ATSU_000348 - Nevada State Board of Dental Examiners

ATSU_000348

Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Entering Class PASS ID: 20190517567

Completed: 10/05/2018 Program Deadline: 11/01/2018

Application Page 1 Printed on 11/02/18 11:10AM

Biographical DataCurrent Address and Telephone Permanent Address and Telephone Gender: Female

DENTPIN®: 11187335Match Code:

Henderson, NV 89044 Henderson, NV 89044 GRE Score:United States United States TOEFL:

Date of Birth:Day 7027742573 Citizenship

Status:U.S. Citizen

Eve Day 7027742573 Citizenship: United StatesCell Eve Birth Place: San Salvador, No StatePref Fax Birth Country: El SalvadorPref Email [email protected] Alt Name:Alt Email Visa Type: City of Visa:ADAT ScoresTest Date Critical Thinking Professional Ethics and

Patient ManagementBiomedical Sciences Clinical Sciences Data and Research

InterpretationTotal

National Board and Examination Scores (including New and Old NBES Formats)Part 1

Part 2

2007-2011 Test Date

6/2008

Comp/Std Score

78

Status

PassPrior to 2012 Test Date

1/2011

Status

PassDental Class Ranking (N/R - Not Reported)

Year Class Size Yearly GPA YearlyClass Rank

1st 78 3.05 712nd 76 3.20 683rd 76 3.00 714th 74 3.88 8

* OverallCum GPA 2.88Cum Ranking 74/74Cum GPA Range 2.88-3.96

This school does not rank dental students

Background Information ( Yes or No Questions: Please explain if you answer yes.)Are you licensed to practice dentistry or another profession (Yes/No) Yes If yes,indicate Professional license held and Date issued Dentistry 06/2014Have you ever been charged with or have you ever been convicted of a felony or misdemeanor, other than a minor trafficviolation? (Yes/No) No

Were you ever subject to any disciplinary action by any college, university, or professional school for: (1) unacceptableacademic performance (academic probation, suspension, dismissal, etc.) or (2) conduct violations? (Yes/No) No

Have you ever been subject to disciplinary action by any professional licensing board? (Yes/No) No

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Schools Attended PASS ID: 20190517567



Ethnicity RaceSpanish/Hispanic/Latino/Latina: YesMexican, Mexican American, Chicano/Chicana:

No

Cuban: NoPuerto Rican: NoSouth or Central American: NoOther Spanish culture or origin: NoIf other, please specify:

Not Spanish/Hispanic/Latino/Latina: NoAmerican Indian or Alaska Native: NoPlease specify the name of your enrolled or principal tribe: Asian: NoAsian Indian: NoCambodian: NoChinese: NoFilipino: No

Japanese: NoKorean: NoMalaysian: NoPakistani: NoVietnamese: NoOther Asian: NoIf other, please specify:

Black or African American: NoNative Hawaiian or Other Pacific Islander:

No

Guamanian or Chamorro: NoNative Hawaiian: NoSamoan: NoOther Pacific Islander: NoIf other, please specify:

White: YesUndergraduate and Graduate Schools010362 - NV - COMMUNITY COLLEGE OF SOUTHERN NEVADADates: 2000 - 2004 Major: Other GPA: 3.79 Credit Hrs: 130 Degree: AS002569 - NV - UNIVERSITY OF NEVADA, LAS VEGASDates: 2003 - 2005 Major: Biochemistry GPA: 3.33 Credit Hrs: 169 Degree: BS002569 - NV - UNIVERSITY OF NEVADA, LAS VEGASDates: 2006 - 2011 Major: Other GPA: 2.88 Credit Hrs: 275 Degree: DMD002569 - NV - UNIVERSITY OF NEVADA, LAS VEGASDates: 2010 - 2012 Major: Public Health GPA: 3.87 Credit Hrs: 42 Degree: MPH002569 - NV - UNIVERSITY OF NEVADA, LAS VEGASDates: 2014 - 2016 Major: Business GPA: 3.82 Credit Hrs: 42 Degree: MBADental Schools Attended52 - U. of Nevada, Las VegasDates: 2006 -

2011Degree: DMD

Postgraduate Schools AttendedDates: - Degree:

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Experience PASS ID: 20190517567



Awards, Distinctions, PrizesAward: Fellowship status Organization: International Academy for Dental-Facial

EstheticsDate Awarded: 12/2017

Award: Lee Business School MedallionProgram

Organization: UNLV Business School Date Awarded: 05/2016

Extracurricular Activities Practice of Dentistry Teaching ExperienceEmployer: UNLV School of Dental Medicine Hours Worked/Week: 40 Dates: 08/2012 - /Type: Received stipend or paymentCourse director for the complete denture prosthodontics course and simulated patient care course. Created and directed a doctorof dental medicine-master in public health fast track programResearch Experience Relevant Work Experience Public Health or Related Healthcare ExperienceEmployer: DHHS, NV Division of Public and Behavioral Health Hours Worked/Week: 40 Dates: 09/2016 - /Type: Received stipend or paymentServe as the State Dental Health Officer. Perform duties as outlined in NRS 439.272 and oversee Medicaid policy andadministration of the contract with the dental benefits administrator.Military Service

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Essay PASS ID: 20190517567



EssayA life well lived is one in which one chases meaning rather than avoiding uncomfortable situations. Throughout my life, it has been

my aim to live by this credo, and it now gives me the courage to follow my passion for dental public health and apply for a residency position. I welcome the challenges that expanding my role as a public health dentist will bring, and with those challenges, the expertise and new ideas I can share with my local community.

Currently, I serve as Nevada's State Dental Health Officer within the Division of Public and Behavioral Health and am employed as a Visiting Assistant Professor at the University of Nevada, Las Vegas School of Dental Medicine (UNLV SDM). My journey to this point has not been without its challenges. As a toddler, I escaped civil war in Central America with my mother and grew up in the US as a minority female in a single parent household. With Spanish as my first language, I struggled to master both my English and Hebrew lessons in school and was ultimately diagnosed with dyslexia at the age of five. From that point, the odds were against me to achieve anything academically significant.

However, being a teacher herself, my mother understood the value of education and instilled in me a tenacious pursuit of my personal best. With her unrelenting dedication and through years of therapy, I was not only able to learn to read but graduated as valedictorian of my high school class. I was named one of Nevada's top one hundred seniors, a Silver State Scholar by Governor Guinn, attended college on a scholarship, and graduated early with a Bachelor of Science. One of my proudest moments however, was receiving my Doctor of Dental Medicine degree. And through this accomplishment, I became living proof that one can reach their dreams through hard work, sheer grit, and dedication.

Shortly after my graduation from dental school, I accepted a dual clinical teaching and admissions and student affairs position at UNLV SDM. From 2012 to 2016, I had the opportunity and challenge to inspire future healthcare professionals as well as to design, implement, and direct numerous programs. While working with the University, I began taking courses to complete a Master of Public Health degree with emphasis in Health Care Administration and Policy. I decided to pursue an MPH in order to deepen my understanding of disease prevention and health promotion as well as to bring a community/population health perspective to my students and my courses. What I found however, was a passion for the ideals of public health policy, and a drive to move my career in a direction where I could be a resource in the pursuit of a better system of care for all. Unfortunately, I have found that, in practice, well-meaning programs often fail because they lack a structured framework by which to succeed. I pursued my Master of Business Administration degree in order to gain the knowledge to understand what is truly required to properly and efficiently institute, operate, and manage healthcare infrastructure.

In 2016, due in part to my work performance in writing UNLV SDM school policy, teaching clinical and pre-clinical courses, and creating and overseeing the DMD-MPH Fast Track program, I was encouraged to apply for a full-time contractor position through the Department of Health and Human Services, Division of Public and Behavioral Health (DHHS, DPBH). In August 2016, I had the honor of being hired through DHHS, DPBH as Nevada's State Dental Health Officer. In this position, I provide content level expertise to state agencies, oversee an annual budget of over half a million dollars, support legislative initiatives, write bill draft requests, complete federal grant applications, monitor public water fluoridation systems, provide policy advice to the Division of Health Care Financing and Policy (Medicaid), and serve as the liaison between Nevada Medicaid dentists, clients, coalitions, and state agencies. Projects that have been designed during my term as the State Dental Health Officer include: 2018 Medical Miles for Rural Smiles 2017 Dental Workforce Survey 2017 Head Start Rural Basic Screening Survey(BSS) 2017 Implementation of New Dental Benefits Administrator

My educational background and subsequent employment have provided me with excellent and marketable experience in higher education management, educational leadership, student and patient coordination, and dental public health service that have prepared me to enter a residency. I am confident that completion of a public health residency and ultimate diplomate status will propel my career and allow me to make a positive impact in the lives and health of the groups of people I am seeking to serve.

I look forward to the opportunity to participate in a personal interview to answer any questions and discuss my qualifications in more detail. Thank you for your time and consideration.Additional Information

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Professional Evaluation PASS ID: 20190517567



Professional Evaluation Form for Capurro, Antonina, DrLength of time PEF preparer has personally

known the applicant:More than 24 months

Relationship to Applicant: Peer I have waived my right of access to this evaluation.APPLICANT ATTRIBUTES

Critical Thinking: Exceeds Expectations Clinical Skills: Not ObservedDidactic Knowledge: Exceeds Expectations Integrity: Exceeds ExpectationsInterpersonal Skills: Exceeds Expectations Maturity: Exceeds Expectations

Organizational Skills: Exceeds Expectations Professional Demeanor: Exceeds ExpectationsReaction to Criticism: Exceeds Expectations Self-Awareness Exceeds Expectations

APPLICANT ATTRIBUTES COMMENTSCritical Thinking

Dr. Capurro has worked alongside me in many meetings at the State level demonstrating her ability to think critically andanalyze both problems and data.

Clinical SkillsNot observed.

Didactic KnowledgeFrom my experiences with Dr. Capurro, she appears to have a very healthy didactic knowledge as she needed to deal directlywith highly complex dental care issues at a State level.

IntegrityDr. Capurro maintained complete integrity during my work experience with her.

Interpersonal SkillsWas able to effectively relate to both high-level Government officials as well as entry-level staff.

MaturityAble to adapt to all situations quickly and responsibly without concern of offending anyone.

Organizational SkillsWithout a doubt, one of the most well-organized colleagues with whom I have ever worked.

Professional DemeanorAlways well-dressed and prepared.

Reaction to CriticismAs her superior, she handled all discussions with professionalism and was always willing to work towards the common goalputting her personal opinions aside.

Self-AwarenessVery aware of who she is and her goals in relation to the overall working objective.

REMARKSI was fortunate to work very closely at the highest State level with Dr. Capurro for 1.5 years during my tenure as Nevada Chief

Medical Officer. She demonstrated succinct attention to detail and was able to convey big data to me in a well-organized manner for presentation to Government officials and for public meetings. She is well-versed in Government processes and is extremely well-organized in both gathering and disseminating information.

Rather than use the entire 3600 characters allotted to bloviate about the exploits of Dr. Capurro while she served as Nevada State Dental Officer under me at the Nevada Department of Health and Human Services, I would rather clearly state that I could not have asked for a more reliable, intelligent, hard-working colleague who truly cared about her work and was committed to the well-being of others. While I did not directly observe her provide dental care to patients, I would state that if she provided the same level of care and dedication to her patients as she has to her current position as State Dental Officer, I am sure her patients would be more than satisfied. I am honored to be both her colleague and friend.OVERALL EVALUATION OF APPLICATIONOverall Evaluation of Applicant: Highest RecommendationEVALUATOR CONTACT INFORMATION

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Evaluator‘s Name: Dr. John DiMuro Form Date: 08/01/2018Institution Name: 2016-2017 Nevada Chief Medical Officer Address:

Occupation: 2016-2017 Nevada Chief Medical OfficerPhone Number:E-mail Address: Reno,Nevada 89523

United States

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Relationship to Applicant: Other I have waived my right of access to this evaluation.APPLICANT ATTRIBUTES

Critical Thinking: Exceeds Expectations Clinical Skills: Exceeds ExpectationsDidactic Knowledge: Exceeds Expectations Integrity: Exceeds ExpectationsInterpersonal Skills: Exceeds Expectations Maturity: Exceeds Expectations



Dr. Capurro clearly exceeds expectations in my working relationship with her. She is prepared, experienced, and thinks andspeaks accurately and quickly.

Clinical SkillsDr. Capurro has been a critical, essential clinical component of our rural health outreach initiative, and she has been excellentin working with us to create and enhance our oral health program.

Didactic KnowledgeDr. Capurro has been an excellent resource for us. She is clear and direct.

IntegrityOur working relationship is excellent. What she says, what she does, and what she promises has always been trustworthy.

Interpersonal SkillsDr. Capurro has exceptional interpersonal skills both in small and large group settings.

MaturityEverything I've written above and below exemplifies her maturity.

Organizational SkillsDr. Capurro is extremely organized and meets all deadlines for planning and implementation.

Professional DemeanorI have met few people who can be as friendly yet professional.

Reaction to CriticismAlthough this is difficult to evaluate, she is open to evaluate her perceptions and opinions and open to full discussions.

Self-AwarenessDr. Capurro is reflective and clear.

REMARKSIt is quite easy to make remarks about Dr. Capurro. I have the highest opinion of Dr. Capurro. I would give her my highest

recommendation for this educational program.OVERALL EVALUATION OF APPLICATIONOverall Evaluation of Applicant: Highest RecommendationEVALUATOR CONTACT INFORMATION

Evaluator‘s Name: Dr. Joseph P Iser Form Date: 08/09/2018Institution Name: Southern Nevada Health District Address: PO Box 3902

Occupation: Chief Health OfficerPhone Number: 702-759-1201E-mail Address: [email protected] Las Vegas,Nevada 89127

United States

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Critical Thinking: Exceeds Expectations Clinical Skills: Exceeds ExpectationsDidactic Knowledge: Exceeds Expectations Integrity: Exceeds ExpectationsInterpersonal Skills: Exceeds Expectations Maturity: Exceeds Expectations

Organizational Skills: Exceeds Expectations Professional Demeanor: Exceeds ExpectationsReaction to Criticism: Meets Expectations Self-Awareness Meets Expectations


With Dr. Capurro's background in dentisrty, MBA, and MPH she has experienced many situations and knows how to problemsolve quickly.

Clinical SkillsShe's not afraid to take the mobile dental units out and set up and break down herself. We had to do all that alone in Nyecounty and she never once complained. Ready to give services.

Didactic KnowledgeDr. Capurro is very knowledgeable is so many subjects. She's taught many courses at UNLV and has finished 2 masters. Sheis a sponge who loves learning.

IntegrityShe has so much integrity and pride in her work. She will work countless hours to perfect a project or presentation. She knowsquality matters.

Interpersonal SkillsShe is very friendly and easy going. She is easy to talk to and always willing to help.

MaturityHer maturity is beyond her years. She is younger than me and has accomplished so much more than me. Her personal andprofessional life are impressive and very hard to achieve without dedication.

Organizational SkillsShe is very organized and able to compartmentalize different areas and quickly get thru projects. With the state she has somany things going on but always has a answer when I call her.

Professional DemeanorShe is a young woman and very presentable. She cares for her appearance and is always mature and professional in allareas.

Reaction to CriticismI've never seen Dr. Capurro take criticism in a negative way. We have always worked thru problems at UNLV and now with NVMedicaid. She is open to suggestions.

Self-AwarenessMy only wish for Dr. Capurro is to know how amazing she is. To have the confidence that comes with her CV. She is humbleand caring. She can give too much of herself without realizing her worth.

REMARKSDear Admissions Committee,

My name is Amy Tongsiri D.M.D. and I have known Dr. Antonina Capurro for over ten years. We attended the same dental school program and taught at UNLV SDM together in 2013. Dr. Capurro is one of the most inspiration and influential persons in my life. When we taught together in 2013 she was pregnant with her second child. We would work long hours at UNLV putting courses together and teaching students after school. Up until her due date she never let up on her work. I would offer to help her but she never took me up on it. She is one of the hardest working women I know.

Not long after the birth of her son, she was right back at work. Her tenacity to work and finish projects is unheard of. She was always working on programs for the students and at night going to school for her masters. I am always amazed at the dedication

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she gives to every project she works on and every person she connects with. She is a talented teacher and she cares for each student. Dr. Capurro started a tutoring program for the students in dental school. She spent hours after school helping the students get this program running. She is patient and makes sure no student is left behind.

Currently I am the Nevada Dental Director for Liberty Dental Plan. We administer the NV Medicaid Dental program for Clark and Washoe County. I work closely with Dr. Capurro to ensure all members of the state are taken care of. We recently took a trip to Nye County and gave dental services to a town who does not have a regular dentist. We were able to provide cleanings, exams, and sealants to those who have not had access to care in over 10 years. I cannot commend Dr. Capurro enough for her generosity to our community. She is truly dedicated to serve our community and like her students, makes sure no one is left behind. I am continually impressed by her accomplishments and can only imagine the additional greatness she will achieve. With her experience in teaching and public health administration she is the ideal candidate for any program. If you have any further questions with regard to her background or qualifications, please do not hesitate to contact me.

Sincerely,

Amy Tongsiri D.M.D.

OVERALL EVALUATION OF APPLICATIONOverall Evaluation of Applicant: Highest RecommendationEVALUATOR CONTACT INFORMATION

Evaluator‘s Name: Dr. Amy Tongsiri Form Date: 07/31/2018Institution Name: Liberty Dental Address:

Occupation: Nevada Liberty Dental DirectorPhone Number: 7025514514E-mail Address: Las Vegas,Nevada 89118

United States

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Critical Thinking: Exceeds Expectations Clinical Skills: Not ObservedDidactic Knowledge: Exceeds Expectations Integrity: Exceeds ExpectationsInterpersonal Skills: Exceeds Expectations Maturity: Exceeds Expectations



Excellent. (See letter for additional comments)Clinical Skills

n/aDidactic Knowledge

Excellent. (See letter for additional comments)Integrity

Excellent. (See letter for additional comments)Interpersonal Skills

Excellent. (See letter for additional comments)Maturity

Excellent. (See letter for additional comments)Organizational Skills

Excellent. (See letter for additional comments)Professional Demeanor

Excellent. (See letter for additional comments)Reaction to Criticism

Excellent. (See letter for additional comments)Self-Awareness

Excellent. (See letter for additional comments)REMARKSThis letter is in support of Dr. Antonina Capurro, who is applying for Public Health Residency program. I have known Dr. Capurro

for the past eleven years, first as a dental student and now as a fellow faculty. Dr. Capurro and I were course directors in DEN 7241/7242 and DEN 7230. After having an opportunity to work with variety of different individuals, she was the best team player among them. She is knowledgeable about many clinical subjects such as occlusion, esthetics, restorative dentistry, and removable and fixed prosthodontics. Dr. Capurro is organized, patient, creative, and always prepared to work individually or in a group environment. She manages to juggle work, research, and family, and do well, even in highly stressful situations. Dr. Capurro stays calm, polite and organized; she works well under pressure without compromising integrity of her work.

Dr. Capurro is exceptionally hardworking, curious, smart, and creative dentist. After graduating from UNLV SDM, she completed a Masters of Public Health program and later Masters of Business Administration. During her four year appointment at UNLV SDM, she developed DMD-Fast Track MPH program. It was approved, and the relationship it helped strengthen has paved the way for further collaboration with the College of Community Health Sciences.

Besides her involvement in public health, Dr. Capurro developed a Peer Mentoring Program at UNLV SDM. This program allowed any student to get additional help in classes in which they were struggling. Dr. Capurro arranged tutoring and monitored progress of the students. With Peer Mentoring Program, numerous students were able to achieve better academic standings and successfully matriculate from UNLV SDM.

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In 2016, Dr. Capurro became Nevada State Dental Health Officer, where she is responsible for legislative work, budget, federal grants, fluoridation initiative, and evaluation of dental care access for residents of Nevada. She designed and participated in several projects, where a team of nurses, hygienist, and dentist provided direct dental care to those who underserved and doesn't have access to care.

