1

The Missouri Oral Health Preventive Services Program

(PSP) The (PSP) is a free community-based, systems approach to population-based prevention

of oral disease.

Missouri Department of Health and Senior Services

Office of Primary Care and Rural Health

Oral Health Program

AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

Services provided on a nondiscriminatory basis.

2

What Is The Preventive Services Program?

The Missouri Oral Health Preventive Services Program (PSP) is a community-based, systems approach to population-based prevention of oral disease.

3

PSP MethodologySURVEILLANCE

Annual screening by a licensed dentist or dental hygienist

EDUCATION

Curriculum materials available

PREVENTION

Fluoride varnish applied twice per year by volunteers

REFERRAL

Children needing early or immediate dental care

4

People Involved in the Event

• You will be one of many involved in a PSP Event.

• That is the purpose of PSP, many hands working together for the oral health of the community.

SCREENERDentist

orDental Hygienist

VARNISH VOLUNTEERParent, Nurse,

Teacher or any otherPerson Interested in

Applying Varnish

OTHER ASSISTANTParent, Nurse, Teacher or any

other Person interested inhelping with the details of

the Event

EVENT COORDINATORPerson coordinating the screenings, varnish, education and referrals for the school or agency.

Typically a School Nurse, Head Start Health Coordinator, County Nurse or Parent

5

Roles and Responsibilities• DHSS

– An Oral Health Program Consultant

– Media Campaign

– Educational Materials

– Screening supplies, toothbrushes, toothpaste & floss

– Fluoride Varnish Supplies

– Training

– Support for community agency

• Community – Program Contact

– Local contacts and scheduling assistance

– Personnel recruitment

– Referral System Development

6

Why Should You Consider PSP?

• Dental caries is a significant problem

• Oral health varies across SES levels

• Oral health varies across racial groups

• A considerable portion of children do not have access to oral health care

• Higher income children have less decay than lower income children statewide

• Missouri’s children are less likely to have dental sealants than the national average, which puts them at risk for decay

Above data from: Show Me Your Smile survey 2004-2005

According to a recent survey of Missouri’s 3rd grade children:

7

Overall• 55% of Missouri’s third grade children had a

history of experiencing tooth decay

• 27% of Missouri’s third grade children had untreated decay

• Only 29% of Missouri’s third graders had dental sealants

• 72% had no obvious or unresolved problem

• 23% needed early intervention (within a few weeks)

• 5% needed urgent dental care (care within 24 hours)

Above data from: Show Me Your Smile survey2004-2005

Studies show that tooth decay is the most common chronic childhood disease. It is five times higher than the next leading disease which is asthma!

8

Some Questions You May Have

• Why Use fluoride?• Why Use fluoride varnish?• What is a screening?• How is a fluoride varnish applied?• What supplies are provided by DHSS?• What Supplies Does the Event Coordinator Need

to Obtain?• What about paperwork?

9

Why Use Fluoride?

Historically, the use of fluorides both systemically in fluoridated drinking water and topically (such as through toothpastes, mouth rinses & professionally applied in dental offices) has demonstrated a dramatic reduction in tooth decay for well over 50 years in the United States.

10

Why Use Fluoride Varnish?

• Fluoride Varnish has been proven effective in preventing tooth decay in both primary and permanent teeth.

• Fluoride varnish can reverse early decay and can arrest active decay lesions.

• Fluoride varnish promotes the remineralization of tooth enamel making it resistant to tooth decay.

• Fluoride varnish is readily adaptable requiring no special equipment and can be applied in a variety of settings (school classroom, library or gymnasium).

• Fluoride varnish sets on contact with moisture (saliva), reducing the risk of ingestion and is therefore recommended for all ages.

• Fluoride varnish is a cost effective preventive measure against tooth decay.

11

Fluoride Varnish is Endorsed by the Following Associations ….

• American Dental Association

• Association of State and Territorial Dental Directors

• Centers for Disease Control and Prevention

12

What is a Screening? • Not a thorough clinical

exam, no x-rays are taken

• Does not involve making a clinical diagnosis that results in a treatment plan

• Does identify obvious oral lesions

• Is conducted by licensed dentists and dental hygienists

13

How Is The Fluoride Varnish Applied?

• The varnish is “painted”on all the surfaces of the teeth with a disposable applicator.

• The process takes approximately 1-4 minutes for each child.

14

What Supplies are Provided by DHSS?

These are ordered through a DHSS Oral Health Consultant

Supplies from DHSS include:– Screening Forms

– Disposable Mouth Mirrors

– Fluoride Varnish

– Toothbrushes and Toothpaste

– Dental Floss

– Educational Materials

15

What Supplies are NOT Provided by DHSS?

– Face Masks– Latex –Free Gloves– Light

Source(flashlight)– Hand Sanitizer

The school nurse or PSP event facilitator will provide masks, gloves, flashlights ( for the oral screenings) and hand sanitizer .

16

Provide an area with good lighting (an unused classroom, gymnasium or corner of a library will suffice).

What Space is Needed for a PSP Event?

• When choosing an area, try to maintain some privacy for each child as some children will have dental decay and poor oral hygiene.

• Straight back chairs will be adequate for both the screening and varnish placement.

• Provide a table or desk top for your volunteers to hold their supplies.

17

What About Paperwork? • DHSS provides all forms necessary for initiating and

implementing the program.

• Screenings are to be done by dentists or dental hygienists only. Others may help with recording the findings.

• The coordinator of the event will make sure participating children have Parental/Guardian consent. Only those children who have positive consent forms will be screened & varnished.

• Screening forms are to be completed by filling in each of the circles on the form in either pen or pencil.

• All completed paperwork is to be collected by the event coordinator. It is to be reviewed for completeness as well as for obtaining information for those requiring referral, then mailed to DHSS.

18

PSP Activity• Activity for the 2012-2013

school year over 72, 000 children were screened. This has provided baseline data that will be essential in determining outcomes

• Approximately 1,000 licensed dental professionals have been calibrated to conduct oral screenings, plus approximately 3,800 volunteers have been trained to apply the fluoride varnish.

19

The End Result…..

Happy and Healthy

Smiles

20

For more detailed information on The Preventive Services Program and to find an Oral Health

Program Consultant nearest you, pleaseplease visit our website at:

http://health.mo.gov/blogs/psp/