2012 Partnering to Seal-A-Smile A report on the success of Wisconsin school-based dental sealant programs. pot

In 2005, the Partnering to Seal-A-Smile grant was awarded to the Alliance by Delta Dental of Wisconsin toevaluate the effectiveness of the Wisconsin Seal-A-Smile SAS program and bring at

in the state, covering more than 1 million employees and family members.

Delta Dental supports a significant number of charitable oral health initiatives focused

on improving access to dental care and raising awareness of the importance of proper oral health.

The following individuals contributed to the preparation of this report:

• Matt Crespin, MPH, RDH, Children’s Health Alliance of Wisconsin

• Alex Eichenbaum, Children’s Health Alliance of Wisconsin

Table of contents

Executive summary 4

Background 6

Methods 8

Key findings 10

Conclusion/recommendations 18

Sealant program profiles 20

• Adams County 20

• Ashland County 52

• Barron County 21

• Bayfield County 22

• Brown County 23

• Buffalo County 24

• Burnett County 21

• Calumet County 50

• Chippewa County 21, 25 • Clark County 26

• Columbia County 27

• Crawford County 33

• Dane County 28

• Dodge County n/a • Door County 29

• Douglas County 30

• Dunn County 21, 25 • Eau Claire County 25, 31 • Florence County 60

• Fond du Lac County 32

• Forest County 60

• Grant County 33

• Green County 34

• Green Lake County n/a • Iowa County 33, 35 • Iron County 52

• Jackson County n/a • Jefferson County 36

• Juneau County 37

• Kenosha County 38

• Kewaunee County 29

• La Crosse County 39

• Lafayette County n/a

• Lincoln County 41

• Manitowoc County 42

• Marathon County n/a • Marinette County 43

• Marquette County 20

• Menominee County n/a • Milwaukee County 44, 45, 46, 47, 53 • Monroe County 48

• Oconto County 49

• Oneida County 60

• Outagamie County 50

• Ozaukee County n/a • Pepin County n/a • Pierce County n/a • Polk County 21

• Portage County 51

• Price County 52

• Racine County 53

• Richland County n/a • Rock County 54, 55 • Rusk County 25

• St Croix County 21

• Sauk County 56

• Sawyer County n/a • Shawano County 57

• Sheboygan County 58

• Taylor County 25

• Trempealeau County 59

• Vernon County n/a • Vilas County 60

• Walworth County 61

• Washburn County 21

• Washington County 53

• Waukesha County 62

• Waupaca County 63

• Waushara County 64

• Winnebago County 50, 65, 66 • Wood County 67

2011-12 county breakdown of schools (grades 1-8) 68

Seal-A-Smile map 69

3

Executive summary

This report provides a comprehensive overview of the Wisconsin Seal-A-Smile (SAS) program Theinformation highlights the program’s expansion and key findings identified through analysis ofannual data from 2005-10 Continued expansion of programs will help reach populations withoutaccess to regular preventive care

This report highlights the tremendous work being accomplished throughout Wisconsin despitelimited resources, and builds on the previous report released in 2009 After the release of the

previous report, additional federal and private funding for Wisconsin SAS was secured These

findings demonstrate how additional funding can make a significant difference The findings in thisreport substantiate the need for continued state and private funding for school-based oral healthprevention programs

What you will find in the this report

This report provides an overview of the success school-based oral health prevention programs havehad since 2005 Key findings focus on caries rates, children served, sealant retention rates and otherefficiency measures Data was collected from current and past Wisconsin SAS programs, in addition

to other school-based programs not funded through SAS Please note, instead of using both years todenote school year, we reference the year of the fall semester For example, 2010-11 is referred to asthe 2010 school year

Key findings from the 2005-10 school years:

• The number of schools served by Wisconsin SAS increased from 135 to 406

• The number of schools served by Wisconsin SAS with free and reduced lunch (FRL) rates ofgreater than 50 percent increased from 48 to 229

