Community Assessment

Needs Project

-Group B-
Kay, Elly, Tiary,
Freddy, Jennifer

DHY 391 Community Dental Health I

01
Our Team
Group
02
B
03

Elly Tran Freddy Montiel

Jennifer Cross Kailyn Nalivayko Tiarybelle Alexander

Describing the Population
The target population includes
children who are in in the
lower socioeconomic status
bracket, who are at higher risk
for early childhood caries.
3rd grade students at the Syre
Elementary School
Early Childhood Caries Prevalence
● “Early childhood caries is a global health problem, affecting almost half of

preschool children” (Uribe, 2021).

● “Data from the third National Health and Nutrition Examination Survey

(1999–2002) indicated that 41% of children aged 2 to 11 years had dental caries

in their primary teeth and 42% of those aged 6 to 19 years had caries in their

permanent teeth” (Jackson, 2011)

● Children aged 5 to 19 years from low- income families are twice as likely (25%)
to have cavities, compared with children from higher- income households (11%).
(CDC, 2021)
 Prevalence of total dental caries and untreated dental caries in
primary or permanent teeth among youth aged 2–19 years, by age:
United States, 2015–2016 (NCHS<,2018)
Prevalence of total dental caries and untreated dental caries in
primary or permanent teeth among youth aged 2–19 years, by
federal poverty level: United States, 2015–2016 (NCHS, 2018)
 Barriers
★ Lack of Early Education on the Importance of
Dental Health in Schools and Homes
★ Poor Diet
★ Language
★ Ability to Afford Care
★ Parent Education
★ Amount of Dental Offices Present Within the
Area
★ Dexterity issues in Infants and Toddlers
★ Dental fear
Effects of Caries Incidence
in Children

● Decreased Motivation
● Lack of Involvement in Academia
● Low confidence/ self-esteem issues
● Depression
● Anxiety
● Tooth Pain
● Tooth Decay
● Bone Loss
● Crooked or Crowded Teeth
● Need of Orthodontia
 Proposal

In order to educate and become closer to

aiding in the fight against ECC, we will be
providing information on proper oral care,
brushing techniques, importance of flossing
and nutrition, as well as home care samples
in hopes of incorporating proper routine
oral care within each child’s household.
 Proposal
Statistical Needs
Had treated and 53%
untreated tooth
decay

12%
Have
untreated
7 or more decay
teeth with
decay
17%
 Needs
Treatment: 9 %
11%
Early & 2 %
Urgent

Have at least 1
dental sealant
54%
Solutions
We have partnered with
Syre Elementary
School to deliver a fun
and interactive
presentation promoting
oral health care.
Students will each
receive a small gift bag
including oral hygiene
supplies.
We will provide oral health
education and a fun presentation
for the third graders. We will
discuss the importance of nutrition,
flossing and brushing properly,
plaque and biofilm removal, and
information about caries formation.
We will teach about oral hygiene
frequency, routine visits, and decay.
Also there will be resources
provided to the parents for more
information
Stakeholders
 Stake
01 Holders
“..are people or
organizations that are
invested in the program,
are interested in the
results of the evaluation,
and/or have a stake in
what will be done with
the results of the
evaluation (Hodges &
Videto, 2011, p. 336) “
 Stake
02
Dental professionals, Holders
community and public
health advocates, state
policy makers,
insurance and
pharmaceutical
companies, schools,
Washington state
parents and guardians,
and Washington state
children and family
members.
 Needs Assessment
STRENGTHS WEAKNESSES
Ability to learn new Poor Dexterity
concepts Short Attention Span
Building good oral habits Memory
Health Literacy

OPPORTUNITIES
SWOT THREATS
No health insurance
School Outreach Programs Non-compliance from parents
Community Health and kids
Programs Dental Fear
Volunteer RDH Availability of dental providers
 Mission Statement
We aim to identify disparities in
pediatric oral health to resolve and
promote children's oral health through
education, prevention, early detection,
and diagnosis.
 Vision
For all school age children
to have an opportunity to
learn about oral health at a
young age and develop
good home care oral habits
from family.
 Instructional Goals

Improve oral Promote Educate the

hygiene to carious lesion importance
achieve clean awareness & of routine
and healthy prevention dental care
teeth
 Su Smile
rv
ey Surveys
of WA
Screenings “following the standardized
protocol set by the Association of State
and Territorial Dental Directors (ASTDD)
for conducting Basic Screening Surveys”
(Guinn, S, RDH, BSDH., et al, 2017)

The dental professionals that screen the

kids performed a brief visual screening
of each child’s oral cavity and
information about the child’s
demographics was collected by the school.
 Data collected
from 21 counties in
21 counties
Washington State

A survey is
conducted
approximately
5 years every 5 years

screenings from
dental professionals
of thousands of
elementary children
kindergarten through
third grade
thousands of
children
 Surveys
“By the third grade, “More than half of
children from low-income all third graders
households had at least (53%) and almost
60% higher rates of decay
experience in all categories four in ten
and also needed treatment kindergarteners
at a 60% higher rate (38%) experienced
than their more affluent tooth decay.”
peers.”

