Current Oral Health Reports

, Volume 4, Issue 3, pp 169–175 | Cite as

Effectiveness of Disease Prevention in Community Health Center Dental Programs

  • Joan I. GluchEmail author
  • Kari Hexem
Dental Public Health (R Collins, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Dental Public Health


Purpose of Review

The goal of this paper is to describe and analyze oral health disease prevention at Community Health Center (CHC) dental programs in order to summarize the effectiveness of activities at the individual and community levels.

Recent Findings

Recent efforts to expand oral health prevention and care with children at community health centers have shown positive results. Although there is considerable literature regarding oral health disease prevention aimed at individuals and communities, there are few articles that specifically address preventive oral health programs at CHC.


CHC dental programs are well positioned to address the prevention of dental diseases as an integral part of care based on their organization and strong community-based orientation. Recent trends in the integration of medical and dental care at CHC support dental disease prevention activities to increase oral health and provide opportunities for further research in monitoring effectiveness of disease prevention in CHC.


Prevention Oral health Community health centers Program evaluation Integrated care 


Compliance with Ethical Standards

Conflict of Interest

Both authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 1.
    Lefkowitz B. Community health centers: a movement and the people who made it happen: Rutgers University Press; 2007.Google Scholar
  2. 2.
    Nath JB, Costigan S, Hsia RY. Changes in demographics of patients seen at federally qualified health centers, 2005-2014. JAMA Intern Med. 2016;176:712–4.CrossRefPubMedGoogle Scholar
  3. 3.
    Gao YN, Nocon RS, Sharma R, Huang ES. What factors are associated with Medicaid patients’ use of health centers? J Prim Care Community Health 2017; 2150131916687919.Google Scholar
  4. 4.
    Jones E, Shi L, Hayashi AS, Sharma R, Daly C, Ngo-Metzger Q. Access to oral health care: the role of federally qualified health centers in addressing disparities and expanding access. Am J Public Health. 2013;103:488–93.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Health Resources And. HRSA Oral Health Across the Agency [Internet]. 2015. Available:
  6. 6.
    • Crall JJ, Pourat N, Inkelas M, Lampron C, Scoville R. Improving the oral health care capacity of federally qualified health centers. Health Aff. 2016;35:2216–23. This manuscript documents the success of a comprehensive initiative designed to increase CHC service capacity in providing preventive, diagnostic, and therapeutic dental care over a 2-year period.CrossRefGoogle Scholar
  7. 7.
    Grisanti SM, Boyd LD, Rainchuso L. An assessment model for evaluating outcomes in federally qualified health centers’ dental departments: results of a 5 year study. J Dent Hyg. 2016;90(Suppl 1):22–32.PubMedGoogle Scholar
  8. 8.
    Griffin SO, Naavaal S, Scherrer C, Patel M, Chattopadhyay S. Community preventive services task force. Evaluation of school-based dental sealant programs: an updated community guide systematic economic review. Am J Prev Med. Elsevier Inc. 52:407–15.Google Scholar
  9. 9.
    Cohen AJ, Richardson CR, Heisler M, Sen A, Murphy EC, Hesterman OB, et al. Increasing use of a healthy food incentive: a waiting room intervention among low-income patients. Am J Prev Med Elsevier. 2017;52:154–62.CrossRefGoogle Scholar
  10. 10.
    Emami E, Harnagea H, Girard F, Charbonneau A, Voyer R, Bedos CP, et al. Integration of oral health into primary care: a scoping review protocol. BMJ Open. 2016;6:e013807.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Emami E, Couturier Y, Girard F, Torrie J. Integration of oral health into primary health Care Organization in Cree Communities: a workshop summary. J Can Dent Assoc. 2016;82:g30.PubMedGoogle Scholar
