Toolkits, Guides, and Training Resources

This page highlights the important and diverse work in the field related to the integration of oral health and medicine, including toolkits, implementation guides, reports, and other training resources.

Featured Resource

Integrating Oral Health Care into Primary Care - A Resource Guide

The National Maternal and Child Oral Health Resource Center (OHRC) developed this publication, Integrating Oral Health Care into Primary Care: A Resource Guide, to help health professionals, program administrators, educators, and others understand the benefits of integrating oral health care into... Read more about Integrating Oral Health Care into Primary Care - A Resource Guide

MORE Care in Ohio: Medical Oral Expanded Care

Significant tooth decay in very young children is still a costly and painful problem in Ohio In Ohio, gains have been made in oral health, but significant tooth decay in very young children persists — leading to chronic pain, sleep and eating disorders, ineffective use of hospital emergency... Read more about MORE Care in Ohio: Medical Oral Expanded Care

Attach Files:

more_care_ohio_case_study_2.13.2024.pdf

Policy Statement: Integrating Oral Health Care into Primary Care

The oral health care system remains largely siloed from the broader health care system and traditionally has been underused by primary care delivery systems as a pathway to oral health promotion, prevention, and early intervention. Challenges persist that hinder the understanding and provision of... Read more about Policy Statement: Integrating Oral Health Care into Primary Care

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integrating-oral-health-care-into-primary-care.pdf

How Medical Providers Can Help Improve Oral Health for Head Start Participants

Medical providers, including physicians, nurse practitioners, nurses, and physician assistants, can work in partnership with ... Read more about How Medical Providers Can Help Improve Oral Health for Head Start Participants

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01526-how-medical-providers-can-improve-oral-health-head-start-participants_1.pdf

Integrating Oral Health Evaluation into Prenatal Care: Considerations and Examples

Overview

The oral health evaluation is composed of subjective and objective findings based on completion of an oral health history, a risk assessment, and a clinical oral screening. Competencies for primary care providers include identifying and prioritizing strategies to...

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integrating-oral-health-evaluation-into-prenatal_care-considerations-examples.pdf

How Medical Providers Can Help Improve Oral Health for Head Start Participants

Medical providers, including physicians, nurse practitioners, nurses, and physician assistants, play an essential role in improving the oral health of Head Start participants. They often see children and expectant parents earlier and more frequently than do oral health professionals. This tip sheet... Read more about How Medical Providers Can Help Improve Oral Health for Head Start Participants

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01526-how-medical-providers-can-improve-oral-health-head-start-participants.pdf

Oral-Systemic Interactions and Medical-Dental Integration A Life Course Approach

Oral health is a core component of overall health; a healthy mouth and a healthy body are bidirectionally related. An umbrella review shows that, as of 2022, researchers had published 293 systematic reviews with meta-analyses on the links between oral diseases and noncommunicable diseases (e.g.,... Read more about Oral-Systemic Interactions and Medical-Dental Integration A Life Course Approach

Attach Files:

carequest_institute_oral-systemic-interactions_11.28.23.pdf

The Five Things Dentists Wished PCPs Weren't Missing

Dentists are urging primary care doctors to pay closer attention to signs of illness that may show up in the mouth. From overlooked gum disease to suspicious lesions, oral health can provide a critical window into broader medical concerns.

A ...

Capacity Inventory for Integrating Oral Health Care and Primary Care for Pregnant Women

This tool was developed to assist statesa in their efforts to improve their capacity to integrate oral health care and primary care for pregnant women. The purpose of the tool is to help state oral health program staff assess systems-level capacity factors and prioritize needs. See the companion... Read more about Capacity Inventory for Integrating Oral Health Care and Primary Care for Pregnant Women

Attach Files:

capacity-inventory-tool.pdf

Best Practice Approach: Early Childhood Caries—Prevention and Management

A Best Practice Approach Report describes a public health strategy, assesses the strength of evidence for the effectiveness of the strategy, and uses practice examples to illustrate successful/innovative implementation.

