Encourage Age-Appropriate Dental Habits at Home

The best kind of checkup is a cavity-free checkup. Moms and dads can help make this happen by encouraging kids to brush twice a day for two minutes and floss once a day. Here’s Dr. Hayes’ age-by-age advice:

Ages 6 and Under At this age , your child might want to do all the brushing herself but doesn’t have the fine motor skills needed to do a thorough job. Let them start and jump in when needed. “During that age, the mouth is changing so much that children who are 5 or 6 are often brushing their teeth in the way they were when they were 2 or 3,” she says. “They’re not accommodating the new molars, and they’re not accommodating the fact that the mouth is growing.”

Ages 7-12 By now, your child knows what to do, she just might not want to. Keep encouraging healthy brushing and flossing habits. “Be aware of the fact that sometimes you have to take over a little bit more,” she says. “By the time they’re teenagers, they’re starting to understand self-care, accountability for their actions and such.”

Ages 12-18 Dr. Hayes says this is a critical time for dental health. “When you look at research for when caries appear in kids, it tends to be in young kids. But another bump-up time is teenage years and early adulthood,” she says. “Part of this has to do with the fact that teenagers may have gone for many years and never had a cavity. They don’t necessarily take care of their teeth because they don’t see the consequence of not.”

Don’t let your teen’s habits  become out of sight, out of mind. “The behaviors of the teenager are going to translate into the 20-year-old. We want to be able to support them and be respectful of them because they’re not kids anymore.”

Timing Is Everything

Time of day can make or break your child’s appointment. “It’s important for a child of any age who’s used to a nap to not schedule during naptime,” Dr. Hayes says. If your child is always cranky after waking up, factor that in too.

For older children, avoid cramming in a dentist appointment right after day camp or school. “Not all kids have the energy to do that,” she says. “I will have parents who want to do very elaborate operative work after school because that’s when the kids can come out. But if the child has already been exhausted or had a bad day or had tests, they just don’t have the stamina to make it through the appointment successfully.”

Make One Child a Model

If you’ve scheduled back-to-back appointments for your children, there’s a simple way to decide who goes first: Choose the child who’s had the most positive experiences at the dentist. “Every child is going to be a little bit different in their temperament about how they approach a visit,” Dr. Hayes says. “You generally want the ones first who are more successful because the others get to see how it goes.”

A Hungry Child Is Not a Happy Patient

Feed your child a light meal before the appointment. “Hungry people are grouchy people. You want them to be comfortable,” Dr. Hayes says. “It’s also generally a good idea not to feed them in the waiting room before you see the dentist because there’s all that food in [their mouth].”

Eating light is also better for a child with a healthy gag reflex. “Some children gag a lot just because they gag with everything,” she says. “As they age and they get more control over swallowing, kids tend to gag less.”

Bonus points if your child brushes before an appointment. “It’s polite,” Dr. Hayes says.

Leave Your Anxiety at the Door

If your heart races at the very thought of the dentist, your child can probably tell. “Kids pick up on parents’ anxiety,” Dr. Hayes says. “It’s important with kids, especially at 4, 5 and 6, because I believe the phobic adults are the ones who had bad experiences when they were that age.”

The younger your kids are, the more you need to be aware of how you’re communicating with them. For example, if your child asks about getting a cavity filled, don’t say, “It will only hurt for a little bit.” Instead, encourage your child to ask the dentist. “With any child, you want them to be able to feel successful at accomplishing a good visit and link that positive feeling with the idea that their teeth are strong and healthy so they have that message going forward for the rest of their lives.”

Keep Cool If Your Child Won’t Cooperate

If your child gets upset during her visit, the worst thing you can do is swoop them out of the chair and leave. “The next visit is going to be harder,” Dr. Hayes says. “You still have to help them get through part of the visit.”

First, assess why your child is acting out. Are they truly afraid, or are they trying to test the situation? “One of the reasons I think a 4, 5 or 6-year-old gets upset is because they think they’re going to be asked to do something they can’t be successful at,” she says. “They’re in an environment they feel they can’t control and that makes them upset, so we try to break it down into small steps.”

Then, work as a team with your dentist to keep the visit going. Let the dentist lead the conversation. Jump in where you think it helps most, while still allowing the dentist and your child to build a good relationship. “Give the dentist every opportunity to turn the visit around,” she says.

Take a Card (or Three) on Your Way Out

Accidents can happen whether your child is in sports camp, gym class or just walking down the street. In case of emergency, make sure your child’s teachers and coaches have all the medical contact information they need – including your dentist’s number. Grab business cards for your wallet, your child’s backpack and your school’s files. “Parents should be very aware of accidents and make sure that wherever they go that they bring the number of their dentist so that if a child has an accident, they can certainly call the office,” Dr. Hayes says.

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The importance of preventive dental visits from a young age: systematic review and current perspectives

Vaishnavi bhaskar.

1 Department of Health Policy and Management, Gillings School of Global Public Health, Chapel Hill, NC, USA

Kathleen A McGraw

2 Health Sciences Library, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

Kimon Divaris

3 Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

Dental caries, the most common childhood chronic disease, disproportionately affects vulnerable parts of the population and confers substantial impacts to children, families, and health systems. Because efforts directed toward oral health promotion and disease prevention are fundamentally superior to dental rehabilitation secondary to disease development, early preventive dental visits (EPDVs) are widely advocated by professional and academic stakeholders. The aim of this comprehensive review was to critically review and summarize available evidence regarding the effectiveness of EPDVs in improving children’s oral health outcomes.

Materials and methods

A systematic literature search of the PubMed and Embase electronic databases was undertaken to identify peer-reviewed publications investigating the effectiveness of EPDVs on oral health outcomes, including clinical, behavioral, and cost end points up to October 30, 2013. Outcomes of the identified studies were abstracted and summarized independently by two investigators.