Dr. Capurro is a trustworthy and honest individual; she maintains high ethical standards with her colleagues, peers, patients, and staff. She receives positive yearly evaluations from her job, which demonstrates their trust in her professionalism and skills. In short, I want to give my highest recommendation for her to be accepted into your Public Health Residency program.OVERALL EVALUATION OF APPLICATIONOverall Evaluation of Applicant: Highest RecommendationEVALUATOR CONTACT INFORMATION

Evaluator‘s Name: Dr. Elena Farfel Form Date: 08/20/2018Institution Name: U. of Nevada, Las Vegas Address: 1001 Shadow Ln., Box 457410, Office 246

Occupation: Assistant Professor in Residence of ClinicalScien

Phone Number:E-mail Address: [email protected] Las Vegas,Nevada 89106

United States

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Institution Evaluation PASS ID: 20190517567



Institution Evaluation Form for Capurro, Antonina, DrLength of time IEF preparer has personally


I have waived my right of access to this evaluation.NATIONAL DENTAL BOARD EXAMS

Part 1

Part 2

2007-2011 Test Date

6/2008

Comp/Std Score

78

Status

PassPrior to 2012 Test Date

1/2011

Status

PassDENTAL CLASS RANKING

Does your dental school calculate a GPA forits students:

Yes

Does your dental school rank its students: YesBrief description of the academic merits:

CLASS SIZE YEARLY GPA YEARLY CLASS RANKFirst Year 78 3.05 71

Second Year 76 3.20 68Third Year 76 3.00 71

Fourth Year 74 3.88 8

Cum GPA 2.88

Cum Ranking 74/74Cum GPA Range 2.88-3.96

REMARKS

From an academic and intellectual standpoint, Dr. Capurro performed above average in her didactic coursework. Dr. Capurro did receive accommodations for her didactic courses. Our technical standards do not permit any technical accommodations for clinic work. It was determined late in her educational experience, after she entered clinic, that her disability was such that she was unable to perform complex procedures on patients. She was able to perform those procedures in simulation, therefore her knowledge of procedures, treatment planning, minimally invasive procedures and patient management were acceptable. Because she could not acceptably perform some complex procedures, Dr. Capurro received an Academic Degree in dentistry but is unable to obtain a dental license as indicated on her diploma. She has a thirst for knowledge and completed an MBA degree along with her dental degree. She has also received an MPH with concentration in Healthcare Administration and Policy. Dr. Capurro joined the UNLV SDM faculty after graduation and has taught in several of our simulation courses and worked in the area of student affairs/admissions. She is currently serving as Nevada's State Dental Health Officer within the Division of Public and Behavioral Health. Dr. Capurro has found her niche in helping others in working to improve oral health in significant ways other than through direct clinical care.

Non-Academic SummaryEthical Behavior: At our institution we expect all students and faculty to practice the ADA code of ethics

and professionalism which is an integral component of their grade. Our expectation isthat all graduates meet that standard. Dr. Capurro met that expectation throughout hertenure at UNLV SDM as a student and has done so as part of our faculty.

OVERALL EVALUATION OF APPLICATIONOverall Evaluation of Applicant: RecommendEVALUATOR CONTACT INFORMATION

Evaluator‘s Name: Dr. Christine C. Ancajas Form Date: 10/05/2018Institution Name: U. of Nevada, Las Vegas Address: School of Dental Medicine

Occupation: Associate Dean for Admissions and StudentAffairs

1001 Shadow Lane MS 7410

Phone Number:E-mail Address: [email protected] Las Vegas,Nevada 89106-4124

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Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Institution Evaluation PASS ID: 20190517567



United States

ATSU_000013

Postdoctoral Program Applicant ReportDPH1003 - A.T. Still University's Missouri School of Dentistry & Oral HealthName: Capurro, Antonina, Dr Uploaded Documents PASS ID: 20190517567


Application Page 14

Uploaded Documents

This page is left blank intentionally. The next set of pages are uploaded documents for LORs, officialdental school transcripts, unofficial undergraduate transcripts and CVs.

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AMERICAN DtiNTA. EDULAYION ASSOCIATION

I

ADEA PASSADEAiL. ..

90 905 7567 Pl

ADEA PASS Transcript Matching FormFo,2019 Entering Class

Instructions to the applicant:To assure prompt handling, complete the Transcript Matching FonT. Pint the form and submit t to yourschool's registrar.

*Required fields

ADEA PASS ID Number 20190517567 DENTPIN®ID Numter 11187335

Capurro Antonina

Name as indicated on application (Last, First, Midcle, Suffix)

Name as indicated on official transcript (Last, First, Middle, Suffix)

Applicant's Mailing Address

Henderson NV B90•4

City State Zip

U. of Nevada, Las Vegas

Name of Insltution

Dates of AariNT!71 Date of Birth (pirrild/yyyy)

R 130 (P- N /16(2019Signatul*f Author'zation to release official transcript ta ADEA PASS Date (mm, ddlyyyy)

Mark only one box below:O Applicant will Fick up the transcriptO Mall transcript to ADEA PASS

Registrar: This Tomi must be attached to the official denial school transcript and plEced In a sea ed envelope.This form enables ADEA PASS to easily match each deital school transcript -0 the correct applcation, Be sureto place your ·nsti:ft·on's seal/signature on the Mao of the envelope. Return the transcript to the student or ma Iit directly to ADEA PASS. If the transcript is not in English, include an English translation.

Regular USPS mail:

ADEA PASS Transcript ProcessingDepartment

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If you woulc like to exoress mail your evaluation send to:ADEA PASS Transcript Processing Department

c/o Liaison International

311 Arsenal Street Suite 15

Watertown, MA 02472

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latert=

UNLYToucheafe'

Official Transcrip¢

StudentlD: 1000366977 Name: Capurro,Antonina C

Derees Awarded» .. 9Degme. . :.. Bachelor of St,ence . .: .:Center Date: 08/122005 .Plan . Minor in Biological Sciehces .plan: Biochemistry I

Degfee: . Doctorof·Den all*diene :Conte Date: 05/14/2011

Plan: ..: Dentistry .: .

The UNL¥ SOM does not Gerti€ this ge?*,ate tgtake a dinic;al €iental. Ijcelisure :exan-ination. Ttlis linillation is:not intsided to achdemit#® exclude the Faduate fromdinical part@ation of [email protected]#n at a:hygiefist Rpplicant oromer dehialprovider as tong as such participation is ir compliance with Exiating statelaw.

:> f All other requirements of the degree progism were.flatisfacterily completed-

Degree: Master of Pu M c Health .i . · Confer Date. 05/122012

Plan. · PubliG Health

1 Sub-P4n(· Health Care Administran in and Policy 3 . , D . :

..Obgree: - 1 Master of Bus ness Adm nis-rationCorder Date; j 05/14/2016

R Plan:... 2 Master of Bus:ness Ad.rmistration

Beginning of Der-al School Record

2006 Fall

611 16: 2,[ ''·DEN 7101 Hurnan Struc & F Anc Conc ·6.CO 6.00-'C 'DEN 7102· Microbiol & Inim,mological . :'·S. (0 3.00 .BDEN 7109 .Head/Nkk Anat A Neuros. . 3.CO · .. 3.00 : B

: 'DEN ;7112 Intro to:Human Dev ... · · 5 :· 1 ... 22.00 : 2.00 6DEN 7120 Infectian Control .· ·· »L® .1.00 BDEN 7123: . Diag 4:1'Fcatmal:*Plan · 1,06 1.·OG: .I·A

DEN · 7124 Dent Anal & Ocausion tat · 2,50 2 05'·, 5:···'DEN 7125.· Derrl *nat *Ocoled ··· ,6 · 1,(]0 1200 C

DEN . 7140. Dsi Chnic - 3-00 3.00...ADEN 715,4 Hcd· PE Accd/Hip=i Regs f..51 150 ·: ADEN 7157 Pt Comm/Culturakprol · 3.CO 3-00 A

DEN ·7160 Blostat Ored He*111 962: 109100 4DEN 7501 Bionted Sc} Infeg Sem fJ': - · 1.00 ·:. LOG SDEN 7510 ; .tritical Thinking' · · 27· 19:F; 0.-· 1,00.7 1.do :A

hit gatanst an#... 928....·322.nalTerm Totals· · 29.50 .· 2 3.50 · :68(0 . 3.08 - 31.00

811 -Eamid 22105 28.....anal;Cumulatibe Totals· . ·· ..29.50 29.50. 28.03 3.08 . 31:00 .

RECIPIENT

ADEA PASS Transcript ProcessingPO Box 9115

Watertown, MA 02471

United States

08/16/2018 Page 1 of 5

Order Nbc -

2007 Spring··' 81- EN *

DEN· .. 7 ION Hiv/Aidls At}ral Disease . . 100 3.00 B.: DEN . 7 !09 ' Head/Neck Aiat & Neurosc 3.00 3.00: CDEN: 7.1·10 Oral Path& Oral·Imm. ·3,00 3 00· C ·:.: · ADEN :· 7121 F.fied Progh Lectere .1.00 1.00 . C : ibEN 7-·27 .intro Intraoral Pan*ad . . · ..100 1.00 BDEN 7- 33. Pcc Lab· L ·1:, .····' '·2.OOp 2.00 BDEM. 7130. . Perie·Instru/Irtervention · . 200 2.00. ·.A L. 9 -:-DEN . 1-40 Dsi Clinic - · 4 2 3.00 3.00· ADEN 7- 51· '· Hilt Care Fin.2 Pub HIN, '· : 1.0 0 - .00'·A·.DEN . 756 ; Commoutreach: Red*Edu ' 1.50 ·.50 .ADEN · 7'61· · Epidemiology Oral Health 1.50 1.SO· ·A

DEN. 7502 Biom'ed Sc} thleg Sern li . 100 ..06 . S.DEN: 7549 PED' Stl·id Irte'gi·at Sem t 3.00 . 6.003 A

:· · :·811 Eamn' Bima· 28·- 02.021.. Di·Term Totars i . 24.00 26.00 80.00 3.20. 30.30

82 gamed 20011·) 24- QIZ.Baleun»Ove "dial¥ 4 : ··< 55.60 55.50 · 168.00 3.14 61.00

2007 Summer

811 L-·Ehf ·r-QI,1 .....:.DEN 714.1 Oral Histology 3.00 100 60 ....0.DEN. 71 22 Acd. Restorati·ve 1.00 1.00..fB. ..'-· pr......DEN : ·· 71 24 2 Anesthesia & N2o2 2.00 2.00 ·. 0

{DEN · '· 7129 Diag & Trea:ment Plan li 1.00 1.00 B

DEN ··.. 7130.:.:· Dental Materials I 1.50 150 13

DEN . L 71 35· Perlo Anal & Pathogenests 1.00 -00····>C

DEN- 7137 fixel Prostf Lab 2.00 2 90· B·· ......: :-DEN 7138 Predin Dent Lab 5.00 500·· B..j:DENE 7119 -Olin Occlusion 2.00 200.:· 8* :f··· I.: ;2-DEN 7.140. ·Osi Clinic 3.00 3.00; :ADEN· 7152 Patient Con-nnunicacions 1,50 1.50·. A

DEN J J 7-159 Pradice Mgmt Tectnology 1.50 .·1.50' '-A

r.#EN ', · 71-02· .rAppl438 Hurran Nut- 3.00 p.·200 Ct··.DEN 7 7565 Sunt,ier En,)chment Project 3.001·· 3100 S

i·· L ''·' Att Earned PointR; 428.- GP RalTerm frotaL 30.50 30.50. ·. 82. fo 2 2.98 - 27.18

1 88 Earind Emnt•:02&. -SE*! ·€: 5Coantiative Toteler 8€.00 86.BO 250. 10 :· 3.08 . 82 te

100?Fall·. ':

M U ... 90DEN - 72£02 Caric£gy , 2.00 2 {*i ·ADEN· 7204 ·.Pathological tenceps : ·4.00 4 00 CDEN 7268 Or} Can: Prv-Caute,Cure 3.00. 300· C

DEN : 72® Enda Lacture · 1.00 1 00 i ..8 C . 0DEN- 72Z1 App Denf Mat I . 1.00;: 100 /'C

·DEN. 7223 EndoLab. ·.0 - 200 2 00··· ADEN·' 7243 ··Ds,i Clinic r . . 5,00 500 ADEN -· : 7241. ' ·Sim Comp Carf Leg.· . .:. a: 1,00 ·? 1.00 ADEN '· 7242 Simgomp¢We Lab: ·· . 2,00 2.00 ADEN 7251 · Speciality PrAct ces· 1.50 1.50 ·BDEN % .' 7252' Comm Outreach- Genat Pop . O.00 · 0.00 WDDEN 7252 Comm Outreack. Gariat:Pop .·. 1 3.00 . 0.00 .4 ..DEN .. 782 Imprv Pm Qll7 &·S¢Mwide ' . 1.50 '.50 , 23

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b---,Di#]4''tr. . 4:,1,*Epr,*NEANERB#14%-AbiN#;C•9.--------

KATI E HUMPHREYSOFFICE OF THE REGISTRAR

*

ATSU_000016

\ OFFICE OF THE REGISTRAR

4505 S Maryland Parkway Box 451029 Las Vegas, Nevada 89154-1029 (702) 895-3443

FERPA Statement

Under provisions of the Family Educational Rights and Privacy Act of 1974, this Record is not to be released to a third party without written consent from the student.

Accreditation

UNLV is accredited by the Northwest Commission on Colleges and Universities (NWCCU),

INFORMATION CONCERNING STUDENT ACADEMIC RECORD (TRANSCRIPT)Transcripts are considered official only when they bear the university seal and the Registrar's signature. Partial transcripts or transcripts from other institutionsare not issued. Student is in good standing unless otherwise indicated. UNLV follows a semester calendar. One credit is based on one 50-minute class eachweek for 15 weeks.

GRADES

Definition Grade Grade Points Carries Credit

Excellent A,A- 4.0,3.7 Yes

Good B+,B,B- 3.3,3.0,2.7 Yes

Average C+.C.C- 2.3,2.0.1.7 Yes

Passing D+,D,D- 1.3.1.0.0.7 Yes

Failure F 0 No

Satisfactory S Not computed Yes

Unsatisfactory U Not computed No

Pass P Not computed Yes

Hold Grade (undergraduate X Not computed No

research, graduate thesis anddissertation. May remain an X indefinitely for some students prior to 2010) ( fAudit AD Not computed No

Withdrawal W,WD,WH Not computed No

Withdrawal (until Fall 1992) WRWF Not computed No

No Credit (until Fall 1977) N Not computed No

Incomplete(1955-1962) E Not computed No (Remains an E

indefinitely)Incomplete (1955-1982, I Not computed No (Remains an I

except Spring 1961) indefinitely)Incomplete ( 1982-present) I Not computed No (Work must be

completed withinthe allotted time

frame)

Status

Active

Active

Active

Active

Active

Active

Active /Active

Active

Active

Active

Discontinued

Discontinued

Discontinued

Discontinued I

Active

The plus/minus (+/-) grading system was implemented in Fall 1980

Repeat Policy

Prior to Spring 1971, al[ repeated courses were included in the computation of the grade point average. As of Spring 1971. the original grade of the ,·epeated course isexcluded from the grade point average provided that all the subsequent attempts have the same grading system as the original attempt (c.g., the grading system did notchange from letter grade system (A,A-,....) to satis factory/fail system (S,F) during the course of the attempts).

Academic Renewal Policy

Academic renewal is defined as one semester of UNLV course work disregarded in all calculations regarding academic standing, grade point average, and eligibility forgraduation at UNLV. Students granted academic renewal may not graduate with academic distinctions. Disregarded grades may be calculated in scholarship awards orfinancial aid consideration.

Description of course numbering:

1955/56-1967/68 1968/69-1970/71

A or H Noncredit Aor B Noncredit

0-99 Nonbacc. 100-199 Freshman

t 00-299 Low'er Div. 200-299 Sophomore300-499 Upper Div. 300-399 Junior

300G-499(; Graduate 400-499 Senior500-599 Graduate 700-999 Graduate

1971/72-1975/76

Aor B Noncre(lit

100-199 Low'er Div.

200-299 Upper Div.300-399 Graduate

1976/77- 1987/88

Aor B Noncredit

100-299 Lower Div.


1988/89-Present

Aor B Noncredit

100-299 Lower Div,


/ h

1ARECYCLED'AIMTEDWTH]UWPAPER| SOYINKL

874,6.396,927,6,665,40 WWWRECYCLEOTRANSCRIPTSCOM Made In the USA

ATSU_000017

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Toucheafe'

Officia Transcript

Student ID: 100036697T Name: Capurro,Antonina C 08/16/2018 Pag€ 2 of 5

Order Nbc 001-33352

2 Earned p Minls *AGE Bal : Spring Termrotals: 0. · ·' 270] 1 4,00. 88.09 8.25. ·- 24.00 F 044.1 5 1. r .i . · All Ellf 911

88 Eamed..ENDS:. GPA . GP Gal.Cumulatne Totals: ' 13 00 113.00 - 338.10 3.13· 1222.10

2008 Sprilij88 2 dsl

7227 Oral 6 Max Pathll 3.00 3.00

7328 ·· ainical Midlcing It ' . · .1,00. 1 -0073:32 lerigromandibula{ Disorder ' 100 1-007.334 ·Hosp Dat - : 2.00 2.007335 NitrOLS Oxide · ..1.00 - · .Do

7340 . Ds,ii Clirie / 1500· 15.90

7350 ·Fall: ' .·''' 1.00 1.do

DEN · 72(31 Oral Manafest of[>sease 4.00 4.00 C . » - ' Earned Points 28 GP ·BalDEN 7203. Ph,mi]¢diogical ConceptsDEN' 7208 Clinic Oriented Arat¢6ny 400 4' C 't Term-otals:..- · 24.00 2400 70.00. 2.El ' 22.JO) %2 E :&2121%*L ·i iP· : 1% · S - ( f: {:. <· . i -· Mi EamE¢ 20012 I Q{34 02.Nal .DEN 7236 .intro· Perl DiawlrliTLEr 3.00 3.60 ··8 ·r Cumu.lative T.o,als: 209.50 209.50 633.60 : 2.-9 . 224.60DEN 7240 · Dsfi Clinic' ·.S ·.': 5.00: 5.00 -'ADEN 7241 .: Sim.Comp Care lad- 1.00 1.00 ··. A d.· ·93:: .6DEN 7242 Sim Comp Care Lab. f · '' ./2.01 2.00 A.·: 2009 SummerDEN 1 7512. .Repearch&Analysts . .. · 1.50· 10 , · .. O i:·· . : i &11 · EE 24.·

211 -afted Point& 23&. i GP Bal E

Term Tbtalsi 28.50 28 50 : 83.50· 2.92 26.50

Eli Eat=1 -2**t· 2&' f GefialCumulative Tgtalt 1.1.20 141.50 421.60- 3.08. ·: 148.60

DEN ·. 7254+ ls:ues,11 Behav Sci L . 1.00 · 1 00

DEN 7301 G·ovANOev Abnormailties . 2,00 200DEN 73*5 J ' bsill Alv IDent Sem 1.OQN 1 CODEN e 7329 Adv Tedf Den Rad 1.00:1 1.coDEN > 7333 Re,nov Partial Dent 1.00 1.CO

DEN 7314 .Hosp Dent 2.00 200

DEN. 734Of Dsiii Clinic 15.00 000

Att tiond EQi[112 28 22.Nal2 ]08 Summer

23.GO 8.00 23.00 14! ..23.00 :Ali Et€ ·(,£&1 f.t' 'Term Totals.DEN 7155 Hithcare Prac & Its Chall 2.00 2.'00 - ADEN ·7226 ; Intro Dent Implants 2.00 100 A

M Eamed Evi[® 24 2,2at

DEN 7·228 Phar I. Prescribing Mej 1.00 1.00 :C i ·· I Cumulative Trtals': 232.5] 217.50 656.60 2.BE· 201.63

