Save A Molar

1. Save A Molar A volunteer program serving the endodontic needs of children in Palm Beach County

2. COHARP: Comprehensive Oral Health Access Referral Program Rationale

3. Sources of Patient Referrals School Nurse Referral Teen Parent Programs RAMS Clinic WHIN Sealant Program COHARP Coordinated Oral Health Access Referral Program TOPWA Nurse Family Partner ship Health Department Dental Volunteer Providers Adopt – A – Mom Save a Molar Health Department Dental Clinics Contracted Dental Providers Network of Providers

4. Recruitment of Volunteer Providers • Area Endodontists located in all areas of Palm Beach County were recruited and asked to perform one Root Canal a month for children under the age of eighteen. • Volunteers are granted Sovereign Immunity through the Volunteer Health Provider Program. • Volunteer Providers are able to receive up to 7 Continuing Education Credits. • Although services provided are not able to be claimed for tax purposes, the volunteer providers do have the ability to claim materials, travel expenses, etc. related to treating the referred child. We recommend that they contact their accountant to ensure that the volunteer provider is afforded all of the tax benefits of participating as a volunteer in the program.

5. Nine Volunteer Endodontists • Dr. Rory E. Mortman, DDS • Dr. Sang Y. Shin, DMD • Dr. Bradley Ginzler, DMD • Dr. Wayne Bradshaw, DMD • Dr. Charlyn Rappa Bradshaw, DMD • Dr. Bruce Shulman,DDS • Dr. Jaime Silberman,DMD • Dr. Theodore Lerner, DMD • Dr. Charles Mohaupt, DDS

6. Root Canal Heroes~!

7. Criteria • Child must be a patient of the Palm Beach County Health Department • Referral must be under the age of 18. • Teenager must be well behaved. • Parents/Guardians are case managed including proper etiquette in private practice settings as well as committing to not miss or be late for appointments with endodontic provider. Dental staff stresses the tremendous service that the teenager is receiving. • Parent must meet income eligibility requirements.

8. Dental Assessment Performed by clinic dentist: • Tooth must be restorable after root canal therapy by restoration. • Pulpotomy is completed by clinic dentist and temporary filling placed – final endodontic treatment is needed within 3-4 weeks. • Film given to teenager/parent to take to endo appt. • Appointment to endodontic office is made by Mary Pagana, referral coordinator, for the child. • Depending on age of the referral, Parent/Guardian/Teenager are advised that the tooth will eventually need to have a crown placed on it. • After root canal therapy, the teenager returns to PBC Health Department Clinic for permanent restoration of tooth or Atlantic Coast Pediatric Research Clinic at Palm Beach State College for a crown. Endodontist sends back digital x-ray with final fill for patient record.

9. Save A Molar Data • 2010-2011 51 children received endodontic treatment • 2011-2012 27 children received endodontic treatment Only 2 patients did not show for scheduled appointments over 2 year period of time ~!! We attribute this low no show rate to the following of established criteria for the program

10. Dental Sealant Program By Patricia Caroscio, RDH

11. Sealant Program • Prevention • We go to them • First Dental Experience • Oral Health Education • Nutrition Education • Identify and treat Urgent Needs • Identify children without coverage

12. Who gets Sealants? • Title ISchools • Highest rate of Free and Reduced lunch • Underserved Population • Low Income Families • 2nd Graders • First permanent molars

13. History • Started by Dr. Bilger in 1997. • 8 Glades schools (west county) • Belle Glade Dental Clinic had to be closed during Sealant Days. • 1999 added 7 east coast schools. • April 2010 Tooth Fairy bus Arrives. • 2010/2011 School Year with Tooth Fairy.

14. Expansion of Program # of schools School Year

15. Tooth Fairy Arrives April 2010 Marjorie S. Fisher. $1.2 million trust. Construction of Bus. Operate program for five years.

16. Two operatories. Reception area. Flat screens and DVD’s 2 x-ray machines. Sterilization area. Back-up Generator. Leveling system. Automatic Wheel Chair Lift.

17. On the Dental Van • Dedicated Staff of 5. • 2 to 7 days to complete school. • Comfortable for staff and students. • Traveling dental office. • Clinics Remain Open for Services

18. Process • Meet and Greet • Parent Permission Forms • In-Classroom Presentation • Sealant Day • Urgent Needs Identified • School Nurse Notified • Evaluation on 3rd Graders

19. Logistics Where to park? Front of School. Bus Loop. Times.

20. Parent Permission Forms • Prior parental consent • Number of patients • Medicaid or No Coverage • Pencils and Pizza Party

21. Education Day The day before sealants 1.Introduce ourselves 2. Tooth decay 3. Flossing and Brushing 4. Nutrition and snacking 5. Sealants - paint - protection

22. Treatment Class & Urgency • Urgent – pain or abscess • Referred to Clinics for treatment • Early – rampant decay • Restorative – need fillings • Preventive – no decay

23. Data by School Year # of Children School Year

24. The Following 28 Schools are currently visited by the Dental Sealant Program • Barton Elementary • Belle Glade Elementary • Belvedere Elementary • Canal Point Elementary • Dr. Mary McCloud Bethune • Forest Park Elementary • Gladeview Elementary • Gove Elementary • Greenaces Elementary • Highland Elementary • Hope-Centennial Elementary • Indian Pines Elementary • Lake Park Elementary • Lincoln Elementary • Northmore Elementary • Pahokee Elementary • Palmetto Elementary • Pine Grove Elementary • Pioneer Park Elementary • Pleasant City Elementary • Rolling Green Elementary • Roosevelt Elementary • Rosenwald Elementary • South Grade Elementary • Washington Elementary • West Gate Elementary • West Riviera Elementary • Wynnebrook Elementary

25. Meet our bosses~!! The End