  12. 12.
    Zimmerman E. Integration of Oral Health and Primary Care Practice: An Interprofessional Approach. MEP. 2015; doi: 10.15766/mep_2374-8265.10252.
  13. 13.
    Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF Jr. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health. 2012;102:923–9.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Burgette JM, Lee JY, Baker AD, Vann WF Jr. Is dental utilization associated with oral health literacy? J Dent Res. 2016;95:160–6.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Arvey SR, Fernandez ME. Identifying the core elements of effective community health worker programs: a research agenda. Am J Public Health. 2012;102:1633–7.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    • Maxey HL, Norwood CW, Liu Z. State policy environment and the dental safety net: a case study of professional practice environments’ effect on dental service availability in federally qualified health centers. J public health Dent. 2016;76:295–302. This study demonstrated that the number of CHC providing dental services was higher in states which supported dental hygiene practice autonomy in public health settings than those CHC in states with more restrictive dental hygiene policies.CrossRefPubMedGoogle Scholar
  17. 17.
    Smith EA, Lapinski J, Lichty-Hess J, Pier K. Using health information technology and data to improve chronic disease outcomes in federally qualified health centers in Maryland. Prev Chronic Dis. 2016;13:E178.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Daniel SJ, Wu L, Kumar S. Teledentistry: a systematic review of clinical outcomes, utilization and costs. J Dent Hyg. 2013;87:345–52.PubMedGoogle Scholar
  19. 19.
    Friedman JW, Nash DA, Mathu-Muju KR. The virtual dental home: a critique. J Public Health Dent. 2017; doi: 10.1111/jphd.12208.
  20. 20.
    Estai M, Kanagasingam Y, Huang B, Checker H, Steele L, Kruger E, et al. The efficacy of remote screening for dental caries by mid-level dental providers using a mobile teledentistry model. Commun Dent Oral Epidemiol. Wiley Online Library. 2016;44:435–41.CrossRefGoogle Scholar
  21. 21.
    Nakre PD, Harikiran AG. Effectiveness of oral health education programs: a systematic review. J Int Soc Prev Commun Dent. 2013;3:103–15.CrossRefGoogle Scholar
  22. 22.
    Lai H, Fann JC-Y, Yen AM-F, Chen L-S, Lai M-H, Chiu SY-H. Long-term effectiveness of school-based children oral hygiene program on oral health after 10-year follow-up. Community Dent Oral Epidemiol. 2016;44:209–15.PubMedGoogle Scholar
  23. 23.
    Marinho VCC. Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments. Faculty Dent J. Royal College of Surgeons. 2015; doi: 10.1308/rcsfdj.2014.5.2.78.
  24. 24.
    Ahovuo-Saloranta A E al. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. - PubMed - NCBI [Internet]. [cited 20 Feb 2017]. Available:
  25. 25.
    Iheozor-Ejiofor Z, Worthington HV, Walsh T, O’Malley L, Clarkson JE, Macey R, et al. Water fluoridation for the prevention of dental caries. The Cochrane Library. Wiley Online Library; 2015; Available:
  26. 26.
    Pachêco-Pereira C, Spivakovsky S. Patient compliance and periodontal outcomes. Evid Based Dent. 2016;17:21–2.CrossRefPubMedGoogle Scholar
  27. 27.
    Gallob J, Mateo LR, Chaknis P, Morrison BM Jr, Panagakos F. Randomized controlled trial comparing a powered toothbrush with distinct multi-directional cleaning action to a manual flat trim toothbrush. Am J Dent. 2015;28:351–6.PubMedGoogle Scholar
  28. 28.
    Grender J, Williams K, Walters P, Klukowska M, Reick H. Plaque removal efficacy of oscillating-rotating power toothbrushes: review of six comparative clinical trials. Am J Dent. 2013;26:68–74.PubMedGoogle Scholar
  29. 29.
    Ghezzi EM. Developing pathways for oral care in elders: evidence-based interventions for dental caries prevention in dentate elders. Gerodontology 2014; Available: Scholar