DEN 7229 Adv Rad Anat 1.00 ·1.08 CDEN 7230 Orthodontics 3.00 3.00 .8DEN '7235 Pediatric Dent 2.00...2.00 B 20)9 Fall

OEN. I 7240 Ds• Clinic 5.00:- 5.00·A 811 :2* : t Q[dDEN ·.·... 7341 f· Eirt¥Comp Care Le= 1.009 1,00 A -tbEN '.2.73.4.0 ·Ositelt,ic 15.00 < 15.36 ADEN 7242 Sim Comp Care Lao 2.00- 2,00 .A ..·· ..: .....: r 86 Eam=1 Points'. GPA· ..{P B,1

At famed. 20[12 28 GE-Bal , ::Term Totals: ·. 15.09. 15.00 · . 60:00·.. 4.00 30.00Term Totatt 7·19.00· -19.00 ·87.00·· 3.52··< 2 10· '·U·;·( '·71 ·3

d. M ...Emitial 20= ·· gEe& 62-ENAti E.£.4 22* ..28, ··· BU¢ . § Ckimula· ve Iola® :247.50 232:50 116.60· 2.95 231.60

Cumulative -rotals: 160.5[ . 150.50 488.60 3,14. 1 57:54 ·2· ·, .0.:·. '5.. P

201"Sprjng

78 Fall - g · 80 22.41 ..4 DEN 6340· Osi. Clint :'·· 15.f 190 ·34DEN 7320 Clin Med I , 1.00. 190DEN 7321- :Pe ria Surg And·tmpl .·- ·DEN 7324 Esth Den:Ptinc/Tech : i z j 2.00 < 2.00DEN 7326 Oral & Max Pat# 1 3.00 : 3.00

DEN 7340 Dsii, Clinic . · 15.00·. 15.00DEN 7330 . Profesional Ethics · : 2.00 5 2.00

O , a Eamad Boing .928 2.80;Te}m To•ale· .4 · · ·15.00 - 15:00 30.-00 3 2.0[th :· 0.txo

. . f 42 . Earned Pants ·.GPA AP Raltumulatrie TOtals· 262.50 247.90 7·16.60 2 2.89 231.60

U .EN-red·-· Poinfs · 28 *2.nalTe® Totals: 2&00 : 25.00. 75.00 3.00 : 25.00

2010 SUmmgr

AW <Eained : Poinls. GPA . GP BatCumulative-rotals:'f ·: 185 50-' 125.50 · 963.60·:-·3.12 202.63

M EE 2DEN« 7340 Dsiii elin·E j .--5.00 ·· 15.0) t

1RECIPIENT THIS OFFICIAL UNIVERSITY TFANSCRIPT DOES NOT

REQUIRE A RAISED SEAL-Rty oj

...™r,-7 -1 ..2.2,

KATIE HUMPHREYS

Federal law prohibits access to this record by any party without written consent of student. OFFICE OF THE REOISTRAR

./1

ATSU_000018

OFFICE OF THE REGISTRAR


FERPA Statement

Under provisions of the Family Educational Rights and Privacy Act of 1974. this Record is not to be released to a third party without written consent from the student.

Accreditation

UNLV is accredited by the Northwest Commission on Colleges and Universities (NWCCU).

INFORMATION CONCERNING STUDENT ACADEMIC RECORD (TRANSCRIPT)Transcripts are considered official only when they bear the university scal and the Registrar's signature. Partial transcripts or transcripts from other institutionsare not issued. Student is in good standing unless otherwise indicated. UNLV follows a semester calendar. One credit is based on one 50-minute class eachweek for 15 weeks.

GRADES



Good B+,B,B- 3.3,3.0,2.7 Yes

Avereige C+,C,C- 2.3,2.0.1.7 Yes

Passing D+,D,D- 1.3.1.0,0.7 Yes

Failure F r 0 No

Satisfactory S Not computed Yes

Unsatisfactory U Not computed No


Hold Grade {undergraduate X Not computed No

research. graduate thesis anddissertation. May remain an X indefinitely for some students prior to 2010)Audit AD Not computed No

Withdrawal W.WD,WH Not computed No

Withdrawal (until Fall 1992) WP,WF Not computed No


Incomplete (1955- 1962) E Not computed No (Remains an E

indefinitely)Incomplete ( 19554982, 1 Not computed No (Remains an I

except Spring 1961) indefinitely)Incomplete (1982-present) 1 Not computed No (Work must be


frarne)

Status

Active

Active

Active

Active

Active

Active

Active

Active

Active

Active

Active

Discontinued

Discontinued

Discontinued

Discontinued

Active


Repeat Policy

Prior to Spring 1971. all repeated courses were included in the computation of the grade point average. As of Spring 1971, the original grade o f the repeated course isexcluded from the grade point average provided that all the subsequent attempts have the Maine grading system as the original attempt (c.g.. the grading system did notchange from letter grade system { A,A-.....) to satislactory/fail system (S.F) during the course of the attempts).


Academic renewal is defined as one semester of UNLV course work disregarded in all calculations regarding academic standing, grade point average. and eligibility forgraduation at UNLV. Students granted academic renewal may not graduate with academic distinctions. Disregarded grades may be calculated in scholarship awards orfinancial aid consideration.


1955/56-1967/68 1968/69-1970/71

Aor B Noncredit A or B Noncredit


100-299 Lower Div. 200-299 Sophomore300-499 Upper Div. 300-399 Junior

300G-499G Graduate 400-499 Senior

500-599 Graduate 700-999 Graduate

1971/72-1975/76

Aor B Noneredit

100-199 Lower Div.

200-299 Upper Div.3()0-399 Graduate

1976/77-1987/88

Aor B Noncredit

10()-299 Lower Div.


1988/89-Present

Aor B Noncredit

100-299 Lower Div.


1 1 ®*ml *:872Jecurityf»*6,682,030 1 WI.V¢IFYFIRST.COM WWW.RECYCLEDTRANSCR+PTS COM *'G Wint«DiX

-UNW

ATSU_000019

UN_VToughSafe'

Official Transcripl

Student ID: 1000366977 Name: Caourro,Antonina C 08/16/2018 Page 3 of 5

Order Nbc 001'33352

2010 Fall8, Eging : 'Bids 28 221.·.... i....·

Term To-als . j ¥§,00 15.90 30.90 2.00 0.00 :.r ..EAB€r · 703 Blos:atkilicattdethods 3.00 300 Aal. ·Eaned · Po,Ne GPA .·GPBal: f :HCA 761 Healtcarelawahes 0-00 000 LWD

FIED <' 705 · Theor FnaHIh Prori · ·17 J.00 3· 3.00 'A ·Cumillativerotals:· · 277.'0. 262.50 · 776.€0 ' 2.84· : 231.60 -3

. .. ... : ...:j r. · 811. Earned Points 28 - GP 88112 -Term Totals . 6-.00 6.1)0 24.00 : 2,00 · - e.®

2010 Fall

al gt E *d7425 Dsiv: Boari RevieN :00 7.-00 A

7426 forensioDentistr) 1.00 1,00 ..B7442 Perlo Regen & Case Ivgt lib). 1.00 47443 Grand Rounds . 1.50· 1:50 .47454 Co: D,sabled/Spet Needs . '.2.00· 2.00 A

Q ·. . -Ati Earned . points GRA: ·GP BaCum/atim Totall· - : 9.00· · 9.00 . 33.00 2·56 600

' 2011 Summer

811 Eli aDd

At Eatned ·t*oints' 926·· ;P Bal :

Term.Totait. .8650 ·· ·6.50 25.00. 3.84 .. 12.00 ·at *Ent¢ ENDE 428. 2.221

Cumtdative Torals. 2E4.0C '260.00 801.6{ 2.87.. ·243.60

EOH 71* . · Fund Publie Heal#f . ·. -23.00. . .3.00.. . AHOA' 701 f OS Healthcare Si>sten : ·3.00 3.20 J FA

:MCA 0 . 705 Pt Acc·,& Finance ·- 13.00 . s..TE·,..A

HCA 70§ Strategk Marrigeme?it Hs I 3.00 3..®! Aall Earned PoinbE ' fiES Gplai

?Fetm Totals 12.® 12.00 48.00 4.00 12.00

1011 Sprbgi 1 -· 811 Earned Points ...GPA ..SP Bal

Att EE 21' »41*tivetptals·· . ·. 21.CIO 21.00 81.00 · 3.85 ;. 18.00OEN 7443 Grand Rounds 1.50 · 1.60·-:· A < PMFI · '76-7- ·--LEDEN 7453 Dent Junspr 1.00 T.DO A · 9,1

DEN·4 7598 Integrated Den Sci Theory 3.50 3.00'' '·S·.2 ., 231 1.-j,) ,·: · 2 2(11 Fatl

U Emint 221012 28 -92-32·Term Totals: 6.(Jo 6.00 10.00 4.GO i ·· 500

82 Limit points GA>Al ,;* 201

Cu}'nulative .Totals: 290.00 275.00 811.60 2.88 2· 24880

811 St· 95*EAB,·:/ ' 705 '. Efi & Public Health 3.00 3.X A

HCA 707. Operat ens anc Quality Hs 3.00 3.03 A

HCA) 708 · · Ihb Sy3*ms ir Hca 3.00 3.61 A

& Eam=t Points 224·13' 84| LTemi·Totals: 9.00 9.00 35.10 3.31 - 8.104

81 Eamed Points GPA Go BalDental School Career Totals

Cumulative Totals: 29,100 275.00 8·1·1.60 '; 288-'208 30 -*mul*ive 10{als: 30.00 30.00 -16.10 - '3 87- 25.10

2012 SpringAlt Et[· 21

:i? ... 6011.1 7410. Enwonmental Health : · 100 ': 3.03 . A-fo p· ·i·- 2(7 Hit*:·' 703 0.-··'·Mgt HIIH 'Srvs Ote 3.00 3.0) A

Beginning 4 Graduate Record 1 ' 4.. i HCA 709 Hca Caw®ne 300 3.00 S

MCA 713 Hca int@trship 3.00 3.® S

307 21 . '811 4·. ··· 61MBA 702 . Statistjcal Analysis 8.00 0.00 WE

MBA ·707 Organizational. Beha·hor 3.00 . 3:CO ·*

aL. Earned - Points GPA.. · GP:Bal

Term Totals: 480 30[ A.On' 3.00 Dod

- 81- Eknelt ' · efids 2& 2.RalVT«mleals. f 1200 12:00 23.10 384: 5.10

811 ·. Eamed EQUIs 26 2Bal s

Cumulati.e Totals- · -42.00 . 42.00 13920 :3.86 .. 31.20 -

4 Ea·,64 pointg ·GPA GPB/ 2014 Spring ' C .Cumutative·lutaIs: ' '3..0 ·i:3.0(f f 5,00 3.00 : C.00 . *ile.A 77(1 'Law-abd Ellics B.tt :31 ·<UNG· 41 34 MeT:/ 7101· NewVenjure'Creatit>it . a: g 3,00 3.00/ A

· '. 28*- Earned Emirl!& 2& ..GF BatTbrm Toreig:· 1 . 0.00·' . 400 ·· 21.00 4.00 6.00

RECIPIENT THIS OFFICIAL UN,VERSITY TRANSCRIPT DOES NOT

REQUIRE A RAISED SEAL

b- ' 1/4

Q.zaP'Federal law prohibits access to this ·pcoid by ariy party without written consent of student.

KATIE HUMPHREYS

OFFICE O.z THE RE•3]STR.4R

-i *f

ATSU_000020



FERPA Statement

Under provisions o f the Family Educational Rights and Privacy Act of 1974, this Record is not to be released to a third party without written consent from the student. \

Accreditation



GRADES



Good B+,B,B- 3.3,3.0,2.7 Yes

Average C+,C,C- 2.3.2.0.1.7 Yes

Passing D+.I),D- 1.3.1.0,0.7 Yes

Failure F 0 NoSatisfactory S Not computed Yes Unsatisfactory U Not computed No

j

Pass P j Not computed Yes

Hold Grade (undergraduate X Not computed No

research, graduate thesis anddissertation. May remain an X indefinitely for some students prior to 2010)Audit AD Not computed 1 No

Withdrawal W,WD,WH Not computed No

Withdrawal (until Fal] 19921 WP,WF Not computed No


Incomplete (1955-1962) E Not computed No (Remains an E

indefinitely)Incomplete(1955-1982. I Notcomputed No (Remains an 1

except Spring 1961 ) indefinitely)Incomplete (1982-present) I Not computed No (Work must be


frame)

Status

Active

Active

Active

Active

Active

Active

Active

Active

Active

Active

Active j

Discontinued

Discontinued

Discontinued

Discontinued

Active


Egpeat PoliGYPrior to Spring 1971, all repeated courses were included in the computation of the grade point average. As of Spring 1971. the original grade of the repeated course is

excluded from the grade point average provided that all the subsequent attempts have the same grading system as the original attempt (e.g., the grading system did notchange from letter grade system (A,A-,....) to satisfactory/fail system (S, F) during the CourSe of the attempts).

Acadernic Renewal Policy

Academic renewal is defined as one semester of UNLV course work disregarded in all calculations regarding academic standing. grade point average, and eligibility for

graduation at UNLV. Students granted academic renewal may not graduate with academic distinctions. Disregarded grades may be calculated in scholarship awards orfinancial aid consideration.


1955/56-1967/68

Aor B Noncredit

0-99 Nonbacc.

100-299 Lower Div.

300-499 Upper Div.300G-499G Graduate

500-599 Graduate

1968/69-1970/71

Aor B Noncredit

100-199 Freshman

200-299 Sophomore300-399 Junior

400-499 Senior

700-999 Graduate

1971/72-1975/76

A or B Noncredit

100- 199 Lower Div.


1976/77-1987/88

A or B Noncredit

100-299 Lower Div.


1988/89-Present

Aor B Noneredit

100-299 Lower Div.


U.S.Sec 0300 =5=zr==

|ARECYCLED1WPAPERI 4WWWaECYCLEDTRANSCRIPT,Com G

INT'*ii

ATSU_000021

4/ .5

UNIVToucheafe'

Official Transcript

StudentlD: 1000366877 Name: Capurro Artonina C 08/16/2018 Page 4 of 5

Order Nbr: 001·33352

: . . ·68 *gr.n.ni· Edirt <24 2.&21' 2 22 7 · . -· : ·> iM! Embed Points'·' GPA GP SalCumulative Tplals: 48.00 : 4&9.0 163.20 3.88·: . 37.20 . .¢umetative Totalk - 8-.00 81.00 286.58 3 82 6'.50

..2014 Fall · '. t. Graduate Ca.-eer Total811 Ebr-' Gal· : D Cumdative-TotalsL · :8200 8100 286.50. :132 · 61.50

HCA 717 Human Resouree Managemen,1 - '3.00 3.00 0 A :·'/U-·7' - ·:·.3MAA 761 : Acceuriting:Managemefit · ·' J 3.DO 3.00 · 8 · ·:

'.: 82 ·f·Ea,imil £201& 28 9-24·' c: · · ·Tern] Totals · 600 : 6.00 21 00 3.50 : 3.00 ,

Nt Eared Poin GPA ;F 8,41.Cumulativ,Totatwt : . 54.DO · 54.00 184.20' 2 3.83 4·120

Beginnbg or Undergraduate Record

20- 5 SpengCollege of SoBIWern NevacaWO,emity of N:vada Rero

Transfer/Test Credits

TRANSFER CREDIT

: TRANSFER·CREDIT

73.00

6.00

An· Uk ' lk,1: HOA 730: .·. , Ste.ts Analysis for -tosptality 3.00: 3,90 #l ... <BMBA 769 Applied Econ Ana45is 3j00 3.00 4

M Earred 2** 28. GP Batterth Totals. 5.00 6.00 24.00. 4.002- 6.*

2003 Summer

811 Er

810 · c. 191 ·' Prin M DI Biology Il . 4.00. 4£0

al Earned Points . 92

Tefm lf,tats- 4.CO 4.00 13.00 4 [0

1 Earnest pointd: GPA ·. 52.3,1 ic o ·3·

Cumulative Totals: Eo.00 60.]0 208.20 3.85 4620 0 ··i Mt Emmad Points GPA 3P BiT

Numulative Totals 4,00 4.00 16.00 4.06 - 8.00

20 153=mer

a 2 951 ' 20]3 Fall

18 ' 787 International SeminEr 3.00 3,00 .A 811 Eal 2MKT ' 725 Global Consumer [38havior 3.00 .3.00' >A

80 Eamcit eginti.· 28···-aPE61··.Te?m Totals 600 6 CO 24.00. · 4.00 ·. 600

Nt Earned Point GPA UP Bal

CHE 225- Organic Chemistry I 3.00 0.0(' E ·

f·· · Repeated - Exe·ude Hcurs and GPACHE. 224· f Ofg Chen Life Sc Lab I 1.00 1.00 ARHY'. . 141 ' .Gen Physics 4.00 4.{]C :· B

SIA'"- 1391 . >Appl Stat for Bic sci 300 3.0.= BfWOM > f 101 7 Gender. Race, & Class 300 ·3.00 A ,

jeumulative Totals: 6680 65.0) 232:20 3.87 ..52.20 :Alt Eam:51 Pails·.- 2.52·GP Bal

t:. r :.. <Trml»Is . ,.: i ·tog. 11.00- 37.90.- 3.44· 15.902D15 =aU ·

· · Ali : Ell[ ik

765 Financial Decision Mak, 10 -2 3.00 3.00.A767 · Market app Arialysis . - 3.00 3.00< A

81 . Earned Points . GPA . GA Bal.Cumulativelotalt +8.00·. 1500. 53.30 3.59 23 90

8111 , Ea,neb Egints 28 *8..611. ..:.4 ! ·· .. J .1 1·.f 2004 SpringTern) Totals· . 6.00 6.08 22.20 3.70 4.20·· 4 3- .- · . .-· 811 21[ 2i

! 830 ·j:'· 300 Gene,#10*netics - :·s · 4.00 4.® ·: 8-al Ent» Egul!2 281- 221 .... i CHE 325 Organic Chemislfy ·i 0.00 0.00 AC .

Cumulative Totals: ·· · · 72.SO 72.00 254.40 : 3.85 5€:40 · 7 . . :Grading Basis: Audt ·:· CHE.. 327 Org Chen tile Sel Lab It 1.CO 1.00 - A

f . 'L I...; 940% SHE' 402 .*clentific Sbftwe· . 4.co: '1.00-·A

20 4 Spring·- .2 ' 1. N-/ '6.-'- .3.AN 135 - .Ballet I:: ··· 1.00 1.00 8+

Al St' "h# i :' 4¥ ' .101 -Gen 940¥ - · ·3.00 3.00'.5. AHCA 761. Healthcare Law Ethig . 1 3.00 3:00 A- . 4 8% Earned Nints · 28 GRBalMBA / 751, Independent Study · - t 3.DO -3 00} A ·' . 7 . 1 33,85 3,38 13,80MBA 787 Strategic Management 5- 3.00 3.00 ..8 :2 ·Term Totals: . .1 C.00 10.00

a Earned. Points [323& GP Balf '. F. ·-,.. . : - 5 81. - Earned Point.4 GPA : GP Ba1-erm Tole: · ·· · ''f 9.001 : 9.01 .·732.10··· 3,56'·'' 5.1'6. 32. -Comtilativerotals: 2800 · 25.00 ···· 87.70 -·-3.50-2-' 37.73

RECIPIENT THIS OFFICIA- JNIVERSITY TRANSCRIPT DOES NOT

REQUIRE A RAISED SEAL

Federal law prohibits access to this record by any party without written consent of student.

KATIE HUMPHREYSOFFICE OFTHE REGISTRAR

<-12 VEG' ATSU_000022



FERPA Statement


Accreditation


INFORMATION CONCERNING STUDENT ACADEMIC RECORD (TRANSCRIPT)Transcripts are considered official only when they bear the university seal and the Registrar's signature. Partial transcripts or transcripts from other institutionsare not issued. Student is iii good standing unless otherwise indicated. UNLV follows a semester calendar. One credit is based on one 50-minute class eachweek for 15 weeks.

