This proposal is in response to RFD DE-99-003 to establish the Northwest and Alaska Center for Oral Health Disparity for research to reduce oral health disparities in the Pacific Northwest and Alaska. It is proposed that the Center develop basic and applied knowledge that addresses the needs of poor, minority, and rural children and their caretakers, utilizing approaches that go beyond the traditional strategies from dental public health that have not found success in these populations. While the research in the proposed center may involve traditional dental personnel, it also stresses the roles of pediatricians, mothers as well as children; and preventive agents beyond fluorides. Participants include Alaska Natives, Native Americans from the Yakima Indian Nation, Hispanics from the agricultural areas of Washington, African Americans and Hispanics from the local military reservations, Hispanics and Pacific Islanders served by urban hospitals as well as rural and low-income Whites. We propose to accomplish this goal through five specific aims: (1) To address the needs of the Pacific Northwest and Alaska by conducting clinical research to evaluate the efficacy of non- traditional interventions to prevent and treat oral disease in children and their caretakers; (2) To develop community-based research that translates existing knowledge and new information regarding children and their caretakers into new technologies and interventions that hold promise for reducing disparities in these high risk populations; (3) To expand health science education and research training opportunities for minority populations in the Pacific Northwest and Alaska by collaborations with key minority educational and health serving institutions in the region; (4) To conduct basic research to further understand the role of host defenses and genetic bases for caries and periodontal disease affect underserved populations as well as to probe the biologic basis for antibacterial that change disease susceptibility; and (5) To increase the impact of the center beyond the projects included in this proposal by recruiting investigators and students from minority institutions in the Pacific Northwest and Alaska and prioritizing and encouraging pilot and center-affiliated studies in which they are involved. The collaborating institutions and partners are Heritage College (Hispanic and Native American-serving institution sited on the Yakima Indian Nation), Alaska Native Tribal Health Consortium/Yukon-Kuskokwim Native Health Corporation, Yakima Valley Farm Workers Clinic, Northwest Portland Area Indian Health Board/Northwest Tribal Epidemiology Center, Washington Dental Service an Foundation (major private dental insurer); and Medical Assistance Administration (Medicaid agency for Washington State).

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54DE014254-05
Application #
6951831
Study Section
Special Emphasis Panel (ZDE1-GH (03))
Program Officer
Nowjack-Raymer, Ruth
Project Start
2001-09-30
Project End
2008-07-31
Budget Start
2005-08-01
Budget End
2006-07-31
Support Year
5
Fiscal Year
2005
Total Cost
$1,373,670
Indirect Cost
Name
University of Washington
Department
Dentistry
Type
Schools of Dentistry
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Heaton, L J; Leroux, B G; Ruff, P A et al. (2013) Computerized dental injection fear treatment: a randomized clinical trial. J Dent Res 92:37S-42S
King, G J; Spiekerman, C F; Greenlee, G M et al. (2012) Randomized clinical trial of interceptive and comprehensive orthodontics. J Dent Res 91:59S-64S
King, Gregory J; Kiyak, H Asuman; Greenlee, Geoffrey M et al. (2012) Medicaid and privately financed orthodontic patients have similar occlusal and psychosocial outcomes. J Public Health Dent 72:94-103
Dela Cruz, Asia; Mueller, Gregory; Milgrom, Peter et al. (2012) A community-based randomized trial of postcard mailings to increase dental utilization among low-income children. J Dent Child (Chic) 79:154-8
Coolidge, Trilby; Skaret, Erik; Heima, Masahiro et al. (2011) Thinking about going to the dentist: a Contemplation Ladder to assess dentally-avoidant individuals' readiness to go to a dentist. BMC Oral Health 11:4
Milgrom, Peter; Weinstein, Philip; Huebner, Colleen et al. (2011) Empowering Head Start to improve access to good oral health for children from low income families. Matern Child Health J 15:876-82
Coolidge, Trilby; Hillstead, M Blake; Farjo, Nadia et al. (2010) Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey. BMC Oral Health 10:12
Huebner, Colleen E; Riedy, Christine A (2010) Behavioral determinants of brushing young children's teeth: implications for anticipatory guidance. Pediatr Dent 32:48-55
Riedy, Christine (2010) A dental intervention with an Alaskan Native population: lessons learned. Int Dent J 60:241-4
Yousefzadeh, Fereshteh; Shcherbatyy, Volodymyr; King, Gregory J et al. (2010) Cephalometric and electromyographic study of patients of East African ethnicity with and without anterior open bite. Am J Orthod Dentofacial Orthop 137:236-46

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