• The number of children and youth with special health care needs (CYSHCN) served by

Wisconsin SAS increased from 261 to 3,248

• The overall average cost to deliver sealants increased from $89.37/child to $110.49/child

• The average amount of Medicaid reimbursement received by programs increased from

$17.40/child to $59.94/child due in part, to the ability of dental hygienists to becomeMedicaid providers

• The number of children screened and sealed increased significantly

• The percentage of children screened with untreated dental decay decreased from 40.8

percent to 35.4 percent

• The number of children who received fluoride treatments in addition to dental sealantsincreased from 3,304 to 23,499

• The proportion of children with either Medicaid or SCHIP (BadgerCare Plus) insurance

coverage participating in Wisconsin SAS increased from 53.4 percent to 69.5 percent

• The number of children who received oral health education quadrupled from 9,404 to 37,599

• Sealant retention rates increased from 76.1 to 92.9 percent

"The value of Just Kids Dental (Douglas County) program is difficult to express We

have many children in our school district who have never been to a dentist Without

this great program and their ability to work with community resources, many of the

children who have received quality services would have never received oral health

care The dental staff have a wonderful way of making our students feel comfortable

so each student remains positive about dental care Our younger students even tease

about who gets to go first in the dental chair!"

Nancy Smith Director of Health Services School District of Superior

5

Background

Children’s Health Alliance of Wisconsin (Alliance) is the statewide voice for children’s health The Allianceraises awareness, mobilizes leaders, impacts public health and implements programs proven to work.Since 1994, the Alliance has led efforts to improve access to oral health care for underserved children inWisconsin Efforts include coalition building, policy development activities and program management In

2005, the Partnering to Seal-A-Smile grant was awarded to the Alliance by Delta Dental of Wisconsin toevaluate the effectiveness of the Wisconsin Seal-A-Smile (SAS) program and bring attention to the needfor increased school-based oral health programs

Since 2000, the Alliance has administered the Wisconsin SAS program in collaboration with the WisconsinDepartment of Health Services (DHS), Oral Health Program The Alliance provides program oversight,technical assistance and data collection for approximately 42 school-based dental sealant programsannually The SAS program targets low-income, uninsured children who attend schools with high FRLrates Wisconsin SAS defines high-risk schools as those with FRL rates 35 percent and greater In addition

to sealant application, all children receive topical fluoride applications and oral health education Aselect number of programs also provide dental cleanings and restorative services Medicaid billing isutilized by all programs to help ensure sustainability Volunteer time and match dollars account fornearly 75 percent of the true costs to run Wisconsin SAS programs

Sealant application is considered an evidence-based, preventive strategy for children and commonlyused in private practice dentistry Low-income, uninsured children have difficulty accessing privatepractice dentistry and are denied the benefits of regular dental preventive strategies, including sealants

The Wisconsin SAS program is helping Wisconsin achieve its Healthiest Wisconsin 2020 oral health

objectives The first objective states that by 2020, the state will “assure access to ongoing oral healtheducation and comprehensive prevention, screening and early intervention, and treatment of dentaldisease in order to promote healthy behaviors and improve and maintain oral health.” According to theWisconsin 2008 Make Your Smile Count survey, the percentage of Wisconsin’s third grade children withuntreated decay decreased from 31 to 20 percent between 2001 and 2007

The second Healthiest Wisconsin 2020 objective states that by 2020, the state will “assure appropriateaccess to effective and adequate oral health delivery systems, utilizing a diverse and adequate workforce,for populations of differing races, ethnicities, sexual identities and orientations, gender identities, andeducational or economic status and those with disabilities.” This objective can partially be measured bythe percentage of Wisconsin schools with a dental sealant program

Nationally, Healthy People 2020 calls for the number of school-based dental sealant programs to

increase Oral health objective number eight states the country will strive to “increase the proportion oflow-income children and adolescents who received any preventive dental service during the past year.”Oral health objective number 12 calls for the “increase in the proportion of children and adolecents whohave received dental sealants.” The Wisconsin SAS program has increased both the number of high-riskschools served, as well as the number of children receiving Medicaid or SCHIP (BadgerCare Plus)

