Oral Health Resources & Dental Public Health Reports from San Antonio, Texas.

 

Oral Health and Dental Public Health Research Reports by faculty of the Department of Community Dentistry, University of Texas Health Science Center at San Antonio.

1984 to 2004.

Ordered generally by date of report, but with related reports consecutive.



THE PREVALENCE OF DENTAL CARIES IN TEXAS ADOLESCENTS

THE TEXAS DEPARTMENT OF HEALTH PREVALENCE SURVEY

Authors: Asha S Kapadia , John P Brown, Kenneth Killian

Dates: 1984-1987

Keywords: Dental caries, adolescents, demographics, prevalence, DMFT/S, treatment rate, tooth surface analysis, representative sample.

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Dental health status and treatment needs among Mexican Americans- a review.

Authors: John P Brown, Elaine M Neenan

Date: 1988

Keywords: Water fluoridation, Headstart, regions of Texas, migrant workers’ children, adolescents, seniors, dental caries, prevalence, DMF, treatment rate, CPITN, treatment costs.

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Equity and Access for Mothers and Children

Strategies from the Public Health Service Workshop on Oral Health of Mothers and Children

Authors: Jane E.M. Steffensen and John P. Brown

Date: 1989

Keywords: Public education ,professional education, coalitions, advocacy, collaboration,health policy, data collection, evaluation, research, children, women, oral health.

Background Issue Papers for this workshop were published as follows. Steffensen JEM, Brown JP, editors. Journal of Public Health Dentistry 50:355-472.1990.

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Maternal and Child Oral Health Regional Workshops: Summary Report.

Author: Steffensen, Jane E. M.

Washington, D.C.: National Center for Education in Maternal and Child Health.

Date: 1994

Summary: During 1991, the Public Health Service Regional Offices held seven regional workshops to strengthen the process of achieving the national recommendations from the  1989 Public Health Service Workshop on Oral Health of Mothers and Children (see report in this archive) and to maximize the potential of other major developments.

Keywords: Operation, goals, agendas, outcomes strategies, successes and shortcomings of regional workshops, recommendations for local  actions on oral health of mothers and children, recommendations for the Maternal and Child Health Bureau.

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San Elizario,Texas: Oral Health Of Children and Teenagers.

Report Of A Pathfinder Planning Survey in A U.S.-Mexico Border Colonia.

Authors: Brown JP, Folke L, Baez R

Date: 1989

Keywords: Children, border health, Hispanic, oral health, dental caries, gingivitis, preventive sealants, planning  treatment and prevention services, need for services,

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Hepatitis “A” in a Border Community.

Authors: John A. Sawyer, John P. Brown, Lars E.,Folke, Juan M Parra, Ramon J. Baez,

Date: 1989

Keywords: Hepatitis A, US/Mexico border communitychildren, adolescents, young adults, demographics, sanitation of water.

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Fluoride-Associated Caries Initiation, Progression and Remineralization: A three-year preventive field trial for Mexican-American Hispanic schoolchildren using fluoride mouth rinse.

Authors: Martha X Baez,  John P. Brown, Nuala B. Porteous,

Date: 1991

Keywords: school prevention program, fluoride mouthrinse, remineralization, DMFS, enamel caries, Mexican American Hispanics, child, caries, caries initiation, caries progression, remineralization, school-based program, absence of community water fluoridation, primary prevention.

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Oral Health of Hispanics: Epidemiology and Risk Factors-a review

Author: John P. Brown

Date: 1992

Keywords: Hispanic, race, ethnicity, age, child, adult, oral, dental caries, periodontal disease, oral health policy.

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Caries and Feeding Patterns In South Texas Preschool Children.

Authors: Franklin Garcia-Godoy, Connie C. Mobley, Daniel L. Jones

Date: 1995

Keywords: Infant, child, early childhood caries, diet, deft/s, caries severity, caries pattern, prevalence, caries progression with age, ethnicity, race, age, gender, prematurity, household size, WIC, Headstart, duration of TV watching, feeding practices.

