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Ready Set Smile 2017-2018 Fiscal Year Report

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With great appreciation, I present this fiscal year-end report on ADT Dental’s nonprofit,

Ready Set Smile.

Dr. Adele Della Torre

Mission:  Ready Set Smile prepares and empowers all children to care for their oral health through onsite school-based clinics and education. We believe that with preventive services and a caring environment, all children can be free of dental disease.

2017-18 Fiscal Year Report

RSS has completed its fifth school year serving Minneapolis schools with low-resourced families, a population that faces many barriers to accessing routine dental care. In September 2017, we added 4 schools for a total of 9 elementary schools and 5 early childhood programs. All children who are registered for our services receive cleanings, atraumatic decay arresting procedures, fluoride treatments, sealants and one-on-one oral hygiene instruction. This summer we are adding 3 additional preschools and one Northside elementary school.

This last school year we treated 1219 children and provided classroom education to 2500 children and parents of preschoolers with modules on the science and lifestyle for good oral health.  All were taught by our Community Health Workers (CHW).

Children diagnosed with urgent dental needs were referred to one of our partnering clinics. Our CHWs are critical to the successful response rate from our families. They are relevant to our families because they represent the Latino, Somali, Hmong and African American communities.

This year we have two new outstanding partners: Southside Community Health Services, a federally-funded medical and dental clinic, is providing us their Mobile Clinic at no cost. They were impressed with our outreach success and asked how we could collaborate. We have used their 2-dental operatory “RV” on several occasions. This upcoming school year, we will have access to their mobile unit as needed. Southside has invited us to collaborate on a grant for this upcoming year. They are also setting up one Saturday a month, starting in September, for Ready Set Smile registrants’ families to receive comprehensive dental care — with or without insurance!

The University of Minnesota – School of Dentistry (U of M-SOD) has chosen RSS as a community partner for a 2018 Health Disparities Grant and a Grand Challenge Grant. As the community organization, we provide the schools and services and U of M staff provides the rigorous academic evaluation to demonstrate that we are improving the oral health of children.

Bailee Jerger, a graduate student at the U of M-SOD, has taken on RSS as her Capstone Project. Over the next year she will be studying our financials and employees’ division of labor to assess the viability of a school-based dental program based on a detailed cost analysis.

Ready Set Smile will be featured on the website of a prestigious national organization, ASTDD (Association of State and Territorial Dental Directors). Dr. Della Torre submitted a description of our program at the request of the Minnesota Department of Health in December. We are now published on their website under Best Practice Approach Report fluoride use in school programs. Our program’s practices is publicly available on a national forum as a best practice school-based program.

Incredibly, 35% of the children we serve are uninsured. Most of these children are immigrants to our country who do not understand our systems or fear government programs.  Others do not understand that they must renew their child’s medicaid insurance and still others fall into the donut hole of earning too much for MNSure, but are unable to afford dental services. Our services are available to all families at no cost, so this is a heavy burden on our program. This year our CHWs were certified as insurance navigators to help families register or renew health and dental insurance for our families.

Finally, over our first four years we have reduced the incidence of decay by 25% and reduced the number of children with active decay by 30%. Between this school year and last, we reduced the number of children with urgent needs (abscessed teeth, reported pain, or severe decay) by 7%. We will receive our 5th school year’s data analysis in the fall.

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Oral Health

TEETH: The Story of Beauty, Inequality, and the Struggle for Oral Health in America (Mary Otto)

teeth mary otto

 

To understand the significance of the work of Ready Set Smile, please consider reading the compelling book, TEETH, written by the Washington Post reporter Mary Otto. The book engagingly lays out the state of inequality in our oral health care system, and the painful reality that so many poor Americans cannot access dental services.

In 2007, Mary Otto was inspired to write this book after reporting on the death of a 12 year old boy, Deamonte Driver. As his mother desperately sought the care of a dentist, Deamonte’s infected tooth worsened. By the time care was accessed, it was too late. Deamonte was hospitalized with a brain abscess. He laid in a coma for weeks before passing away. Otto spent the next 10 years researching the how and why the oral health delivery system reached this tragic state of affairs.

Oral disease is an epidemic that is 100% preventable with good diet, good home care, AND access to preventive services such as sealants and fluoride varnish. Only a third of dentists in our country are willing to serve children on Medicaid. Reimbursement does not cover the cost of service. But it’s not that simple. Multiple barriers are entrenched into our society and history related to physiology, policy, and politics.

The book is skillfully researched and written. As a dentist, it has helped me to reflect on my own career and reinforce my passion to advance Ready Set Smile. I see the story of Ready Set Smile written in the pages of this book. Ready Set Smile gives the most impoverished children and families in Minneapolis the opportunity to access services in schools and educates on raising children to be free of dental decay.

 

Mary Otto will be speaking at the Delta Dental of Minnesota Symposium

November 3, 2017 -8:00 am – 1 pm

Radisson Blu Mall of America

2100 Killebrew Dr.

Bloomington, MN