Four manuscripts met the inclusion criteria and were included in the review. All studies were conducted in the US and employed a retrospective cohort study design using public insurance-claims data, whereas one study matched claims files with kindergarten state dental surveillance data. That study found no benefit of EPDVs in future clinically determined dental caries levels in kindergarten. The other three studies found mixed support for an association of EPDVs with subsequent more preventive and fewer nonpreventive visits and lower nonpreventive service-related expenditures. Selection bias and a problem-driven dental care-seeking pattern were frequently articulated themes in the reviewed studies.

The currently available evidence base supporting the effectiveness of EPDVs and the year 1 first dental visit recommendation is weak, and more research is warranted. The benefits of EPDVs before the age of 3 years are evident among children at high risk or with existing dental disease. However, EPDVs may be associated with reduced restorative dental care visits and related expenditures during the first years of life.

Introduction

The importance of oral health in the early years of life is well documented, and advocated by professional and academic stakeholders worldwide. 1 – 3 Importantly, early childhood oral health influences and outcomes are considered pivotal in determining oral health trajectories across the life course, and can impact oral health and disease occurrence in adulthood. 4 , 5 Specifically, early childhood caries, the most common chronic childhood disease, is known to disproportionately affect vulnerable parts of the population and confer substantial impacts to children, families, and health systems. 6 The list of possible sequelae of early childhood caries is long, and includes dental and medical consequences, pain, diminished quality of life, lost time (children’s from school and caregivers’ from work or other activities), increased expenditures, and others. 7

Despite significant strides in foundational sciences and the practice of clinical dentistry during the last few decades, the burden of childhood caries has persisted in most populations. In fact, evidence indicates that oral health disparities may actually be on the increase. 8 , 9 Population-based strategies focused on prevention of oral disease are warranted to reduce these disparities. Moreover, efforts directed toward disease prevention are fundamentally superior to dental rehabilitation secondary to disease development when viewed from social justice, human rights, and health-promotion perspectives. 10 Nevertheless, common preventive protocols, such as the schedule and periodicity of routine dental visits, are not supported by a solid evidence base. 11 , 12 Similarly, uniform recommendations for early preventive dental visits (EPDVs) for infants and children have been challenged with regard to the evidence base supporting their timing and benefit to different population groups. 13 – 15

Various recommendations regarding the timing of children’s first dental visit are available in the public domain, emanating predominantly from nonauthoritative sources. 16 , 17 Currently, major professional associations’ (American Academy of Pediatric Dentistry, European Academy of Pediatric Dentistry, American Dental Association, Canadian Dental Association, Australian Dental Association, and American Academy of Pediatrics) recommendations converge to the first dental visit taking place early, at the time of the first tooth eruption (around age 6 months) or by age 1 year. 18 – 21 Despite these recommendations, the presence of visible caries lesions or dental trauma appear to impel most children’s first dental visit. 22 , 23 Compounding this frequently problem-initiated pattern of care seeking, caregivers’ ability to recognize early signs of dental caries in very young children is limited. 24

The current rationale for EPDVs, above and beyond the delivery of such preventive services as fluoride treatment, includes the concepts of establishment of a dental home, anticipatory guidance, and risk assessment. 15 , 18 , 25 , 26 Because caregivers’ role is a major influence on their children’s oral health behaviors and outcomes, 5 , 27 , 28 EPDVs offer an opportunity to educate caregivers of young children regarding optimal oral hygiene, feeding practices, and dental attendance, and prevention of early childhood caries and dental trauma. 29 – 34 Nevertheless, evidence on the effectiveness of preventive dental visits from a young age in improving children’s oral health outcomes is scarce. To add to the knowledge base of EPDVs, we carried out a comprehensive review of recommendations and published evidence regarding the benefits of EPDVs. Accordingly, our aim was to systematically review and summarize current evidence regarding the effectiveness of EPDVs in improving children’s oral health outcomes.

We conducted a comprehensive literature search of PubMed and Embase via Elsevier electronic databases to identify relevant published studies. The search strategy combined sets of terms covering three concepts: early preventive dental visits, outcomes, and infants or preschool children. The following search was used in PubMed and modified for the Embase via Elsevier platform: (dental[tw] OR dentist*[tw]) AND (visit*[tw] OR appointment*[tw]) AND (prevent*[tw] OR early[tw]) AND (quality of life[tw] OR absenteeism*[tw] OR outcome*[tw] OR utilization[tw] OR economics[subheading] OR cost[tw] OR costs[tw] OR expenditure*[tw] OR nonpreventive[tw] OR restorative[tw] OR emergenc*[tw] OR health behavior[mesh] OR oral hygiene[tw] OR decay[tw] OR caries[tw] OR dmft[tw]) AND (infant [mesh] OR infant* [tw] OR baby [tw] OR babies [tw] OR newborn [tw] OR neonate* [tw] OR child, preschool [mesh] OR preschool child* [tw] OR young child* [tw]). No limits based on language, country or publication year were used. Gray literature, such as reports and conference proceedings, were excluded from Embase search results. The search was initially conducted in August 2013, and was last updated on October 30, 2013. During the last update, our knowledge of the newly released study online by Beil et al 35 made us aware that the complexity of language used to describe young children might exclude retrieval of articles not yet indexed in PubMed. As a result, we also searched using only the EPDV part of the search and examined all the nonindexed articles for relevance.

To aid in study identification, we developed inclusion and exclusion criteria ( Table 1 ) based on the objective of this review, in the following categories: study population (children age 0–6 years), type of dental services (dental office-based oral evaluation and prevention services), and study outcomes (oral health-related clinical, behavioral, or expenditure outcomes). For this review, we excluded studies involving children with special health care needs and those published in languages other than English. First, the title and abstract were reviewed to determine potential relevance. Second, full texts of all potentially relevant articles were evaluated by two investigators (VB and KD), and the articles meeting the inclusion and exclusion criteria were selected for this review. Finally, the following data from included studies were abstracted in a summary table: location, title, first author’s name, type of study, study population, and outcomes, and overall findings independently by two investigators (VB and KD). Although we did not intend a formal quality assessment of the included studies, we did critique their methodology and major findings, and where applicable, this is reported in the “remarks” column of the data-abstraction table.