The Alliance manages state general purpose revenue (GPR) targeted to fund school-based sealant

programs The dollars are subcontracted to the Alliance through DHS and subsequently awarded to

communities through a request for proposal process released each spring Beginning in 2000, $60,000 of

GPR was allocated annually from the state budget In 2005 this amount doubled to $120,000, as a result

of Governor Jim Doyle’s Kids First Initiative However, due to budget cuts, GPR funding in 2011 was

reduced to $106,720

In the 2006 school year, SAS funding again increased to approximately $200,000 due to Wisconsin

receiving a Health Resources and Services Administration (HRSA) three-year oral health workforce grant

In 2009, HRSA funding increased to $241,000, which Delta Dental has matched annually Beginning in the

2012 school year, HRSA funding will end and GPR funding will be increased by $250,000 to fill the void

Delta Dental has agreed to match this funding for the 2012 school year

Awards to community programs, as determined by a review committee, have ranged annually from

$1,000 to $75,000 depending on the needs of the individual program The number of community

programs funded each year has increased from 12 to 42 with requests for dollars surpassing those

available

As part of the Partnering to Seal-A-Smile grant, Delta Dental generously provided annual funding for 500

uninsured children in urban Milwaukee schools to receive dental sealants This funding allowed the

Smart Smiles program, operated by Columbia St Mary’s - St Elizabeth Ann Seton Dental Clinic, to

increase the number of children served and expand their scope of service Over the five years of funding,

Smart Smiles treated over 3,000 uninsured children.

Individual program profiles, beginning on page 20, highlight program accomplishments and best

practices While there are common elements to all school-based dental sealant programs, each is

GPR funding

School year

Methods

The SAS logic model found on page 70 shows funding sources, activities, outputs and outcomes thathave assisted with the design of this report The following outcomes were evaluated:

• Number of schools served and the FRL rates of those schools

• Number of CYSHCN served

• Number of students screened and sealed

• Number of children with untreated decay and severity of disease

• Insurance status of children participating

• Proportion of children retaining sealants placed by Wisconsin SAS programs

• Number of students receiving oral health education

In 2003-04, the Centers for Disease Control and Prevention (CDC) developed the Sealant EfficiencyAssessment for Locals and States (SEALS) electronic data collection tool Wisconsin programs wereused as a model for the creation of SEALS Wisconsin DHS, the Alliance and nine community

programs worked intensely to retroactively collect data from the previous three years of the SASprogram SEALS software has been marketed as a user-friendly tool to standardize sealant datacollection throughout the nation

SEALS calculates cost-effectiveness, efficiency measures, disease burden and demographic

information Wisconsin communities collect this information and forward it electronically to theAlliance The data assists in policy development and evaluation of programming

SEALS data was used to evaluate the outcomes identified for this report Data from non-fundedprograms also was collected through self-reporting by individual program managers The Alliancecontinues to work with non-funded programs, in an attempt to integrate SEALS into their programs.Some non-funded programs have agreed to utilize SEALS, allowing continuity in data collectionstatewide

“The day we had our school-based dental program dream fulfilled was amazing! The

registered dental hygienists were so professional, friendly, wonderful with the

children and incredibly efficient! The very best thing of all was that about one third of

our student body took advantage of this program and received treatment they

otherwise may not have gotten The teacher who helped coordinate the program

made a personal contact with the parent(s)/guardian(s) of those students at higher

risk, explaining the importance of receiving care

We were so impressed that the providers came back six weeks later to follow through

with a few additional treatments that needed to be administered Taking on that kind

of responsibility of follow-up care is admirable On that day, one of the hygienists

identified a situation happening with one of our student's front teeth and suggested

his guardian be contacted right away This was done by the teacher coordinator Part

of the challenge is it was taking so long for the guardian to get an appointment for the

student, a common problem in our area of the city The guardian called the dentist

again and was able to get in sooner due to this urgent need being identified.