  30. 30.
    Carson SJ, Burns J. Impact of smoking on tooth loss in adults. Evid Based Dent. 2016;17:73–4.CrossRefPubMedGoogle Scholar
  31. 31.
    Mai X, Wactawski-Wende J, Hovey KM, LaMonte MJ, Chen C, Tezal M, et al. Associations between smoking and tooth loss according to the reason for tooth loss. The Journal of the American dental association. Elsevier. 2013;144:252–65.Google Scholar
  32. 32.
    Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev. 2012; CD005084.Google Scholar
  33. 33.
    American Academy of Family Physicians. Office Champions Tobacco Cessation Federally Qualified Health Centers Project. 2014.Google Scholar
  34. 34.
    Sheiham A, James WPT. Diet and Dental Caries. J Dent Res. 2015;94:1341–7.CrossRefPubMedGoogle Scholar
  35. 35.
    Hurlbutt M, Young DA. A best practices approach to caries management. J Evid Based Dent Pract. 2014;14(Suppl):77–86.CrossRefPubMedGoogle Scholar
  36. 36.
    Datta A, Datta G. Nutritional counseling in prevention of caries–a team approach. Int J Dent Sci Res Science and Education Publishing. 2014;2:31–3.CrossRefGoogle Scholar
  37. 37.
    Ryan ME, Raja V. Diet, obesity, diabetes, and periodontitis: a syndemic approach to management. Curr Oral Health Rep Springer international publishing. 2016;3:14–27.CrossRefGoogle Scholar
  38. 38.
    Schmitz KE, Liles S, Hyman AN, Hofstetter CR, Obayashi S, Parker M, et al. Youth receiving orthodontic care are not immune to poor diet and overweight: a call for dental providers to participate in prevention efforts. Pediatr Dimens. 2016;1:59–64.CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    • Norwood CW, Maxey HL, Randolph C, Gano L, Kochhar K. Administrative challenges to the integration of oral health with primary care: a SWOT analysis of health care executives at federally qualified health centers. J Ambul Care Manage. 2016; doi: 10.1097/JAC.0000000000000151. Using an analysis of strengths, weaknesses, opportunities and threats, this manuscript identified administrative challenges that CHC face in successful oral health integration
  40. 40.
    Pere D. Building physician competency in lifestyle medicine: a model for health improvement. Am J Prev Med Elsevier. 2017;52:260–1.CrossRefGoogle Scholar
  41. 41.
    Taylor EF, Machta RM, Meyers DS, Genevro J, Peikes DN. Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. Ann Fam Med. 2013;11:80–3.CrossRefPubMedPubMedCentralGoogle Scholar
  42. 42.
    Allen GC, Allen CG, Brownstein N. Capacity Building and Training Needs for Community Health Workers Working in Health Care Organizations. J Community Med Health Educ. 2016;06. doi: 10.4172/2161-0711.1000403
  43. 43.
    Allen CG, Brownstein JN, Satsangi A, Escoffery C. Community health workers as allies in hypertension self-management and medication adherence in the United States, 2014. Prev Chronic Dis. 2016;13:E179.CrossRefPubMedPubMedCentralGoogle Scholar
  44. 44.
    Lopez PM, Islam N, Feinberg A, Myers C, Seidl L, Drackett E, et al. A place-based community health worker program: feasibility and early outcomes, New York City, 2015. Am J Prev Med. Elsevier Inc.; 2017;52: S284–S289.Google Scholar
  45. 45.
    • Bernstein J, Gebel C, Vargas C, Geltman P, Walter A, Garcia RI, et al. Integration of oral health into the well-child visit at federally qualified health centers: study of 6 clinics, August 2014–March 2015. Prev Chronic Dis. 2016;13:E58. Using structured observations and interviews with administrators and staff, this study documented factors that facilitate and also cause barriers in the integration of oral health into pediatric primary care at two CHC in two states. CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.University of Pennsylvania School of Dental MedicinePhiladelphiaUSA
  2. 2.Philadelphia FIGHT Community Health CenterPhiladelphiaUSA

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