Selection criteria for the inclusion of studies in the systematic review

Our initial literature search identified 484 manuscripts in PubMed and 90 additional ones in Embase, 45 of which were duplicates, creating a total database of 529. One additional potentially relevant nonindexed article was identified in PubMed during the search update, for a total of 530. After initial screening of titles and abstracts, as described in the Materials and methods section, 24 manuscripts were selected for full-text evaluation. Based on our inclusion and exclusion criteria, four manuscripts were selected for inclusion in this review. 35 – 38

All four studies used a retrospective cohort study design and were carried out in the US ( Table 2 ). With the exception of the Savage et al 36 report, which was published in 2004, the studies were published recently, in 2012–2013. All studies utilized public insurance (Medicaid, a US social health care program for families and individuals with low income and resources) claims and had large sample sizes, ranging between 9,204 and 36,805 ( Table 3 ). EPDVs were defined using dental claims for preventive care (comprehensive or recall examination, and preventive services including fluoride varnish and dental prophylaxis) with few between-study variations. Three of the studies examined future preventive and nonpreventive dental visits and related expenditures as the primary outcomes. 36 – 38 Importantly, in the most recent study, Beil et al 35 merged public insurance claim files with state kindergarten dental surveillance data, and thus this was the only study using a clinical end point (dental caries, as measured by the decayed, missing, and filled teeth index) as the study outcome. All investigations employed multivariate modeling methods to control for established sociodemographic confounding factors and study-design characteristics. Notably, Sen et al 38 implemented an additional econometric multivariate modeling strategy based on “individual fixed effects”, which according to the authors proved superior and more robust against the effects of selection bias compared to previously used “naïve” modeling approaches.

List of studies included in the review of the effectiveness of early preventive dental visits in improving children’s oral health outcomes

Abbreviation: PMID, PubMed ID.

Summary of the reviewed studies investigating the effectiveness of early preventive dental visits (EPDV)

Abbreviation: DMFT, decayed, missing, and filled teeth.

The Beil et al 35 study, among other comparisons, contrasted children who had their first preventive dental visit before versus after age 18 months and found no benefit of EPDV in future clinically determined dental caries levels when children were examined in kindergarten. Savage et al 36 found that children who had an EPDV by age 1 year (n=23, or 0.24% of the study sample) were more likely to have future preventive dental visits and were equally likely to have future restorative or emergency ones versus children who had a preventive visit at a later age. These authors also reported a positive association between the age of the first dental visit and future dental-related Medicaid expenditures. In contrast, Beil et al 37 did not find any difference in subsequent dental outcomes between children who had primary or secondary prevention services by the age of 18 months and those that received services at an older age. These authors highlighted the possible issues of selection bias and problem-driven dental care-seeking patterns in this type of dental care-service research study. Finally, in the Beil et al 35 report, the authors found that preventive dental visits were associated with significant reductions in children’s subsequent nonpreventive dental visits and related expenditures, appearing to benefit their oral health. However, they reported that preventive visits were associated with an overall increase in the program’s expenditures during the study period.

In this paper, we sought to critically and comprehensively evaluate the evidence base of the effectiveness of EPDVs in improving children’s oral health, and found limited evidence in that direction. The only study that considered a clinical end point by investigating dental caries levels at kindergarten did not find any effect of EPDVs. Nevertheless, earlier preventive dental visits appear to be associated with more future preventive visits. Data on EPDVs’ effects on subsequent dental treatment (nonpreventive) visits and related costs from three studies are mixed; however, the largest study to date reported an association of EPDVs with fewer future nonpreventive dental visits and lower nonpreventive dental expenditures. While these data provide partial support for EPDVs and the year 1 dental visit, particularly for children at high risk or with existing dental disease, more studies among diverse populations are warranted to add to the evidence base.

The fact that to date there are insufficient data to conclusively support the human and economic benefits of EPDVs for all children does not imply that these benefits do not exist. There is ample theoretical and philosophical support for the benefits of health promotion and primary prevention over disease management and treatment, 39 – 41 while EPDVs are consistent with the establishment of a “dental home”. 25 , 26 , 29 The latter is philosophically aligned to the American Academy of Pediatrics concept of a medical home, where comprehensive pediatric primary care is provided contiguously, in a setting where provider and families “should be able to develop a relationship of mutual responsibility and trust”. 42 Ideally, the establishment of a dental home should take place at a time when provision of anticipatory guidance to caregivers and application of preventive modalities to children can have a true primary preventive effect, prior to the occurrence of disease or traumatic injury. The establishment of a dental home may be especially important for children of caregivers with low health literacy 28 or socioeconomic disadvantage, 43 , 44 and generally those at high risk for dental disease. 45

Earlier preventive dental visits were associated with more subsequent preventive visits in both the Savage et al 36 and Sen et al 38 studies, with the total program oral health-related expenditures being positively associated with EPDVs in the latter. The observation that “prevention costs” may not result in immediate program savings is, to some degree, expected. 46 First, long-term benefits of EPDVs may not be discernible in the 2- to 5-year observation windows of the reviewed studies. Second, possible positive effects on oral health behaviors, wellness, quality of life, pain, and lost time averted due to restorative treatment needs are not easily quantifiable and cannot be readily juxtaposed to dollar expenditures. However, this also offers an opportunity for the conduct of future studies examining the effects of EPDVs using additional oral health-related outcomes, such as caregivers’ oral health knowledge and behaviors, and children’s oral health-related quality of life.