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COMPARING ORAL HEALTH CARE SYSTEMS A SECOND INTERNATIONAL COLLABORATIVE STUDY(ICSll)

Date: 1997

Summary: Chapter 7 presents the oral health status results for the San Antonio site, one of nine sites in seven countries participating in this WHO study. A selection on the study hypothesis, methods , analysis and interpretation is also included. The ICS II theoretical model is derived from an integration of existing oral health behavior and oral health status models and the general health models of Andersen (1976) and Blum (1973). The factors affecting the oral health outcomes of an individual can be categorized at two levels, the individual and the system.

San Antonio site investigators: John P Brown, Martha X Baez, Jane EM Steffensen, Sena Narendran, Anne P Dodds, Stephanie Cano

To date this study provides the only probability based study of oral health representative of the whole San Antonio population. This report is of oral health status. In five other reports (see this archive) it contrasts  Mexican Americans versus Whites under a hypothesis based model of health outcomes.

Keywords: Adolescents, adults, seniors, health status, dental caries, prevalence, DMFT, periodontal disease, CPITN, treatment need for caries and periodontal disease, dentofacial anomalies, dental fluorosis.

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International Collaborative Study (ICSll) of Oral Health Outcomes in San Antonio (Weighted Data)

Authors: John P Brown, Jane E.Steffensen, Anne P. Dodds,Sena Narendran, Martha X. Baez, Stephanie Cano, Helen Hazuda.

Date: 1994

Keywords: Demographics, adolescents, adults, seniors, ethnicity, income, health behavior and beliefs, health status, dental service use, satisfaction, dental caries, prevalence, DMFT, periodontal disease, CPITN, edentulous, prostheses, enabling dental care.

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MODELING ORAL HEALTH OF MEXICAN-AMERICANS AND WHITE NON-HISPANICS: from the ICS ll study.

Authors: John P. Brown, Jane Steffensen, Martha Baez, Stephanie Cano, Anne P. Dodds, Sandra Henson, and Helen Hazuda.

Date: 1994

Keywords: San Antonio demographics, dental services, attained sample in the ICS ll study, clinical oral health status, service utilization, statistical modeling comparing Hispanics and Whites for regular dental attendance, decayed and filled teeth, completion of dental treatment, periodontal pocketing, loss of periodontal attachment.

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Acculturation of Adult Mexican-American Hispanics and Oral Health Outcomes:

2nd International Collaborative Study of Oral Health Outcomes (ICS II), San Antonio, TX 1989-1993.

Authors: John P. Brown, Martha X. Baez, Sandra J Henson, and Jane E. Steffensen, Helen P. Hazuda.

Date: 1995

Keywords: Mexican-American Adults, acculturation, hispanics, modeling, Hazuda scale, dental caries, periodontal disease, dental treatment, oral health outcomes, dental attendance, disparities, barriers, cost, socioeconomics, psychosocial measures, San Antonio Texas.

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Adolescent Results: International Collaborative Study of Oral Health Outcomes in San Antonio. ICS(ll).

Authors: Jane E Steffensen, Sandra J Henson, John P Brown, Martha X Baez.

Date: 1995

Keywords: Dental caries, gingivitis, oral health status, preventive behaviors, oral health beliefs, dentofacial anomalies, dental services, hispanic, white.

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International Collaborative Study of Oral Health Outcomes in San Antonio

Dental Appearance and Social Acceptability in Adolescents

Authors: Jane E. Steffensen, Sandra J. Henson, John P. Brown, and Martha X. Baez

Date: 1995

Keywords: Dental Aesthetic Index, Mexican American, White, ethnicity, adolescent, perceived dental appearance, clinically assessed need for orthodontic treatment, dentofacial anomalies.

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Evaluation of a Program to Prevent Early Childhood Caries.

Authors: George Angelos, John P. Brown, Dennis McMahon, and Kishore Shetty.

Date: 1999

Keywords: Early childhood caries, baby bottle caries, combined caries prevention methods, mother and child, fluoride varnish, fluoride toothpaste, instruction to mothers on not using a feeding bottle at bedtime, deft/s.

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"Make Your Smile Count!"

Report of the Texas Dental Health Survey

Date: 1999

Authors: John P. Brown, Jane E. M. Steffensen, Dennis McMahon

Summary: This survey assessed the impact of enrollment in the Texas Health Steps (EPSDT, Medicaid) program on oral health of children in Texas. Sixteen middle schools and sixteen adjacent elementary schools with a high percentage of students enrolled in the free lunch program were selected randomly for the survey in all eight public health regions of the state. For the survey

1124 children in 2nd grade and 802 students in 8th grade were included by parental consent, a questionnaire, and a clinical oral examination made by one calibrated dentist according to written protocols. Also 110 preschool children (2-3 years of age) enrolled in Texas Health Steps were selected on a random basis for the survey. A consent and questionnaire were completed by a parent or guardian and a dental inspection was conducted by the dental examiner in the home.

Keywords: Schoolchildren, preschool children, dental caries, dft/DMFT, prevalence, primary and permanent teeth, early childhood caries (ECC) and severity, Medicaid-EPSDT (Texas Health Steps), household income, race, ethnicity, demographics, dental insurance, preventive sealants, treatment, parental health perception, dental attendance, barriers to care, ECC severity scale and need for hospitalized dental care, comparison of oral health in Texas with US status and goals, preventive program planning, community-based and individual -based prevention,

access to dental care, recommendations, public sector capacity.

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Water Fluoridation Costs Study

Authors: Brown, John P and McMahon Dennis with support of the Texas Department of Health

Date: 2000

Summary: A study of the cost of one public program for prevention of tooth decay,community water fluoridation(CWF),on  the cost of another program for individual prevention and treatment of tooth decay in children,Medicaid EPSDT.The average cost per child declined $20 each year with optimal CWF.Related savings can be expected for children and adults of all socioeconomic groups.

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Water fluoridation reduces cost of dental care.

Authors: Brown J P, McMahon

Date: 2002

Keywords: Community water fluoridation, capital and recurrent costs of fluoridation,

Medicaid (EPSDT) dental care expenditures, public prevention program costs

versus public dental care program costs and savings.

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Oral Health Infrastructure

Authors: Brown John P, Steffensen Jane EM and Geurink Kathy. Supported by the Bureau of Health Professions , Health Resources and Services Administration , USDHHS.

Date: 2001

Summary: A Texas Initiative for Dental Public / Community Oral Health Infrastructure Development. The project goals were to:

a) Develop a strategic plan to help ensure a viable community oral health infrastructure in the state,

b) Plan community oral health professional education, training, and leadership opportunities, and

  1. c)Enhance dental public/community health accessibility to underserved populations in Texas.

Included in the appendices are a bibliography,background materials and presentations by national and regional experts.

CLICK TO VIEW WORKSHOP ACTIVITIES, PROCESS, & OUTCOMES

CLICK TO VIEW APPENDIX:

C-PRESENTATIONS

E-BIBLIOGRAPHY

F-BACKGROUND


Oral Health Summit

Authors: Brown John P, Steffensen Jane EM and De La Torre Magda. Supported by MCHB HRSA USDHHS

Date: 2004

Summary: Presentations by national and regional experts are included covering:

• critical oral health issues that impact children, adolescents, adults and elders in Texas

• promising approaches to enhance oral health surveillance, build capacity, and develop infrastructure for oral health improvements

• best practices for community efforts to prevent oral diseases and promote oral health

• strategies to expand access to dental care for children and adults in urban and rural areas

• opportunities to maximize resources and increase access to clinical services for children through the Children’s Health Insurance Program (CHIP) and Medicaid

• the necessity of coalition-building and proactive advocacy for policies, programs, and practices to promote     oral health in Texas

• feedback and contribution to an Oral Health Plan for Texas

  1. collaboration and dialogue about regional gaps, coalitions, and the implementation of oral health initiatives to improve oral health in Texas

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State Oral Health Plan- Texas

Authors: Brown John P and Steffensen Jane EM

with support of MCHB HRSA USDHHS.

Date: 2005

Summary: The process and outcomes for a collaborative, evidence based state oral health plan .Developed for the Texas Department of State Health Services,while following recognized national recommendations, resources and guidelines.

