Title: 0757 - Children Oral Health Status in Telehealth Connected School-Based Preventive Dental Program


Eli Schwarz, Oregon Health & Science University
Richie Kohli (Presenter)
Oregon Health and Science University

Neda Modaresi, Oregon Health & Science University
Jennifer Clemens, Capitol Dental
Linda Mann, Capitol Dental
Katelyn Nichols, Capitol Dental
Elizabeth Palumbo, Oregon Health and Science University
Meagan Newmann, Capitol Dental


Objectives: To evaluate the clinical outcomes of a Telehealth Connected School-Based Preventive Dental Program.

Methods: Three Oregon rural elementary schools were included in a telehealth-connected school-based preventive dental program. An onsite Expanded Practice Dental Hygienist (EPDH) collected clinical information, including intra and extraoral photos and bitewings, which were uploaded to a secure cloud-based dental record. An offsite supervising dentist reviewed the clinical records for each child and returned a diagnosis and treatment plan within 48 hours The EPDH provided all preventive services and placed Interim Therapeutic Restorations (ITR) if indicated by the dentist.

Results: Onsite dental care was provided to 760 unique patients. Most patients were 5-8 years old (92.5%) and Medicaid insured (70.5%). About half the patients were Hispanic/Latino/a (49.1%). Patients diagnosed with untreated decay at their first visit to the program (n=410, 53.9%) were more likely to be non-white than white (62% vs 36.3%; Chi2=11.44; p <0.00) and more likely to be insured by Medicaid/uninsured than privately (88.4% vs 11.6%; Chi2=19.54; p <0.00). Nearly half the patients (n=377, 49.6%) received dental care at multiple visits. Of repeat patients with completed data (n=366), 192 (52.5%) had untreated decay at their first visit. Of these, 20.3% saw improvements in oral health status while 79.7% remained with untreated decay at their most recent visit (MRV). Of patients with no untreated decay at first visit (n=174, 47.5%), 63.7% remained with healthy teeth (free of untreated decay), while 36.2% developed decay at MRV. Of the repeat children receiving ITRs (n=43), 28% saw improvement in their caries status at their MRV.

Conclusions: The telehealth connected program was able to provide preventive services and ITRs to a group of underserved children by EPDH. Children with no initial untreated decay were kept healthy at a higher rate than children who initially presented with untreated decay.

This abstract is based on research that was funded entirely or partially by an outside source:
Ford Family Foundation; Oregon Community Foundation

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE