Statewide Training of Oral Healthcare Workers to Provide Effective Oral Care for Individuals with Intellectual and Developmental Disabilities

s 1-15 are oral presentations. Abstracts 16-47 and the student abstracts numbered 85-99 are presented on Monday, April 11, 2011 during the Poster Session. Abstracts 48-84 are presented on Tuesday, April 12, 2011 during the Poster Session. Please note: If presenters have withdrawn prior to printing, their abstract will not be listed. If presenter’s intent to participate was not received prior to printing, it is possible that some abstracts listed will not be presented. Abstract: #1 STATEWIDE TRAINING OF ORAL HEALTHCARE WORKERS TO PROVIDE EFFECTIVE ORAL CARE FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES #1 STATEWIDE TRAINING OF ORAL HEALTHCARE WORKERS TO PROVIDE EFFECTIVE ORAL CARE FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES Robert Rada, DDS, MBA University of Illinois College of Dentistry, Chicago, Illinois Objective: To develop a training opportunity that community health centers can use to prepare the oral healthcare teams to succesfully treat these special needs patients through didactic and patient care experiences using a variety of behavior guidance techniques. Methods: As part of a System Transformation Grant award from the U.S. Centers for Medicaid and Medicare Services, the Missouri Department of Mental Health, Division of Developmental Disabilities decided to focus on oral health. A state-wide partnership was developed to bring improved access to care for individuals with intellectual and developmental disabilities. Coordinated through the Missouri Oral Health Network, training opportunities to increase practitioners’ confidence in treating special needs individuals were developed. Training involved didactic and patient treatment sessions at various locations throughout the state. Caregiver training was also part of the program. Results: Dentists, dental hygienists and dental assistants worked as teams to provide needed treatment while learning to appreciate the value of caring for this underserved group of patients. Numerous treatment procedures were rendered and the clinician comments were highly favorable. Videos taken of the patient care sessions illustrated the outcomes of clinical training. Conclusions: This program identified potential partnership opportunities to enhance oral health access to care for an underserved population. In addition, dental personnel learned the importance of developing a leadership role in caring for people with intellectual and developmental disabilities. Funding: U.S. Centers for Medicaid and Medicare Services, and the Missouri Department of Mental Health, Division of Developmental Disabilities Abstract: #2 FEASIBILITY OF ORAL CANCER SCREENING AMONG ELDERLY NURSING HOME RESIDENTS Taru Kinnunen1, BSc, MA, PhD; Kathleen Myers1, RDH, MBA; Lynn Bethel2, RDH, BSDH, MPH Athanasios Zavras3, DDS, DMSc 1Harvard School of Dental Medicine, Boston, MA, United States, 2Massachusetts Department of Public Health, Boston, MA, United States, 3Columbia University, College of Dental Medicine, New York, NY, United States #2 FEASIBILITY OF ORAL CANCER SCREENING AMONG ELDERLY NURSING HOME RESIDENTS Taru Kinnunen1, BSc, MA, PhD; Kathleen Myers1, RDH, MBA; Lynn Bethel2, RDH, BSDH, MPH Athanasios Zavras3, DDS, DMSc 1Harvard School of Dental Medicine, Boston, MA, United States, 2Massachusetts Department of Public Health, Boston, MA, United States, 3Columbia University, College of Dental Medicine, New York, NY, United States Objectives. There is lack of evidence to support population screening of asymptomatic adults for oral cancer. While some research has been conducted using visual tactile examination (VTE) screenings, data regarding the nature and severity of suspicious lesions are lacking. When suspicious lesions are found early, the oral cancer survival rate is twice that of the late-stage lesions. The purpose of our study is to assess the feasibility of VTEs among elders at their residences and appropriate follow-up arrangements including biopsies. Concurrently, we will be examining high-risk health behaviors associated with oral cancer. Method. The Oral Cancer Screening Study (OCS) core team and an NIDCR-CS Oversight Committee developed the manual of procedures, which includes provider training (VTE and Oral Cancer Risk Questionnaire) and calibration protocols, and supervisory standards. From nearly 500 nursing homes accepting Medicare and/ or MassHealth we randomly chose 72 sites in Massachusetts. Results. To date, we have contacted 40 sites of which 12% were not eligible, 40% have not responded, and 48% are being screened. We have determined that an effective and self-sustained OCS site visit team includes a Dentist (Punch Biopsy Expertise), 2-3 RDHs and a Site Supervisor using web-based data collection laptops with mobile WiFi. Majority of the eligible residents have consented to study participation. Ten percent of the participants have suspicious lesions of which 4% have been biopsied. Conclusions. Early experience and data support the feasibility of oral cancer screening in the long-term care facilities. Related implementation fidelity and sustainability issues need further evaluation. Funding: NIDCR (RCDE020759 Kinnunen) Abstract: #3 TRENDS AND CHARACTERISTICS IN NON-TRAUMATIC DENTAL CONDITIONS VISITS TO EMERGENCY DEPARTMENTS IN THE UNITED STATES Christopher Okunseri1, BDS, MSc, MLS, FFDRCSI; Elaye Okunseri1, BL, MBA, MSHR; Joshua M. Thorpe2, PhD, MPH; Qun Xiang3, MS; Sandra Montes1, BS; Latonya Gillespie1, BS; Aniko Szabo3, PhD 1Marquette University School of Dentistry, Department of Clinical Services, Milwaukee, Wisconsin, United States, 2University of Wisconsin Madison School of Pharmacy, Madison, Wisconsin, United States, 3Medical College of Wisconsin, Department of Population Health, Milwaukee, Wisconsin, United States #3 TRENDS AND CHARACTERISTICS IN NON-TRAUMATIC DENTAL CONDITIONS VISITS TO EMERGENCY DEPARTMENTS IN THE UNITED STATES Christopher Okunseri1, BDS, MSc, MLS, FFDRCSI; Elaye Okunseri1, BL, MBA, MSHR; Joshua M. Thorpe2, PhD, MPH; Qun Xiang3, MS; Sandra Montes1, BS; Latonya Gillespie1, BS; Aniko Szabo3, PhD 1Marquette University School of Dentistry, Department of Clinical Services, Milwaukee, Wisconsin, United States, 2University of Wisconsin Madison School of Pharmacy, Madison, Wisconsin, United States, 3Medical College of Wisconsin, Department of Population Health, Milwaukee, Wisconsin, United States Objective: We examined trends and patient characteristics in non-traumatic dental conditions (NTDC) visits to emergency departments (ED) in the United States, and compared them to other ED visit types, specifically non-dental ambulatory care sensitive conditions (non-dental ACSCs) and non-ambulatory care sensitive conditions (non-ACSCs). Methods: We analyzed data from the National Hospital Ambulatory Medical Care survey (NHAMCS) for 1997 to 2007. We performed descriptive statistics and used a multivariate multinomial logistic regression to examine the odds of an ED visit belonging to one of the three considered visit types. All analyses were adjusted for the survey design. Result: NTDC visits accounted for 0.7% of all ED visits with a 3% annual rate of increase (from 0.6% in 1997 to 0.9% in 2007, p<0.0001 for trend). Self-pay patients (30.3%) and Medicaid enrollees (26.2%) were over-represented among NTDC visits compared to non-dental ACSC and non-ACSC visits (p<0.0001). Females consistently accounted for over 50% of types of ED visits examined. Compared to non-ACSC and non-dental ACSC visits, patients aged 19-52 years old had 2-3 times the odds of an NTDC visit. Compared to non-ACSC and non dental ACSC