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The Need for Restorative Dentistry and Caries Prevention in the U.S. Population

Authors: John P. Brown and Jane E. M. Steffensen

Date: 2002

Summary: Implications of results of the National Health and Nutrition Examination Survey lll  (NHANES lll), Oral Health Progress Reviews for Healthy People 2000 [Wagener and Sondik, 1999], which drew on four additional national studies- MEPS 1996,BRFSS 1995-1998,Vital Statistics 1997 US Census) and of the Second International Collaborative Study of Oral Health Outcomes, San Antonio site (ICSll), on dental caries treatment and prevention.

Keywords: Dental caries, treatment, modeling need for treatment and prevention by demographic variables( Drury TF 2000 NHANES lll ) ,modeling access to care, modeling Hispanic ethnicity and acculturation/structural assimilation and caries treatment/dental attendance.(ICS ll in San Antonio )


ALSO IN THIS PDF...

Caries Risk Assessment and Restorative Treatment

Authors: Richard P. Suddick, Daniel L. Jones, and Michael W. J. Dodds

Date: 2002

Summary: This report presents the etiology and risk based system of caries risk assessment developed and taught clinically at the UTHSCSA Dental School and used as part of oral health evaluation and preventive planning for dental patients.

The limitations of the present diagnostic techniques and technologies do not allow the activity state and/or rate of progression of a lesion to be determined with confidence at a single examination time point. Therefore, during the oral examination a clinical data set should be collected under a specific methodology that includes coindicators of caries activity to aid in making an assessment of caries activity and caries risk for every patient.

Establishing the caries risk of a patient may greatly affect the course of treatment for that patient; therefore every patient should be assessed for caries risk.

The established dental care paradigm may require modification to allow longitudinal data collection and adjunctive acquisition of co-indicator data before irreversible treatment decisions are rendered.

For further validation and optimization of this, or any CRA system, a set of outcome parameters needs to be defined such that actual improvements in caries risk can be documented.

Keywords: caries risk assessment for individuals, preventive planning for individuals, etiology based prevention for individuals,oral health assessment for individuals.

References: Further references on this system of etiology based dental caries risk assessment and its clinical application to individual preventive planning:

Bader, J.D. and Brown, J.P.  Dilemmas in Caries Diagnosis. J.A.D.A. 124:48-50, 1993.

Brown, John P.  Dilemmas in Caries Diagnosis - Introduction.  Proceedings of a Joint IADR/AADS Symposium, March 10, 1993, Chicago. J Dent Ed. 57:407-8, 1993.

Brown, J.P.  Developing Clinical Teaching Methods for “Caries Risk Assessment.” Joint AADR, AADS Symposium Proceedings. San Antonio, March 1995. Introduction to the Topic and its History. J Dent Ed 59;928-932, 1995.

MW Dodds and RP Suddick Caries risk assessment for determination of focus and intensity of prevention in a dental school clinic J Dent Educ. 59: 945-956, 1995. 

Brown J.P. Research Required to Advance Early Detection Methods for Dental Caries. In Stookey G.K. Editor. Early Detection of Dental Caries.  Indianapolis, Indiana University School of Dentistry. 1996.

Brown J.P. Indicators for Caries Management from the Patient History  J Dent Ed 61:855-860, 1997.

RP Suddick and MW Dodds Caries activity estimates and implications: insights into risk versus activity

J Dent Educ. 1997 61: 876-884. 

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THE TEACHING OF CARIES PREVENTION IN U.S. AND CANADIAN DENTAL SCHOOLS: A NEW INITIATIVE

Authors: Vladimir W Spolsky ,John P. Brown, Nancy Hudepohl, Raul Garcia, Michelle Henshaw, Chris Clark, Cynthia Olney.

Date: 2004

Summary: Results of a survey of U.S. and Canadian dental schools on how caries prevention is taught, what is taught didactically and clinically, by whom, who is responsible for this teaching, its perceived difficulties and strengths. A strategy conference to change and enhance this teaching using the Senge planning model, short-term results of the strategy.

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This material is provided for fair use study and research purposes. It should be cited with full attribution, including report title, authors, date of report, Department of Community Dentistry University of Texas Health Science Center at San Antonio, and url with access date.