(Guinn, S, RDH, BSDH., et al, 2017) (Guinn, S, RDH, BSDH., et al, 2017)
Surveys
 01
Smile
Surveys
02 Analyze/Assessment of WA

03

“In 2015-16, more than Visual screening Data on Dental Sealants

half of third grade assessments were done was collected and
children had dental in person using a pen compared to income,
sealants, far exceeding light, mirror. race, ethnicity, location,
the Healthy People 2020 Demographics collected age, languages spoken
target and the national from school. Student
average. For participation
kindergarten children, information was
rates were much higher collected from National
than in 2010.” School Lunch Program
Design

To identify which school we will be

presenting to, our instructor, Mrs.
Dunn, emailed different elementary
schools based on our target
population.

Syre Elementary School was a school

interested in our outreach program.
After Syre Elementary
School approved our
group’s outreach program
on 3rd graders, we sent a
parental consent form.
 Design
Our group’s goal is to assist in
reducing the prevalence of
pediatric tooth decay by
educating 3rd graders at Syre
Elementary School about the
importance of oral health and
nutrition.
 All materials and products will be
provided by Neighborcare, SCC and
ourselves.

Picture
credit
Budget
Kindly donated
by NCH
Meridian Team
and SCC

We paid for
ourselves
Picture Credit
Picture link
 01
-Drink water (especially fluoridated
water) after every meal or snack to
Important rinse the food off your teeth.
Prevention -Eat or drink your treat all at once
instead of nibbling or sipping
Tips frequently throughout the day.
-Children should have 4 to 6
organized “mini-meals” a day with
only water in between.

Info
More
 02
-Disorganized eating or drinking will
cause cavities even with healthy
Important foods!
-Children should have assistance
Prevention when brushing their teeth daily until
Tips they are six or seven years old.
-Only have water after the night time
brushing.
-Floss teeth if they are touching for
additional protection.

Info
More
 03
-Schedule an infant screening exam
with a dentist at age one.
-Fluoride application at your dentist
Important every six months can also help
Prevention reduce cavities by 20 to 30%.
-Never leave a bottle in bed with
Tips baby.
-Get enough Vitamin D! (10-15
min/day of sun exposure, food
source: milk, cheese, yogurt, eggs,
salmon)

Info
More
Flossing removes
sticky, cavity causing
germs from about
40% of tooth
surfaces.
Daily flossing reduces
the potential for nasty
and stinky infections in
your mouth, and helps
you avoid other more
serious health problems.
 Theory of health promotion/behavior
Health Belief Model (Early Childhood Caries)

Concept Intervention Goal

Perceived Susceptibility Establish rapport, complete oral health and risk assessment of Increase awareness and need for behavioral changes, low-income
child, discuss diet and nutrition, discuss caries risk families are more likely than higher-income families to have oral health
problems

Perceived Severity Complete df/dmf Index, Complete Plaque Index, complete Discuss the consequences and risk of childhood caries, personalize the
Nutritional Analysis risk based on lifestyle choices

Perceived Benefits Motivate and encouraged oral health, encouraged fluoride varnish Discuss the proper course of action, discuss where, when and how to
application, encouraged sealant placement, encourage maintaining take action against childhood caries
6 month recall appointments.

Perceived Barriers Diagnose and discuss needed restorative treatment, identify Identify barriers to care, reduce barriers by offering reassurance,
barriers to care including lack of access and financial obstacles, incentives and assistance
create a treatment plan and payment plan, offer discounts to
services if appointments are completed

Cues to Action Determine need for follow-up care, set-up periodic exams and Provide home care products, provide how-to information, create a
cleanings, provide patient care bag including a toothbrush and floss, recall reminder system
provide brochures and guides with information explaining home
care techniques and promotes oral health awareness

Self-Efficacy Demonstrate and educate patients on proper brushing and flossing Provide demonstration, training, and guidance in oral disease
techniques, complete and compare Plaque Indexes to track prevention, set progressive goals, give verbal encouragement and
progress reinforcement
Lesson
Plans
 Story time with Videos
• General goal:Helps to Improve the Oral Health Habits of Seattle
Area Kids
• Specific goal: Teach children that teeth have important jobs –
teeth help us smile, eat, talk, and hold space for adult teeth,
• Hygiene Student activity: assist the in engaging kids in story time
by asking questions
• Time Frame 20 mins
• Learner activity: listen and engage throughout story time.
• Resources/ Materials: Youtube
 Asking The Students The
Importance of Teeth

