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Public Health Issues Seminar Series: Updates on Oral and Dental Health

Announcing a Spring 2009 Seminar Series Offered by the School of Public Health and its Department of Epidemiology and Biostatistics

This series of eight seminars is designed to provide participants with an update on current public health topics related to oral health and to dental care. Two of the eight seminars specifically highlight Maryland state programs that have served, and are serving, as models for other states. The speakers are senior leaders in federal, state and academic health programs.

Continuing Dental Education Credit is provided to eligible participants in cooperation with the American Dental Association (ADA), Council on Access Prevention and Interprofessional Relations. Each seminar is 1.5 CEUs. The School of Public Health extends its appreciation and gratitude to the ADA CERT program for this sponsorship.

REGISTRATION is REQUIRED within 24 hours of each seminar: Contact Ms. Adunola at fadunola@mail.umd.edu and provide your name, email and telephone contact, and affiliation.

For Seminar Series Content Questions, please contact: Dr. Horowitz ahorowit@umd.edu; Dr. Kleinman Dushanka@umd.edu.

Dates: Thursday evenings: February 12, 26; March 5, 12, 26; and April 2, 9, 23

Location and Time: All seminars are scheduled from 5:00 - 6:30 pm and will be held in the Dean's conference room (Room number 3302F), School of Public Health building.

Directions: a map and written directions to the campus and our building.

Recommended Participants: Health care practitioners; local, county and state health department staff members; public health, public policy and health professions students and faculty.


February 12, 2009 5:00 - 6:30 pm
Seminar 1: The mouth as a mirror of health and disease

Research findings have illuminated the associations between oral and general health. Epidemiologic studies and clinical trials are providing new information about these associations. These findings provide essential information for public health programs, self-care, professional health practice and policy-makers. This session will address current evidence supporting the relationship between oral health, general health and well-being. Specifically the focus will be on the connection between oral health and conditions such as heart disease, diabetes and adverse pregnancy outcomes. Dr. Atkinson is an Oral Medicine specialist and has extensive experience with clinical research.

Speaker:
Jane Atkinson, DDS
Director, Center for Clinical Research
Division of Extramural Research
National Institute of Dental and Craniofacial Research
National Institutes of Health
U.S. Department of Health and Human Services

Learning Objectives:
1. Describe the association between oral diseases and general health and well-being
2. Understand and be able to discuss the relationship between periodontal diseases and conditions such as adverse pregnancy outcomes, heart disease and diabetes
3. Describe how the association between oral and general health affects health care practice


February 26, 2009 5:00 - 6:30 pm
Seminar 2: Maryland: Policies and legislation in action to address oral health disparities

The untimely death of Deamonte Driver, the 12 year old Prince George's County resident who died in 2007 due to complications of a dental abscess has placed oral health disparities in the national spotlight. The Governor of the State of Maryland, the legislature and state and county leaders and citizens moved rapidly to address the many issues related to dental health, especially for underserved populations. This seminar will provide an overview of Maryland legislation and policies aimed at decreasing oral health disparities. Our speakers represent senior leaders who developed and/or acted on recommendations resulting from the State's Dental Action Committee report.

Speakers:
Harry Goodman, DDS, MPH
Director, Office of Oral health
Maryland Department of Health and Mental Hygiene
"Maryland Strategic Plan for Oral Health"

Don Shell, MD, MA
Director, Prince George's County Health Department
"Maryland Dental Action Committee"

Bonnie Braun, PhD
Herschel S. Horowitz Endowed Chair in Health Literacy
"Maryland Rural Health Report and Legislation"

Learning Objectives:
1. Describe the major goals of Maryland's Strategic Plan for Oral Health
2. Discuss and explain the Maryland Dental Action Committee: recommendations and current programs
3. Understand the Maryland Rural Health Report and Legislation and its impact on oral health


March 5, 2009 5:00 - 6:30 pm
Seminar 3: Oral Cancer Prevention and Early Detection: The Maryland Model

Oral cancer is among the leading causes of death among all cancers. Because of the location of oral cancers (mouth, throat and nasal passages) they are more amenable to early diagnosis; but if these cancers are not diagnosed early their treatment is physically disfiguring and functionally limiting. The State of Maryland has been a leader in developing strategies for oral cancer prevention and early detection with the aim of decreasing cancer mortality. This session will provide an overview of the Maryland Model of Oral Cancer Prevention & Early Detection. It will highlight when and how the model was initiated, the benefits and challenges of this model and describe the effect of the model on other states. This seminar will also include a demonstration of the recommended oral cancer examination procedure. Our speakers participated in the research and action team that created and implemented the Maryland Model.

Speakers:
Harry Goodman, DDS, MPH
Director, Office of Oral health
Maryland Department of Health and Mental Hygiene

Maria T. Canto, DDS, MPH, MS
Program Director, Community Networks Program
Disparities Research Branch
National Cancer Institute
National Institutes of Health
U.S. Department of Health and Human Services

Learning Objectives:
1. Understand and discuss the etiology and epidemiology of oral cancers in Maryland and the US
2. Discuss the Maryland Model of Oral Cancer Prevention and Early Detection
3. Discuss the data emanating from other oral cancer state models


March 12, 2009 5:00 - 6:30 pm
Seminar 4: Oral Health Workforce Models That Work for Communities and for Health Care Delivery Systems

Maintaining optimum oral health requires active self-care together with appropriately designed community programs and professional care. This session will address various workforce models and delivery systems needed to address the growing unmet oral health needs of Americans. For example, recent action by the Maryland State Legislature has expanded services that can be delivered by dental team members in order to provide care to more individuals. This seminar will review issues regarding design of workforce models, issues related to workforce training and legislation, and factors affecting the adoption of workforce models. Our speaker is the Chief Dental Officer for the United States Public Health Service and is an Assistant Surgeon General in the United States Public Health Commissioned Corps. In addition to these roles, RADM Halliday directs the Oral Health Program for the Indian Health Service of the United States.

