Test a Non-Surgical Disease Management Model for Early Childhood Caries
NYU
College of Dentistry Partners with Columbia University on Center for
Medicare and Medicaid Innovation Grant to Test a Non-Surgical Disease
Management Model for Early Childhood Caries
The NYU team will work to coordinate a consortium of pediatric dental residency programs to create “dental homes” to deliver comprehensive, family-centered oral health care to children in NYC
New York University College of Dentistry (NYUCD) has received a sub-award in the amount of $967,235 from the Center for Medicare and Medicaid Innovation to coordinate a consortium of pediatric dental residency programs that, together, will provide “dental homes” for children enrolled in a program to test a Non-Surgical Disease Management Model for Early Childhood Caries. A “dental home” refers to the ongoing relationship between a licensed dentist and the patient, inclusive of all aspects of oral health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way.
The model uses family-level, peer-counseled, and technology-assisted behavioral risk reduction strategies to reduce new caries, reduce progression of existing caries, reduce caries associated pain, and, ultimately, reduce the number of children treated in the operating room for highly invasive and costly treatment.
The nearly $4M total grant was awarded to Columbia University College of Dental Medicine, where the principal investigator is Dr. Burton Edelstein, professor of dentistry and health policy. The NYUCD portion of the grant is led by Dr. Amr Moursi, associate professor and chair of the Department of Pediatric Dentistry.
“The project aims to divert children with early- and advanced-stage early childhood caries (ECC) from high-cost surgical treatment to low-cost, non-surgical disease management,” said Dr. Moursi. “Together, parents and community health workers will use MySmileBuddy (MSB), a mobile tablet-based health technology, to plan, implement, and monitor positive oral health behaviors, including dietary control and use of fluorides, which can slow or arrest ECC’s progression,” he added.
MySmileBuddy was designed with a strong theoretical basis, which applies key principles of risk-based triage, early intervention, individualization, and motivational interviewing. MSB is designed to enhance parental knowledge, skills, and self-efficacy to reduce caries-related risk factors, proportionate to a child’s early childhood caries experience. Through home visitations, community health workers will meet in person with parents of children with early-stage early childhood caries bimonthly for one year, and with parents of children with advanced-stage ECC weekly for the first four weeks, then bimonthly thereafter for the remainder of the year. In addition, community health workers will provide tailored telephone intervention between in-person meetings to offer additional support and reinforce behavior change goals. Community health workers will also assist parents in accessing a dental home, where their children will receive timely, comprehensive oral health care from affiliated pediatric dental providers throughout New York City.
“This project has great potential to advance preventive and minimally invasive interventions that are consistent with American Academy of Pediatric Dentistry guidelines,” said Dr. Moursi.
About New York University College of Dentistry--New York University College of Dentistry (NYUCD) is the third oldest and the largest dental school in the US, educating more than 8 percent of all dentists. NYUCD has a significant global reach and provides a level of national and international diversity among its students that is unmatched by any other dental school. http://www.nyu.edu/dental/
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The NYU team will work to coordinate a consortium of pediatric dental residency programs to create “dental homes” to deliver comprehensive, family-centered oral health care to children in NYC
New York University College of Dentistry (NYUCD) has received a sub-award in the amount of $967,235 from the Center for Medicare and Medicaid Innovation to coordinate a consortium of pediatric dental residency programs that, together, will provide “dental homes” for children enrolled in a program to test a Non-Surgical Disease Management Model for Early Childhood Caries. A “dental home” refers to the ongoing relationship between a licensed dentist and the patient, inclusive of all aspects of oral health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way.
The model uses family-level, peer-counseled, and technology-assisted behavioral risk reduction strategies to reduce new caries, reduce progression of existing caries, reduce caries associated pain, and, ultimately, reduce the number of children treated in the operating room for highly invasive and costly treatment.
The nearly $4M total grant was awarded to Columbia University College of Dental Medicine, where the principal investigator is Dr. Burton Edelstein, professor of dentistry and health policy. The NYUCD portion of the grant is led by Dr. Amr Moursi, associate professor and chair of the Department of Pediatric Dentistry.
“The project aims to divert children with early- and advanced-stage early childhood caries (ECC) from high-cost surgical treatment to low-cost, non-surgical disease management,” said Dr. Moursi. “Together, parents and community health workers will use MySmileBuddy (MSB), a mobile tablet-based health technology, to plan, implement, and monitor positive oral health behaviors, including dietary control and use of fluorides, which can slow or arrest ECC’s progression,” he added.
MySmileBuddy was designed with a strong theoretical basis, which applies key principles of risk-based triage, early intervention, individualization, and motivational interviewing. MSB is designed to enhance parental knowledge, skills, and self-efficacy to reduce caries-related risk factors, proportionate to a child’s early childhood caries experience. Through home visitations, community health workers will meet in person with parents of children with early-stage early childhood caries bimonthly for one year, and with parents of children with advanced-stage ECC weekly for the first four weeks, then bimonthly thereafter for the remainder of the year. In addition, community health workers will provide tailored telephone intervention between in-person meetings to offer additional support and reinforce behavior change goals. Community health workers will also assist parents in accessing a dental home, where their children will receive timely, comprehensive oral health care from affiliated pediatric dental providers throughout New York City.
“This project has great potential to advance preventive and minimally invasive interventions that are consistent with American Academy of Pediatric Dentistry guidelines,” said Dr. Moursi.
About New York University College of Dentistry--New York University College of Dentistry (NYUCD) is the third oldest and the largest dental school in the US, educating more than 8 percent of all dentists. NYUCD has a significant global reach and provides a level of national and international diversity among its students that is unmatched by any other dental school. http://www.nyu.edu/dental/
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