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UNMC College of Dentistry Opens its Doors to 125 Underserved Children; Participates in Partnership to Address Oral Health Disparities in Nebraska

The University of Nebraska Medical Center College of Dentistry in Lincoln

saw 125 pediatric patients in one day Nov. 2 as they hosted the Bright

Smiles, Bright Futures Dental Day event to help address disparities in

oral health. The children were from the Grand Island, Beatrice and Lincoln

areas.

One-by-one, they were taken by the hand to begin a daylong journey

of dental care, education and fun.

Sponsored by the UNMC College of Dentistry, the Hope Medical Outreach

Coalition and Colgate Palmolive, children ranging in age from preschool

through middleschool, received free exams, cleanings, fluoride treatments,

and had cavities filled and several had teeth pulled.

Though some sobbing was heard throughout the day, the children went

home with smiles on their faces and carrying a bag of goodies.

The college has participated in outreach events, but this was the first

time the college hosted the event.

It was an opportunity for the college to exercise both its education

and outreach missions, said John Reinhardt, D.D.S., dean of the UNMC College

of Dentistry. Dr. Reinhardt served as one of the faculty advisors during

the day who checked students finished work.

Its been a wonderful opportunity, Dr. Reinhardt said. The technical

experience is great for learning they are seeing more dental disease

than usual.

I think the students felt really good about doing this because the

need is great. I think they learned a lesson on how important it is to

serve the less fortunate. The experience also instilled some professional

pride, Dr. Reinhardt said.

Dental services were donated by about 300 UNMC dentistry and dental

hygiene students, faculty, dentistry residents and staff. The Hope Medical

Outreach Coalition made the event possible by applying for and ultimately

receiving funding from Colgate-Palmolive, which paid for supplies, entertainment,

lunch, transportation and translators.

Volunteers also included dental assistant students and two faculty from

Southeast Community College in Lincoln, dental hygiene students and faculty

from Central Community College in Hastings, as well as dental professionals

from the Lincoln-Lancaster County Health Department.

Gwen Hlava, chairperson and associate professor of the colleges dental

hygiene program, and a coordinator of the event, estimated more than 95

percent of the children needed cavities filled — some children who needed

several cavities filled.

 

I bet we did hundreds of fillings, she said. We also did a number

of extractions. Children who needed follow-up work will receive care with

a dentist in their hometown, she said.

The children served were those parents do not have dental insurance,

do not qualify for medicaid, or who cannot afford dental care. Hlava said

the event was unique in that it went further than screening to look for

dental problems.

Oral health disparities were addressed formerly in 2000 when U.S. Surgeon

General Dr. David Satcher released the first-ever Surgeon Generals Report

on Oral Health in America. The report, which praises the advances in oral

health sciences during the past 50 years, also points out disparities.

Many lower-income families and minorities, such as Native Americans, Hispanics,

and African Americans, are missing out on the benefits of oral health care.

Grand Islander, Lola Zubia, parent of four-year-old son, Casimiro, was

impressed by the event.

I think its neat they do this for kids. They get their teeth done

and then come down here to play games, Zubia said. She said moments were

a little tense when her son wouldnt calm down after he found out he would

have to have a shot of Novocain.

We couldnt get him calmed down so we went to the quiet room where

they did the work without a shot. I thought it was good there was a place

to take him so other children wouldnt get scared.

To ease the anxiety and keep children busy, dentistry and dental hygiene

students turned the first level of the college into a mini-carnival, with

games, movies and lunch. Children also received a bag of items, including

toothbrushes, toothpaste, floss, activity books and stickers.

The Tooth Fairy even paid a daytime visit.

One girl told me I dont look anything like the Tooth Fairy, said

Amy Dayhoff, dental hygiene student, one of two students who played the

Tooth Fairy. I told her I was having a bad hair day.

Other students played caped crusaders.

With their motto, So many oral cavities, so little time, dental students,

Michael Browning and Scott Weyers, played Pedoman, and Orthoman. With

their face-painted-on masks, colorful capes and giant-sized toothbrushes,

the superhero personas entertained children.

Its wonderful, said Andrea Skolkin, of the event. Skolkin is the

executive director of the Hope Medical Outreach Coaliton. The coalition

coordinates and delivers donated medical, dental and prescription support

services to the poor and homeless primarily in the Omaha area.

Theyve pulled out all the stops here, Skolkin said. I think what

theyve been able to do here is engage the children with games which will

interest them in their teeth, versus being afraid.

Dental student, John Waschak, and hygiene student, Theresa Fackrell,

did what they could for some of Nebraskas underserved. After most everyone

else had finished their work and gone home, they were finishing up on their

last young patient of the day.

Waschaks experience as a parent and his calming chairside manner

eased the five-year-olds anxiety. With the drilling complete, Waschak

told the little boy it was time to put in the silver star filling.

Im really glad we could help the kids, Waschak said. Today is my

first experience working with children other than my own. Ive been working

with patients for a year now and Im still learning. This teaches me that

I probably need more experience with children.