GRADES

Definition Grade Grade Points

Excellent A.A- 4.0,3.7Good B+,B,B- 3.3,3.0,2.7

Avei·age C+,C,C- 2.3,2.0,1.7

Passing D+,D.D- Ill.0.0.7

Failure F O

Satisfactory S Not computedUnsatisfactory U Not computedPass P Not computedHold Grade (undergraduate X Not computed

research. graduate thesis anddissertation. May remain an X indefinitely for some students prior to 2010)Audit AD Not computedWithdrawal W.WD.WH Not computedWithdrawal (until Fall 1992) WRWF Not computedNo Credit (until Fall 1977) N Not computedIncomplete (1955-1962) E Not computed

Incomplete ( 1 955-1982, 1 Not computedexcept Spring 196] )

Incomplete ( 1982-present) I Not coinputed

Carries Credit

Yes

Yes

Yes

Yes

No

Yes

No

Yes

No

No

No

No

No

No (Remains an E

j indefinitely) No (Remains an I

indefinitely)No (Work must be


frame)

Status

ActiveActive

Active

Active

Active

Active

r Active j/ Active

Active

Active

Active

Discontinued

Discontinued

Discontinued

Discontinued

Active


Repeat PolicyPrior to Spring 1971, all repeated courses were included in the computation of the grade point average. As of Spring 1971, the original grade of the repeated course isexcluded from the grade point average provided that all the subsequent attempts have the same grading system as the original attempt (e.g., the grading system did notchange from letter grade system (AA-,....) to satis factory/fail system (S.F) during the course of the attempts).


Academic renewal is defined as one semester of UNLV course work disregarded in all calculations regarding academic standing, grade point average. and eligibility forgraduation at UN[-V. Students granted academic renewal may not graduate with academic distinctions. Disregarded grades may be calculated in scholarship awards orfinancial aid consideration.


1955/56-1967/68 1968/69-1970/71

Aor B Noncredit AorB Noncredit



3006-4990 Graduate 400-499 Senior


1971/72-1975/76

Aor B Noncredit

too-199 Lower Div.


1976/77-1987/88

Aor B Noncredit

100-299 Lower Div.

300-499 Upper Div,500-599 Graduate

1988/89-Present

Aor B Noncredit

100-299 Lower Div.


1 )

-- 1 *1,mwiim'.4 . 22WPAPERI I.*,soyINKL

U.S. Sec., 336,874, g#0#4.#665 RIN'mnk/€61 AUL. WWW 11£CrtiEOTRANSCRIPTS Ch,0 E., 37, N-iKi-Irrn

ATSU_000023

UNLYToucheafe'

Official Transcript

Student ID: 1000366977 Name: Cap.rro,Antonina C 08/16/2018 Page 5 of 5

Order Nbc -

20[M Summer 4 t:· <'1 9 .. f. il Ead Egint, 2% 2.Bal:at Eflt·· ·25 2.f.t· ::Cumi]Fative To,Aft . . 9340 90.00 300.40· 32. t2040

CHEM 241 Organic Chemmt:,1 . 0 3.00 3.00 8+' Repeated - Indi de I'lours ayd GPA< · ·· · ·' ··4· . ·· · . .. ·. :. : :. .·:

CHEM 242 .Organic Cherniste Il 1· · 3.DC.: : 3.00. A- :f Undergraduate Career TotalsCHEM ·474 .Blocherelstry I ··- » ·: E · 30£··· 3.00· A- ' ..·p Curntilativeratals · 93.Jo · 189.08 300.40. 3.33 120.40DAN 168/ Survey 0¥Afric:Amer-Dan .·. · ···'5:00 ' 3.00 · A

RS¥ 442 · Psych¢logg:ofiAging I .j ·:· 3..00 3.DO . B : ': Erd·of Offtdal Transcript · f :c. : ..: i·: : · 49: '.Eamit·. Bent: QB& '02.221·..f {9 + ·.. $.· ·· · 'Tem)Totah: · ·· '·· .4.80 ·1500 53.10 3.54 23.10> . 2 :2.... 16.·

81 Eam#/ 28*%.. 22& 22_BaLCumulativerotals. · 43.CO, 40.0) 140.80. · 3.52·60·280

200£ Fan · I

8112 Et[ acd .'.3 '1 3 ..7. :-·BIOL : 405. .: Molecular Biology ··2 : - C.· ·100; 400CHEM 355 Quantitative Analysis , 3.'00 3.00.'CHEM. 3551. Quant*nalysis Lat ' 2-00 2.00CHEM 421 ' Phys Chemistry I : 3.002. 3.00CHEM ·476 · Adv Topics Biochen 3.00 5 100PEX 127 Water Aerobics 1.00 Ll.00.

811 E.ma,1 Egintdi' 247 GP Mal 6 UNG....I:FJNLV,t·'i:r:Term Totals .· 15.00 15.CO 45,10 too·.'15.10· f V:.:'*ID·:3·[22'·4

811 Eam* 220# GRA Feait· I.Q.K' 21. I *yti V.·.4€44'v .Cumulative Totals: 58.00 55.00 185.90 3.38/'' ·75.90

2005 Spring

811·' Eh[ 22tt4 Endocrinology 3.00. 3.00:. C

CHEM-- 422 .. Phys Chemistry 11 3.00. 2 3.00 8CHEM 455 Instrumental Analysis , 3.00·: 422® BCHEM 45.54 · Instr Malysis Laboratorv 2<00 2.00....:B··CHEM 475 Biocire,nistry 11 160 3:60.2 8-CHEM. 493·:· Senior Seminarin€herr .. . . .1.DO 1.00 B.SPAN 1 13 Elementary Spanish:· · . / 3.Cio . i 3.00 B

fer¢n Totals .1830.. 15.00 '49.50 2.75: 11.50

Ne:362·0:i.?EK·· *9·:. 13€&=v · 52*24-£-:i.)==,2 :

Ny? f ;j« i j wf:i·f..8il Famed Points GPA ·OP Sal

Cumutative Tol@]s: . .· 76.eD 7100·27 235,4 3.22 8940.: di:q:/ d#, 133··*uN, :·

. alt :· 2. 2

2005 Siammer

PSY 240 Research Methods .· · ·24 3.00 ·· 3.00 ·f ··AESY 299 - Special topics: Psy *Fil .·UY.00 2.00 APSY ' 416 · Cogni#v'e·Psychology 3.00... 100 2 .IAPSY · 420 ; Psy¢hology Leami.rig - ·- mia·00. 3)® APSY ·: 438 · ·Cftild Behavie'r Disorders · 3 · 3,00· 5:00 A.SOC 101 . Pnniciples of Sociology -· - 3.90 3.00 : :. B

4.1 IEamed . Points 28 . GP eat

Term Totald . . 17.00 ( ''17 90 ·65.00 :· 3.82. 31.00

AECIPIENT THIS OFFICIAL UNIVERSITY TRANSCRIPT DOES NOT

REQ JIRE A RAISED SEAL

Federal law prohibits access to this record by any pany without written consent of stgdent.

ill-6 3-"lillifwvi

KATIE HUMPHREYSOFFICE OF THE REGISTRAR

P

ATSU_000024

OFFICE OF THE REGISTRAR j


FERPA Statement


Accreditation

UNLV is accredited by tile Northwest Commission on Colleges and Universities (NWCCU).


GRADES

Definition Grade Grade Points Carries Credit Status

Excellent A,A- 4.0,3.7 Yes Active

Good B+,B,B- 3.3.3.0,2.7 Yes , Active

Average C+,C,C- 2.3.2.0,1.7 Yes Active

passingNo Active

D ·,D,D- 1.3,1.0,0.7 Yes Active

Failure F O

Satisfactory S Not computed Yes Active

Unsatisfactory U Not computed No Active


Hold Grade (undergraduate X Not computed No Active

/ Active

research, graduate thesis anddissertation. May remain an X indefinitely for some students prior to 20 10)Audit AD Not computed No Active

Withdrawal W,WD,WH Not computed No Active

Withdrawal (until Fall 1992) WP,WF Not computed No Discontinued

No Credit (until Fall 1977) N Not computed , No Discontinued

Incomplete ( 1955- 1962) E < Not computed 3 No (Remains an E Discontinued

indefinitely)Incomplete (1955-1982, I Not computed No (Remains an I Discontinued

except Spring 1961) indefinitely)Incomplete (1982-present) I Not computed No (Work must be Active

completed within) the allotted time

frame)

The plus/minus (+A) grading system was implemented in Fall 1980

Repeat Policy

Prior to Spring 1971.all repeated courses were included in the computationof the grade point average. As of Spring 1971, the original grade of the repcated course is

excluded from the grade point average provided that all the subsequent attempts have the saine grading system as the original attempt (e g, the grading system did not

change from letter grade system { A.A-,....) to satisfactory/fail system (S.F) during the course of the attempts).


Academic renewal is defined as one semester o f UNLV course work disregarded iii all calculations regarding acadeinic standing, grade point average, and eligibility for

graduation at UNLV. Students granted academic renewal may not graduate with academic distinctions. Disregarded grades may be calculated in scholarship awards orfinancial aid consideration.


1955/56-1967/68 1968/69-1970/71

Aor B Noncredit Aor B Noncredit



3000-499G Graduate 400-499 Senior


1971/72-1975/76

Aor B Noncredit

100-199 Lower Div.


1976/77-1987/88

Aor B Noncredit

100-299 Lower Div.


1988/89-Present

Aor B Noncredit

100-299 Lower Div.

300-499 Upper Div.500-799 Graduate #

L

1 - 41\4 |RECYCLEDI *PRIMI

N*anc&,smtil

ATSU_000025

A. Capurro Curriculum Vitae Page 1

Antonina Capurro, DMD, MPH, MBA Nevada State Dental Health Officer

OFFICE ADDRESS: Nevada Oral Health Program 1001 Shadow Lane MS 7411, Office D280 Las Vegas, NV 89106 PHONE: 702-774-2573

EMAIL: [email protected] CITIZENSHIP: U.S.A. EDUCATION:

05/2016 Degree: Master of Business Administration University of Nevada Las Vegas, Las Vegas, NV

05/2012 Degree: Master of Public Health Concentration in Health Care Administration and Policy

University of Nevada Las Vegas, Las Vegas, NV

05/2011 Degree: Doctor of Dental Medicine University of Nevada Las Vegas School of Dental Medicine, Las Vegas, NV 05/2005 Degree: Bachelor of Science in Biochemistry/Minor in Psychology University of Nevada Las Vegas, Las Vegas, NV 05/2003 Degree: Associate of Science in Biotechnology College of Southern Nevada, Las Vegas, NV DENTAL LICENSURE:

Nevada #LL-384-14

CERTIFICATIONS:

Dates Certification Organization

2018-Present CPR UNLV School of Dental Medicine 2014-Present Laser Training UNLV School of Dental Medicine

2010-Present Nitrous Oxide UNLV School of Dental Medicine CURRENT APPOINTMENT:

Position: Nevada Division of Public and Behavioral Health, State Dental Health Officer

Tenured or Non-Tenured: Non-tenured Date Hired: August 2016

EMPLOYMENT HISTORY/FACULTY APPOINTMENTS:

08/16-Present Nevada State Dental Health Officer UNLV SDM & NV DPBH 07/12-Present Visiting Assistant Professor UNLV SDM, Las Vegas, NV 05/11-07/12 Part-time Clinical Faculty UNLV SDM, Las Vegas, NV 04/09-05/11 ER Student Dentist UNLV SDM, Las Vegas, NV 11/05-08/06 Pharmacy Technician St. Francis Hospital, Memphis, TN 05/02-08/02 NIH/NSF Researcher UNR, Reno, NV

ATSU_000026


MEMBERSHIP IN PROFESSIONAL/SCIENTIFIC SOCIETIES:

Association of State and Territorial Dental Directors American Dental Association American Association of Public Health Dentistry American Dental Educational Association Beta Gamma Sigma Business Honor Society Hispanic Dental Association International Association of Coroners and Medical Examiners International Academy for Dental-Facial Esthetics Phi Kappa Phi Honor Society Medicaid-CHIP State Dental Association Nevada Public Health Association AWARDS & CERTIFICATES:

Lee Business School Medallion Program Recipient 2016 Certificate of Recognition from the UNLV SDM Class of 2014 Nominated to America’s Top Faculty, Faculty Row’s Network International Association of Coroners and Medical Examiners Forensic Odontology Training Certificate Fellowship status in the International Academy for Dental-Facial Esthetics

STATE DENTAL OFFICER

Revised and rewrote Nevada Medicaid Chapter 1000-Dental Revised and rewrote PT 22 CDT Codes Revised and edited Request for Proposal of Dental Benefits Administrator for State of Nevada RFP# 3290 Revised and edited Request for Proposal of Dental Benefits Administrator for State of Nevada RFP# 3425 Author of Health Assessment before School Entrance Policy Author of Medicaid Proposal to Extend Periodontal Benefits to Adults with Diabetes Author of information memorandum to Assemblywoman Joiner for 79th Legislative Session Assembly Bill 193 Project Lead on Medical Miles for Rural Smiles collaborative with the Division of Public and Behavioral Health and Southern Nevada Health District Created a grant opportunity and facilitated delivery of $80,000 grant to Southern Nevada Health District Created a grant opportunity and facilitated delivery of $50,000 grant to UNLV SDM Special Care Dental Clinic Author of bill draft request, Preventative Services for Diabetic Patients. Accepted into the Division of Health Care Financing and Policy 2019 Legislative budget. Author of bill draft request, Increased Medicaid reimbursement rates for dental procedures in dental health

professional shortage areas(DHPSA) and rural Nevada. Submitted to the Division of Health Care Financing and Policy 2019 Legislative budget. Author of state policy for Urgent Dental Issues Identified During Community Screening

NEW PROGRAM CREATOR AND IMPLEMENTOR:

DMD-Fast Track MPH Director of SDM Peer Mentoring Program (2014-2016) Special Projects Manager for SDM Salesforce Application (2015-2016) Medical Miles for Rural Smiles

LEADERSHIP:

Admissions Evaluator for UNLV SDM Pre-Dental Applicants (Cycle 2012-13, 2013-14, 2014-15, 2015-16) Co-Chair for SDM Senior Awards Gala Director of New Student Orientation Week Editor for UNLV SDM Admissions Website Editor for UNLV’s ADEA Official Guide to Dental Schools Submission (2012-2016) Chief Scientists for ProStem Solutions with Orthodontic Resident Dr. Happy Ghag. The company competed at the 2014 Donald W. Reynolds Governor’s Cup and 2014 Southern Nevada Business Plan Competition.

ATSU_000027


RESEARCH

Farfel,E; Capurro, A. Describing the Anatomy of Deciduous Mandibular Central Incisors. (In Progress) Demopolous,C; Capurro,A; Kuprienko, K; Farnoush, Michelle; Carreiro, C. Oral Public Health Perception and Role in Dental Education. (In Progress) Capurro, A; Ditmyer, M; Karishen, A. Marketing of Higher Education: Implications for Dental Schools. (In Progress) Capurro, A; White, J; Peckham, J. Nevada Workforce Survey with an Emphasis on Dental Services for Patients with Special Healthcare Needs. (In progress). RESEARCH

Reviewed Dental Anatomy Casebook for Thieme Publishers 06/2016 Submitted ADEAGies Foundation request for support for Fixed Dental Prosthesis Project 2015 Co-author on HRSA 17-068 (Predoctoral Pediatric Training in General Dentistry and Dental Hygiene)

grant proposal with UNLV School of Dental Medicine State Oral Health Leadership grant submitted to the Centers for Health Care Strategies. Application

accepted in 2016. Oversaw successful completion of grant objectives. Special needs dentistry abstract submitted and accepted for 2017 Nevada Public Health Association Peer mentoring program abstract submitted and accepted for 2018 American Dental Education

Association poster presentation American Association of Public Health Dentistry small grant application submitted 2017 Dental Trade Alliance Foundation Grant proposal accepted 2018 Brokered a research relationship between Dr. Greg Oppenhuizen of the American Association of

Orthodontists (AAO) in conjunction with the Angle Society-Midwest and the University of Detroit/Mercy for Nevada to be a part of a research study that may solidify or alter the AAO Committee on Medically Necessary Orthodontic Care’s decision.

Principal Investigator (PI) for HRSA 18-014 “Grants to States to Support Oral Health Workforce Activities” application submitted on behalf of Nevada Oral Health Program

Principal Investigator (PI) for CDC-RFA-18-1810 “State Actions to Improve Oral Health Outcomes” application submitted on behalf of Nevada Oral Health Program

INTERNSHIP PRECEPTOR: Cathie Carrerio, Master of Education Internship, Fall 2017. Project focused on analyzing the differences

in oral health modules provided to employees of Women, Infants, and Children(WIC) programs across the country and providing recommendations to Nevada’s WIC program.

Heidi Iongi, Master of Public Health Internship, Spring 2018. Designed a survey that reviewed the health assessment before school entrance policies of eighteen other states. Findings will be presented to the Advisory Committee on the State Program for Oral Health (AC4OH).

