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Oral Health Initiative - Risk Assessment Training
Purpose of Training
The purpose of this training is to provide a concise overview of how to perform an oral examination and conduct an oral health risk assessment and triage for infants and young children. According to the Centers for Disease Control and Prevention, dental caries are the most prevalent infectious disease among US children. More than 40% of children have tooth decay by the time they reach kindergarten, and more than 52 million hours of school are lost each year because of dental problems, as cited by the US Department of Health and Human Services.

Pediatricians can play an important role in children’s oral health outcomes, particularly since they typically see young children early and often. With proper training in how to perform an oral examination and how to conduct an oral health risk assessment, pediatricians and other health care professionals can minimize in children serious health consequences that include a higher risk of new carious lesions, hospitalizations and emergency room visits, delayed or insufficient physical development, loss of school days, and a diminished ability to learn. In addition, a child’s primary care physician is a key resource to families when racial, ethnic, socioeconomic or educational disparities create barriers to the child receiving regular dental care.

This training is based on the AAP policy statement, “Oral Health Risk Assessment Timing and Establishment of the Dental Home.” Although general information about oral health disease in children will be presented in the training, the primary focus will be on early childhood dental caries, seen in children aged 0 to 3 years.

You should participate in this training if you are a(n):
Primary care pediatrician
Family physician
Resident in pediatrics or family practice
Allied health professional in a pediatric or family practice office (eg, nurse, nurse practitioner, physician assistant
Any health care provider treating children in rural or underserved communities, where pediatric dental care is more restricted








This training is best viewed with a 5.0 or higher version of Internet Explorer version and a monitor display of at least 800 x 600 pixels. To download a PowerPoint version of this presentation, click here.
Learning Objectives
Upon completion of the Oral Health Risk Assessment, participants will be able to:
Describe the role of the child health professional in assessing children’s oral health.
Discuss the pathogenesis of caries.
Conduct an oral health risk assessment.
Identify prevention strategies.
State the need for establishing a dental home.
Provide appropriate oral health education to families.
A small boy eating an apple A young girl in a health professional setting Two boys brushing their teeth
A young girl smiling
A young boy eating corn on the cob
To Complete This Activity ...
You must complete the post-test provided at the end of the training and receive a minimum score of 75% (9 out of 12 questions answered correctly).
Within 2 weeks of completing the post-test, you will receive an e-mail with your results and instructions for claiming CME credit. If you do not receive this notice, please e-mail oralhealthinfo@aap.org.
Please complete the online evaluation to share your opinion of this training.
Please also complete the optional Commitment to Change contract to help us better understand how this training impacts your daily practice.
If you have questions about this training or encounter technical difficulties, please
e-mail us at oralhealthinfo@aap.org.
Pediatrican examining a baby's teeth
CME Credit
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). The American Academy of Pediatrics (AAP) is accredited by the ACCME to provide continuing medical education for physicians.
The AAP designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity is acceptable for up to 1 AAP credit. This credit can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.
CME Credit for this activity is available from January 1, 2008 to December 31, 2010.
The AAP CME program aims to develop, maintain, and increase the competency, skills, and professional performance of pediatric healthcare professionals by providing high quality, relevant, accessible, and effective educational experiences. The AAP CME program provides activities to meet the participants’ identified educational needs and to support their life-long learning towards a goal of improving care for children and families (AAP CME Program Mission Statement, October 2006).
The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps
All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity.
The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.
Activity Title: Oral Health Risk Assessment training
Activity Location: Online
Activity Dates: January 1, 2008 – December 31, 2010

Disclosure of Financial Relationships
  All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Name
Relevant Financial Relationship
(Please indicate Yes or No)
Name of Commercial Interest(s)*
(Please list name(s) of entity)
AND
Nature of Relevant Financial Relationship(s)
(Please list Research Grant, Speaker's Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)
Disclosure of Off-Label (Unapproved)/Investigational Use of Products
AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or "off-label" use of an approved device or pharmaceutical.

(Do intend to discuss or Do not intend to discuss)
Suzanne Boulter, MD, FAAP (Planning Group)
No
No
Do not intend to discuss
Martin Davis, DDS
(Planning Group)
No
No
Do not intend to discuss
Paula Duncan, MD, FAAP
(Planning Group)
No
No
Do not intend to discuss
Kevin Hale, DDS
(Planning Group)
No
No
Do intend to discuss
Adriana Segura Donly, DDS, MS
(Planning Group)
No
No
Do intend to discuss
Martha Ann Keels, DDS, PhD (Planning Group)
No
No
Do not intend to discuss
David Krol, MD, MPH, FAAP (Planning Group)
No
No
Do intend to discuss
Wendy Mouradian, MD, MS, FAAP (Planning Group)
No
No
Do not intend to discuss
Rocio B. Quinonez, DMD, MS, MPH
(Planning Group)
No
No
Do not intend to discuss
Wendy Nelson
(AAP Staff)
No
No
Do not intend to discuss
Melissa Singleton, MEd
(Project Manager - AAP Consultant)
Yes
Husband employed by Walgreen Co as a Workforce Administration Manager (technology position) in the company’s call centers. The AAP determined that this financial relationship does not relate to the educational assignment.
Do not intend to discuss
Diona Reeves
(Communications Consultant)
No
No
Do not intend to discuss

Pediatrics
Pediatric Dentistry
Staff & Consultants
Suzanne Boulter, MD, FAAP
Adjunct Assistant Professor of Pediatrics
Concord Hospital
Concord, NH

Paula Duncan, MD, FAAP
Clinical Professor of Adolescent Medicine,
Department of Pediatrics
University of Vermont
Burlington, VT

David Krol, MD, MPH, FAAP
Associate Professor and Chair
Department of Pediatrics
University of Toledo College of Medicine
Toledo, OH

Wendy Mouradian, MD, MS, FAAP
Clinical Professor, Health Services
Clinical Professor, Dental Public Health Sciences Clinical Professor, Pediatric Dentistry
University of Washington
Seattle, WA
Martin Davis, DDS
Associate Dean/Professor
Columbia University Medical Center
New York, NY

Kevin Hale, DDS
Pediatric Dental Associates
Brighton, MI

Adriana Segura Donly, DDS, MS
Predoctoral Director for the Department of Pediatric Dentistry
University of Texas Health Science
Center at San Antonio
San Antonio, TX

Martha Ann Keels, DDS, PhD
Adjunct Associate Professor, Department
of Pediatric Dentistry
University of North Carolina-Chapel Hill
Chapel Hill, NC

Rocio Quinonez, DMD, MS, MPH
Clinical Assistant Professor, Departments of Pediatric Dentistry and Pediatrics
University of North Carolina-Chapel Hill
Chapel Hill, NC
Wendy Nelson, ACCE
American Academy of Pediatrics
Manager, Oral Health Initiative
Elk Grove Village, IL

Melissa Singleton, MEd
MAS Consulting, Inc
Crystal Lake, IL

Diona Reeves
Content Visionary
Sparks, NV

Two health professionals talking
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