Update on the IHS ECC Collaborative:

3 ½ years

Tuesday, June 4, 2013Albuquerque Area Dental Chiefs/Prevention Coordinators

Meeting

Refresher

Overall Goal & Prevalence• Reduce ECC prevalence by 25% in 5 years

• 2010 National BSS Data:

– 54.1% of 1-5 year-olds had caries experience

– 2-5 year-olds had an averageof 3.9 teeth decayed or filled, 3X higher than Hispanics and 4X higher than the U.S. general population

– 21.2% of 1 year-olds & 43.7% of 2 year-olds had caries experience

ECC Collaborative Objectives

1. Increase dental access for 0-5 year old AI/AN children 25% in five years.

2. Increase the number of children 0-5 years old who received a fluoride varnish treatment by 25% in five years.

ECC Collaborative Objectives

3. Increase the number of sealants among children 0-5 years old by 25% in five years.

4. Increase the number of Interim Therapeutic Restorations (ITRs) provided for children ages 0-5 by 50% in five years.

ECC CollaborativeVirtual Learning Community Program

• The goal of the Virtual Learning Community is to increase awareness and knowledge about ECC and ECC best practices.

• 39 sites participated in FY 2012

• 15 sites are participating in FY 2013

What have we learned?

Keys to Success

• A local champion is mandatory

• Successful programs have good case management

• There has been a real paradigm shift with glass ionomers

• It takes a team effort

Best Practices: What Works?• Identifying local champions: examples included dental

staff, public health nurses, and tribal policy makers.

• A dedicated case manager.

• Marketing ITRs to your own dental staff and getting them comfortable with young children.

• Working routinely with the well-child or WIC clinics.

What are the outcomes thus far?

How do the first 3 ½ years of the ECC Collaborative compared to our baseline period (FY 2005-09)?

Access Sealants Fluoride Patients ITRs0

10,000

20,000

30,000

40,000

50,000

60,000

How does this compare to our ECC Collaborative goals?

ECC Collaborative Goal – Increase by…

Results (3 ½ years) – Increased by…

Access to Dental Care 25% 10.5%

Dental Sealants 25% 63.0%

Fluoride Patients 25% 66.4%

ITRs 50% 92.5%

How are we doing on 2 year-olds?

Access Sealants Fluoride Patients ITRs0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

0-2 year-old summary

• Access to dental care for 0-2 year-olds has INCREASED by 7.5%!

• Sealants for 0-2 year-olds have INCREASED by 72.6%!

• The number of 0-2 year-olds receiving fluoride has INCREASED by 57.9%!

• The number of ITRs in 0-2 year-olds has INCREASED by 238.5%!

Are we continuing to show improvements or have we peaked?

Baseline FY 2010 FY 2011 FY 20120

10,000

20,000

30,000

40,000

50,000

60,000

50,417

54,33255,705

56,724

14,668

19,005

21,417

29,59328,368

44,13347,259

49,240

3,522 4,6707,752

10,062

Access Sealants Fluoride Pts. ITRs

Challenges & the Future

What can you do?

Challenges

• 0-2 year-old access needs to increase

• 0-2 year-old access needs to increase

• 0-2 year-old access needs to increase

• 0-2 year-old access needs to increase!

Future

• Sesame Street collaboration

• ECC Rx pads

• Video vignettes

• BSS, fall of 2014

• End of the five year initiative is Sept. 30, 2014

www.ihs.gov/doh/ecc

Together, we can make a difference!

Thanks for all you are doing to promote oral

health in 0-5 year-olds!