We are so grateful that we will be able to work with Preferred Dentistry

(Milwaukee/Racine/Washington Counties) next school year This has truly been one of

the most positive programs we have ever participated in and we are forever thankful

to everyone who does their part to help make it possible We hope that this program

will continue in the future God bless you for all of your efforts to help take care of our

students' dental needs through this very unique and important program.”

Katie Foxe Remedial and Resource Teacher / Coordinator of Special Services

Christ Memorial Lutheran School

9

Key finding 1

The number of schools served by Wisconsin SAS with FRL rates greater than 50 percent

increased by 477 percent, between 2005 and 2010.

Between 2005 and 2010, the Wisconsin SAS program increased the total number of schools servedfrom 135 to 406 A significant increase in schools with FRL rates of greater than 50 percent also wasachieved The figure increased from 48 schools in 2005, to 229 in 2010 Wisconsin SAS staff hasactively engaged oral health partners in communities lacking school-based services in high-risk (FRL

≥ 35 percent) schools to implement new programs SAS funding is dedicated to serve schools

identified as high-risk Some private and charter schools do not participate in the FRL program andare labeled as “no FRL” in the graph above Targeting specific communities, coupled with increasedfunding and expanded programming, has contributed to noticeable increases in the number of high-risk schools being served This increase also demonstrates a dedication to reaching a greater number

of low-income and uninsured children

Key finding 2

The number of CYSHCN served was over 12 times higher in 2010 than it was in 2005.

The number of CYSHCN served by the Wisconsin SAS program increased more than 12 times

between 2005 and 2010 The method SAS programs use to identify CYSHCN has become more

uniform and efficient Between 2007 and 2009, SAS programs used the Maternal and Child Health

Bureau definition for classifying CYSHCN as “those who have or are at increased risk for a chronic

physical, developmental, behavioral or emotional condition and who also require health and related

services of a type or amount beyond that required by children generally.” This broad definition did

not provide uniform criteria and left final determination up to individual clinicians and programs

In 2010, Wisconsin SAS program collaborated with the DHS CYSHCN program A six-question form

was developed and incorporated into all SAS program health histories, more accurately identifying

CYSHCN The screening form was adapted from the CYSHCN Screener©, a validated screening tool

developed by the Child and Adolescent Health Measurement Initiative and specifically designed to

reflect the broad Maternal and Child Health Bureau definition of CYSHCN

Additionally since 2008, the Alliance managed the Wisconsin Special Smiles program, which utilized

regional oral health coordinators to assist local SAS programs with treating CYSHCN This program,

combined with improved methods of identifying CYSHCN, increased the number of CYSHCN seen

statewide in Wisconsin SAS programs

11

0

500 1,000 1,500 2,000 2,500 3,000 3,500

CYSHCN served

School year

Key finding 3

The overall average cost per child to deliver sealants increased from $89.37 in 2005 to $110.49

in the 2010 school year.

as those having been operational for longer periods of time Overall program costs were not

collected in 2007 Since then, Wisconsin SAS has implemented a policy requiring all funded

programs to collect and report this data annually

Aside from grant funding, Medicaid revenue continues to be the key tool in program sustainability.Since 2007, when dental hygienists were able to become certified Medicaid providers, a significantincrease in Medicaid billing can be seen by programs statewide

The SAS cost per child has remained steady over the past several years with little fluctuation Thisreflects the actual grant dollars per child utilized statewide in the program Inkind support at theprogram level fills the gap between Medicaid/grant funding and overall program cost

Program cost and reimbursement

School year

Between 2005 and 2010, an increase in children screened and sealed annually can be noted in the

graph above There was no funding increase between 2006 and 2008 The 2009 school year was the

first year the SAS program underwent major expansion due to an increase in HRSA funding

($241,000) and matching funds from Delta Dental in the same amount

Due to existing dental disease in the target population, it is clear there is a need for earlier

interventions The effectiveness of sealants is well-documented Over time Wisconsin children

receiving this valuable intervention will be less likely to develop decay on any teeth sealed

Children with urgent treatment needs

Seal-A-Smile annual findings

Key finding 8

The number of children who received topical fluoride treatments increased from 3,304 in 2005,

to 23,499 in 2010.

