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Education
is at the heart of the ABCD program. Training for both the oral
health community and the target population provides the foundation
for long term changes in the oral health of the community. The
ABCD Program is designed to begin seeing children as soon as the
first teeth emerge, usually around eight months of age. The American
Academy of Pediatric Dentistry recently adopted the standard for
children to be seen by a dentist at age one. Recognition of the
need for early pediatric dental care is new for many dentists
and parents; the ABCD Program provides education and training
for both.
Dentists receive continuing education in early pediatric dental
techniques and are certified by University of Washington Pediatric
Dentistry staff. This qualifies them to receive enhanced reimbursement
for selected Medicaid preventive dental service codes. Dental
front office staff receives training in communication and culturally
appropriate follow up with the client families.
Enrolled families are coached in the need for early and preventive
dental care, and in appropriate behavior at the dental office
(including the need to keep appointments). The resulting no-show
rate is significantly lower than in normal practices.
Participating private practices are matched with enrolled clients
(including existing clients) at a caseload level determined by
the practices.
This education and support encourages dentists in private practice
to increase their commitment to expanding dental access in the
community. The emphasis on non-traumatic techniques and oral health
education encourages families to seek and realize the importance
of regular dental care. As a result, there can be a significant
increase in both access rates and community oral health.
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