Interprofessional Integration

OHNEP (Oral Health Nursing Education and Practice)

• Interprofessional Oral Health Faculty Toolkit Pediatric Nurse Practitioner Program
• Oral Health Toolkit for Primary Care Practice (with Hawai’i State Department of Health & UH Mānoa Nancy Atmosphera-Walch School of Nursing)
• • Toolkit Cover Letter
  • Fluoride Varnish Factsheet for Parents
  • Handout for Providers
  • Providing Oral Health Service in Primary Care Practice (Vimeo)

• Disparities in Oral Health (CDC, 2021)
• For Want of a Dentist – Story of Deamonte Driver (Mary Otto – Washington Post, 2007)
• Health Equity Needs Teeth (AMA Journal of Ethics, January 2022)
• Melanin: The Biophysiology of Oral Melanocytes and Physiological Oral Pigmentation (Head & Face Medicine, 2014)
• Oral Health & Disparities (NIHCM Foundation)
• Power of Prevention (CDC)
• State of Oral Health Equity in America 2021 (CareQuest)

• Oral Health Curriculum At a Glance (University of Massachusetts Medical School have developed an example of their “OH Curriculum At a Glance” mapping oral health content with use of a tooth image.)

Smiles for Life Website

• Oral Health in Pregnancy Curricular Model
• Pediatric Oral Health Case (Learner Version)
• Pediatric Oral Health Case (Moderator Version)
• Smiles for Life – Introduction (Vimeo)

Smiles for Life Modules include:

• The Relationship of Oral and Systemic Health
• Child Oral Health
• Adult Oral Health
• Acute Dental Problems
• Pregnancy and Women’s Oral Health
• Caries Risk Assessment
• Fluoride Varnish
• The Oral Examination
• Geriatric Oral Health

• Interprofessional Oral Health Faculty Toolkit Psychiatric-Mental Health Nurse Practitioner Program (OHNEP)
• Oral Health in America Advances and Challenges – Section 5: Pain, Mental Illness, Substance Use, and Oral Health  (NIH, 2021)
• Oral Health in America Advances and Challenges – Section 5: Pain, Mental Illness, Substance Use, and Oral Health FACT SHEET (NIH, 2021)
• Oral Health and Mental Health Integration in the Curriculum: Meeting ARC-PA Standards
• Oral Health, Mental Health and Substance Use Treatment | A Framework for Increased Coordination and Integration (National Council for Mental Wellbeing) 
• The Brain-Mouth Connection How Good Oral Health Can Improve Mental Health (All 4 Oral Health, 2022)

• Letters: Equipping the Physician Assistant Workforce to End Oral Health Disparities (American Journal of Public Health, 2015)
• Integrating oral health into primary care (ACP Internist, 2021)
• Integration of Oral Health and Primary Care: Communication, Coordination, and Referral (National Academy of Medicine, 2018)
• Oral Cancer Example Slides
• Organized, Evidence-Based Care: Oral Health Integration – Executive Summary (Qualis Health, 2016)
• Putting the Mouth Back in the Body (Mary Otto – Saturday Evening Post, 2018)
• Putting the Mouth Back in the Head: HEENT to HEENOT (American Journal of Public Health, 2015)
• Qualis Oral Health Delivery Framework (2015)
  • Framework Slide
  • Implementation Guide

• All about fluoride: Updated clinical report covers caries prevention in primary care (AAP News, 2020)
• Dental Supply Companies Contact Information (Smiles for Life & AAP, 2019)
• Fluoride Varnish Fact Sheet for Parents (OHNEP)
• Fluoride Varnish Fact Sheet  (Ohio Department of Health Oral Health Program, 2022)
• Fluoride Varnish Manual for Medical Clinicians (Smiles for Life, 2009)
• Oral Health Coding Fact Sheet for Primary Care Physicians (AAP, 2019)
• Fluoride Varnish Application (Oregon Oral Health Coalition)
• Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years – US Preventive Services Task Force Recommendation Statement (JAMA, 2021)
• Smiles for Life-Course 6: Caries Risk Assessment, Fluoride Varnish and Counseling