MAJOR TEACHING RESPONSIBILITIES:

DOCTORAL EDUCATION

COURSE DIRECTOR:

DEN # Title Semester/ year /hours per wk

7241 Simulated Comprehensive Care Lecture Summer/2016/1hr

7242 Simulated Comprehensive Care Laboratory Summer /2016/3hr

7233 Complete Denture Prosthodontics, Lecture and Laboratory Fall/2015/4hr

ATSU_000028


7241 Simulated Comprehensive Care Lecture Summer/2015/1hr

7242 Simulated Comprehensive Care Laboratory Summer /2015/3hr

7233 Complete Denture Prosthodontics, Lecture and Laboratory Fall/2014/4hr 7241 Simulated Comprehensive Care

Lecture Summer/2014/1hr 7242 Simulated Comprehensive Care

Laboratory Summer /2014/3hr 7233 Complete Denture Prosthodontics, Lecture and Laboratory Fall/2013/4hr 7241 Simulated Comprehensive Care

Lecture Summer/2013/1hr 7242 Simulated Comprehensive Care

Laboratory Summer /2013/3hr 7233 Complete Denture Prosthodontics, Lecture and Laboratory Fall/2012/4hr GUEST LECTURER:

DEN # Title Semester/ year /hours per wk

Den 7241/7242 Alloys, Ceramics, & Colors for Fixed Summer/2012/1hr Prosthodontics Den 7241/7242 Interim-Direct and Indirect Fabrication Summer/2012/1hr UNDERGRADUATE COURSE LECTURER:

SCI 111 A Preview to Dentistry Spring/2014/1 hr SCI 111 A Preview to Dentistry Spring/2013/1 hr SCI 111 A Preview to Dentistry Spring/2012/1 hr PRE-CLINICAL INSTRUCTOR:

DEN # Title Semester/ year/ hours per wk

7140 General Clinic Stream Class Summer /2015/ 4hrs 7140 General Clinic Stream Class Spring /2015/ 4hrs 7122 Applied Clinical Dentistry Summer /2014/ 1hr 7137 Applied Clinical Dentistry Lab Summer/ 2014/ 3hrs 7138 Preclinical Dentistry and Lab Summer/ 2014/ 4hrs 7121 Principles of Clinical Dentistry Spring/ 2014/ 1hr 7133 Principles of Clinical Dentistry Lab Spring/ 2014/ 3hrs 7136 Basics of Periodontal Instrumentation Spring /2014/ 4hrs and Preventive Intervention 7233 Complete Denture Prosthodontics and Lab Spring/2014/ 4hrs 7124 Dental Anatomy and Occlusion Lab Fall/ 2013/ 3 hrs 7125 Dental Anatomy and Occlusion Fall/ 2013/ 1 hr 7140 General Clinic Stream Class Fall /2013/ 4hrs 7122 Applied Clinical Dentistry Summer/ 2013/ 1hr 7137 Applied Clinical Dentistry Lab Summer /2013/ 3hrs 7138 Preclinical Dentistry and Lab Summer /2013/ 4hrs 7139 Clinical Occlusion and Lab Summer/ 2013/ 4hrs 7121 Principles of Clinical Dentistry Spring/ 2013/ 1hr 7133 Principles of Clinical Dentistry Lab Spring /2013/ 3hrs 7136 Basics of Periodontal Instrumentation Spring/ 2013/ 4hrs

ATSU_000029


and Preventive Intervention 7220 Principles of Endodontics Spring /2013/ 1hr 7223 Principles of Endodontics Lab Spring /2013/ 3hrs 7233 Complete Denture Prosthodontics and Lab Spring /2013/ 4hrs 7125 Dental Anatomy and Occlusion Fall /2012/ 1 hr 7124 Dental Anatomy and Occlusion Lab Fall /2012/ 3 hrs 7140 General Clinic Stream Class Fall /2012/ 4hrs 7241 Simulate Comprehensive Care Fall/ 2012/ 1 hr 7242 Simulated Comprehensive Care Lab Fall /2012/ 3 hrs 7122 Applied Clinical Dentistry Summer /2012/ 1hr 7137 Applied Clinical Dentistry Lab Summer /2012/ 3hrs 7138 Preclinical Dentistry and Lab Summer/ 2012/ 4hrs 7139 Clinical Occlusion and Lab Summer /2012/ 4hrs 7140 General Clinic Stream Class Summer/ 2012/ 4hrs 7230 Orthodontics and Lab Summer /2012/ 4hrs 7241 Simulate Comprehensive Care Summer/ 2012/ 1hr 7242 Simulated Comprehensive Care Lab Summer /2012/ 3hrs 7121 Principles of Clinical Dentistry Spring /2012/ 1hr 7133 Principles of Clinical Dentistry Lab Spring /2012/ 3hrs 7136 Basics of Periodontal Instrumentation Spring /2012/ 4hrs and Preventive Intervention 7140 General Clinic Stream Class Spring /2012/ 4hrs 7220 Principles of Endodontics Spring/ 2012/ 1hr 7223 Principles of Endodontics Lab Spring/ 2012/ 3hrs 7233 Complete Denture Prosthodontics and Lab Spring /2012/ 4hrs 7241 Simulate Comprehensive Care Spring /2012/ 1hr 7242 Simulated Comprehensive Care Lab Spring /2012/ 3hrs 7124 Dental Anatomy and Occlusion Lab Fall /2011/ 3hrs 7125 Dental Anatomy and Occlusion Fall/ 2011/ 1hr 7140 General Clinic Stream Class Fall /2011/ 4hrs 7241 Simulate Comprehensive Care Fall /2011/ 1hr 7242 Simulated Comprehensive Care Lab Fall /2011/ 3hr 7122 Applied Clinical Dentistry Summer /2011/ 1hr 7137 Applied Clinical Dentistry Lab Summer /2011/ 3hrs 7139 Clinical Occlusion and Lab Summer /2011/ 4hrs 7140 General Clinic Stream Class Summer/ 2011/ 4hrs CLINICAL INSTRUCTOR:

DEN # Title Semester/year /hours per wk

7340/7440 Screening Clinic Summer /2016/8 hrs 7140 General Clinic Stream Class DS1 Summer/ 2016/4 hrs 7340/7440 Screening Clinic Spring /2016/8 hrs 7140 General Clinic Stream Class DS1 Spring/ 2016/4 hrs 7340/7440 Screening Clinic Fall /2015/8 hrs

7140 General Clinic Stream Class DS1 Summer/ 2015/4 hrs 7340/7440 Screening Clinic Summer /2015/8 hrs

7340/7440 Screening Clinic Spring /2015/8 hrs 7140 General Clinic Stream Class DS1 Spring/ 2015/4 hrs 7340/7440 Denture Clinic Fall /2014/4 hrs 7140 General Clinic Stream Class DS1 Summer/ 2014/4 hrs 7140 General Clinic Stream Class Team 3 Spring/ 2014/4 hrs

ATSU_000030


7140 General Clinic Stream Class Team 1 Fall/ 2013/4 hrs COURSE MATERIALS DEVELOPED

2013 DEN 7241 PowerPoint presentations for Simulated Comprehensive Care Class 2013 DEN 7242 Grading Criteria for evaluation of the student’s work 2013 DEN 7233 PowerPoint presentations and grading criteria development 2012 DEN 7241 PowerPoint presentations for Simulated Comprehensive Care Class 2012 DEN 7242 Grading Criteria for evaluation of the student’s work 2012 DEN 7233 PowerPoint presentations and grading criteria development

PUBLIC HEALTH GOVERNANCE

2018-2019 Nevada Health Centers Board Member Current Board Secretary and voting member of Nevada Health Centers Board. Provide recommendations and strategies on the direction and strategies of the organization, assist leadership team in meeting HRSA grant objectives, and uphold the mission and values of the organization to provide quality care to Nevada’s most vulnerable populations.

2018-2019 American Fluoridation Society’s Community Water Fluoridation Training Corps Voting member of American Fluoridation Society’s Community Water Fluoridation Training Corps. Members include local and state officials and oral health stakeholders from across the state. Through a grant from Delta Dental of California foundation, Nevada was chosen as one of four states to receive fluoridation training and technical assistance from the American Fluoridation Society. 2018-2019 Families for Effective Autism Treatment (FEAT) of Southern Nevada Board Member

Voting member of FEAT Board. Provide leadership and grant writing support for organization.

2016-2018 Advisory Committee on the State Program for Oral Health Nonvoting ex officio member. Lead discuss on oral health initiatives in the state and provide information on current public health dental topics and progress of the State Oral Health Program. The purpose of the Committee is to support the state program and facilitate the delivery of oral health services.

2017-2018 Pregnancy Risk Assessment Monitoring System (PRAMS) Steering Committee Voting member of the PRAMS Steering Committee tasked with guiding recommendations for developing or modifying intervention programs or securing resources for program changes to reach mothers, children, and families in Nevada.

2017-2018 ASTDD Dental Public Health Resources Committee Voting member of ASTDD Dental Public Health Resources Committee which develops and adopts a variety of documents including white papers, issue briefs and other dental public health resources statements to reflect the Association's priorities and stance on dental public health issues

2017-2018 Nevada Public Health Association Member-at-Large for the Nevada Public Health Association’s Southern Nevada Chapter. The Nevada Public Health Association provides public health professionals the opportunity to advocate for and contribute to public health policy and leadership development.

ATSU_000031


2016-2018 Patient-Centered Medical Homes

Voting member of the subcommittee for the Advisory Council on the State Program for Wellness and the Prevention of Chronic Disease.

MAIN UNLV CAMPUS COMMITTEES

2012-2016 Academic Faculty Senate Voting member of Academic Standards Committee on main campus which allows me to become even more familiar with University policies and standards as well as network with faculty from across campus.

2016 UNLV Admissions Committee Voting member of Admissions Committee on main campus which allows me to become familiar with University undergraduate admissions policies and standards.

2013-2014 UNLV Special Hearing Committee Panel Member Voting member of the Special Hearing Committee which investigates and evaluates accusations of misconduct and recommends sanction.

2013-2014 Faculty Senate Review Committee

Member of the Faculty Senate Program Review Committee responsible for reviewing the Department of Theatre in the College of Fine Arts and submitting a written report of each undergraduate and graduate program within that department which will be sent to the Provost upon completion.

SCHOOL OF DENTAL MEDICINE CAMPUS COMMITTEES

2017-2018 Research Committee Voting member of committee which was created to facilitate research activities and review and provide feedback on research activities, issues, proposals, and potential funding opportunities within the SDM Office of Research. The committee develops a strategic plan for research efforts and recommends to the Dean allocation of research funds which have been placed at the Dean’s disposal.

2016-2018 SDM Alumni Board Member-Board Secretary Voting member of UNLV SDM Alumni Board. The mission of the committee is to develop general activities, programs and resources relevant to supporting the mission of UNLV SDM.

2014-2017 Dental Public Health Residency Committee Member Voting member of committee building the first DPH Residency program in Nevada. A member of the accreditation subcommittee to develop a CODA Self Study/Assessment document, review CODA Self Study/Assessment document, meet with consultants, participate in site visit, and annually evaluate DPH residency.

2012-2017 SDM Admissions Committee Nonvoting ex officio member, I sit on the admissions committee and am aware of the procedures, rational and decisions being made.

2015-2016 SDM Faculty Council Member; 2017-2018 SDM Faculty Council Secretary Alternate councilor representing the clinical sciences department. Forum serves to address faculty concerns and communicate administrative initiatives.

2013-2016 SDM Senior Gala Awards Committee Member Voting member of the Senior Gala Awards Committee. Faculty nominations for senior award recipients are submitted to committee, voted upon, organized and associated organizations notified.

ATSU_000032


STUDY CLUBS

UNLV SDM Research Club CONFERENCES

2014 & 2015 International Association of Coroners & Medical Examiners 2016 ADEA Annual Session “Shaping Tomorrow, Together”

Student Poster Judge at the 2016 ADEA Annual Session UNLV SDM Representative for the ADEA Recruitment Fair

2016 Nevada Public Health Association 2016 Annual Conference Managed a Booth and attended continuing education courses

2016 Nevada Dental Hygienist Association Annual Meeting Speaker

2017 Nevada Public Health Association Annual Conference Presenter, Developmental and Intellectual Disabilities in Nevada with an Emphasis on Oral

Health

CURRENT SERVICE ACTIVITIES:

SCHOOL OF DENTAL MEDICINE (UNLV SDM)

06/2018 Medical Miles for Rural Smiles 06/2018 Special Olympics, Special Smiles event 05/2018 Medical Miles for Rural Smiles 04/2018 Medical Miles for Rural Smiles 02/2018 Give Kids a Smile-National oral health service day 11/2017 Special Olympics, Special Smiles event 05/2017 Special Olympics, Special Smiles event 02/2017 Give Kids a Smile-National oral health service day 10/2016 John S. Park ES Sealant Rotation 09/2016 UNLV Wellness Expo 09/2016 CSN Seal Nevada South 09/2016 Chinese Baptist Church Community Health Fair 09/2016 Choose and Move-Oral Health Screenings and Fluoride Varnishes 08/2016 West Prep sealant program 05/2016 NV Youth Alliance- Oral Health Screenings and Fluoride Varnishes 05/2016 Give Kids a Smile-National oral health service day 04/2016 UNLV Alumni Association Retreat 04/2016 Guest Speaker at College of Southern Nevada High School Career Day- Spoke to students on the

variety of dental careers available and presented admissions information 04/2016 Gear Up Speaker for UNLV Event 03/2016 Guest Speaker at Shadow Ridge High School Career Fair- Spoke to several classes of students on the

variety of dental careers available and presented admissions information 03/2016 Student Poster Judge at the 2016 ADEA Annual Session 03/2016 UNLV SDM Representative for the ADEA Recruitment Fair 03/2016 UNLV/Utah Rural Health Pre-Dental Day Facilitator 03/2016 UNLV/UCI Pre-Dental Day Facilitator 02/2016 Oversaw Oral Health Screenings as Part of UNLV’s Health Fair for Undergraduate Students

and School Faculty 02/2016 UNLV SDM Representative at Youth Career Empowerment Summit 02/2016 Seal Nevada South –Oral Health/Oral Cancer Screenings, Oral Health Education, Fluoride

Varnish and Sealant Placement for Children at a Fong ES and Odyssey Charter

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01/2016 Pre-Dental Presentation for UNLV/California State University Sacramento Event 11/2015 CAEO TRIO Presentation for UNLV Pre-dental Students 10/2015 Future Healthcare Professionals Program Guest Speaker 06/2015 UNLV SDM Simulation Course Guest Speaker and Interviewer 03/2015 Nevada Connections Academy Career Fair UNLV SDM Representative 03/2015 Judge for the Lion’s Club Community Student Speaker Competition 12/2014 Chaparral High School Career Fair 11/2014 Nevada Youth Alliance- Oral health screenings, oral cancer screenings, oral health education,

oral hygiene instruction, fluoride varnish for children 09/2014 Healthy Kids Festival- Oral health screenings, oral cancer screenings, oral health education,

oral hygiene instruction, fluoride varnish for children 09/2014 Nevada Public Health Association Exhibitor 08/2014 American Indians Accessing Health Professions Workshop Dental Simulation Facilitator 06/2014 UNLV SDM Simulation Course Guest Speaker and Interviewer 05/2014 UNLV SDM Simulation Course Guest Speaker and Interviewer 04/2014 Guest Speaker at Spring Valley High School- Spoke to several classes of students on the variety of dental

careers available and presented admissions information 12/2013 Conducted a Simulation Laboratory Introduction for Student Visitors from The Stomatological

Hospital of Nankai University, Tianjin, China 10/2013 UNLV SDM Representative, Dean’s Panel member, Women in Dentistry Panel member and

“Building a Competitive Application” workshop leader at 11th Annual Pre-Medical and Pre-Health Professions National Conference at UC Davis

09/2013 Future Healthcare Professionals Program Guest Speaker 06/2013 Grader for ADLEX Mock Board Preparations 06/2013 UNLV SDM Simulation Course Guest Speaker and Interviewer 05/2013 UNLV SDM Simulation Course Guest Speaker and Interviewer 04/2013 Guest Speaker for UC Davis Pre-dental Club 03/2013 UNLV SDM Representative at Graduate School & Professional School Fair 03/2013 UNLV SDM Representative at Career Fair at UNLV Main Campus 12/2012 Chaparral High School SDM Admissions Representative Speaker 11/2012 UNLV SDM Representative at the UNR College of Science Fair 10/2012 Girl Scout Merit Badge SDM Program Simulation Laboratory Facilitator 10/2012 UNLV Dental Prospects Guest Lecturer 10/2012 American Association of Women Dentists SDM Chapter Guest Speaker 09/2012 Healthcare Professional Day Speaker 07/2012 Upward Bound Speaker 2012-Present Lecturer, tour guide, and interviewer for applicants at UNLV SDM UNIVERSITY OF NEVADA, LAS VEGAS (UNLV)

05/2016 Health Homes Rebuilding Event with the School of Community Health Sciences 04/2012 Health Homes Rebuilding Event with the School of Community Health Sciences MEDIA Centers for Health Care Strategies, State Oral Health Leadership Institute Selection: https://www.chcs.org/news/four-cross-agency-medicaid-public-health-teams-selected-second-state-oral-health-

leadership-institute/ Local Pahrump News: https://www.facebook.com/NEWS41/posts/2011224705793916 Southern Nevada Health District: https://www.southernnevadahealthdistrict.org/download/boh18/20180426/X-Medical-Miles-for-Rural-Smiles-

Comments.pdf https://www.southernnevadahealthdistrict.org/download/boh18/20180125/X-CHO-Comments-Health-Services-

for-Rural-Nevada.pdf Nevada Public Health Association:

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https://npha.wildapricot.org/resources/Documents/EventDocs/Agenda%20Web%209-12-17.pdf Presentation to White Pine County Board of Public Health: https://www.whitepinecounty.net/DocumentCenter/View/2759 Presentation to Ny County Board of County Commissioners: https://nyecounty.net/DocumentCenter/View/31405/Mobile-Dental-Van-Pilot-Project-Agenda_February132018 Presentation to Esmeralda County Board of Commissioners: http://www.accessesmeralda.com/03062018-BOCC-agenda.pdf International Academy for Dental-Facial Esthetics: https://www.iadfe.org/ Nevada Dental Hygiene Association, Nevada Oral Health Legislative Day Report 2017 https://nvdha.com/events-and-updates/ Health Plan of Nevada Announcement: https://www.hpnmedicaidnvcheckup.com/~/media/Files/HPN/pdf/Provider-Services/Opiod-Dental-CME-FB-

11-28-16.ashx?la=en Nevada State Dental Health Officer Announcement: https://www.unlv.edu/news-story/dr-capurro-hired-nevadas-state-dental-health-officer Southern Nevada Business Plan Competition: https://www.reviewjournal.com/uncategorized/business-plan-contests-pool-of-finalists-whittled-to-five/ 11th Annual UC Davis Pre-Health & Pre-Medical National Conference, Building a Competitive Application Presentation: https://www.youtube.com/watch?v=iZHmFGx8hgM https://thfilm.net/v-dentistry-building-a-competitive-application-antonina-capurro-d-m-d-m-p-h-2013-

iZHmFGx8hgM.html

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Department of Public Health Applied Practice Experience Learning Agreement

The student should complete this document in consultation with the Site Preceptor

and the Practicum Coordinator. Do not sign or upload into Canvas until the agreement is approved (via email) by the

Practicum Coordinator. Please complete Student Name: Dr. Antonina Capurro

Preceptor Name: Dr. Christina Demopoulos

Site/Organization Name: NV Oral Health Program housed within the UNLV School of

Dental Medicine

Overview of Project

Provide a brief description here of your project. Summarize what you will be doing, including the purpose of your project and the expected outcomes of your specific work (roughly 500 words or so). The Nevada Oral Health Program is concerned about the increase in dental decay amongst young children and has entered into a contract with the Nevada Department of Education to promote oral health and prevent tooth decay amongst 3-5 year olds in licensed childcare programs in rural Nevada. As the PI for this project, I will oversee the deliverables for this project which include completion of a non-invasive open-mouth basic screening survey, delivery of educational webinars for licensed childcare educators, and establishment of classroom toothbrush stations and protocols for licensed childcare centers throughout rural Nevada. As part of the practicum course, I will be responsible to create the protocol design, design all paperwork, collect and analyze data, oversee the budget, complete the open mouth screenings, and write the final report. The virtual educational presentation will be a Nevada Department of Education’s Silver State Stars Quality Rating and Improvement System (QRIS) approved webinar. The goal of the webinar will be to educate child care workers to understand dental disease in Nevada children, what causes tooth decay and how it can be prevented, an overview of a tooth brushing program, and what an open mouth non-invasive basic screening survey is and how it is conducted. The oral health data gathered during this project will be compared to the 2017 Head Start BSS that was completed by the Nevada Oral Health Program. The final report will highlight how income, insurance levels, and access to care impact decay levels in children enrolled in Head Start Centers compared to licensed childcare facilities in equally remote areas of rural Nevada which are also classified as dental HPSAs.

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Deliverables, Tasks, and Competencies For your practice experience you must create a minimum of two high quality products that are useful to the host organization, which together address at least five competencies in total (minimum of 3 must be foundational). List the products you will create for the Applied Practice Experience, the tasks that will lead to the creation of those products, and the competencies that will be demonstrated. The list of competencies is at the end of this document. A product should be a thing rather than an activity. For example, you might list a PowerPoint presentation or an educational curriculum rather than saying you will educate some group. Also, certain types of things might be hard to submit (for example an event) but if you are helping develop an event, then what product(s) will be created as part of that process that can demonstrate the work you did in that process? Next, the "tasks" should be steps necessary to achieve the product/thing. List some major steps required to create this product. The tasks should help you identify the competencies that you will demonstrate. Lastly, identify the competencies that clearly connect with the tasks and the product. Think of each competency as a type of specific skill or activity that your product (and tasks) must demonstrate that you have applied or engaged in. The tasks you list can help us judge if the competency is likely to be used to make the product.

Product Created Primary Tasks Necessary to Create Product

Competencies Demonstrated (please list competency and its

number from the list below) Product #1: Organize licensed childcare project and secure funding and staff. Product includes signed amendment, hiring of necessary staff, internal budgets, and purchase orders.

Project proposal presented to Nevada Department of Education

Create scope of work and budget

Write amendment to revise timeline of deliverables due to COVID-19

Facilitate amendment through execution process for signatures from both UNLV and NV DOE

1. Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision-making.

2. Apply negotiation and mediation skills to address organizational or community challenges

3. Advocate for political, social or economic policies and programs that will improve health in diverse populations.

4. Explain basic principles

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and tools of budget and resource management

Product #2: Create documents needed to implement the project. This includes the work plan and appropriate letters for each licensed childcare center. Assessment questions within the consent form will provide information on local access to care and each child's susceptibility to dental decay.

