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20ll Oral Health Summit St. Paul, Minnesota

20ll Oral Health Summit St. Paul, Minnesota. Barbara Hann Ayo Adeniyi Merry Jo Thoele Jon Roesler Minnesota Department of Health Oral Health Unit. Minnesota BSS Baseline Data Collection February – May 2010. Across Minnesota. Third grade students 40 schools 27 counties

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20ll Oral Health Summit St. Paul, Minnesota

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  1. 20ll Oral Health SummitSt. Paul, Minnesota Barbara Hann Ayo Adeniyi Merry Jo Thoele Jon Roesler Minnesota Department of Health Oral Health Unit

  2. Minnesota BSS Baseline Data CollectionFebruary – May 2010

  3. Across Minnesota • Third grade students • 40 schools • 27 counties • 40 school districts • 17 weeks • 3 pilot sites

  4. Basic Screening Survey Locations

  5. Collaborators • School Nurses of Minnesota • Minnesota Department of Health • Minnesota Obesity Grant • Oral Health Unit • Maternal and Child Health • Steps and Coordinated School Health • Minnesota Department of Education • Children’s Dental Services • Apple Tree Dental • University of Minnesota • Dental Hygienists of Minnesota • Volunteers

  6. Data Collection Form/Active Consent • Process had transparency • data was recorded on the lower part of the form so parents could see what was collected • upper part of the form was for parental consent. • consent for both parts of the screening or just one part • Identifying data was left at the school

  7. Keys to success • Communication • Incentives

  8. Communication School district superintendents Elementary school principals School health professionals School contact person Parents/Guardians • Intro letter, consent data form, results letter, referral as needed

  9. Incentives • For Students: Each student in third grade at each school received a self-closing plastic bag • with a new toothbrush • pedometer • Five-a-Day Activity Book, • brushing and flossing flyer • child and nutrition brochure

  10. Incentives • For Schools: The principals, teachers, and school coordinator received • a “thank you” bag with food safety information • nutrition and activity information • cookbook and recipe cards • pencils • fruit and vegetable tracking paper • pedometer Teachers also received posters for the classroom for dental health and nutrition

  11. BSSBasic Screening SurveyAssociation of State & Territorial Dental Directors • Representative Sample of Schools • 3rd Graders Statewide • Non-invasive Oral Health Survey: • Caries, Fillings, & Sealants • Estimate Treatment Urgency

  12. Sample is representative • Public schools with 3rd grade classes • Classroom size: 10 or more students • Sample frame: 837 schools • Simple random sample • Needed 40 schools; over-sampled 50 • ASTDD screening protocol used MN2010 3rd Grade BSS

  13. MN2010 BSS Facts • Visited 40 schools across Minnesota • Eligible students: 3,054 (2008/09 school enrollment) • Consented: 1,821 • Screened: 1,766 • Response rate (active consent): 58% • Ohio 53% (active consent; 2005-2006) • Wisconsin 89% (passive consent; 2007-2008) • Participation rate: 97%

  14. BSS Data Summary *95 percent confidence interval ** Natl. Oral Health Surveillance System Indicators MN2010 3rd Grade BSS

  15. Dental Sealants Percentage of 3rd Grade studentswith dental sealants on at least one permanent molar tooth

  16. MN2010 BSS:Dental Sealants Minnesota 64.1% (#2) U.S. 23.0% High: Vermont 66.1% South Dakota 61.1% North Dakota 52.7% Wisconsin 47.0% Iowa 45.5% Ohio 43.3% Illinois 26.9% Low: South Carolina 20.3%

  17. Healthy People 2010: 50% MN2010 3rd Grade BSS

  18. Caries Experience Percentage of 3rd Grade students with history of dental caries (treated or untreated caries) MN2010 3rd Grade BSS

  19. MN2010 BSS:Caries Experience Minnesota: 54.9% (#11) U.S.: 52.0% Low: Connecticut 40.6% Iowa 42.8% Ohio 55.0% Illinois 55.4% North Dakota 55.6% Wisconsin 60.1% South Dakota 65.6% High: Arkansas 72.2%

  20. Healthy People 2010: 42.0% MN2010 3rd Grade BSS

  21. Untreated Tooth Decay Percentage of 3rd Grade students with untreated tooth decay MN2010 3rd Grade BSS

  22. Untreated Tooth Decay Minnesota: 18.1% (#4) U.S.: 29.0% Low: Iowa 13.2% North Dakota 16.9% Ohio 25.7% Illinois 30.2% Wisconsin 30.8% South Dakota 32.9% High: Arkansas 42.1% MN2010 3rd Grade BSS

  23. Healthy People 2010: 21.0% MN2010 3rd Grade BSS

  24. Socioeconomic Status School’s Free & Reduced Lunch (FRL) Eligibility Status Proxy for community socioeconomic status

  25. MN2010 3rd Grade BSS

  26. MN2010 3rd Grade BSS

  27. MN2010 3rd Grade BSS

  28. MN2010 3rd Grade BSS

  29. Race & Ethnicity

  30. MN2010 3rd Grade BSS

  31. Location: Urban vs. Rural

  32. MN2010 3rd Grade BSS

  33. Gender: Male vs. Female

  34. MN2010 3rd Grade BSS

  35. Conclusion: Mixed findings • Overall good preventive strategies & treatment • restorative services and treatment need on par with nation • Caries experience higher than national targets • ~ 20% attend school with cavities in their mouths • Disproportionate burden of oral disease • minority populations • lower income families MN2010 3rd Grade BSS

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