• ACOG Committee Opinion Oral Health Care during Pregnancy and through the Lifespan (American College of Obstetricians and Gynecologists, 2013, reaffirmed 2022)
• Bright Futures Oral Health Guide 3rd edition
  (National Maternal and Child Oral Health Resource Center (OHRC), 2016) 
• Bright Futures Oral Health Guide – Pregnancy and Postpartum
• Guidance for Prenatal Care Health Professionals (OHRC, 2012)
• Healthy Portion Sizes During Pregnancy (March of Dimes, 2014)
• National Maternal and Child Oral Health Resource Center
• Oral Healthcare during Pregnancy: A National Consensus Statement (OHRC, 2012)
• Oral Healthcare during Pregnancy: A National Consensus Statement: Summary of an Expert Workgroup Meeting (National Maternal and Child Oral Health Resource Center (OHRC), 2012)
• Oral Health Care During Pregnancy-North Carolina Practice Guidelines (North Carolina Public Health, 2018)
• Oral Health Care for Pregnant Women (South Caroline Oral Health Coalition, 2017)
• Oral Health Faculty Toolkit-Nurse Midwifery Program (OHNEP)
• Oral Health Practice Guideline for Pregnancy and Early Childhood (Massachusetts Department of Public Health, 2016)
• Pregnancy Oral Health Case [Learner Version] (Smiles for Life)
• Pregnancy Oral Health Case [Moderator Version] (Smiles for Life)
• Pregnancy Oral Health Case [Slides] (Smiles for Life, 2015)
• Pyogenic Granuloma and Gingivitis During Pregnancy
• Sample Oral Health Referral Form for Pregnant Women (Perinatal Oral Health Practice Guidelines)
• Sample Referral Form for Pregnant Women to Oral Health Providers
• Smiles for Life Oral Health Curriculum
• Two Healthy Smiles (ENGLISH) – Tips to Keep You and Your Baby Healthy (OHRC)
• Two Healthy Smiles (SPANISH) – Tips to Keep You and Your Baby Healthy (OHRC)

• Drug addiction and periodontal diseases (J Indian Soc Periodontol, 2013)
• Environmental Scan of Oral Health and Behavioral Health Integration Models (National Council for Mental Wellbeing) 
  • Relationship Between Oral Health and Behavioral Health – Selected Examples
• How Drug Abuse Affects Dental Health (American Addiction Centers, 2022)
  • Drugs That Affect Oral Health by Type 
• Oral Health of Drug Abusers: A Review of Health Effects and Care (Iranian J Publ Health, 2013)
• Oral Health, Mental Health and Substance Use Treatment | A Framework for Increased Coordination and Integration (National Council for Mental Wellbeing) 
• Oral Health and Substance Use Disorders [SLIDES] (Smiles for Life)
  • Oral Health and Substance Use Disorders [SLIDES w/ Speakers Notes]
• Smiles for Life
• Substance Use Disorders (Smiles for Life)

• ABC of oral health Dental emergencies (BMJ, 2000)
• Before You Say Ahhhh…Integrating Oral Health and Behavioral Health in Primary Care Settings (National Council for Mental Wellbeing, 2017)
• Bright Futures Oral Health Guide 3rd edition (National Maternal and Child Oral Health Resource Center (OHRC), 2016) 
• Common Dental Emergencies (American Family Physician, 2003)
• Dental Avulsions: Review and Recommendations (The Nurse Practitioner, 2016 )
• Dental Emergency – Mouth Healthy (ADA)
• Dental Problems in Primary Care (American Family Physician, 2018)
• Do You Need Emergency Dental Care (Colgate)
• Evaluating and Managing Dental Complaints in Primary and Urgent Care (The Journal for Nurse Practitioners, 2013)
• For Want of a Dentist – Story of Deamonte Driver (Mary Otto – Washington Post, 2007)
• Improving Access to Oral Healthcare for Vulnerable and Underserved Populations (National Academies, 2011)
• Management of Dental Trauma in a Primary Care Setting (AAP, 2018)
• Oral Health Conditions (CDC)
• Oral Health in America (HHS, 2021)
• Resources for National Oral Health Month (NCCPA, 2022)
• Smiles for Life
• Video Library (nccPA Health Foundation)
• What to do in a dental emergency (Delta Dental)

