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WV pilot program addresses child dental health

Dunn, Dr. Lisa
Cecelia Mason
Dentist Dr. Lisa Dunn examines free and reduced lunch students in Berkeley County schools, puts fluoride on their teeth and refers them to a local sliding-scale dental clinic if they need further treatment.

By Cecelia Mason

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November 16, 2009 · West Virginia is one of 13 states that doesn’t have an oral health plan and is therefore not eligible for some federal money.

A $500,000 grant from the Appalachian Regional Commission and Claude Worthington Benedum Foundation is making it possible to develop a statewide oral health plan and to give school children dental care that they would not get otherwise. 

 

Marshall University’s Center for Rural Health is administering the program. 

 

So far it’s given out grants of up to $25,000 to nine communities so they can examine children’s teeth, administer fluoride treatment and put sealants on. There are plans to give out seven or eight more grants later this school year.

 

One of the grants went to Berkeley County. 

 

Students at Tuscarora Elementary School in Martinsburg come into the nurse’s office three at a time.  For some of these children this will be their first visit to the dentist. 

 

Dr. Lisa Dunn is conducting the exams and this year she plans to examine children on free and reduced lunch at every school in Berkeley County whose parents give permission. 

 

Dunn refers those who need more care to the new Healthy Smiles Clinic, a sliding scale dental practice that opens next month in Martinsburg. 

 

Dunn says she’s seeing a lot of children who have one or two cavities and others with much more serious problems.

 

“I saw a young man the other day, I’m going to guess he was 10 or 11 because it was an intermediate school and every primary or baby tooth that he had left in his mouth but one needed to be extracted,” Dunn said. “So it was very serious.”

 

Dunn says that particular patient needed immediate treatment so she referred him to a local oral surgeon’s office.

A primary goal of the program is to get sealants on as many children as possible.

 

“And that prevents them from decay and can prevent significant oral health problems,” Dr. Richard Crespo, Marshall University family and community health professor, said. 

 

Crespo says some places have used the grant as seed money to expand the program.

 

“In Wood County they decided that they wanted to target all of the schools,” Crespo said. “That’s probably the most ambitious, it’s a lot of work to go to all of the schools in Wood County and do these screenings.” 

 

Crespo says another goal is to create a statewide oral health plan.  He anticipates having a preliminary plan ready by January when the next legislative session begins. 


If West Virginia develops a plan and hires a full time state oral health director, it will be eligible for grants from the Centers for Disease Control totaling about $250, 000 a year for five years. 

 

The money would be used to create surveillance and educational programs and to build infrastructure to improve overall oral health. 

 

“We want to put the mouth back with the body,” Crespo said. 

 

“Right now there’s been this sense that in terms of oral health the mouth has not been part of the body and so people will think of taking their child to see the pediatrician on a regular basis but not go see the dentist,” Crespo said. “It’s important that oral health be included.”

 

Crespo says studies show good oral health is crucial to cognitive development in children and poor oral health can lead to infections that cause death. 

 

In order to develop a statewide oral health plan Marshall has been conducting a series of public meetings across the state. 

 

The final meeting takes place at the WVU Health Sciences Center Eastern Division in Martinsburg from 1-3 p.m.

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