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early-childhood-caries-prevention-and-management-bpar-2023.pdf

Networks for Oral Health Integration (NOHI) Within the Maternal and Child Health Safety Net

The ...

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nohi-environmental-scan-chartbook-2023.pdf

Pediatricians and Pediatric Oral Health: Knowledge and Attitudes about SDF in Pediatric Practice

Pediatric dental disease, while largely preventable, continues to impact too many children and families, particularly those disproportionately impacted by racial and economic inequalities. Pediatricians are essential partners in keeping children’s teeth healthy but may lack the knowledge,...

Attach Files:

aapsdffullsurveyfinalreport.pdf

February is National Children's Dental Health Month

The February 2024 National Children's Dental Health Month (NCDHM) is brought to you by the ADA. This month-long national health observance brings together thousands of dedicated professionals, healthcare providers, and educators to promote the benefits of good oral health to children, their...

Oral Health in Healthcare Settings to Prevent Pneumonia Toolkit (On-Demand)

Non-ventilator healthcare-associated pneumonia (NV-HAP) is the most common healthcare-associated infection in the United States. Preventing NV-HAP can reduce costs, length of hospitalization, and death. One strategy that may help prevent NV-HAP is to incorporate routine oral healthcare before...

Medical and Dental Integration: A Need for Improved Electronic Health Records

The benefits of integrating oral health care and overall health care are well documented. Integrated health care refers to merging administrative, technical, operational, and clinical aspects of care across health disciplines to improve care coordination and patient health outcomes. To date,...

Attach Files:

carequest_institute_medical-dental-intergration_8.15.23.pdf

Pediatric Oral Health Practices Survey Summary August 2023

About the Pediatric Oral Health Practices Survey

Pediatric dental disease is largely preventable but continues to impact too many children and families, particularly in underrepresented, marginalized communities. Pediatricians are essential partners in keeping patients’ teeth...

Attach Files:

pediatric_oral_health_survey_summary_aap_review_rev_8.8.23.pdf

Physician Use of Silver Diamine Fluoride (SDF) in Dental Caries Management Guidance from the American Academy of Pediatric Dentistry

In July 2023, a procedure code for physicians’ use of silver diamine fluoride (SDF)
was introduced into the American Medical Association’s (AMA) Current Procedural Terminology (CPT) code set. Code 0792T is for the “application of silver diamine
fluoride 38%, by a physician or other...

Attach Files:

sdf-guidance-for-physicians_aapd_2023.pdf

The Oral-Systemic Connection Across the Lifespan

Infographic produced by CareQuest Institute for Oral Health

Attach Files:

carequest-institute_oral-systemic-connection-across-lifespan.pdf

Procedure Manual to Launch a Diverse Prenatal/Postpartum Advisory Board (PPAB)

The overall goal of the program is to improve the oral health and overall health of low-income prenatal and postpartum women and children in Maryland. This manual is designed to highlight our journey toward this goal and serve as a roadmap for others.

This project began as result of...

Attach Files:

ppab-procedure-manual_final-1.pdf

The Non-Invasive Caries Therapy Guide

The Guide is an illustrated manual on diagnostics, preventives, and therapeutics to fight dental caries without removing tooth structure, including instructions and tips to:

Differentiate active vs. arrested caries lesions
Apply silver diamine fluoride, self...

Attach Files:

carequest_institute_non-invasive-caries-therapy-guide_071023.pdf

Medicaid Adult Dental Benefit Expansion

The Medicaid Adult Dental Coverage Checker is an interactive tool for policymakers, administrators, and advocates to easily understand where a given state’s Medicaid adult dental benefits package falls on a continuum from no dental benefits to extensive benefits, helping identify areas for...