General Goal: Educate kids on the importance of teeth

Specific goal: Making the kids think about why we need teeth
Hygiene student activity: Through zoom, the educators will show a
photo of a tooth and ask the children “why are teeth important?” and
“what can our teeth do when we chew food?” After the children shout out
their answers, the educators will explain the importance of these.
Time Frame: 5 minutes
Learner activity: The kids will be encouraged to brainstorm
Resources/ Material: None
 Why are Teeth Important

Smile Frown

Talking/ Speech Drink

Eat

chew, tear, cut and

grind food
Facial expression

Singing
 Brush twice a day
• General goal: Educate kids on the importance of
brushing 2x a day
• Specific goal: removing biofilm before it becomes
harmful
• Hygiene Student activity: Students will show on a mouth
model with toothbrush on brushing techniques, then
show calendar to keep track of brushing frequency
• Time Frame: 2-5 mins, students will keep track over the
course of a month and track their performance
• Learner activity: Children will get to try and use the
model themselves
• Resources/ Materials: Mouth Model, Toothbrush,
Calendar page
 Flossing is important
• General goal: Educate kids on the importance
of flossing
• Specific goal: removing debris
interproximally
• Hygiene Student activity: Educators will
show a typodont with clay (debris) in between
the teeth and show how to properly floss by
removing the clay
• Time Frame: 5 mins
• Learner activity: Children will watch
• Resources/ Materials: typodont with clay
(debris) to be removed with floss.
Using a typodont with clay in
between the teeth, the
educator can demonstrate the
importance of flossing and its
mechanism. This is a great way
to connect to the students as
this is something they play
with daily and can understand
the lesson better → increase in
engagement from participants
 Germs + Food = Cavities
• General goal: Teach children that teeth have
important jobs – teeth help us smile, eat, talk,
and hold space for adult teeth.
• Specific goal: Educate kids how the
combination of germs and food cause
cavities.
• Hygiene Student activity: Students would
demonstrate how acidic food can negatively
affect teeth by implementing science to
encourage students’ engagement through
curiosity.
• Time Frame 5-10 mins
• Learner activity: Students would divide in
group of 5-10 kids per hygiene student and
gather around the table, observe the
chemical reaction and contribute answers to
student’s questions regarding bacteria and
tooth destruction.
• Resources/ Materials: Clear container, Baking
soda, Ground black pepper, Vinegar, Handouts
Handouts for Students and Parents
With barriers of language,
showing informative pictures
would convey the message to
parents and students.
Picture Credits
Instructional Pamphlets
Our Presentation for the
Third Graders at Syre
Elementary School
Program implementation is also
known as setting a program in place
and is often conducted after the pilot
test results are analyzed and any
resulting adjustments are made to the
intervention. Can be broken down into
5 tasks. The first 3 involve decisions
about scope, timing, facilitators and
barriers; and the last two involves
utilizing data from first three steps to
meet objectives for adoption,
implementation, and stability (Hodges
et. al, 2010, p. 309)
 01
Task 1:
Task 1
Confirm and identify potential
users and adopters of program.
Also involves revisiting program
partners to ensure adopters and
users are represented in
implementation groups.
 02
Task 2:
Task 2
Specify performance objectives
for program adoption,
implementation, and
sustainability.
 03
Task 3

Specify determinants of
Task 3 adoption, implementation and
sustainability.
 04
Task 4:
Task 4
Create a table that is a visual
representation of adoption,
implementation, and
sustainability objectives from
planning and determinants from
that task (p. 318)
 05
Task 5

Design interventions and

Task 5 organize programs to meet
implementation objectives (p.
319)
Relate to Target
Audience

The presentation took place over Zoom,

therefore engagement and participation
were our biggest concern. Our target
population are the 3rd graders, so we
tailored our presentation to be more
suitable for children. We used
participation, visual aids, animation,
and social cues to engage the students.
 Cultural Barriers
We made sure to use terms and
language a third grader would
understand. We avoided jargon
and incorporated animation for
audience engagement. We also
encouraged questions and
audience participation. In
addition, there was technological
barriers, however the technical
issues were resolved and we
were able to present effectively.
 Evaluation
We created a survey to gain information about
the population.

Based on the survey, overall oral health values

are high. Approx. 70% of parents help their
children brush their teeth daily, and only 12%
of kids out of 80 kids report toothaches.

