Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Bottom level: public health services and systems
Service Recipient: Activities directed to families/children/youth
Goal: Increase the percent of children receiving oral health care in schools.
Numerator: Number of children who were screened by an MDPH SEAL dental hygienist
Denominator: Number of children who received a consent form for the SEAL program
Significance: The MDPH SEAL program is a school-based sealant program in which dental hygienists use portable dental equipment to provide screenings, education, dental sealants and fluoride, as well as referrals to a dental home, for children in need of restorative services. The rules and regulations governing the practice of dentistry in the Commonwealth (August 20, 2010) allow for a registered dental hygienist practicing in a public health setting to provide dental hygiene services, including placement of sealants, without first having a dentist examine the patient.
This ESM is supported by evidence from the Strengthen the Evidence for Maternal and Child Health Programs review of NPM 13B that was completed in August 2017. The review found that there was moderate evidence of effectiveness of school-based oral health interventions. Two studies that focused on access to school-based oral health care (e.g., screening and referral) were:
- Kaplan DW, Brindis CD, Phibbs SL, Melinkovich P, Naylor K, Ahlstrand K. A comparison study of an elementary
school-based health center: effects on health care access and use. Arch Pediatr Adolesc Med. 1999;153(3):235-243.
- Chalmers D. An enhanced screening and referral program: a community dental hygiene pilot project. Probe.
Data Sources and Data Issues: MDPH SEAL database. Data is collected by dental hygienists on site and enter into an Access database. Consent forms are distributed to all schools who agree to participate in the program. Whether or not schools participate is determined by the school district and whether or not there are other sealant programs in those areas. Some schools only distribute consent forms to certain grades, which is determined by the school administration.
Unit Type: Percentage, Unit Number: 100