The number of children who received fluoride as part of the SAS program increased substantially In

2009, Wisconsin SAS implemented a policy requiring all funded programs to provide 2-3 fluoridevarnish applications to all participating children This policy, coupled with the expansion of the SASprogram, contributed to the significant increase in children receiving topical fluoride treatments inthe last two years

0 5,000 10,000 15,000 20,000 25,000

Gel/foam/other Varnish

Children receiving fluoride treatments

School year

Key finding 9

The proportion of children with either Medicaid or SCHIP (BadgerCare Plus) insurance coverage

participating in Wisconsin SAS increased from 53.4 percent in 2005 to 69.5 percent in 2010.

With the expansion of the BadgerCare Plus program across Wisconsin, along with increased efforts to

enroll eligible children, contributed to increases in the number of children covered by Medicaid

Through a request from Delta Dental in 2010, SAS administrators were able to work with CDC to

better capture the insurance status of children participating in the SAS program In 2010, programs

were able to breakdown the category of “private or no insurance” to specifically determine if a child

had private insurance or no insurance In 2010, programs reported 30 percent of children were not

insured by Medicaid It was further determined that approximately one in three children without

Medicaid had private insurance

Medicaid/SCHIP

School year Insurance status

if they receive preventive services or not

0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000

2005 2006 2007 2008 2009 2010

Children receiving oral health education

School year

Key finding 11

Sealant retention rates for programs increased from 76.1 percent in 2005 to 92.9 percent in 2009.

Sealant retention rates have significantly increased from 2005-09 Rates for 2010 will be available in

fall 2012

In 2008, a policy regarding the use of self-etch material was implemented as a result of the new

American Dental Association and CDC recommendations for school-based sealant programs

Programs are no longer able to use self-etch products and have implemented tooth selection and

material selection protocols based on the new recommendations These are possible contributing

factors to the improved retention rates being observed in SAS programs statewide

In 2009, Wisconsin SAS implemented a policy to improve program evaluation All programs are now

required to perform retention checks on at least 10 percent of all children seen at each school where

they provide service Prior to 2009, some programs voluntarily provided retention checks

school-based programs Every attempt is made to develop new programs, or partner existing

programs with high-risk schools in those areas In the 2012 state fiscal year, GPR funding has

increased by $250,000 to replace HRSA funding ending July 2012 Delta Dental will again match thisincrease in 2012, allowing for nearly $600,000 in funding to be awarded to local programs

Many of the recommendations in the 2009 Partnering to Seal-A-Smile report have been achieved

• An increase in GPR funding will take place in the 2012 state fiscal year

• All programs are now required to bill Medicaid to assist with sustainability

• Some programs are now fully or near fully sustainable through Medicaid billing alone

• All programs now provide retention checks on a sample of children to ensure programintegrity and evaluate performance

• Programs increase early intervention strategies to reduce rising decay rates

• Programs determine if recommended follow-up care was obtained

• Programs use best practices to improve overall retention rates of sealants

• Programs explore implementing a broader range of services that may include restorativeservices

• Programs continue providing services to an increased number of schools with high FRL rates

• Programs continue reaching out and providing services to CYSHCN

• Programs continue reducing the cost per child to deliver sealants by using best practices andimproving efficiency

• Programs continue Medicaid billing efforts to maximize reimbursement

• Programs continue to increase the number of children receiving oral health education both

in the classroom and chairside

“I had a young patient come in to our clinic who had received sealants through the

Wisconsin Seal-A-Smile program The sealants looked great, secondary grooves and

everything! Her mother was happy she received this care and that follow-up

information was sent home Her mother also shared with me that her child came

home and was teaching her about teeth and was very excited to use the new

toothbrush she was given I have had countless children and teachers come through

the clinic and say what a great program this is I think this is one of the best programs

out there

When I worked in private practice there was nothing I disliked more than extracting

permanent molars on a seven or eight-year-old because of extensive occlusal decay

and the parents unable to afford more expensive restorative care You wouldn’t

believe how many molars you have saved.”

