The Northwest/Alaska/Hawaii Center to Reduce Oral Health Disparities at the University of Washington in Seattle focuses on tooth decay in children, because it is the major oral health challenge U.S. society faces. Tooth decay in preschool children is worsening. The Healthy People 2010 Midcourse Review found the country moving away from national targets for young children: 22% of children 2-4 years of age have tooth decay while the target is 11%. The research plan addresses disparities and inequities in access to dental care and to healthy teeth (tooth decay or caries prevention) for low-income and vulnerable mothers and children within a conceptual framework that specifies the ecological nature of disparity problems.
The specific aims of the community-based multidisciplinary research plan are to: 1) Conduct human trials to evaluate the efficacy of interventions to prevent and treat dental caries in children and their caretakers;2) Develop community-based research that translates existing knowledge and new information into technologies and interventions that will reduce disparities;and 3) Encourage and support developmental research that has the potential to lead to independent studies to address and reduce caries inequity in children. The Center includes the Research Program Administrative Center (RPAC), two major community based intervention trials focused on dental caries- Community-Based Intergenerational Oral Health Promotion In Rural America and Parent-Child Toothbrushing with 1000 ppm Fluoride Toothpaste to Prevent ECC-and a Statistics and Data Coordinating Center (S&DCC). Primary research program sites include 12 rural county health departments in the State of Oregon serving whites and Latinos, a training center in Klamath County Oregon, and large Community Health Centers serving minority communities in Woodburn, Oregon (Salud Medical Center, Latinos) and Waianae Coast, Hawaii (Waianae Coast Comprehensive Health Center, Native Hawaiians and Pacific Islanders). Further dissemination sites are in the Alaska bush, rural Hawaii and Washington State. Developmental research projects involve communities in rural Eastern and Southwestern Washington State and focus on school nutrition and the use of topical PVP-iodine and fluoride varnish in caries prevention. The Center also includes a training core to increase the cadre of oral health disparities researchers through clinical research training and mentoring for junior scientists, efforts to enhance the awareness of health disparities research in the predoctoral curriculum in dentistry and medicine, and increases the numbers of minority and rural students entering dentistry and health sciences disciplines.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
3U54DE019346-02S2
Application #
7929079
Study Section
Special Emphasis Panel (ZDE1-MS (22))
Program Officer
Nowjack-Raymer, Ruth
Project Start
2008-09-19
Project End
2013-05-31
Budget Start
2009-06-01
Budget End
2010-05-31
Support Year
2
Fiscal Year
2009
Total Cost
$158,756
Indirect Cost
Name
University of Washington
Department
Dentistry
Type
Schools of Dentistry
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Horst, Jeremy A; Tanzer, Jason M; Milgrom, Peter M (2018) Fluorides and Other Preventive Strategies for Tooth Decay. Dent Clin North Am 62:207-234
Milgrom, Peter; Horst, Jeremy A; Ludwig, Sharity et al. (2018) Topical silver diamine fluoride for dental caries arrest in preschool children: A randomized controlled trial and microbiological analysis of caries associated microbes and resistance gene expression. J Dent 68:72-78
Cruz, Stephanie; Chi, Donald L; Huebner, Colleen E (2016) Oral health services within community-based organizations for young children with special health care needs. Spec Care Dentist 36:243-53
Nelson, Travis M; Huebner, Colleen E; Kim, Amy S et al. (2016) Parent, Dentist, and Independent Rater Assessment of Child Distress During Preventive Dental Visits. J Dent Child (Chic) 83:71-7
Huebner, Colleen E; Chi, Donald L; Masterson, Erin et al. (2015) Preventive dental health care experiences of preschool-age children with special health care needs. Spec Care Dentist 35:68-77
Riedy, Christine A; Weinstein, Philip; Mancl, Lloyd et al. (2015) Dental attendance among low-income women and their children following a brief motivational counseling intervention: A community randomized trial. Soc Sci Med 144:9-18
Huebner, C E; Milgrom, P (2015) Evaluation of a parent-designed programme to support tooth brushing of infants and young children. Int J Dent Hyg 13:65-73
Nelson, T M; Huebner, C E; Kim, A et al. (2015) Parent-reported distress in children under 3 years old during preventive medical and dental care. Eur Arch Paediatr Dent 16:283-90
Huebner, C E; Milgrom, P; Mancl, L A et al. (2014) Implementation partnerships in a community-based intergenerational oral health study. Community Dent Health 31:207-11
Shinga-Ishihara, Chikako; Nakai, Yukie; Milgrom, Peter et al. (2014) Cross-cultural validity of a dietary questionnaire for studies of dental caries risk in Japanese. BMC Oral Health 14:1

Showing the most recent 10 out of 48 publications