Design work plan Create all necessary

paperwork including: o Site welcome letter o Webinar flyer o Consent form o Parent letter o Screening form o Take-home findings

Request NV DOE approval of all documents created and place necessary signatures appropriately.

1. Select quantitative and qualitative data collection methods appropriate for a given public health context.

2. Apply awareness of cultural values and practices to the design or implementation of public health policies or programs.

3. Design a population-based policy, program, project or intervention

Product #3: Develop one webinar offered six times to provide an overview of the dental screening process and evidence based oral health education. These webinars will meet the standards set forth by the Nevada Department of Education’s Silver State Stars Quality Rating and Improvement System (QRIS) and will receive NV Registry approval. Content mastered will be evaluated through the use of pre and post surveys.

Identify information and state data of interest to this audience

Create a PowerPoint presentation

Develop pre and post electronic presentation survey

Apply to NV Registry for webinar approval

Schedule webinar dates with interested facilities

Create flyer Gather support from

outside agency (Colgate) to provide OHI information during the webinar and in turn donate supplies for the project.

Present health equity, oral health education, and project overview information through webinar.

1. Select communication strategies for different audiences and sectors.

2. Communicate audience-appropriate public health content, both in writing and through oral presentation.

3. Lead collaborations on oral and public health issues.


** Please add rows to this chart if you intend to deliver more than 4 products

Signatures Student:__________________________________ Date:______________

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Preceptor:________________________________ Date:______________

MPH Competencies This list contains 22 Foundational Competencies (mandated by CEPH) followed by 5 MPH General Concentration Competencies and 5 MPH Dental Concentration Competencies. For the APE students must produce a minimum of two products (you can produce

more) that demonstrate a minimum of five competencies in total (not five for each product). At least three of the five competencies demonstrated must be Foundational (rather than General or Dental Concentration).

MPH students in the General Concentration (all those not in the Dental

Concentration) can use up to two General Concentration Competencies if desired. MPH students in the Dental Concentration can use up to two Dental Concentration

Competencies if desired. Evidence-based Approaches to Public Health (Foundational)

5. Apply epidemiological methods to the breadth of settings and situations in public health practice.


7. Analyze quantitative and qualitative data using biostatistics, informatics, computer-based programming and software, as appropriate.

8. Interpret results of data analysis for public health research, policy or practice.

Public Health & Health Care Systems (Foundational)

9. Compare the organization, structure and function of health care, public health and regulatory systems across national and international settings.

10. Discuss the means by which structural bias, social inequities and racism undermine health and create challenges to achieving health equity at organizational, community and societal levels.

Planning & Management to Promote Health (Foundational)

11. Assess population needs, assets and capacities that affect communities’ health

12. Apply awareness of cultural values and practices to the design or implementation of public health policies or programs.

13. Design a population-based policy, program, project or intervention

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14. Explain basic principles and tools of budget and resource management 15. Select methods to evaluate public health programs

Policy in Public Health (Foundational)

16. Discuss multiple dimensions of the policy-making process, including the roles of ethics and evidence.

17. Propose strategies to identify stakeholders and build coalitions and partnerships for influencing public health outcomes.

18. Advocate for political, social or economic policies and programs that will improve health in diverse populations.

19. Evaluate policies for their impact on public health and health equity. Leadership (Foundational)

20. Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision-making.

21. Apply negotiation and mediation skills to address organizational or community challenges.

Communication (Foundational)

22. Select communication strategies for different audiences and sectors. 23. Communicate audience-appropriate public health content, both in writing

and through oral presentation. 24. Describe the importance of cultural competence in communicating public

health content. Interprofessional Practice (Foundational)

25. Perform effectively on interprofessional teams. Systems Thinking (Foundational)

26. Apply systems thinking tools to a public health issue. General MPH Concentration Competencies (not Foundational)

* These can only be used by students not in the dental track.

27. Analyze the significance of public health journal articles 28. Use theory, principles and perspectives to analyze the ethical dimensions

of public health problems. 29. Apply health behavior models to address needs in a priority population. 30. Demonstrate approaches to assess, prevent, and control environmental

and/or occupational health hazards. 31. Evaluate organizational structures, culture, and political factors, to initiate

and sustain organizational change

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Dental Concentration Competencies (Not Foundational) * These can only be used by students in the dental track.

32. Integrate the social determinants of health into dental public health practice.

33. Demonstrate ethical decision-making in the practice of dental public health

34. Apply and evaluate evidence to address oral health issues for individuals and populations

35. Lead collaborations on oral and public health issues 36. Evaluate systems of care that impact oral health

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MPH Practicum Time Sheet

Download this form. Track all hours spent working on any and all aspects of the APE. You must obtain a cumulative minimum total of 180 hours. Once you are finished working on the APE, submit this form in Canvas. The Time Sheet is a record of any and all hours spent working on any aspect of the APE wherever this work occurs (for example finding a site, securing an MOA, identifying a preceptor, developing and completing a learning contract, performing tasks for the site and/or on one’s project and products, communicating with one’s preceptor or faculty advisor, etc.). Record the total # of hours spent each day for any week you work on the APE and then calculate and enter the total hours for each week. You do not need to use zeros in any day you do not work on the APE. Also, do not leave any weeks blank. The week #'s refer only to weeks in which you accumulate hours. If you need more than 20 weeks, add additional rows or use a second form. By submitting this form in Canvas the student attests that this is a true and accurate record of accountable and qualifying practicum hours. Student Name: Antonina Capurro

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total Hours

Week 1 3 2 2 3 10 2 3 2 5 10 3 3 2 3 2 10 4 3 2 3 2 10 5 3 2 3 2 10 6 3 2 3 2 10 7 3 2 3 2 10 8 3 2 3 2 10 9 3 3 2 8

10 3 3 2 8 11 3 3 2 8 12 3 3 2 8 13 3 3 2 8 14 3 3 2 8 15 3 3 2 8 16 3 3 2 8 17 3 3 2 8 18 3 5 3 3 12 19 3 3 3 3 12 20 3 2 3 8

Cumulative Total Hours 184

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of 1

Antonina Capurro

Name ID: 498993xxx-xx-Social Security Number:

Date Of Birth:

Date Issued: 02/26/2021

CourseCode

CourseDescription

GPACredits

CreditsEarned

Grade QualityPoints

CourseCode

CourseDescription

Grade QualityPoints

GPACredits

CreditsEarned

Program: Master of Public Health2019-2020 Fall Semester Block 1Term: 19-20FAB1-CGHS

BIOS7000 3.00 12.00Biostatistics A3.00PUBH5050 3.00 12.00Introduction to Dental Public Health A3.00

4.00Term GPA: 4.00Cum GPA:24.006.006.00

2019-2020 Fall Semester Block 2Term: 19-20FAB2-CGHSEPID6100 3.00 12.00Epidemiology A3.00RESH5200 3.00 12.00Fundamentals of Research in Public

HealthA3.00

4.00Term GPA: 4.00Cum GPA:24.006.006.00

2019-2020 Spring Semester Block 1Term: 19-20SPB1-CGHSPUBH6200 3.00 12.00Research II A3.00PUBH7600 3.00 12.00Community-Based

Programs-DevelopmentA3.00

4.00Term GPA: 4.00Cum GPA:24.006.006.00

2019-2020 Spring Semester Block 2Term: 19-20SPB2-CGHSPUBH6300 3.00 12.00Research III A3.00PUBH7650 3.00 12.00Community-Based

Programs-Implementation & EvaluationA3.00

4.00Term GPA: 4.00Cum GPA:24.006.006.00

2020-2021 Fall Semester Block 1Term: 20-21FAB1-CGHSHLTH6500 3.00 12.00Behavioral Sciences and Health

Education ConceptsA3.00

PUBH6400 0.00 0.00Research IV I0.00PUBH7800 0.00 0.00Public Health Practicum I0.00

4.00Term GPA: 4.00Cum GPA:12.003.003.00

2020-2021 Fall Semester Block 2Term: 20-21FAB2-CGHSENVR6200 3.00 12.00Environmental Health Sciences A3.00PUBH5300 3.00 12.00Public Health Administration A3.00

4.00Term GPA: 4.00Cum GPA:24.006.006.00

GPA: 33.004.00 132.0033.00Cumulative Totals:

*** End of Academic Record***

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Antonina Capurro

Name ID: 498993xxx-xx-Social Security Number:

Date Of Birth:

Date Issued: 02/26/2021

CourseCode

CourseDescription

GPACredits

CreditsEarned

Grade QualityPoints

CourseCode

CourseDescription

Grade QualityPoints

GPACredits

CreditsEarned

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COLGATE BSBF 'SMILE FILES'

Colgate Bright Smiles, Bright Futures <[email protected]>Thu 10/1/2020 10:15 AMTo: Antonina Capurro <[email protected]>

Staying apart is still important; so is staying connected. Colgate Bright Smiles, BrightFutures is discovering new ways to support our partners and the communities we serve.

THIS IS HOW WE ROLLAs part of their participation in the Mobile Healthcare Association’s 16th Annual VirtualConference, members of the Colgate Bright Smiles, Bright Futures van teams created aposter that highlights BSBF’s outreach, process, impact, and community response. TheMobile Healthcare Association encourages the design and distribution of meaningfuleducational tools and facilitates communication among healthcare providers. Sharingknowledge with other MHA members is an integral part of education within the community,and given the longevity and breadth of the program, BSBF’s presentation provided valuableinsight for existing mobile health care professionals and those interested in expanding theirinitiatives.

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SILVER STAR SMILES IN THE CHILD CARE SETTINGColgate BSBF’s Los Angeles team is partnering with the NevadaDivision of Public and Behavioral Health’s Oral Health Programand the state’s Department of Education Of Early Learning andDevelopment to provide webinars for educators, staff, andadministrators of local, licensed child care facilities. The virtualtraining will focus on dental disease in children, oral health andhygiene, strategies for implementing a classroom toothbrushing program, and the relationship between nutrition andoral health. The webinars will be offered at several dates andtimes during the month of October. Educators andadministrators may register at https://tinyurl.com/y3127u72.

A HALLOWEEN TO HOWL ABOUTLike most things this year, Halloween 2020 is going to bedifferent. Helping little ghouls and ghosts to enjoy theholiday safely and at a social distance will take someplanning. Colgate Bright Smiles, Bright Futures has a fewideas for bringing the fun without the sweets.

Host a spooky virtual scavenger huntInvite children to an online monster mash dance bashRead ghost stories by flashlight in a dark or dimly lit room

Decorate disposable surgical masks with crayons, markers, and Halloween themedstickersParticipate in a virtual pumpkin carving contestCreate a do it yourself spider pizza using pepperoni, olives, and cherry tomatoes (Forrecipe visit Nerdymamma.com/easy-Halloween-spider-pizza)

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http://r20.rs6.net/tn.jsp?f=001dRiUdwMX4YJ3b_jho-VPe08-2iNNZFxyNgTl4x7gBD1VMjJLwzM9BzZPD7crN5wUFYK9_iQtCu5XQWarY3mURFRHIP6TQ2lipP_V-wOpKblxDK9Q3FEf1CwPNX0cmZbrp-_QH95y2YLRdMcUFB-ZZA==&c=qy7DCX_3kX2IckdAoYrIS60ZewG8HT61sfrsLT_rFSBPaybdu1a4_A==&ch=Svq8TEUt27uXmZJYd6r4VFRv_P4Q5Rbsyf3iDt2DydT6kuXTUF7Xlw==

Antonina Capurro

TEA & TALKIt’s tea time again! The Los Angeles BSBF teamwill be hosting its monthly virtual tea for dentalprofessionals and volunteers on Friday, October23rd at 2 p.m. and Tuesday, October 27th at 10a.m. Recent gatherings have focused on reachingfamilies who do not have access to the internetwith oral health information and developingrelevant content for virtual community healthevents. For additional information or to RSVP forone of the upcoming teas, please contact the teamat [email protected].

YOUR LOCAL BRIGHT SMILES, BRIGHT FUTURES TEAM WOULD LOVE TO HEAR FROMYOU! EMAIL THEM AT [email protected].

Bright Smiles, Bright Futures300 Park Avenue, New York, NY 10022

www.colgatebsbf.com | [email protected] [email protected] | Privacy Policy

[logo_URL]

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https://www.colgatebsbf.com/

mailto:[email protected]

https://visitor.constantcontact.com/do?p=un&m=001WPzhwWRgP1WIc_s4xCsy2w=&ch=e6ba7104-8f3b-11ea-9b7d-d4ae5292c36f&ca=7092f47e-6beb-42aa-9f98-83ca514fe85c

http://www.constantcontact.com/legal/service-provider?cc=about-service-provider

Exempt Research Form - NDE.OHP.UNLV.REVIEW(113794498.1) 1 of 9

Exempt Research Application Form Applicable Policy – 45 CFR 46.101 (b)

Instructions: 1. CITI certification (www.citiprogram.org) must be current at the time of protocol submission. 2. Complete this application if you believe your study qualifies as exempt research based on the categories below. The ORI-HS/IRB will make

the final determination of exempt research projects. The exempt determination must be granted in writing before research can begin on the project.

3. Exempt research must adhere to the same ethical principles governing all research. 4. Exempt applications must include copies of informed consent/information sheets, questionnaires/surveys, advertisements, etc. 5. If the IRB determines the research to be non-exempt, the project must be resubmitted with the completed Research Protocol Proposal Form to

again proceed through the IRB review process. Note: 2. INCOMPLETE FORMS WILL BE RETURNED. 1. Duration of Study

Anticipated Time to Complete the Study: 1 year

2. Research Protocol Title Dental Screening and Oral Health Education for Child Care Centers in Rural Nevada

3. Investigator(s) Contact Information (The PI must be a UNLV faculty member in all cases involving studies carried out by students or fellows.) A. Principal Investigator (Name and Credentials): ANTONINA CAPURRO (ADD YOUR CREDENTIALS HERE) Faculty Faculty Advisor Department: Dental School

Phone Number: 7027742573 E-Mail Address: [email protected]

B. Student/Fellow Investigator (Name and Credentials):

Undergraduate Masters Doctoral Fellow

Department: Phone Number: E-Mail Address:

C. Please complete (if applicable) Protocol/Research Coordinator (Name and Credentials):Christina Demopoulos, DDS, MPH

Phone Number: 702-774-2545 E-Mail Address: [email protected]

Co-Principal Investigator (Name and Credentials): Jessica Woods, RDH, MPH

Faculty Department: Dental School

Phone Number: 714-292-32921 E-Mail Address: [email protected]

4. Risk Assessment 4.1 In order for your study to qualify as exempt, it may only involve minimal risk. By Federal Regulations at

45CFR46.102(i), “Minimal risk means that the probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests.”

Does your study meet the definition of minimal risk as defined above? Yes No

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http://www.citiprogram.org/


Describe the risks to project participants (e.g., breach of confidentiality) and explain how they will be minimized, this

should include a description regarding how participants’ confidentiality will be protected (e.g., data collected for the study will be kept on a password protected desktop computer in a locked office). Risk to participants is minimal. This is a surveillance project and the screenings that will be conducted are very similar to dental screenings conducted in a dental office. A disposable mirror will be used along with a flashlight. The consent form has a few sensitive questions related to going to a dentist or having insurance that may be uncomfortable for some participants to answer, but are routine questions asked during similar surveillance projects or for new patients in a dental office. The data collected from the screenings will be entered into a spreadsheet on a password protected desktop computer in the PIs office at the UNLV School of Dental Medicine. The data collection instrument will not record the name of the child. A randomized number will be used as a record ID.

5. Category of Exemption: Please indicate your exemption category choice by completing the relevant categories from the list below. Please note: The Federal regulations do not permit any new categories and only the IRB may determine which research activities qualify for an exempt review. KEY: Solid box: All items in the box must be true Dotted box: One item in the box must be true

Category 1 (All of the following are true):

Research conducted in established or commonly accepted educational settings The research involves normal educational practices, such as (i) research on regular and special

education instructional strategies, or (ii) research on the effectiveness of or the comparison among instructional techniques, curricula, or classroom management methods

The research is NOT subject to FDA regulation (e.g.; drug, devices, or biologics) The research does NOT involve prisoners as participants


The research involves the use of one or more of the following:

Educational tests (cognitive, diagnostic, aptitude, achievement) Survey procedures Interview procedures Observation of public behavior

When the research involves children as participants, the procedures are limited to: Educational tests (cognitive, diagnostic, aptitude, achievement) Observation of public behavior where the investigator(s) will NOT participate in the

activities being observed Information obtained is recorded in such a manner that either:

Participants CANNOT be identified, directly or through identifiers linked to the participants.

Both of the following are true: Participants CAN be identified, directly or through identifiers linked to the

participants. Any disclosure of the participants’ responses outside the research could NOT

reasonably place them at risk of criminal or civil liability or be damaging to their financial standing, employability, or reputation.


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The research is NOT exempt under Category 2 above The research involves the use of one or more of the following

Educational tests (cognitive, diagnostic, aptitude, achievement) Survey procedures Interview procedures Observation of public behavior

Either of the following is true The participants are elected or appointed public officials or candidates for public office Federal statute(s) require(s) without exception that the confidentiality of the personally

identifiable information will be maintained throughout the research and thereafter The research is NOT subject to FDA regulation (e.g.; drug, devices, or biologics) The research does NOT involve prisoners as participants


The research involves the collection or study of existing data, documents, records, pathological specimens, or diagnostic specimens (i.e., the reviewed materials currently exist and are NOT prospectively collected). Indicate in protocol the data collection date range.

At least one of the following is true: These sources are publicly available Information1 is recorded in such a manner that both of the following are true:

Participants cannot be directly identified Participants cannot be identified through identifiers linked to them

1Protocol must contain what information is recorded and how it is recorded.



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The project is a research or demonstration project The project is conducted by or subject to the approval of Department or Agency heads The project is designed to study, evaluate, or otherwise examine: (i) Public benefit or service

programs; (ii) procedures for obtaining benefits or services under those programs; (iii) possible changes in or alternatives to those programs or procedures; or (iv) possible changes in methods or levels of payment for benefits or services under those programs

The program under study delivers a public benefit (e.g., financial or medical benefits as provided under the Social Security Act) or service (e.g., social, supportive, or nutrition services as provided under the Older Americans Act)

The project is conducted pursuant to specific federal statutory authority There is no statutory requirement that an IRB review the project The project does not involve significant physical invasions or intrusions upon the privacy of

participants The research is NOT subject to FDA regulation (e.g.; drug, devices, or biologics) The research does NOT involve prisoners as participants

2 According to OHRP, this exemption is most appropriately invoked with authorization or concurrence by the funding agency.


The research involves a taste and food quality evaluation and consumer acceptance studies One of the following is true:

Wholesome foods without additives will be consumed A food will be consumed that contains a food ingredient and both of the following are true:

The food ingredient is at or below the level to be safe The food ingredient is for a use found to be safe

A food will be consumed that contains an agricultural chemical or environmental contaminant and one of the following is true:

The agricultural chemical or environmental contaminant is at or below the level found to be safe by the Food and Drug Administration

The agricultural chemical or environmental contaminant is at or below the level approved by the Environmental Protection Agency

The agricultural chemical or environmental contaminant is at or below the level approved by the Food Safety and Inspection Service of the U.S. Department of Agriculture


6. Research Team Members: List all research team members (including PI) who will have contact with subjects, have contact with subjects’ data or biological samples, or use subjects’ personal information. If needed, see the Additional Research Team Member Form. If you are collaborating with non-UNLV researchers, complete Supplement B: Collaborative Research with External Sites

NAME, DEPARTMENT, and INSTITUTION

ROLE IN PROTOCOL

SPECIFIC EXPERIENCE WITH

ROLE IN PROTOCOL

ROLE IN CONSENT PROCESS

EXAMPLE: Dr. Chris Researcher, Research Department, UNLV

EXAMPLE: Developed protocol, collecting data, analyzing data, writing report

EXAMPLE: Has had 7 years of conducting and publishing human subjects research at a university

EXAMPLE: Recruiting subjects, writing the consent form, consenting subjects, answering questions

Dr. Antonina Capurro PI, developed protocol, analyzing data and writing report

Several years conducting research.Completed a similar project in 2017 which involved

Responsible for consenting participants, screening patients, and storage of data

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a basic screening survey of children in rural Head Start sites.