Speaker:
RADM Chris Halliday, DDS, MPH
Chief Dental Officer
U.S. Public Health Service and
Director, Oral Health Program
Indian Health Service
U.S. Department of Health and Human Services

Learning Objectives:
1. Describe the structure and rationale of current workforce models and their relation to existing delivery systems
2. Discuss the pros and cons of various workforce models in improving oral health
3. Describe select models operating within the Indian Health Service


March 26, 2009 5:00 - 6:30 pm
Seminar 5: Community and dental public health programs: planning, implementation and evaluation

There are many factors involved in planning, organizing and overseeing safety net programs to deliver needed care to underserved populations. This seminar will review eligibility, services delivered and design of such programs, often referred to as Safety Net programs. It also will provide an overview of federally supported programs such as Community Health Centers, Maternal and Child Health Programs and other Safety Net Programs designed to address oral health disparities. Our speaker, Dr. Anderson, is the Chief Dental Officer for the "Access" agency of the U.S. Public Health Service, the Health Resources and Services Administration and is a senior leader in primary care program delivery.

Speaker:
Jay Anderson, DDS, MHSA
Chief Dental Officer,
Health Resources and Services Administration
U. S. Department of Health and Human Services

Learning Objectives:
1. Describe federally supported programs designed to provide care to underserved populations
2. Discuss the oral health component characteristics of federally supported programs
3. Understand the initiatives underway that integrate oral health and general health within these programs


April 2, 2009 5:00 - 6:30 pm
Seminar 6: The environment and oral health

From occupational health issues to health effects of materials used to restore damaged oral tissues, environmental health plays an essential role in relation to oral health. Dental amalgam, the restorative material that includes silver and mercury, has been one topic that has received much visibility. For over a decade there has been widespread speculation on the impact of dental amalgam on health. This seminar will review the research and policy actions that have been undertaken to address this aspect of the environment and oral health. Our speaker, recently retired from a full career at the National Institutes of Health, played a lead role in designing multi-center dental amalgam clinical trial in children and in overseeing related policy activities for the U.S. Public Health Service.

Speaker:
Norman Braveman, PhD
President, Braveman Biomedical Consultants
Former Special Assistant to the Director,
National Institute of Dental and Craniofacial Research
National Institutes of Health
U.S. Department of Health and Human Services

Learning Objectives
1. Discuss the results of the dental amalgam studies
2. Discuss neurobehavioral effects of dental amalgam in children
3. Discuss Sweden's recent ban on the use of dental amalgam


April 9, 2009 5:00 - 6:30 pm
Seminar 7: What is the status of oral health in the United States?

Tooth decay is the most common disease of school children; cleft lip/palate is one of the most common birth defects in this country and oral cancer is one of the top ten cancers affecting Americans. This seminar will provide an overview of the current status of oral health in America using data from the National Health and Nutrition Examination Survey (NHANES) and other National Center for Health Statistics (NCHS) surveys and data. Participants will learn how these data demonstrate our progress toward the Healthy People oral health objectives and where more work is needed. The epidemiologic indices and surveys used to measure oral conditions will be reviewed. CAPT Dye directs the dental component of the National Center for Health Statistics and has extensive experience as an examiner and epidemiologist.

Speaker:
Bruce Dye, DDS, MPH
USPHS Dental Epidemiology Officer
National Center for Health Statistics
Centers for Disease Control and Prevention
U. S. Department of Health and Human Services

Learning Objectives:
1. Understand and discuss the epidemiology of common oral diseases.
2. Recognize and be able to describe epidemiologic indices used for dental/oral craniofacial assessment.
3. Discuss HP2010 data in the context of the midcourse review.


April 23, 2009 5:00 - 6:30 pm
Seminar 8: Reaching for Health Equity and the Elimination of Health Disparities: The Detroit Center for Research on Oral Health Disparities

Addressing oral health disparities requires extensive programmatic, policy and research initiatives. One of NIH funded research initiatives included the establishment of five research centers of excellence designed to conduct studies whose findings would reveal how we can work to eliminate oral health disparities. Dr. Ismail, our speaker, directly one of the five national centers during his tenure at the University of Michigan. The approach used by his center focused on community-based participatory research and neighborhood-based analyses. Dr. Ismail is an epidemiologist, dental public health specialist and has extensive experience in evidence-based care and systematic reviews.

Speaker:
Dr. Amid Ismail, BDS, MPH DrPH, MBA
Dean, TempleUniversity School of Dentistry
Former Director, Detroit Center for Research on Oral Health Disparities
University of Michigan

Learning Objectives:
1. Identify factors that contribute to oral health disparities
2. Describe programs designed to address these disparities
3. Describe at least two outcomes of the Detroit Center for Research on oral health disparities

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