Tim Johnson, DDS

St Croix Tribal Dental Clinic

19

Children served (2010-11)

Oral examsSealantsFluoride treatment

443846

Findings (2010-11)

Untreated decayUrgent needs

17.4%47.8%

>50% FRL status

No FRL

Barron, Burnett, Chippewa, Dunn, Polk, St Croix

and Washburn Counties

The program is coordinated by a project manager at RHDC A dental hygienist provides oral exams,

sealants, fluoride varnish applications and oral health education RHDC has several mobile units

used to provide dental services across northwestern Wisconsin The program targets all children at

area schools The SAS program is a portion of RHDC’s overall oral health program that also serves

Head Start children, pregnant women and other low-income adults and seniors in rural Wisconsin

Collaborating partners include local dental clinics, schools and public health departments

Findings (2010-11)

Untreated decayUrgent needs

9.1%

44.1%

Oral exams Sealants

The program is coordinated by a dental hygienist at the local public health department The

coordinator provides oral exams, sealants, fluoride varnish applications and oral health education.Volunteer dentists provide follow-up treatment The program targets all children in second and fifthgrade at area schools The program is part of a larger oral health program administered by the healthdepartment Collaborating partners include area dental clinics, school districts, Head Start andWomen, Infants and Children ( WIC) After the current school year, the program will no longer beadministered by the health department

Children served (2010-11)

Oral examsSealantsFluoride treatment

120112140

Findings (2010-11)

Untreated decayUrgent needs

3.6%

33.6%

Oral exams Sealants

>50% FRL status

No FRL

The program is coordinated by BCOHP BCOHP collaborates with the local public health department,

who administered the program until 2008 A dentist provides oral exams Dental hygienists and

dental hygiene students provide sealants, fluoride varnish applications and oral health education

The program targets all children, without access to a dentist, at area schools BCOHP is a non-profit

organization that provides complete preventive and restorative services in two community clinics

and area schools using portable equipment The SAS program is only a portion of the vast oral

health services BCOHP provides in the Green Bay community Collaborating partners include local

Findings (2010-11)

Untreated decayUrgent needs

5.6%

44.2%

Oral exams Sealants

Children served (2010-11)

Oral examsSealantsFluoride treatment

1201113

Findings (2010-11)

Untreated decayUrgent needs

15.4%23.1%

Oral exams Sealants

>50% FRL status

No FRL

Chippewa, Dunn, Eau Claire, Rusk and Taylor

The program is coordinated by a dental hygienist who practices independently in northwestern

Wisconsin The coordinator provides oral exams, cleanings, sealants, fluoride varnish applications

and oral health education The program targets all children in second through fifth grade at area

schools Education is provided in the classroom as well as chairside to all children The program has

expanded since its inception in 2010, and anticipates providing sealants to more than 250 children

in the current school year Collaborating partners include Marshfield Dental Center, local dentists,

schools and public health departments

Findings (2010-11)

Untreated decayUrgent needs

8.6%

17.6%

Oral exams Sealants

Marshfield Clinic Dental Centers.

Children served (2010-11)

Oral examsSealantsFluoride treatment

484149

Findings (2010-11)

Untreated decayUrgent needs

6.1%

16.3%

Oral exams Sealants

>50% FRL status

No FRL

The program is coordinated by a dental hygienist contracted by the local public health department.