Despite current professional recommendations for the year 1 dental visit, very few children actually had such a visit, illustrating a complex problem. First, information available to caregivers (ie, freely available online) regarding their children’s first dental visit is not always in agreement with the professional recommendations. 16 , 17 As most authors noted, patterns of dental care seeking for very young children appear to be problem-initiated rather than driven by primary prevention. Moreover, it is well documented that shortages in the dental workforce (general and pediatric dentists) pose a barrier to access to care for large portions of the population, particularly those enrolled in public insurance and residing in rural areas. 47 , 48 In an environment with limited resources, it appears reasonable to support a need- and risk-based prioritization of EPDVs, 35 , 37 as low-risk groups may benefit the least from early dental office-based visits. 49 On the other hand, the task of determining clinical treatment needs and caries risk without an EPDV remains a challenge, because the actual oral health trajectory of individual children is otherwise unobservable.

In this regard, the potential role of nondental providers in screening all young children and referring those at high risk and with treatment is crucial. This model has been successfully implemented in North Carolina, as the Into the Mouths of Babes program, 50 resulting in improvement of oral health care-services utilization 51 and reductions of dental caries-related treatments among preschool children. 52 Although econometric evaluations of the program did not reveal any cost savings, 53 , 54 this model offers an excellent avenue for the delivery of preventive oral health services (ie, fluoride varnish application) and the conduct of oral health screenings and referrals for specialist care. These services are not offered in a dental setting; however, these visits can be considered EPDVs and further research on their effectiveness in improving children’s oral health outcomes is warranted.

The currently available evidence base supporting the effectiveness of EPDVs and the year 1 first dental visit recommendation is weak, and more research among diverse populations is warranted. Despite the strong theoretical and philosophical support for Benjamin Franklin’s “an ounce of prevention is better than a pound of cure”, evidence to date has shown benefits of preventive dental visits before age 3 years only among children at high risk or with existing dental disease. Nevertheless, EPDVs are associated with more subsequent preventive dental visits, and may be associated with reduced restorative dental care visits and related expenditures during the first years of life.

The authors report no conflicts of interest in this work.

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Delta Dental of Arkansas

Delta Dental of Arkansas News

Back-to-school dental visits recommended for k-12 students.

Posted Aug 2021

By Delta Dental of Arkansas

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Risk of skipping regular cleaning and exams outweighs risk of COVID-19 infections

LITTLE ROCK, AR—Even with rising COVID-19 infection rates, Delta Dental of Arkansas is urging Arkansans to follow an important annual tradition: Schedule back-to-school dentist appointments for your K-12 children. Dental experts agree that the risk of neglecting preventive care exams and professional cleanings far outweighs the risk of catching the virus from a dentist visit.

“If K-12 students see their dentist now, they can be examined and, if necessary, treated for tooth decay and gum disease before severe pain distracts them from paying attention in class or causes them to miss school,” said Thomas Redd, DDS, MS and Vice President, Professional Relations at Delta Dental of Arkansas. “Children and parents should not worry about the safety of their visit during the pandemic because dental offices follow CDC infection control protocols to protect the health of their patients and staff.”

The oral health state of America’s elementary and secondary students leaves a bad taste in the mouth:

• Dental-related problems are the #1 reason for K-12 students to miss school, exceeding 51 million hours each year, the U.S. Department of Health and Human Services estimates.
• Tooth decay remains the most common chronic disease for children and youth ages 5 through 19, outpacing asthma and hay fever, according to the Centers for Disease Control and Prevention.
• Poor oral health negatively affects academic performance. A study by the American Journal of Health showed that elementary students distracted in class or absent from school because of dental pain had lower grade-point averages compared to their peers without oral health issues.

Despite the alarming statistics, tooth decay is largely preventable with regular dental check-ups, proper oral hygiene and a healthy diet. For most individuals, semiannual dental visits are recommended.

Scheduling one of these visits for students as they return to school is ideal because it occurs at the end of a long summer break with disrupted routines. During those lazy days, kids were more likely to indulge in ice cream, candy and sodas and pay less attention to regular brushing and flossing. As a result, cavity-causing tartar and plaque might have built up that need to be removed by a dental professional. The dentist will also conduct a thorough examination of teeth and gums and, if needed, take x-rays to diagnose dental decay or gum disease.

Although the back-to-school dental check-up should be a tradition, the actual visit may look a bit different these days. Dental offices have taken additional safety precautions designed to protect patients and staff during the COVID-19 pandemic. Patients are encouraged to call ahead of time to inquire about what to expect.

Delta Dental of Arkansas covers the charges for those preventive exams and cleanings at little to no cost to its members, including Medicaid recipients whose claims are processed by Delta Dental.

Scheduling that dental appointment without delay will give parents and their children peace of mind and healthy smiles all semester long until the next visit six months from now.

About Delta Dental of Arkansas

Delta Dental of Arkansas is the largest dental benefits provider in the state, helping more than 800,000 Arkansans keep their smiles healthy through commercial and Medicaid coverage. As a not-for-profit company, Delta Dental is committed to improving the oral health of Arkansans through the philanthropic efforts of its Foundation, which donated more than $3 million to support oral health education initiatives in the last three years. For more information, visit  www.deltadentalar.com/ .

Media Contact: Dave Hawsey Vice President, Marketing (c) 501-813-2315 [email protected] www.deltadentalar.com

Dentist Visits Your School Pandemic Style – We’re Going Virtual!

February is a month we look forward to all year round because it is National Children’s Dental Health Month.

In years past, our favorite way to celebrate is by visiting local daycares and schools to educate children, teachers and parents about the importance of oral health. Our practice believes strongly in community outreach programs in order to educate young children on the importance of oral hygiene and proper nutrition in our lives.

While we would love to continue our tradition of in-person visits, this pandemic precludes us from entering schools and daycares at this time. Since we enjoy these visits so much and recognize the value to the community, we are excited to offer an alternate option of a virtual visit. We have made a fun video of our presentation including a tour of our dental office and highlights of a dental appointment. We review the importance of regular dental checkups, as well as proper brushing habits and techniques. We also practice identifying healthy and unhealthy snacks so kids are motivated to make good choices at home.