Most of the children are visiting a dentist once a

year
Evaluation

Periodically throughout
presentation, we asked a
few short trivia questions
based on what we were just
teaching them. The kids
were very interactive and
eager to answer.
 Evaluation
Some of the questions that we incorporate throughout the
presentation to re-engage their attention and reiterate the
importance of the information

Why are teeth so important for us?

WHAT CAN OUR TEETH DO WHEN WE CHEW FOOD?
What is plaque biofilm on teeth?
What are ways to keep teeth healthy?
Do you know what Fluoride is?
How much toothpaste should you use?
Are certain foods better than others at keeping
teeth healthy?
When you take care of your teeth, what can you
prevent?
 References
ARCORA. (n.d.). Discovery and science. Cavity Free Kids. Retrieved December 9, 2021, from https://cavityfreekids.org/activity/germs-food-cavities-2/.

Baby teeth. Mouth Healthy TM. (n.d.). Retrieved October 28, 2021, from https://www.mouthhealthy.org/en/az-topics/b/baby-teeth.

Beaver, M. (2021, February 14). Tooth fairy takes aim at childhood cavities; helps to improve the oral health habits of Seattle area. The North West Facts. Retrieved
December 9, 2021, from
https://www.thefactsnewspaper.com/post/tooth-fairy-takes-aim-at-childhood-cavities-helps-to-improve-the-oral-health-habits-of-seattle-area.

Centers for Disease Control and Prevention. (2021, April 21). Children's oral health. Centers for Disease Control and Prevention.

Retrieved October 28, 2021, from https://www.cdc.gov/oralhealth/basics/childrens-oral-health/index.html.

Centers for Disease Control and Prevention. (2018, July 25). Prevalence of Total and Untreated Dental Caries Among

Youth: United States, 2015–2016. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db307.htm.

Concerns. Mouth Healthy TM. (n.d.). Retrieved October 28, 2021, from https://www.mouthhealthy.org/en/babies-and-kids/concerns

Gehrig, J. S., Shin, D. E., & Willmann, D. E. (2019). Foundations of periodontics for the dental hygienist.

Guinn, S., RDH, BSDH, & Weisser, J., MPH. (2017). 2015-2016 Smile Survey. Washington State Department of Health Smile Survey, 1-64. Retrieved October, 2021,

from WA State Department of Health. (2017, May). 2015-2016 Smile Survey. Retrieved October, 2021, from

https://www.doh.wa.gov/Portals/1/Documents/Pubs/340-309-22016SmileSurvey.pdf

Haque, S. E., Rahman, M., Itsuko, K., Mutahara, M., Kayako, S., Tsutsumi, A., Islam, M. J., & Mostofa, M. G. (2016). Effect of a

school-based oral health education in preventing untreated dental caries and increasing knowledge, attitude, and practices

among adolescents in Bangladesh. BMC oral health, 16, 44. https://doi.org/10.1186/s12903-016-0202-3

Jackson, S. L., Vann, W. F., Jr, Kotch, J. B., Pahel, B. T., & Lee, J. Y. (2011). Impact of poor oral health on children's school

attendance and performance. American journal of public health, 101(10), 1900–1906.

https://doi.org/10.2105/AJPH.2010.200915
 References cont.
Kashbour, W., Gupta, P., Worthington, H. V., & Boyers, D. (2020). Pit and fissure sealants versus fluoride

varnishes for preventing dental decay in the permanent teeth of children and adolescents. The Cochrane

database of systematic reviews, 11, CD003067. https://doi.org/10.1002/14651858.CD003067.pub5

Mobley, C., Marshall, T. A., Milgrom, P., & Coldwell, S. E. (2009). The contribution of dietary factors to dental caries and

disparities in caries. Academic pediatrics, 9(6), 410–414. https://doi.org/10.1016/j.acap.2009.09.008

Piotrowski, B. (2019, May 7). How missing teeth affect your jawbone and face.periodonticsnaples. Retrieved November 14, 2021,

from https://www.periodonticsnaples.com/how-missing-teeth-affect-your-jawbone-and-face

Practical Tooth Snack Guide. (2015). The DentistDad.com. https://www.thedentistdad.com/snackguide/

Smart Snacking and Sipping. (n.d.). The Mighty Mouth. Retrieved November 27, 2021, from https://www.themightymouth.org/

The Tooth Fairy Experience. (n.d.) Delta Dental. Retrieved from https://drive.google.com/drive/folders/1BIw-qHotgJqwX0fsQ_e91Nu9eTTGX78m

Uribe, S. E., Innes, N., & Maldupa, I. (2021). The global prevalence of early childhood caries: A systematic review with

meta-analysis using the WHO diagnostic criteria. International journal of paediatric dentistry, 10.1111/ipd.12783. Advance

online publication. https://doi.org/10.1111/ipd.12783