Dr. Christina Demopoulos

Research advisor Several years conducting research, specifically survey research. Have assisted faculty and students in research projects. In this project, reviewed protocol and survey instrument. Also will assist in data collection and analysis of the data.

Review and edit consent form.Has over 30 years of experience in conducting survey research.

Jessica Woods Co-PI Several research projects conducted.

Responsible for screening partitcipants and entering data into a password protected spreadsheet.

7. Project Details A. Describe the purpose of the project and how you will conduct it. Clearly describe any procedures to be used during

the conduct of the study. In addition, describe the recruitment process and include copies of all recruitment materials

to be used for this study. The Nevada Division of Public and Behavioral Health (DPBH), Oral Health Program

currently housed through contract (C 23271) at the UNLV School of Dental Medicine has received a grant from the

Department of Education’s Office of Early Learning and Development (C22479) to conduct a dental surveillance

prroject in Nevada’s rural licensed childcare centers. This will be accomplished through a written questionnaire given

to the parents (part of the consent form) and through an “open-mouth” screening conducted with parental consent on

children in licensed childcare facilities.

The purpose of this study is to evaluate the oral health status of children receiving care from licensed childcare centers

in rural Nevada. A similar project was completed by the Nevada Oral Health Program in 2017 and 2018 when the oral

health status of children in rural Head Start programs was assessed. Aggregate results of this study will be compared

to the reports from the 2018 Head Start oral health assessment.

In Nevada, licensed childcare facilities fall into three categories based on their size: center, group care home, or family

care homes. For this study, 91 licensed childcare facilities were identified within the target geographic location of rural

Nevada. Facilities that are categorized as either a center or group care home and having a minimum of 10 children

enrolled will be included in the study. A biostatistician from the Association of State and Territorial Dental Directors

has been contracted to assist in the project design. Facilities will be called to determine the number of children in their

facility and their willingness to participate. For sites that meet the project criteria and are interested in participating, a

welcome letter will be mailed to them. The letter will include information on the project and an oral health webinar. The

webinar is offered as an educational component and will be approved by the Nevada registry to allow teachers to

receive continuing education credits.

A controlled statewide assessment of this magnitude has not been performed previously and will provide healthcare

policy makers with unprecedented information on the extend and severity of dental disease of children in licensed

childcare facilitates in both rural and urban areas throughout our State. The project goal is to gather aggregate data

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that will focus programs and State funds to improve oral health care by increasing the number of young children with

dental “homes” and in turn decrease the number of children with untreated tooth decay.

To reach this goal, the DPBH will be offering free dental screenings to all children in licensed childcare centers in the

identified geographic areas (three to five years of age) with signed parental consent. Parents may also indicate on the

consent form if they wish for their child to receive a free fluoride varnish application. The screening will be conducted

by a licensed dental professional and should take about five minutes per child. Following the screening, children will

receive a dental hygiene bag with a toothbrush, toothpaste, floss, written take-home findings for the parents, and a

local dental clinic directory for treatment of dental issues identified during the screening.

All consent forms will be mailed in advance to the childcare facility for distribution to parents. While the name of

screened children may be shared with the childcare facility center administrator for follow-up, no individual child will be

identified in any reports. Only aggregate results will be reported (e.g., from centers, counties, or regions). Participating

childcare centers will be the first to receive such reports.

This study involves only minimal risk as it meets the definition set by the Federal Regulations at 45CFR46.102,

“Minimal risk means that the probability and magnitude of harm or discomfort anticipated in the research are not

greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine

physical or psychological examinations or tests.”

This study involves the placement of fluoride varnish. Fluoride varnish application will be applied as a secondary goal

of the study. The parental questionnaire will collect information that will assist the licensed dentist or hygienist in

determining the child’s risk of dental disease, allergy status, and will include separate parental consent for participation

in either the oral health screening participation and/or fluoride varnish application. If a parent indicates that the child

has asthma, an allergy to pine nut or any nut allergy, and/or takes fluoride tablets at home, the child will not be given a

fluoride application as part of this project regardless of consent status. A fluoride brochure, oral health tips pamphlet

and take-home findings sheet with each child’s need for treatment will be disseminated to the child’s guardian at the

conclusion of the oral health screening. The take home paperwork will also include the phone number of the State

Dental Health Officer who will be available to answer additional questions should they arise after the conclusion of the

study. Furthermore, this study requires only nominal participant involvement as the parental consent form will take less than

five minutes to complete and the screening performed on children in licensed childcare facilities will take approximately

5 minutes to complete. The parental consent form includes a brief questionnaire and a parental permission section that

allows the parent to either accept or withhold their child’s participation in the study. Participation in the study is

voluntary and a parent may withdraw consent at any time. Administrators, site coordinators, parents, and teachers are

encouraged to ask questions about this study at the beginning or any time during the research period.

In addition, risks to study participants are minimized as data collected as part of the study will be kept in password

protected State issued computer within the Division of Public and Behavioral Health, Oral Health Program. The de-

identified data will be sent to the Association of State and Territorial Dental Directors for analysis via an encoded file.

Only aggregate data will be reported and used. Data will be maintained for 3 years and subsequently destroyed.

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The parental consent form includes the statement “I understand that the results of this screening may be shared with

the Nevada Department of Health and Human Services, licensed childcare facility, Nevada Department of Education,

and with dental providers for my child.” (see attached). Lists of children with dental needs will be shared with site

coordinators at licensed childcare facilities to facilitate parents in finding local dental care for their child. Care

coordinator will also be provided.

While screening out in the field, consent and screening forms for the rural sites will be placed in a locked compartment

of the suitcase used for this project’s supplies. Data will be kept in a locked file cabinet at State Offices in Carson City

and/or Reno until data entry and analysis is complete. Names of children will be struck from the consent forms before

the data is analyzed. No home addresses will be collected; only licensed childcare center codes to help us identify

greatest areas of decay and consequent need. Data collected as part of the study will be kept in password protected

State issued computer within the Division of Public and Behavioral Health, Oral Health Program. De-identifiied data will

be sent to the Association of State and Territorial Dental Directors for analysis via an encoded file. State protocol for

electronic transfer will be followed. Only aggregate data will be reported and used. Data will be maintained for 3 years

and subsequently destroyed.

Compensation to subjects consists of a free screening, a free fluoride varnish application, and free patient care bag

with a toothbrush, toothpaste, floss, timer, and sticker.

The administrators and teachers within the identified licensed childcare facilities are vital to encouraging completion of

parental consent forms and ensuring that forms are returned in a timely manner. It is the goal of the Oral Health

Program to improve return rates of consent forms by offering school incentives in the form of a $100 gift card to

Lakeshore Learning for those sites reaching a 70% response rate. The percentage of completed consent forms will be

associated with forms that have a parental signature regardless of whether or not the parent accepts or denies the

child’s participation in the study.

Gift cards will be tracked and kept in a locked area within the Division of Public and Behavioral Health, Oral Health

Program. Gift cards will either be distributed on the day of the screening or will be mailed to qualifying site coordinators

after the screening day.

B. Maximum number of subjects: 1500

C. Describe study population/specimens/data to be studied (e.g., healthy adults age 18-45). Please note that research

involving prisoners is not eligible for exemption; and research involving children has more restrictive exemption

criteria (see letter F below for additional details) . 3-5 year old children in licensed childcare facilities in rural

Nevada.

D. Describe the consent process for enrolling subjects into this study including whether an oral or written

consent process will be used. parerental consent is required

D.1. If you are not obtaining consent, please provide your rationale: n/a

E. Describe how the data will be protected (include location, length of time and disposition of data).

F. If you will be using a questionnaire, survey or interview procedure, please indicate the setting where the research will

take place (NOTE: Interview or survey research involving children cannot be exempt from IRB review.):

Classroom

UNLV

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Subjects’ home (e.g., mailed survey)

Electronic/internet forum

Other, please specify: licensed childcare facilities in rural Nevada

8. Category 4 Details (Complete if you selected category #4 in section 5 above) 8.1 If you selected category 4 in section 5 above and your project involves the collection of data (e.g., medical records/chart review/academic records/database research), answer the following: Note: If you are recording identifiable information from medical records, charts, academic records, or recording the medical record number or code linking information to the medical/academic record number, the project cannot be exempted under the federal regulations. A Protocol Proposal Form must be submitted for such studies. a) Identify the source of the data: b) Provide the date range of the data to be collected. Include specific dates and state whether the data will be in existence at the time you submit this application to the IRB: c) Provide the estimated number of subjects whose data will be collected for the study: d) Indicate how the study data will be recorded so that it is not identifiable (e.g. study data will not include direct identifiers or a code linking data to subjects’ identity): e) Indicate who will access the medical records and how they have valid clinical access to these records (e.g., involved in the patients’ care). Valid clinical access is defined as individual normally having access to the records as part of their usual clinical activities): f) Attach a copy of the data collection sheet that details the data that will be collected for this project. If a data collection sheet is not being attached to this application, please explain why: 9. Financial Information 9.1 Will subjects be paid or otherwise compensated for research participation? Yes No If yes, please respond to the following questions: a) Describe the nature of any compensation to subjects. Include cash, gifts, research credit, etc. with positive

parental consent, subjects will receive a dental screening, fluoride varnish application, and oral hygiene kit . Licensed childcare centers will receive a $100 gift card to an educational store ie. Lakeshore Learning if they have a 70% rate of return on consent forms. The form simply needs to be returned and signed but does not need to consent to treattment to be considered for the rate of return.

b) Provide a dollar amount, if applicable, and indicate method of payment. $100 Cash Check Research Credit Other: educational store gift card c) When and how is the compensation provided to the subject? to licensed childcare sites d) What is the effect on compensation if a subject does not complete the study? none 9.2 Is there any internal or external funding (e.g., grants, contracts, gifts, etc.) Yes No If yes: a) Name of Sponsor or UNLV Grant Program: GR10252, Nevada Department of Education b) Attach a copy of the proposal and/or award document. 10. Protected Health Information (PHI): All projects must indicate whether PHI will be used and/or disclosed as

part of the research. Please select one of the following:

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The activity is exempt from research HIPAA requirements as no PHI is used or collected (Information collected must have all 18 elements as defined by the HIPAA Privacy Rule removed so that an individual or the individual's relatives may not be identified)

A waiver for use and/or disclosure of PHI is requested (submit a request for waiver of HIPAA Authorization) HIPAA Authorization for use and disclosure of PHI will be obtained from subjects (submit a HIPAA Authorization

form) A limited data set will be utilized (The only identifying elements from the list of HIPAA identifiers that may be

included are city, state, and/or ZIP Code; elements of date; and other numbers, characteristics, or codes not listed as direct identifiers)

Please note: A Data Use Agreement (DUA) is required to use and/or disclose information contained in a “limited data set”. Please provide a copy of the executed DUA along with this submission. Submissions cannot be processed without this document.

11. Signatures of Assurance A. Investigator’s Assurance: I certify that the information provided in this application is complete and accurate. As Principal Investigator, I have ultimate responsibility for the conduct of this study, the ethical performance of the project, the protection of the rights and welfare of human subjects and strict adherence to any stipulations designated by the IRB. I agree to comply with all UNLV policies and procedures, as well as with all applicable Federal, State and local laws regarding the protection of human subjects in research including, but not limited to the following: Performing the project by qualified personnel according to the approved protocol. Not changing the approved protocol or consent form without prior IRB approval (except in an emergency, if necessary, to

safeguard the well-being of human subjects). Obtaining proper informed consent from human subjects or their legally responsible representative, using only the currently

approved, stamped consent form. Promptly reporting adverse events to ORI – Human Subjects in writing according to IRB guidelines. Arranging for a co-investigator to assume direct responsibility, if the PI will be unavailable to direct this research personally,

as when on sabbatical leave or vacation. ***FACULTY ADVISOR (IF APPLICABLE): By submitting as Principal Investigator on this research application, I certify that the student/fellow investigator is knowledgeable about the regulations and policies governing research with human subjects and has sufficient training and experience to conduct this particular study in accordance with the approved protocol. In addition: I agree to act as the liaison between the IRB and the student/fellow investigator with all written and verbal communications. I agree to meet with the student/fellow investigator on a regular basis to monitor the progress of the study. I agree to be available and to personally supervise the student/fellow investigator in solving problems, as they arise. I assure that the student/fellow investigator will promptly report adverse events to ORI – Human Subjects according to IRB

guidelines. I will arrange for an alternate faculty advisor to assume responsibility if I become unavailable, as when on sabbatical leave or

vacation. I assure that the student/fellow investigator will follow through with the storage and destruction of data as outlined in the

protocol. By submitting this form electronically, I agree to the assurance as stated above.

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http://privacyruleandresearch.nih.gov/pr_08.asp

During this virtual training we will be discussing: ‣ Dental disease in children ‣ Oral health and hygiene ‣ Strategies to implement a classroom toothbrushing program ‣ First aid for pediatric dental trauma ‣ The relationship between nutrition and oral health

2020 Nevada Licensed Childcare Oral Health Webinar

Presented by the Nevada Division of Public and Behavioral Health, Oral Health Program through a grant with the Department of Education’s Office of

Early Learning and Development and in collaboration with Colgate.

This free virtual 2.5 hour webinar has been approved by the Nevada Registry and is for educators, staff, and administrators of licensed childcare facilities.

We ask that you and your team register for this webinar prior to your screening date.

This webinar is offered several times. Select the date/time that is most convenient to you.Pre-registration is required.Every registered participant will receive a:‣ Certificate of completion and ‣ FREE whitening toothbrush kit

Register here: https://tinyurl.com/y3l27u72

Email Jessica Woods at [email protected] with any registration questions.

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https://tinyurl.com/y3l27u72




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Department of Public Health

Integrative Learning Experience (ILE) Final Document Agreement

The student should complete this document in consultation with their ILE Faculty

Advisor (you will be assigned either Dr. Leafman or Dr. Loeben).

Once completed, the student must submit the form into Canvas where it will be given final approval by your faculty advisor.

Submission into Canvas constitutes student acknowledgment and agreement with the type of final written document and list of competencies to be synthesized.

Student Name: Antonina Capurro

ILE Faculty Advisor Name: Dr. Greg Loeben The student and Faculty Advisor will decide what type of final written document the ILE will be. The final written document will generally be related to the organization, population, and/or problem that were the focus of your APE. If the final document is not going to be related to the work done on the APE the Practicum Coordinator must approve this in advance. For a sample list of possible ILE Final Documents please see the course syllabus in Canvas. Whatever form the final document takes, it must do more than merely describe the work that was done by the student in the APE. Along with the type of document, the student and Faculty Advisor will identify a minimum of three MPH competencies (with at least one that is foundational and at least one that is a concentration competency). The final written document must demonstrate synthesis of at least these three competencies. Synthesizing competencies means organizing your thoughts and information into a coherent whole that integrates the knowledge and/or skills represented by each selected competency into the high quality finished written document. Type of Final Document to Be Created (select one):

Practice project paper Research paper Evaluation report to organization Grant application Evaluation of a public health

program

Analysis of a public health policy Policy brief/proposal Educational curriculum Training manual Other __Training Webinar and

oral health surveillance project

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Will the Final Document be Related the Work Done on the APE?

Yes No - if not, discuss with your ILE Faculty Advisor

Competencies to be Synthesized and Demonstrated

** you must select a minimum of three, with at least one foundational and at least one concentration competency Evidence-based Approaches to Public Health (Foundational)

Apply epidemiological methods to the breadth of settings and situations in public health practice.

Select quantitative and qualitative data collection methods appropriate for a given public health context.

Analyze quantitative and qualitative data using biostatistics, informatics, computer-based programming and software, as appropriate.

Interpret results of data analysis for public health research, policy or practice. Public Health & Health Care Systems (Foundational)

Compare the organization, structure and function of health care, public health and regulatory systems across national and international settings.

Discuss the means by which structural bias, social inequities and racism undermine health and create challenges to achieving health equity at organizational, community and societal levels.

Planning & Management to Promote Health (Foundational)

Assess population needs, assets and capacities that affect communities’ health Apply awareness of cultural values and practices to the design or implementation

of public health policies or programs. Design a population-based policy, program, project or intervention Explain basic principles and tools of budget and resource management Select methods to evaluate public health programs

Policy in Public Health (Foundational)

Discuss multiple dimensions of the policy-making process, including the roles of ethics and evidence.

Propose strategies to identify stakeholders and build coalitions and partnerships for influencing public health outcomes.

Advocate for political, social or economic policies and programs that will improve health in diverse populations.

Evaluate policies for their impact on public health and health equity.

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Leadership (Foundational)

Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision-making.

Apply negotiation and mediation skills to address organizational or community challenges.

Communication (Foundational)

Select communication strategies for different audiences and sectors. Communicate audience-appropriate public health content, both in writing and

through oral presentation. Describe the importance of cultural competence in communicating public health

content. Interprofessional Practice (Foundational)

Perform effectively on interprofessional teams. Systems Thinking (Foundational)

Apply systems thinking tools to a public health issue. General MPH Concentration Competencies (not Foundational)

* These can only be used by students not in the dental track.

Analyze the significance of public health journal articles. Use theory, principles and perspectives to analyze the ethical dimensions of

public health problems. Apply health behavior models to address needs in a priority population. Demonstrate approaches to assess, prevent, and control environmental and/or

occupational health hazards. Evaluate organizational structures, culture, and political factors, to initiate and

sustain organizational change. Dental Concentration Competencies (not Foundational) * These can only be used by students in the dental track.

Integrate the social determinants of health into dental public health practice. Demonstrate ethical decision-making in the practice of dental public health. Apply and evaluate evidence to address oral health issues for individuals and

populations. Lead collaborations on oral and public health issues. Evaluate systems of care that impact oral health.

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Revised March 9, 2020 IRB Information for Investigators

1

XI. Human Research Protocol for IRB Review (Copies of this protocol form are available in the IRB office) Principal Investigator: Dr. Antonina Capurro Title of Investigator: Student Department: College of Graduate Health Studies Address: Henderson, NV 89044 Telephone Number(s):

TITLE OF PROJECT The identification of factors associated with successful state-based dental sealant programs. ____________________________ Funding Source: N/A Number Assigned:

Signatures of Principal Investigator Department Chairman Advisor _________ __ ____________________ ____________________ Date Date Date 5-30-20 ___________________ It should be noted that if a research project is performed by someone in a training status (e.g., Medical Student, Intern, Resident), the Department Chairperson and the Project Advisor are responsible for daily oversight of the project. In this instance both the Chairman and the Advisor must sign the application. Reports must be made to the IRB on a quarterly basis to assure proper oversight. Forms for this report are found later in this document. The policies of KCOM and the assurances provided by the College to the DHHS require the Institutional Review Board to review all research proposals involving human subjects. No research involving humans can be initiated prior to approval from the IRB. In order to comply with these regulations, the IRB requests that you provide the information requested on this page and in the following questions.