Our team looks forward to these visits each year and we are excited to still offer this opportunity but in a new and safe format.

If you are interested in a virtual visit at your school or daycare, please contact us at 860-372-4600 or email us at [email protected] .

• U.S. Dental Schools
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In This Section

University of Alabama School of Dentistry , Birmingham, AL

Arizona School of Dentistry & Oral Health , Mesa, AZ Midwestern University College of Dental Medicine , Glendale, AZ

California Northstate University, College of Dental Medicine , Elk Grove, CA   Herman Ostrow School of Dentistry of USC , Los Angeles, CA Loma Linda University School of Dentistry , Loma Linda, CA University of California, Los Angeles School of Dentistry , Los Angeles, CA University of California, San Francisco School of Dentistry , San Francisco, CA University of the Pacific Arthur A. Dugoni School of Dentistry , San Francisco, CA Western University of Health Sciences College of Dental Medicine , Pomona, CA

University of Colorado School of Dental Medicine , Aurora, CO

Connecticut

University of Connecticut School of Dental Medicine , Farmington, CT

District of Columbia

Howard University College of Dentistry , Washington, DC

LECOM School of Dental Medicine , Bradenton, FL Nova Southeastern University College of Dental Medicine , Ft. Lauderdale, FL University of Florida College of Dentistry Gainesville, FL

The Dental College of Georgia at Augusta University , Augusta, GA

University of Illinois at Chicago College of Dentistry , Chicago, IL Midwestern University College of Dental Medicine , Downers Grove, IL Southern Illinois University School of Dental Medicine , Alton, IL

Indiana University School of Dentistry , Indianapolis, IN

The University of Iowa College of Dentistry and Dental Clinics , Iowa City, IA

University of Kentucky College of Dentistry , Lexington, KY University of Louisville School of Dentistry , Louisville, KY

Louisiana State University Health Science Center School of Dentistry , New Orleans, LA

University of New England College of Dental Medicine , Portland, ME

University of Maryland School of Dentistry , Baltimore, MD

Massachusetts

Boston University Henry M. Goldman School of Dental Medicine , Boston, MA Harvard University School of Dental Medicine , Boston, MA Tufts University School of Dental Medicine , Boston, MA

University of Detroit Mercy School of Dentistry , Detroit, MI University of Michigan School of Dentistry , Ann Arbor, MI

University of Minnesota School of Dentistry , Minneapolis, MN

Mississippi

University of Mississippi Medical Center School of Dentistry , Jackson, MS

Kansas City University College of Dental Medicine , Joplin, MO Missouri School of Dentistry & Oral Health at ATSU , Kirksville, MO University of Missouri-Kansas City School of Dentistry , Kansas City, MO

Creighton University School of Dentistry , Omaha, NE University of Nebraska Medical Center College of Dentistry , Lincoln, NE

University of Nevada, Las Vegas School of Dental Medicine , Las Vegas, NV

Rutgers School of Dental Medicine , Newark, NJ

Columbia University College of Dental Medicine , New York, NY New York University College of Dentistry , New York, NY Stony Brook University School of Dental Medicine , Stony Brook, NY Touro College of Dental Medicine at New York Medical College , Hawthorne, NY University at Buffalo School of Dental Medicine , Buffalo, NY

North Carolina

East Carolina University School of Dental Medicine , Greenville, NC High Point University School of Dental Medicine and Oral Health , High Point, NC (Opening Fall 2024) University of North Carolina Chapel Hill School of Dentistry , Chapel Hill, NC

Case Western Reserve University School of Dental Medicine , Cleveland, OH Ohio State University College of Dentistry , Columbus, OH

University of Oklahoma College of Dentistry , Oklahoma City, OK

Oregon Health Sciences University School of Dentistry , Portland, OR

Pennsylvania

University of Pennsylvania School of Dental Medicine , Philadelphia, PA University of Pittsburgh School of Dental Medicine , Pittsburgh, PA Temple University Kornberg School of Dentistry , Philadelphia, PA

Puerto Rico

University of Puerto Rico, School of Dental Medicine , San Juan, PR

South Carolina

Medical University of South Carolina College of Dental Medicine , Charleston, SC

Lincoln Memorial University-College of Dental Medicine Meharry Medical College School of Dentistry , Nashville, TN University of Tennessee Health Science Center College of Dentistry , Memphis, TN

Texas A&M University College of Dentistry , Dallas, TX Texas Tech University Health Sciences Center El Paso-Hunt School of Dentistry , El Paso, TX University of Texas Health Science Center at Houston School of Dentistry , Houston, TX  University of Texas Health Science Center at San Antonio School of Dentistry , San Antonio, TX

Roseman University of Health Sciences College of Dental Medicine , South Jordan, UT University of Utah School of Dentistry , Salt Lake City, UT

Virginia Commonwealth University School of Dentistry , Richmond, VA

University of Washington School of Dentistry , Seattle, WA

West Virginia

West Virginia University School of Dentistry , Morgantown, WV

Marquette University School of Dentistry , Milwaukee, WI

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Top Dental Schools to Get Low-Cost Dental Work (By State)

In this article

Why Should You Get Dental Work at Dental Schools?

The primary benefit of going to a dental school for your oral care needs is the lower cost. Some people can’t afford the out-of-pocket payments for dental care or don’t have public or private dental insurance.

Dental services are expensive. For example, one routine teeth cleaning and exam can cost $200, a single cavity filling can cost well over $250, and braces cost thousands.

However, anyone can receive cheap or free dental care at dental schools. This lessens the cost of professional oral care and helps dental students gain experience treating people.

How Does Low-Cost Care at Dental Schools Work? 

