College of Dentistry pediatric residents provide care to children in OPS school

One in ten children in almost every classroom in Douglas County is in pain due to oral health issues.

And more than 30 percent of children in Douglas Country do not have a dental home.

Those statistics don’t sit well with pediatric dentist Jill Wallen, B.D.S., or her partners at Building Healthy Futures, an Omaha nonprofit that aims to improve health for underserved children and youth through collaboration and advocacy.

As chair of the department of growth and development at the University of Nebraska Medical Center College of Dentistry, Dr. Wallen is determined to change those numbers.

Through a $2.2 million, five-year grant from the Health Resources Services Administration (HRSA), a division of the U.S. Health and Human Services, Dr. Wallen, in partnership with Building Healthy Futures, has developed a plan to provide dental care to children in need right in their own school.

Ten Omaha Public Schools, identified by Building Healthy Futures and including Central Park, Fontenelle, King, Lothrop, Minne Lusa, Mount View, Skinner, Rose Hill, and two others yet to be determined, will be a part of a new program that pairs one pediatric dental resident with each school.

The grant will allow residents to go into schools and provide restorative care using a portable dental unit that includes a chair, stool, and all the hookups needed for air, water, suction equipment and drills, paid for by the grant, said Dr. Wallen, principal investigator.

Preethy Nayar, M.D., Ph.D, an associate professor and director of doctoral programs in the UNMC College of Public Health, leads the research and evaluation team for the grant.

"This is a huge benefit to children and families," Dr. Wallen said.

The residents will work with the school nurse, who will pre-screen the children and evaluate their needs. Those with urgent dental needs that cannot be addressed at the school dental clinic will be referred to the UNMC pediatric clinic at Children’s Hospital & Medical Center, she said.

"We’ll also be working with the dental clinics at Charles Drew Health Center, One World and Creighton University, along with UNMC’s Pediatric Clinic, to help establish dental homes for these children," Dr. Wallen said.

The need is great, said Jeanee Weiss, CEO of Building Healthy Futures

"We are seeing decay in 31 percent of children in the schools, and of those, 11 percent have serious dental needs," Weiss said. "These are children in pain, who have infection or cavities impacting multiple teeth."

The hope is that by working directly with the school nurse and providing restorative care, such as sealants and fillings, at the school, the incidence of children impacted by dental disease will diminish, Dr. Wallen said.

Along with the urban school program, pediatric dental residents also will continue to work with the rural community clinics in Hastings, Columbus and Macy, Neb., established in 2010 with two previous HRSA grants.

Through those grants senior dental students and pediatric residents spend up to 30 days at one of the rural clinic sites providing services.

Not only do the children they serve learn about the importance of oral health, but the residents also get a unique perspective on the challenges faced by rural and underserved communities, Dr. Wallen said.

All of the sites have access to pediatric dental specialists through tele-health equipment, an intraoral camera and iPad that the school nurses or pediatric residents can use to get advice on diagnosis, she said.

Every Thursday from 9 to 11 a.m., a pediatric dentist will be available to answer questions and help discern what is normal and abnormal, Dr. Wallen said.

"This project eliminates a lot of barriers in Omaha," Weiss said. "We want to make sure kids have access to quality oral health care and deliver it where children and families are already comfortable."

There are 6,000 children ranging in age from 4 to 12 years in pre-K through sixth-grade who will receive oral health education, fluoride varnish, screenings, sealants and restorative care through the program.

"I’m very thankful to UNMC for including us in this work and for seeing the value of addressing the oral health needs of these children," Weiss said.

We are Nebraska Medicine and UNMC. Our mission is to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care.

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