• Aging and Dental Health (ADA)
• Evidence for the 4M’s: Interactions and Outcomes Across the Care Continuum (Journal of Aging and Health, 2021)
• Geriatric Oral Health Case [Learner Version] (Smiles for Life)
• Geriatric Oral Health Case [Moderator Version] (Smiles for Life)
• Oral Health And Memory Disorders: A Guide For Caregivers (ZocDoc, December 2022)
• Oral Health and Older Adults (NIDCR, 2020)
• Oral Health and Older Adults: A History of Public Neglect (Michèle J. Saunders – Generations, 2016)
• Oral Health Faculty Toolkit Adult Gerontology Primary Care Nurse Practitioner Program (OHNEP)
• Oral health for healthy ageing (The Lancet, 2021)
• Oral Health Patient Facts – Oral Health and Older Adults [ENGLISH] (OHNEP and ACP, 2015) 
• Oral Health Patient Facts – Oral Health and Older Adults [SPANISH] (OHNEP and ACP, 2015)
• Palliative care: Overview of mouth care at the end of life (UpToDate, 2019)
• Smiles for Life

• Commonly Prescribed Medications in Pediatric Dentistry [SLIDES] (Bruce Riggs – The Dental College of Georgia, 2022)
• Effectiveness of interprofessional oral health program for pediatric nurse practitioner students at Northeastern University, United States (BMC Oral Health, 2019)
• Framework for action on interprofessional education & collaborative practice (World Health Organization, 2010)
• Integration of Oral Health and Primary Care Practice (U.S. Department of Health and Human Services Health Resources and Services Administration, February 2014)
• Interactive Case Presentations (Bruce Riggs – The Dental College of Georgia, 2022)
•  Interprofessional Education Collaborative (IPEC)
• Oral Health Exemplar for Interprofessional Education and Practice (Laura S Larsson, 2022)
• Pediatric Oral Health Lecture Presentation
• Public Health Learning Modules #15 – Oral Health Across theLifespan (APTR)
• Teaching Note–An Interprofessional Book Club: Bringing Together Social Work and Health Affairs Students (Journal of Social Work Education, 2019)
• Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America [book] (Mary Otto, 2017 – ISBN: 9781620974827)
  • IPE Oral Health Book Club
• The Interprofessional Collaborative Competency Attainment Scale, ICCAS (Journal of Interprofessional Care, 2017)
  • ICCAS – Interprofessional Collaborative Competencies Attainment Survey

• A Medical Providers Guide to Oral Health for Special Needs Populations [VIDEO] (UAB SOD Pediatric Dentistry, 2022)
  • Recommended oral health tools fo caregivers:  
    • Open Wide Mouth Prop
    • Surround Toothbrush
    • Triple Bristle GO
    • Listerine UltraClean Access Flosser
• Developmental Disabilities & Oral Health (NIDCR, 2020)
• Oral Health Care for Children With Developmental Disabilities (AAP – Pediatrics, 2013)
• Oral Health Education and Training (AAP)
• Oral Health Faculty Toolkit Psychiatric-Mental Health Nurse Practitioner Program (OHNEP)
• Oral Health for Families with Special Health Care Needs (South Carolina Department of Health and Environmental Control, Division of Oral Health, 2007)
• Promoting Oral Health for Children with Disabilities (ECLKC, 2021)
• Toothbrushing Positions for Your Child with a Disability (ECLKC, 2021)
• Toothbrushing Tips for Your Child with a Disability (ECLKC, 2021)

Dental Mini Bites Oral Health Module Links

• Watch my Powtoon: unit #1 medicine and the mouth
• Watch my Powtoon: unit #2 polypharmacy
• Watch my Powtoon: unit #3 xerostomia
• Watch my Powtoon: unit #4 candida

Midwestern University’s developed the above  Multidisciplinary Dental Mini Bites, collaborating with talented faculty from Dental, Pharmacy and PA programs (faculty listed below) as part of an IRB approved research study (IRB AZ#1284).  The Dental faculty used an innovative platform called Powtoon (www.powtoon.com) to produce animated videos focused on key topics essential in primary care practice.  

Special thanks to the members of the Midwestern University (IRB AZ#1284) research team: 
Denise Mills, DDS, MHA, EdD, Andrea Burns, Pharm.D., BCACP, Anita S. Chu, DDS, Eve B. Hoover PA-C, Eugenia P. Roberts, DDS¹, Bradley S. Roberts, DDS, Jennifer Wild, DO, Gretchen Post PA-C, Robyn Sears PA-C, Amber Herrick PA-C, Deborah Black PA-C.