Dental schools are good sources of quality, low-cost dental treatment. Most dental schools run clinics where students provide dental services at reduced or halved prices, sometimes less.

Experienced and licensed dentists closely supervise the treatments, which means appointments take longer than usual. The supervisors check every step as the dental student works on your teeth, giving you more peace of mind. 

There are advantages and disadvantages associated with low-cost dental services. It’s important to know what to expect so you can make an informed decision.

Pros & Cons of Dental Schools

Pros of dental schools:

• Dental treatments are cheaper, usually with 50% discounts or more; this includes surgical procedures, preventive care, and restorative care
• Licensed dentists supervise every procedure, checking each step to ensure things are done correctly, so rest assured you’ll receive quality and thorough dental work
• The Commission duly accredits dental schools on Dental Accreditation (CODA)
• Some dental procedures are free

Cons of dental schools:

• You’ll wait for the availability of appointments
• Appointments and procedures take longer than they would at a private dentist’s office
• Student inexperience; however, mistakes rarely occur due to professional supervision
• You must go to campus to receive treatment personally, so you may need to commute if you live far away
• Not all dental services are available at a dental school

How to Become a Patient at a Dental School

To become a patient at a dental school clinic, you must first undergo a screening to determine your suitability. Your dental needs must match a student’s training needs. 

If qualified, you’ll be assigned to a dental student and begin receiving the low-cost (or free) dental procedure(s) you need. 

Some dental schools charge a non-refundable fee for the screening process. Not all dental schools do this, so check if there are pre-treatment fees you need to settle beforehand.

How Can I Find Dental Schools Near Me?

Most states have dental schools that offer some type of free or cheap dental service program. However, you’ll need to call the school for more information.

You can go online and search for an accredited dental school near you.

The available dental services can also vary by school. For example, the University of California at Los Angeles School of Dentistry may provide different services than the Loma Linda University School of Dentistry.

Who Qualifies for Cheap Services at Dental Schools?

There are a lot of dental schools that offer dental services at reduced rates. The following groups of people qualify for cheap services at dental schools:

• The elderly
• People with disabilities
• Mentally and medically compromised people
• Low-income people

Most states offer low-cost dental services via dental schools. These programs are full of dental students who need hands-on training before graduation.

The cost usually depends on the type of program that you choose. Most programs offer pre-doctoral, advanced, and allied dental education programs.

Below is a list of dental schools that offer low-cost dental work, organized by state. They are all accredited by the Commission on Dental Accreditation (CODA).

University of Alabama School of Dentistry at UAB 1530 3rd Avenue S. SDB 406 Birmingham 35294-0007

University of Alabama at Birmingham School of Dentistry 1919 7th Avenue South between 19th and 20th Streets Alabama 35233

A.T. Still University Arizona School of Dentistry & Oral Health 5850 East Still Circle Mesa 85206

Midwestern University College of Dental Medicine- Arizona 19555 North 59th Avenue Glendale 85308

California Northstate University College of Dental Medicine 9700 West Taron Drive Elk Grove 95757

Herman Ostrow School of Dentistry of the University of Southern California 925 W. 34th Street Los Angeles 90089-6041

Loma Linda University School of Dentistry 11092 Anderson St. Loma Linda 92350

University of California at Los Angeles School of Dentistry Center for Health Science Rm 53-038 10833 Le Conte Ave Los Angeles 90095-1668

University of California at San Francisco School of Dentistry 513 Parnassus Ave S-630 San Francisco 94143

University of the Pacific Arthur A. Dugoni School of Dentistry 155 5th Street San Francisco 94103

Western University of Health Sciences College of Dental Medicine College of Dental Medicine Western University of Health Sciences 309 E. Second Street Pomona 91766-185

University of Colorado Denver School of Dental Medicine School of Dental Medicine; Lazzara Center for Oral-Facial Health 13065 E. 17th Avenue Mail Stop F831 Aurora 80045

Connecticut

University of Connecticut School of Dental Medicine 263 Farmington Avenue Farmington 06030-3915

District of Columbia

Howard University College of Dentistry 600 W Street NW Washington, D.C. 20059

LECOM College of Dental Medicine 4800 Lakewood Ranch Boulevard Bradenton 34211

Nova Southeastern University College of Dental Medicine 3200 S. University Drive Fort Lauderdale 33328

University of Florida College of Dentistry 1600 SW Archer Rd. Rm D4-6 P.O. Box 100405 Gainesville 32610-0405

Dental College of Georgia at Augusta University 1430 John Wesley Gilbert Drive Rm AD 5202 Augusta 30912-0200

Midwestern University College of Dental Medicine- Illinois 555 31st Street Downers Grove 60515

Southern Illinois University School of Dental Medicine 2800 College Avenue Bldg 273/2300 Alton 62002

University of Illinois at Chicago College of Dentistry 801 South Paulina Street Suite # 102 Chicago 60612

Indiana University School of Dentistry 500 West University Blvd., UH-3145 Indianapolis 46202

University of Iowa College of Dentistry and Dental Clinics 100 Dental Science Bldg. Iowa City 52242

University of Kentucky College of Dentistry 800 Rose Street D 136 UKMC Lexington 40536-0297

University of Louisville School of Dentistry 501 S. Preston Street Louisville 40292

Louisiana State University School of Dentistry 1100 Florida Avenue New Orleans 70119-2799

University of New England College of Dental Medicine Westbrook College Campus 716 Stevens Avenue Portland 04103-2670

University of Maryland School of Dentistry 650 W. Baltimore Street Suite 6402 Baltimore 21201

Massachusetts

Boston University Henry M. Goldman School of Dental Medicine 100 East Newton Street Boston 02118

Harvard University School of Dental Medicine 188 Longwood Avenue Boston 02115

Tufts University School of Dental Medicine One Kneeland Street Boston 02111

University of Detroit Mercy School of Dentistry 2700 Martin Luther King Jr. Blvd (MB 98) Detroit 48208-2576

