2009 Annual Symposium

Portland, OR
April 19, 2009


8:00 a.m. Breakfast
8:15 a.m. Welcome
Maureen Oostdik, R.D.H., President, AACDP
8:30 a.m.

Portland & Multnomah County Dental Programs
Alyssa Franzen, D.D.S.

Dental Director, Multnomah County Health Department, Portland, OR


Dr. Alyssa Franzen will describe the dental programs operating in Portland, which include the clinical practice of four county dental clinics, corrections health dental services, and the School and Community Dental Program. This program has been one of the leading local dental programs in the country for many years.

9:00 a.m.

ADA Access to Dental Care Summit
Steve Geiermann, D.D.S.

Senior Manager, Access, Community Oral Health Infrastructure & Capacity, American Dental Association, Chicago, IL


  • Lawrence Hill, D.D.S., M.P.H.
    Executive Director, CincySmiles Foundation, Cincinnati, OH
  • Lindsey Robinson, D.D.S.
    Chair, American Dental Association Council on Access, Prevention and Interprofessional Relations, Grass Valley, CA

On March 22–25, 2009, the American Dental Association's Council on Access, Prevention and Interprofessional Relations will host an Access to Dental Care Summit in Chicago. ADA has invited representatives from various stakeholder groups that have a commitment to and a role in improving access to oral health care for the underserved to participate in the summit. The goal of the summit is to create a common vision for action. Participants have been asked to address the question: “What are we going to do, in the short and long term, both individually and collectively, to ensure optimal oral health through prevention and treatment for underserved people?” The summit will represent the first time that the private sector, the public sector, community health centers, funders, and others will come together to discuss these problems and begin to develop, together, ways to address them. Dr. Steve Geiermann, a former Health Resources and Services Administration Region V dental consultant, will provide a summary of the summit process and outcomes, as well as implications for the future.

9:30 a.m. Building Capacity to End the Problem of Oral Health Access to Care
Greg Nycz

Executive Director, Family Health Center and Director of Health Policy, Marshfield Clinics, Marshfield, WI

This presentation will discuss progress on a comprehensive plan to use Wisconsin's community health centers to expand oral health service delivery capacity to better meet the needs of individuals enrolled in Medicaid, those who are uninsured, and those who are geographically isolated and cannot access oral health services. The model being promoted seeks to better integrate general health and oral health services to provide more patient-centered care and to better address oral-systemic interrelationships. Progress is also being made in meeting the needs of individuals with special health care needs.

10:00 a.m. Break
10:15 a.m. New Zealand School Dental Nurse Program: How it Operates
Marie Rodgers

Oral Health Consultant, Hutt Valley District Health Board, New Zealand

Marie Rodgers is a regional administrator for the New Zealand school dental nurse program, the model often looked to for creating access to oral health care for children and the model upon which the Alaska Dental Health Aid Therapist was based. Ms. Rodgers will provide a nuts and bolts description of the daily operations of the program, the roles of the dental, the school dental nurse, and role and challenges of the administrator.


Update on National, Regional and Local Efforts for Head Start Dental Compliance
Moderator: John Rossetti, D.D.S., M.P.H.


  • Mark Doherty, M.P.H., C.C.H.P., D.M.D.
    Director, Safety Net Solutions
    Dentaquest Institute, Lakeville, MA
  • Kathy Geurink, R.D.H., M.A.
    Head Start Dental Consultant, ASTDD
    Associate Professor, Department of Dental Hygiene, University of Texas Health Science Center at San Antonio
  • Jan Connelly and Jim Crall, D.D.S., Sc.D.
    American Association for Pediatric Dentistry, Chicago, IL

Head Start programs have made great strides in improving the oral health of children enrolled in Head Start by establishing regional Head Start oral health consultants to work with local Head Start and oral health programs and by convincing federal Head Start staff to set aside funds for 50 Head Start oral health initiative grants awarded to communities throughout the country. A collaborative effort in Massachusetts led to 97 percent compliance with Head Start oral health program performance standards. Recently, Head Start set a new direction and awarded the Academy of Pediatric Dentistry (AAPD) with funding to develop a national oral health program for Head Start. This presentation will address the following questions: (1) What have the regional Head Start oral health consultant accomplished?" (2) Has there been progress? (3) How did Massachusetts achieve 97 percent compliance? What did AAPD have in mind, and what is it doing today? (4) What are the policy implications, if any, for AACDP.

12:15 p.m.

Lunch and Awards

2009 Recipient of the Myron Allukian Jr. Lifetime Achievement Award for Outstanding Achievements in Community Dental Programs

Susan M. Sanzi-Schaedel, R.D.H., M.P.H.
Portland, OR

1:45 p.m.

The Dental Home Concept: What is it? A Discussion

  • Burton Edelstein, D.D.S., M.P.H.
    Professor of Dentistry and Health Policy and Management, Columbia University Medical Center; Chair, Social and Behavioral Sciences, Columbia University College of Dental Medicine, New York
    Founding Chair, Children’s Dental Health Project, Washington, DC
  • Bob Russell, D.D.S.
    Iowa Dental Director
    Iowa Department of Public Health, Des Moines, IA

It has become commonplace to assume that children enrolled in Head Start, as well as other populations with low incomes, should have a medical home and a dental home. However, based on AAPD's definition of a "dental home," individuals with low incomes or who are uninsured may not be able to establish a dental home. Dr. Burton Edelstein, director of the Children’s Dental Health Project in Washington, DC, will lead an interactive discussion concerning the realities of the dental home and how we might make it a reality. Dr. Bob Russell, former dental director of a community health center and current state dental director for Iowa, will share how he is working with communities to create less-conventional but functional dental homes for children in Iowa.

3:00 p.m. Children's Health Insurance Program Update
Burton Edelstein, D.D.S., M.P.H.

Dr. Burton Edelstein will provide an update on the status of the recent State Children's Health Insurance Program legislation, which includes nine specific dental provisions.

3:15 p.m. Break
3:30 p.m

Oral Health Workforce and the Access to Care Crisis: Institute of Medicine Workshop Highlights
Moderator: Myron Allukian Jr., D.D.S., M.P.H.


  • Tracy Harris, D.P.M., M.P.H.
    Senior Program Officer, Institute of Medicine of the National Academies, Washington, DC
  • Margaret M. Snow, D.M.D., M.B.A., M.P.H.
    President Elect, Association of State and Territorial Dental Directors; New Hampshire State Dental Director, Concord, NH
  • Diann Bomkamp, R.D.H.
    President, American Dental Hygienists' Association, St. Louis, MO
  • Mark Greer, D.M.D., M.P.H.
    President, American Association for Public Health Dentistry; Chief, Dental Health Division, Hawaii State Department of Health, Honolulu, HI

This presentation will discuss highlights from the Institute of Medicine (IOM) Workshop, "Sufficiency of the U.S. Oral Health Workforce in the Coming Decade.” Dr. Harris will talk about how it relates to the oral health access crisis. This session will also provide an early glimpse of the IOM Workshop that will be held in February 2009. Leaders of national oral health organizations will offer their reactions and perspectives.

Register at www.nationaloralhealthconference.com
This session is $100 and includes breakfast, breaks, and lunch. There are 7 CDEs included.


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