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Perinatal Oral Health West Virginia Perinal Partnership Central Advisory Council May 18 th, 2012

Perinatal Oral Health West Virginia Perinal Partnership Central Advisory Council May 18 th, 2012 . Bobbi Jo Muto, RDH Perinatal Partnership Staff Dr. Jason Roush, State Dental Director, Committee Chair . Institute of Medicine Report Brief *.

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Perinatal Oral Health West Virginia Perinal Partnership Central Advisory Council May 18 th, 2012

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  1. Perinatal Oral HealthWest Virginia Perinal Partnership Central Advisory Council May 18th, 2012 Bobbi Jo Muto, RDH Perinatal Partnership Staff Dr. Jason Roush, State Dental Director, Committee Chair

  2. Institute of Medicine Report Brief* “Evidence shows that oral health complications may be associated with adverse pregnancy outcomes…” “Tooth decay is a highly, if not entirely, preventable disease.” *Advancing Oral Health in America, April 2011 American Journal of Public Health* A new study showed that “women with insurance coverage who received preventative dental care had better birth outcomes than did those who received no treatment.” * American Journal of Public Health January 2011

  3. WVU’s Dental Health & Pregnancy Project (Factors Contributing to Oral Health Disparities in Appalachia) Headed up by Dr. Richard Crout • Based on results from a study conducted in central West Virginia, a new research protocol was developed • Recruit a new cohort of pregnant women (500 in WV) for an intense longitudinal follow-up project (Dental Health & Pregnancy Project) • Identify early onset events influencing ECC • Genetics, microbiology, epidemiology, behavior, nutrition • Mother (and baby) will be seen for 4 in-person visits and 6 phone interviews • A simple dental screenings where plaque, gingival and saliva samples will be obtained from mother and baby • Exams are designed so that they do not cause bleeding • Short in-person interviews and longer phone interviews • Total in-person visits last about 90 minutes; phone interviews 30-45 minutes • Mother and baby will be followed for 2 years from birth

  4. Participant Timeline

  5. WV subject recruitment • Team mobilized and travels throughout West Virginia • If a participant cannot travel to a partner facility staff can see her at her home • Currently have 40 partner facilities from throughout the state • To-date over 100 women from WV have received their initial visit. Some of our moms have given birth and the babies have been incorporated into the study. -Babies receive a gift bag upon enrolling – items include hand knitted hats, booties, and mittens made by staff members in WV and PA in their own time.

  6. WV subject recruitment • Primary partnerships to assist in recruitment and assessment efforts include: • The Rural Health Education Partnership • The West Virginia Perinatal Partnership • West Virginia Women, Infant and Children Program • Local partner facilities (convenience for subjects) which are also used for assessments • OB/GYN clinics • Health Departments • Head Start, local preschools and daycare facilities • Primary care clinics • Baby fairs and community health fairs • Major advertising initiatives including radio and print ads

  7. The study is still in need for approximately 500 more pregnant women from WV* Informational Brochure is provided

  8. Perinatal Oral Health Initiatives Home Visitors Project – Claude W. Benedum funding to Marshall University providing support, education and supplies to home visitors throughout WV MIHOW, Parents as Teachers, etc. WV Fluoride Varnish Program- WVU training of non-dental professionals in fluoride varnish application for children age 4 and under

  9. Policy Changes 2011 Legislative Update 2012 Legislative Targets • Increase Medicaid Dental coverage to all pregnant women through 2 years postpartum- FAILED • Increase Medicaid Dental coverage to all pregnant women through 2 years postpartum • Study to look at Oral Health and Perinatal Population

  10. Perinatal Population Remains at the Forefront of the State Oral Health Program • Included in the WV State Oral Health Plan (3 objectives) • DentaQuest Foundation Grant • Hiring 1 FTE Epidemiologist • Reorganizing of Oral Health Educator System • Other

  11. Perinatal Oral Health Care Committee 2011/2012 Staff Bobbi Jo Muto, BS, RDH Marshall University School of Medicine Co-Chairs Gina Sharps, RDH WVU School of Dentistry Jason M. Roush, DDS, WV State Dental Director, WV DHHR,OMCFH Members Martha Cook Carter CNM, Director Family Care, Teays Valley/Charleston Richard J. Crout, DMD WVU School of Dentistry Allan Chamberlain, MD OB/GYN Huntington Eros Chaves, DDS, WVU School of Dentistry Vinod Miriyala BDS, DDS, MPH, CAGS, Pediatric and Public Health Dentist

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