University of Michigan School of Dentistry 1011 N. University Ave. Ann Arbor 48109-1078

University of Minnesota School of Dentistry Room 15-209 Moos Tower 515 S.E. Delaware Street Minneapolis 55455

Mississippi

University of Mississippi School of Dentistry Medical Center; 2500 North State Street Jackson 9216-4505

A.T. Still University Missouri School of Dentistry and Oral Health Missouri School of Dentistry & Oral Health 800 W. Jefferson St. Kirksville 63501

University of Missouri-Kansas City School of Dentistry 650 East 25th Street Kansas City 64108

Kansas City University College of Dental Medicine 1750 Independence Ave. Kansas City, MO 64106

Creighton University School of Dentistry 2109 Cuming Street Omaha 68131

University of Nebraska Medical Center College of Dentistry 40th & Holdrege Streets Lincoln 68583-0740

University of Nevada Las Vegas School of Dental Medicine Shadow Lane Campus 1001 Shadow Lane MS 7410 Las Vegas 89106-4124

Rutgers School of Dental Medicine 110 Bergen St.; Room B815 Newark 07103-2425

Columbia University College of Dental Medicine 630 West 168th Street PH7 East Room 122 New York 10032

New York University College of Dentistry 345 East 24th Street New York 10010

Stony Brook University School of Dental Medicine Health Sciences Center; 154 Rockland Hall Stony Brook 11794-8700

Touro College of Dental Medicine at New York Medical College (NYMC) 19 Skyline Drive Hawthorne 10532

University of Buffalo School of Dental Medicine 325 Squire Hall; 3435 Main Street Buffalo 14214-3008

North Carolina

East Carolina University School of Dental Medicine 1851 MacGregor Downs Road, Mail Stop 701 Greenville 27834-5925

University of North Carolina at Chapel Hill Adams School of Dentistry University of North Carolina at Chapel Hill Koury Oral Health Sciences, Suite 1611 3/8 S. Columbia Street, Campus Box 7450 Chapel Hill 27599-7450

Case Western Reserve Univ. School of Dental Medicine 10900 Euclid Avenue Cleveland 44106-4905

Ohio State University College of Dentistry 305 West 12th Avenue Columbus 43210-1267

University of Oklahoma College of Dentistry 1201 N. Stonewall Avenue Oklahoma City 73117

Oregon Health and Science University School of Dentistry 2730 SW Moody Avenue Portland 97201-5042

Pennsylvania

Temple University The Maurice H. Kornberg School of Dentistry 3223 North Broad Street Philadelphia 19140

University of Pennsylvania School of Dental Medicine 240 South 40th Street; Robert Shattner Center Philadelphia 19104-6030

University of Pittsburgh School of Dental Medicine 3501 Terrace Street Pittsburgh 15261

South Carolina

Medical University of South Carolina James B. Edwards College of Dental Medicine 173 Ashley Ave. MSC 507 PO Box 250507 Charleston 29425-5070

Meharry Medical College School of Dentistry 1005 D.B. Todd Blvd. Nashville 37208

University of Tennessee College of Dentistry University of Tennessee Health Science Ctr; 875 Union Avenue Memphis 38163

Lincoln Memorial University College of Dental Medicine LMU Tower 1705 St. Mary Street Knoxville, TN 37917

Texas A&M University College of Dentistry 3302 Gaston Avenue Dallas 75246 Texas Tech University Health Sciences Center El Paso 5001 El Paso Dr. El Paso 79905

UT Health Houston School of Dentistry 7500 Cambridge Street Houston 77054

UT Health San Antonio, School of Dentistry 7703 Floyd Curl Drive Mail Code 7914 San Antonio 78284-7914

Texas Tech University Health Sciences Center El Paso Woody L. Hunt School of Dental Medicine 137 Rick Francis Street El Paso, TX 79905

Roseman University of Health Sciences College of Dental Medicine 10920 S. Riverfront Park South Jordan 84095

University of Utah School of Dentistry 530 South Wakara Way Salt Lake City 84108

VCU School of Dentistry P.O. Box 980566 520 North 12th Street 450 Lyons Building Richmond 23298-0566

University of Washington School of Dentistry 1959 NE Pacific Street, B-530 Box 357480 Seattle 98195

West Virginia

West Virginia University School of Dentistry Robert C. Byrd Health Sci Ctr.; 1150 HSC North/Medical Center Drive; PO Box 9400 Morgantown 26506-9400

Marquette University School of Dentistry 1801 W. Wisconsin Avenue Milwaukee 53233

• Dalhousie University Faculty of Dentistry
• McGill University Faculty of Dental Medicine and Oral Health Sciences
• The University of British Columbia Faculty of Dentistry
• University of Alberta School of Dentistry
• Université Laval Faculté de Médecine Dentaire
• University of Manitoba College of Dentistry, Faculty of Health Sciences
• Université de Montréal Faculté de Médecine Dentaire
• University of Saskatchewan College of Dentistry
• University of Toronto Faculty of Dentistry
• Western University Schulich School of Medicine & Dentistry

Other Ways to Get Free or Low-Cost Dental Work

Aside from dental school clinics, here are other ways to get free or low-cost dental care:

Public Dental Clinics

Community health centers, local or state health departments, and taxpayers fund these clinics. They usually charge low, fixed prices or sliding fees depending on how much the patient can afford to pay. 

These clinics provide dental services, such as:

• Root canals
• Surgical tooth extraction

Free Dental Clinics

Many faith-based groups, charities, and professional dental organizations organize free dental clinics. However, the waitlist can be quite long. 

Also, they usually have requirements as to who can qualify for free dental services. They either have income cutoffs or are exclusive to people with disabilities or the elderly.

