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Updated: Jul 12, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Oral Health Care Strategies in Rural Communities: A Case Study
Maren McCarthy1,2,3,4, Maureen Van Hook1,2,3,4, Amy Dereczyk1,2,3,4
1Maren McCarthy, PA-C, MPH, is a physician assistant/associate professor, Spectrum Health Pennock Family Medicine-Lake Odessa, Lake Odessa, Michigan.
Abstract:
Dental caries affect 97% of the world's population during their lifetime. Early childhood caries are the number one chronic disease affecting young children, and it disproportionately affects children of low-income families. American Academy of Pediatrics recommends fluoridated toothpaste to all children starting at tooth eruption, regardless of caries risk. In addition, fluoride varnish is recommended in all children every 3 to 6 months from tooth emergence until they have an established dental home. The health disparities that are most apparent in the rural communities are inadequate prenatal care, low birth weight, cancer, chronic respiratory disease, heart disease, unintentional injury, and stroke. When it comes to oral health, water fluoridation is one of the most cost-effective strategies in preventing dental caries. The need for oral health education in physician assistant/associate (PA) programs is well documented. Implementation has largely been performed using interprofessional education. This article describes an interprofessional education program that teaches PA students to apply fluoride varnish so that they are practice-ready when they graduate and practice medicine.
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