Dental Home Playbook: A Physician Guide with Tips and Tools to Integrate Oral Health into Your Primary Care Practice

Every child in the U.S. should receive routine, comprehensive care for their oral health needs. That care begins by establishing a dental home with a provider. The earlier in life this relationship starts, the better a child’s ability to learn about and receive the benefits of preventive care...

Attach Files:

playbook_dental_home_physician_guide_mh_final_03.01.23.pdf

The Heartbeat of Dentistry: Integrating CV Screening and Wellness Checks in Dental Visits

Statistics show that patients will routinely visit their primary dental provider more frequently than their primary medical provider. Routine wellness exams with a dental hygienist are the perfect opportunity to educate patients on the importance of oral health as it relates to systemic health...

New Tools for Oral Health Risk Assessment – Spanish & English

The AAP Oral Health Risk Assessment tool has been updated to streamline and support this essential component of the well-child visit. The tool is now accompanied by an intake form to collect pertinent patient information from parents/caregivers. An updated self-management goal sheet supports...

Improving the Oral Health of Young Children in New York: Recommendations from the NYS Early Childhood Oral Health Summit

On November 14, 2022, the Schuyler Center for Analysis and Advocacy, Early Childhood Advisory Council (ECAC), NYS Head Start Collaboration Office, NYS Department of Health, Governor’s Office of New Americans, NYS Developmental Disability Planning Council, and NYS Council on Children and...

Attach Files:

recommendations-from-the-nys-early-childhood-oral-health-summit.pdf

Double the Care: How Medical-Dental Integration Is Expanding Access in Ohio

The Goals of the MORE Care Pilot

The MORE Care Ohio pilot kicked off in November 2022 as a collaboration between CareQuest Institute and Oral Health Ohio, a coalition of statewide partners who...

Dental Steps for Maine: Oral Health Video Library

This oral health video library contains one video correlating with each well-child visit from 2 months to age 5 as well as a prenatal/introduction to the library. Each video contains one small, digestible piece of oral health information aimed at closing the oral health literacy gap for families of... Read more about Dental Steps for Maine: Oral Health Video Library

CMS Strategic Framework

CMS has an ambitious agenda and a bold plan to meet our mission. All of our work is organized and managed along six CMS strategic pillars that promote the establishment of broad programmatic goals. Inherent in our work is an unyielding focus on the customer experience to expand coverage and...

Attach Files:

cms_strategicplan-infographic-50811.pdf

cms_2022_cms_strategicframework-051523-50887.pdf

Addressing the Role of Oral Health in Maternal Mortality and Pregnancy Outcomes

Key points from the report include:

In the US in 2020, 861 individuals died of pregnancy-related causes (an increase of 14% from 2019), and about 1 in 10 babies were born prematurely.
Black and American Indian/Alaska Native women are 2.9 and 2.5...

Attach Files:

carequest_institute_addressing-the-role-of-oral_health-in-pregnancy-outcomes-visual-report_4.24.23.pdf

To Boost Oral Health in its Youngest Patients, NYC Health + Hospitals Adds Dental Hygiene Services to Pediatric Practices

NYC Health + Hospitals today announced that it now offers preventive dental hygiene services at its pediatric practices within the 11 public hospitals, in addition to Gotham... Read more about To Boost Oral Health in its Youngest Patients, NYC Health + Hospitals Adds Dental Hygiene Services to Pediatric Practices

Minimally-Invasive Care and a Representative Oral Health Workforce

When traditional dental procedures — like drilling and filling cavities and pulling teeth — are medically necessary, access to them is a critical part of ensuring oral health equity. However, less invasive services, collectively referred to as minimally-invasive care (MIC), are often an option...

Attach Files:

minimally-invasive-care-mic-workforce_brief.pdf

This page highlights the important and diverse work in the field related to the integration of oral health and medicine, including toolkits, implementation guides, reports, and other training resources.

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The Guide is an illustrated manual on diagnostics, preventives, and therapeutics to fight dental caries without removing tooth structure, including instructions and tips to:

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The Goals of the MORE Care Pilot

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