The coordinator provides oral exams, cleanings, sealants, fluoride varnish applications and oral

health education The program targets all children in second through sixth grade at area schools

The program has expanded since its inception in 2010, and anticipates providing sealants to nearly

500 children in the current school year

Findings (2010-11)

Untreated decayUrgent needs

0.0%

29.2%

Oral exams Sealants

Children served (2010-11)

Oral examsSealantsFluoride treatment

8896123,874

Findings (2010-11)

Untreated decayUrgent needs

4.8%19.2%

Oral exams Sealants

>50% FRL status

No FRL1

Door and Kewaunee Counties

The program is coordinated by a dental hygienist at Open Door Dental Clinic Dental hygiene

students, faculty and volunteers provide oral exams, sealants, fluoride varnish applications and oral

health education The program targets all children in second and third grade at area schools

Follow-up care is provided at Open Door Dental Clinic Collaborating partners include local schools and the

dental hygiene program at Northeast Wisconsin Technical College

Findings (2010-11)

Untreated decayUrgent needs

Children served (2010-11)

Oral examsSealantsFluoride treatment

19997199

Findings (2010-11)

Untreated decayUrgent needs

4.0%

55.8%

Oral exams Sealants

>50% FRL status

No FRL

Eau Claire County

The program is coordinated by a dental hygienist contracted by the local public health department

The coordinator and volunteer dental hygienists provide oral exams, sealants, fluoride varnish

applications and oral health education The program targets all children in second and fifth grade at

area schools In 2010, the program did not require SAS funding, as other inkind donations, grant

funding and Medicaid billing sustained the program The SAS program provided funding to collect

data using SEALS to ensure statewide data is collected uniformly The program receives ongoing

technical assistance through this collaboration with the SAS program Collaborating partners include

Findings (2010-11)

Untreated decayUrgent needs

7.7%

28.3%

Oral exams Sealants

The program is coordinated by a dental hygienist at the local public health department The

coordinator provides oral exams, sealants, fluoride varnish applications and oral health education.The program targets all children at area schools Separate funding was secured by the county tofund the delivery of restorative care by local dentists to children with additional needs This

arrangement with local dentists is unique to the Fond du Lac program and has increased the number

of providers available to serve children in their county

Children served (2010-11)

Oral examsSealantsFluoride treatment

n/a76145

Findings (2010-11)

Untreated decayUrgent needs

n/an/a

Oral exams Sealants

>50% FRL status

No FRL1

Grant, Crawford and Iowa Counties

The program is coordinated by a dental hygienist at a local community health clinic, which serves

Grant, Crawford and Iowa Counties The coordinator provides oral exams, sealants, fluoride varnish

applications and oral health education The program targets all children in second and fifth grade at

area schools The program has expanded since its inception in 2009, and anticipates providing

sealants to 175 children in the current school year Collaborating partners include local schools and

public health departments

Findings (2010-11)

Untreated decayUrgent needs

2.6%

16.7%

Oral exams Sealants

The program was coordinated by a program manager at Fowler Memorial Dental Clinic Local

dentists and dental hygienists provided oral exams, sealants, fluoride varnish applications and oralhealth education The program was not funded in 2011; however, discussions are ongoing to

determine if another existing program could take over in the future Collaborating partners includedlocal dental providers, schools and the public health department

Children served (2010-11)

Oral examsSealantsFluoride treatment

832888

Findings (2010-11)

Untreated decayUrgent needs

0.0%

14.8%

Oral exams Sealants

>50% FRL status

No FRL

The program is coordinated by a nurse at the local public health department A partnership was

developed between the Iowa and Sauk County public health departments to implement the

program Iowa County contracts with Sauk County’s SAS program to provide these services The

contracted dental hygienist provides oral exams, sealants, fluoride varnish applications and oral

health education The program targets all children in second and fifth grade at one area school

Findings (2010-11)

Untreated decayUrgent needs

10.0%

20.0%

Oral exams Sealants