Government Dental Coverage

These are all federally funded programs that offer free or low-cost dental care for certain groups of people:

• Children’s Health Insurance Program (CHIP) — Provides medical services to children up to 19 years of age who don’t have health insurance. Dental service coverage depends from state to state.
• Medicaid — A state-run program providing medical and dental benefits to eligible people and families. Each state has its guidelines regarding eligibility and covered services. 
• Medicare — A health insurance program for the elderly (65 years and older) and people with specific disabilities. However, their dental coverage is limited to dentures and doesn’t cover most routine dental care services.
• InsureKidsNow.gov — InsureKidsNow.gov assists families in finding affordable health insurance options for children and teenagers.
• Veterans Affairs — Veterans may be eligible for VA dental care benefits, potentially receiving some or all of their dental care.

Dental Savings Plans

These are less expensive alternatives to dental insurance and are available for persons and families. Other people call them dental discount plans .

Dental savings plans offer discounted rates for dental treatments and services that orthodontists, oral surgeons, and dentists within their network provide. A monthly or annual fee (about $100 to $200 per year) is required to receive a 10 to 60 percent discount on dental care.

Dental treatments can be expensive, but it’s still essential for a healthy life. It’s not wise to delay dental care until something happens because this may lead to more severe problems that will cost more money overall.

The good news is that various free or low-cost dental work options are available. Some options include the ones listed above.

Consider checking out these resources if you’re looking for affordable dental care. Take advantage of these options to maintain good oral health without breaking the bank.

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Canada Dental Resources

UK Dental Resources

• National Institute of Dental and Craniofacial Research. “ Oral Health in America: A Report of the Surgeon General .” US Department of Health and Human Services, 2023.
• “ Disparities in Oral Health .” Centers for Disease Control and Prevention, 2021.
• “ Where Can I Find Low-Cost Dental Care? .” U.S. Department of Health and Human Services, 2023.
• “ Search for Dental Programs .” Commission on Dental Accreditation.
• “ Finding Dental Care .” National Institute of Dental and Craniofacial Research, 2023.
•  “ Low-Cost Dental Care .” New Hampshire Dental Society.

Dental Sealants Can Improve Students’ Oral Health

Good oral health keeps students in school and ready to learn.

Learn how a school dental sealant program can help your students keep a healthy smile.

Cavities (tooth decay) are the most common chronic diseases of childhood in the United States. 1  Untreated cavities can cause pain and infections that lead to problems eating, speaking, playing, and learning. These problems can affect a child’s quality of life, performance at school, and success later in life.

The good news is cavities are preventable and schools can help. Dental sealants protect the chewing surfaces of the back teeth by covering them with a protective shield that can prevent cavities for many years. School sealant programs are an effective way to reach millions of children with this intervention, helping them stay healthy and ready to learn.

Schools can:

• Consider starting a dental sealant program if they don’t already have one. These guidelines, recommendations, and resources can help.
• Communicate with families about the importance of good oral hygiene and how participation in the school’s dental sealant program can help prevent cavities by protecting the chewing surfaces .
• Inform families of the school health services available, including care coordination for students with chronic health conditions, like cavities. School sealant programs can also develop referral networks with dental practitioners in the community.
• Promote healthy eating and drinking water while at school. Teachers, school staff, out-of-school time program leaders, and administrators can practice healthy eating to reinforce this behavior with students . Staff can also support consistent messages in schools about the importance of good nutrition.
• Ensure playgrounds and other physical activity facilities are safe to reduce students’ risks of oral trauma, and be prepared for any dental emergencies.

Learn more about ways to increase sealant use through school programs. Get information on what CDC is doing to improve the oral health of students through school dental sealant programs. Visit the BAM Teachers Portal for information to share with parents and caregivers on what they can do to support their child’s oral health.

More information

• Addressing Oral Health in Schools
• Best Practice Approach Report: School-Based Sealant Programs
• Cavities and Dental Sealants Fast Facts
• Children’s Oral Health
• School Health Services
• Oral Health Activity Books for Children
• School Sealant Programs Promote Health Equity
• Institute for Health Metrics and Evaluation (IHME). 2020. GBD Compare Data Visualization. Seattle, WA: IHME, University of Washington.  http://vizhub.healthdata.org/gbd-compare .

Healthy Youth

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School of Dentistry

The VCU School of Dentistry Dental Hygiene program requires two years of liberal arts study followed by two years of study focusing on basic and dental sciences, dental hygiene science and theory, community health, and preclinical and clinical experiences. Upon successful completion of the program, graduates are eligible for national, regional and state board licensing examinations.

The Dental Hygiene program at Virginia Commonwealth University, which began in 1969, is accredited by the Commission on Dental Accreditation. The commission is a specialized body recognized by the United States Department of Education. The Commission on Dental Accreditation can be contacted at (312) 440-4653 or at 211 East Chicago Avenue, Chicago, IL 60611-2678. Visit the commission’s website: http://www.ada.org/en/coda . 

The VCU Dental Hygiene Program holds virtual information sessions for all of those interested. We will go over the basics of the program, as well as admissions requirements and the application process. We will navigate through the website from beginning to end, highlighting the information that pertains to preparing for entry into our dental hygiene program. This is also a great opportunity to ask specific questions you may have. Below you can register for one of our upcoming virtual open house dates. 

April 15, 2024 12 - 1 p.m.

Register    

Employment of dental hygienists, according to the U.S. Department of Labor, is projected to grow 19 percent from 2014 to 2024, much faster than the average for all occupations. Ongoing research linking oral health to general health will continue to spur demand for preventive dental services, which are provided by dental hygienists.

Follow these links to learn more about professional opportunities for dental hygienists.

• Bureau of Labor Statistics Occupational Outlook Handbook
• American Dental Hygiene Association Career Center
• MyDentalJobs
• American Dental Association Career Center

Putin taunts the West by traveling to within 55 miles of the US

Posted: January 10, 2024 | Last updated: April 3, 2024

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40 facts about elektrostal.

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Reviewed by Jessica Corbett

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

• Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
• With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

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