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2

ABSTRACT OF PROTOCOL The purpose of the study is to identify the factors that consistently contribute to successful school-based sealant programs. Dental sealants can prevent up to 80% of cavities on molars (Ahovuo-Saloranta, 2013). Dental decay remains one of the most common chronic childhood diseases, causing pain, loss of school days, infections, and even death. School-based sealant programs provide education and preventive dental services to elementary students. These programs place a sealant onto the chewing surface of permanent molars. The sealant forms a physical barrier between the tooth surface and the bacteria that cause tooth decay. Despite efforts to increase access to dental services for low-income children insured by state Medicaid programs, less than half of children enrolled in Medicaid receive a preventive dental service annually, and there are wide variations across states (Mann, 2013). This project will evaluate school-based sealant programs in an attempt to identify traits/factors that are part of successful programs. Factors for analysis will include: a)funding source(s), (b) the role of Medicaid reimbursement, (c) state policies for sealant placement, (d) Centers for Disease Control and Prevention (CDC) funding both currently or historically and (e) the design and structure of school-based sealant programs. The underlying premise of this research is that school-based sealant programs that serve high-risk schools are often funded through federal or state resources and that federal/state funding may afford a level of program security that is related to program sustainability. The study design is a cross sectional survey from a convenience sample of states and sealant programs. Data will be collected through an electronic questionnaire. Participants for this study will be recruited based on their affiliation with a school-based sealant program that occurs entirely within a school setting. The first survey will be targeted to all state oral health programs and they will be asked to complete a short questionnaire via an emailed survey link. Based on the responses collected, a second survey will be distributed to specific school-based sealant programs. The validity and reliability of the survey instrument has been increased by seeking subject matter assistance from the Association of State and Territorial Dental Directors (ASTDD)School and Adolescent Oral Health Committee. The Committee has assisted in refining the survey questions. Content validity was also taken into account with additional subject matter experts providing content on the surveys. ASTDD is a national non-profit organization that supports the work of state and oral health agencies. As such, they are uniquely positioned to provide content level expertise for this project. The ASTDD oral health program listserve will be utilized to disseminate the final survey. The principal goal of this research project is to identify the factors that commonly led to a successful school-based sealant project and then theorize how those elements can be developed into a template that can be used to increase access to care for all school-age children.

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3 Names of Affiliation Other Investigators n/a Indicate expected sites of investigation If the investigation is to be conducted at multiple sites, enter the names of each: Institution Name Letters confirming cooperation from the appropriate official of each outside institution must be appended 1. Does the research involve using an investigational drug or medical device? X NO YES If so, enter the: Name of the Drug/Device: FDA Study Phase of Drug: IND/IDE Number of Drug/Device:

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4 2. Does the research involve using an FDA approved drug or medical device in an unapproved capacity? X NO YES If so, enter the: Name of the Drug Device: IND/IDE Number for this use: 3. Does the research involve use of radioactive materials in normal subjects, or use in patients in an uncommon way? X NO YES If so, a copy of the Letter of Approval from the Radioactive Drug

Research Committee must be appended. 4. Does the research involve using a new medical or surgical procedure? X NO YES If so, enter the: Name of Procedure: 5. Does the research involve using an accepted medical or surgical procedure in a new capacity? X NO YES If so, enter the: Name of Procedure: 6. Might the research involve subjects from any of the special groups listed below? X NO YES If so, check the appropriate categories. Children (subjects of less than legal age) Children who are wards of the state, or any other entity Adults who are wards of the state, or any other entity Pregnant subjects Fetuses in utero Fetuses ex utero, viable or non-viable Prisoners Terminally-ill patients ___ Handicapped or mentally disabled persons ___ Economically or educationally disadvantaged persons

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5 7. Does the research involve more frequent or greater risks to the subject than the risks ordinarily encountered in daily life or during the performance of routine physical or psychological examination or tests? X NO YES 8. Will research data from any surveys, interviews, and/or observations: a. Allow subject identification directly or through identifiers AND b. Have the potential of placing the subject at risk of criminal or civil liability or of

damaging the subject's financial standing, employability, insurability, reputation, or be stigmatizing in any way,

AND c. Have the potential of revealing sensitive aspects of the subject's behavior, such as illegal conduct, drug use, sexual behavior, or use of alcohol? X NO YES (Do not answer YES unless all above answers (a, b, and c) are "yes.") 9. Will identifiers be maintained, directly or indirectly, on data to be collected? NO X YES If you have answered NO to all the above nine questions or if you have answered YES to questions 6 and/or 9 only, and if your answers are satisfactorily substantiated in the Abstract of Protocol, your proposal may be found exempt from continued IRB review. If you are requesting exemption from continued review, complete the appropriate sections below and submit the first 5 pages of this Protocol and Appendix C (and other appended material as appropriate) to the IRB. If you are not requesting exemption from continued IRB review, complete the Protocol by answering questions 10 through 30. If you answered YES to questions 6, and/or 8, and/or 9, you may request an expedited review by so signifying below, but questions 10 through 30 must be answered and submitted with material requested as Appendices. EXEMPTION REQUESTED EXPEDITED REVIEW REQUESTED Signature of Investigator Signature of Investigator

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6 FOR DEPARTMENTAL IRB SUBCOMMITTEES The IRB Subcommittee has reviewed the above responses, the details of the proposal, and any appended materials. We recommend to the IRB that (check one): The proposal is exempt from continued IRB review. The proposal may be reviewed expeditiously, but requires continued review. The proposal requires full IRB review Date Signature of Subcommittee Chairman Date Signature of IRB Chairman

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7 Financial Conflict of Interest and Conflict of Interest Disclosure

For context, see ATSU Policy Nos. 20-117: Financial Conflict of Interest (FCOI) in Research and 10-212: Conflict of Interest (COI). Below is the link to the ATSU institutional FCOI policy.

https://docs.google.com/document/d/1CM1qrWwIDSTA_KpLFMqTFs2G7sWLjjZpjnI405XGlfo/edit

Definitions

FCOI: Significant financial interest that could directly and significantly affect the design, conduct, or reporting of sponsored or non-sponsored research.

Significant Financial Interest (SFI): Any financial interest of the investigator or research team member that reasonably appears to be related to their institutional responsibilities, including those tied to publicly and non-publicly traded entities, intellectual property rights and interests, and reimbursed or sponsored travel.

Actual COI: Exists in a situation where financial interests, personal relationships, or professional associations compromise employee objectivity, professional integrity, and/or ability to perform their professional responsibilities.

Perceived/Potential COIs: Inc.udes situations where employee’s family member or friend has financial interests, personal relationships, or professional associations such that employee could appear to be influenced in ways that could compromise the University. 1. I have completed FCOI training and am compliant with the financial interest disclosure

requirement in ATSU Policy 20-117, Section IV. If/as required, I will submit annual disclosure updates to the Institutional Official (i.e., VP of research, grants, and scholarly innovations) and/or within 30 days of discovering or acquiring a new SFI.

Yes_X__ No ___ 2. I have completed required annual acknowledgements for actual, potential, and/or perceived

COIs and will comply with the disclosure process stipulated in ATSU Policy 10-212.

Yes_X__ No ___ 3. For the PI/PD or other research personnel, does the study involve any financial interests,

personal relationships, or professional associations that could create financial, actual, and/or perceived/potential conflicts of interest?

Yes___ No __X_ If you answered Yes to Question 3, please address the following issues. a. If this study involves a significant financial relationship with a study funding source, is a

description of the kind and amount of support for this study attached to this application?

Yes___ No ___

b. Is the potential FCOI and/or COI disclosed to potential human subjects through the Informed Consent Document?

Yes___ No ___

ATSU_000110

https://docs.google.com/document/d/1CM1qrWwIDSTA_KpLFMqTFs2G7sWLjjZpjnI405XGlfo/edit


8 If No, then how has the FCOI and/or COI been disclosed and disclosure verified? c. How will the PI/PD minimize the FCOI/COIs associated with this project to decrease the

impact on decisions about human subject safety? FCOI/COI will be disclosed to subjects if there is any FCOI/COI present.

d. Are there members of the research team who can make human subject safety decisions and do

not have FCOI and/or COIs?

Yes___ No _X__ If Yes, please describe their role in the project and how they can mitigate potential FCOIs and/or COIs in this project. What additional oversight or reporting will be done to minimize any potential FCOI and/or COI?

ATSU_000111


9

To complete the Protocol for IRB Review, please supply on additional pages the information requested below. Prepare the information using the same number for each division and subdivision and the same capitalized key words of each as the division and subdivision titles. All categories of information requested must be supplied and submitted with material requested as Appendices. INTRODUCTION 10. GENERAL PURPOSE

The purpose of this study is to identify the factors that consistently contribute to successful

school-based sealant programs. Success will be quantified not only by the number of children

and schools served but the length of the program’s continued existence. Commonalities between

school-based sealant programs will also be described. This project will compare the success of

the school-based sealant programs to reach high-risk schools and increase enrollment based on

the funding source, Medicaid reimbursement, and state policies for sealant placement.

11. BACKGROUND RATIONALE

Universal access to health and education are fundamental to public health. It is for this

reason that the Affordable Care Act (ACA) included preventative services (regular medical and

dental checkups, scheduled immunizations, and screenings for childhood disease) as an essential

requirement. Despite the ACA’s vision to increase the availability of health services, according

to Oral Health in America: A Report of the Surgeon General, “more than 51 million school hours

are lost each year to dental-related illness”. When children miss valuable classroom hours due to

dental pain, they fall behind and are less likely to graduate and become a productive member of

society. Children with good oral health can spend more time in the classroom and concentrate on

their schoolwork.

School-based sealant programs are a fundamental component of population-based

interventions to reduce and control dental decay in school age children. These programs typically

target low-income schools that have a high percentage of children on the free and reduced lunch

ATSU_000112


10 program. According to the National Center for Health Statistics, children aged 5 to 19 from low-

income families are twice as likely to have untreated tooth decay as children from families with

higher socioeconomic status.

Oral health affects an individual’s ability to speak, smile, eat, and show emotions. It also

affects self-esteem, school performance, and attendance at work and school. In fact, “more than

51 million school hours are lost each year to dental-related illness” as reported by the Oral

Health in America: A Report of the Surgeon General. When children miss valuable classroom

hours due to dental pain, they are in danger of falling behind which will affect their likelihood to

graduate and become a productive member of society. Children with good oral health can spend

more time in the classroom and concentrate on their schoolwork. This avoidable but prevalent

problem resulted in a national Healthy People 2020 goal to ‘reduce the proportion of children

and adolescents with untreated dental decay’.

While dental services are available to vulnerable children if they qualify for the state

Medicaid or CHIP programs, barriers exist in accessing these resources even as preventing tooth

decay is an economic and public health focus for state Medicaid units. School-based sealant

programs are uniquely equipped to reduce preventable tooth decay by increasing access to

preventive services and reaching children where they are. According to the CDC's Morbidity and

Mortality Weekly Report, dental sealants prevent 80% of cavities in the permanent molars,

where 90% of cavities occur (Griffin, 2016). All oral health state programs should explore the

effectiveness and extent of school-based sealant programs.

The purpose of this study is to identify the factors that consistently contribute to

successful school-based sealant programs. Success will be quantified not only by the number of

children and schools served but the length of the program’s continued existence. Commonalities

between school-based sealant programs will also be described. This project will compare the

success of the school-based sealant programs to reach high-risk schools and increase enrollment

based on the funding source, Medicaid reimbursement, and state policies for sealant placement.

ATSU_000113


11 Of interest is a state’s history of funding from the Centers for Disease Control and

Prevention (CDC). In a five-year cycle, the CDC extends a competitive award application for

state oral health programs to “assist their efforts to decrease dental caries, oral health disparities,

and other chronic diseases co-morbid with poor oral health” (CDC, 2019). These grants offer

funding, technical assistance, and expertise to guide states and enhance their impact on the oral

health status in their state. As these grants are only offered to twenty state health departments,

they have the potential to create disparities between states. One of the core grant requirements

for state health departments is to expand and manage statewide school sealant programs. This

federal funding provides unprecedented support for this activity, and as hypothesized by this

study, provides an advantage to states that would be otherwise unable to provide statewide

preventive services in a school-based setting.

The underlying premise of this research project is that school-based sealant programs that

serve high-risk schools and are funded through federal or state resources benefit from a level of

security that allows them to sustain their programs regardless of Medicaid reimbursement or the

availability of public health infrastructure. Furthermore, the establishment of a statewide school-

based sealant program has a direct and measurable impact on the state's Medicaid preventive

benchmarks such as CMS 416 reports and PDENT scores which results in meeting or exceeding

Healthy People 2020 goals. The Centers for Medicare and Medicaid Services (CMS) Oral Health

Initiative monitors the proportion of children ages 1-20 receiving a preventive dental

services(PDENT). PDENT is the main child oral health quality improvement measure used by

CMS and the utilization of Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is

described through the CMS 416 report.

For this project, school-based sealant programs will be categorized by state name and

differences in program sustainability will be organized based on CDC funding status and history.

To accomplish these goals assistance has been secured from the Association of State and

Territorial Dental Directors (ASTDD)School and Adolescent Oral Health Committee to help

ATSU_000114


12 develop the survey questions and then to validate and evaluate the final design. ASTDD is a

national non-profit organization that supports the work of state and oral health agencies.

12. SPECIFIC AIMS AND HYPOTHESES

The hypothesis of this research project is that school-based sealant programs that serve

high-risk schools and are funded through federal or state resources benefit from a level of



based sealant program has a direct and measurable impact on the state's PDENT and CMS 416

report and results in meeting or exceeding HP 2020 goals.

The principal goal of this research project is to identify the common factors that led to a

successful school-based sealant project and then theorize how those elements can be developed

into a template that can be used to increase access to care for all school-age children.

Objective 1

To evaluate the relationship between state oral health programs and community school-

based sealant programs.

Strategy 1

Survey state oral health programs for specific information on the composition of sealant

programs in states, CDC funding history, and Medicaid reimbursement for preventive services.

Objective 2

To evaluate the differences between school-based sealant programs based on CDC

funding

ATSU_000115


13 Strategy 2

Information will be collected through an electronic questionnaire to identify trends in

practice structure and overall philosophies at one point in time.

Objective 3

To understand the effect of school-based sealant programs on state reporting metrics for

preventive services.

Strategy 3

Research will be completed for participating states that will include creation of a timeline

of CDC funding, a report of preventive services based on PDENT scores and the CMS 416

report for the last five year, and licensure restrictions for dental public health hygienists and

dental therapists.

13. PREVIOUS EXPERIENCE

Dr. Antonina Capurro is the principal investigator in this study. She will be responsible

for overseeing the design of the survey, dissemination, coordination of analysis, and final

reporting of the study findings. Dr. Capurro oversees reporting of all school-based sealant

programs for Nevada.

Dr. Jeff Chaffin, ATSU Associate Professor of Public Health, will serve as the faculty

supervisor for this study.

METHODOLOGY

14. EXPECTED GROUPS

This cohort study will consist of all state oral health programs. Participants will be asked

to complete a short questionnaire via an emailed survey link. From the responses collected, a

second survey will be distributed to specific school-based sealant programs based on the state’s

CDC funding response.

ATSU_000116


14 15. NUMBER OF SUBJECTS

Participants for this study will be recruited based on their affiliation with a school-based

sealant program that occurs entirely within a school setting, and purposive sampling will be used.

The study population has been expanded from surveying western states only to requesting

distribution assistance from ASTDD and will result in distributing the survey nationally. All state

oral health programs will be asked to complete a short questionnaire via an emailed survey link.

Based on the responses collected, a second survey will be distributed to specific school-based

sealant programs and categorized based on the state’s CDC funding response.

The study population may be substantial, depending on the number of school-based sealant

programs in the country. Unfortunately, that exact number is unknown. The 2018 ASTDD

Synopses of State Dental Public Health revealed that 68.6% of states had a dental sealant

program that was supported by the state. Additionally, CDC funds 20 state oral health programs

to amongst other goals, increase and maintain school-based sealant programs. The CDC SEALS

program, which allows oral health programs to submit school-based sealant information, is only

available to grantee states and will provide program-specific data for this project. While this

does not give an exact number or any estimation on the reasonableness of surveying all states, in

2013, the Pew Children's Dental Campaign evaluated all 50 states on the effectiveness of the

states to provide sealants to low-income children. Given this background, it is possible to survey

all states and states are responsive to this type of inquiry.

16. INCLUSION CRITERIA

For this study, all state oral health programs will be initially surveyed, and based on their

response a secondary survey for individual school-based sealant programs will be distributed

either directly by state programs or to those programs whose contact information is provided in

the initial survey. Inclusion in the second follow-up survey will be limited to sealant programs

that occur entirely within a school setting. Programs that provide education only and deliver

sealant in off-site clinics will be excluded from the study.

ATSU_000117


15 17. EXCLUSION CRITERIA

Programs that provide education only and deliver sealant in off-site clinics will be excluded

from the study.

18. SUBJECT RECRUITMENT

Participants for this study will be recruited based on their affiliation first with the state oral

health program and second with a school-based sealant program that occurs entirely within a

school setting.

19. SUBJECT ASSIGNMENT

All recruited subjects will be assigned for evaluation.

20. ROLE OF SUBJECTS

For the proposed study, an initial survey and more detailed follow-up assessment will be

utilized. The first questionnaire will be distributed to all state oral health programs via an

emailed survey link. Based on the responses collected, a second survey will be distributed to

specific school-based sealant programs. However, the exact number of participants in the second

survey will be based entirely on not only the response rate from the initial national survey, but

also participant’s willingness to engage in a follow-up survey.

21. PARAMETERS TO BE MEASURED

Exposure to the services of a school-based sealant program, Medicaid reimbursement

rates, Medicaid reimbursement mechanisms/particular state plan amendments, and waivers, and

federal or state grant funding programs for school-based sealant programs are the independent

variables. The length of program history, PDENT scores, and CMS 416 reports on the utilization

of sealants are the dependent variables.

22. EXPECTED DURATION

The total duration of the study is expected to be twelve months. The proposed timeline

ATSU_000118


16 for this project for survey design completion by August/September and survey dissemination by

October/November with additional follow-up for individual school-based sealant programs in the

late winter.

23. DATA ANALYSIS

To gather quantitative data for this investigation, the study design will be a survey

research design. More specifically, a cross-sectional survey design will be used as this will be a

population-based observational survey. This research is designed to evaluate the differences

between school-based sealant programs and to understand practice structure and overall

philosophies at one point in time. Programs will be compared based on their previous, present,

or the absence of CDC funding history. Research will be completed apart from the survey for

participating states that will include creation of a timeline of CDC funding, a report of preventive

services based on PDENT scores and the CMS 416 report for the last five year, and licensure

restrictions for dental public health hygienists and dental therapists.

Information will be collected through an electronic questionnaire to identify trends and

test the research hypothesis. The Children’s Dental Health Project conducted a similar survey of

school-based sealant programs in 2014. In this study, thirteen state oral health programs that had

school-based sealant programs in existence for ten or more years were contacted to complete a

thirty-four-question survey and later a ninety-minute telephone interview. Five states from this

assessment were reviewed in detail as case studies. For those states that did not have long term

sustainable school-based sealant programs, their oral health programs were emailed a fifteen-

question survey. The combination of the data collected allowed researchers to build an in-depth

report.

For the proposed study, a similar initial survey and more detailed follow-up assessment

will be utilized. The first questionnaire will be distributed to all state oral health programs via an


specific school-based sealant programs. However, the exact number of participants in the second

ATSU_000119


17 survey will be based entirely on not only the response rate from the initial national survey, but

also participant’s willingness to engage in a follow-up survey.

RISK/BENEFIT ASSESSMENT

24. RISKS TO THE SUBJECT

There are no foreseeable risks to the survey participants. The survey will be completed on a

voluntary basis and no incentive will be offered.

25 and 26. POSSIBLE BENEFITS TO SUBJECT AND SOCIETY

The information collected will inform state policies and allow state oral health programs to

build more sustainable school-based sealant programs based on best practices. School-based

sealant programs are critical to bring preventive dental services to low-income children.

27. ALTERNATIVE PROCEDURES OR THERAPIES

Not applicable

SUBJECT CONSENT

28. INFORMED CONSENT

Consent will be obtained at the beginning of the survey. Participants will have the option

of consenting and beginning the survey or discontinuing and exiting the survey. The consent will

explain the research project, that the study is voluntary, the approximate length of the survey,

and that the information will be stored in a password protected electronic format. While the data

will be sorted by state, individual information will be kept confidential.

29. SUBJECT CONFIDENTIALITY

Subject confidentiality will be maintained through coded identification of participant

data. The key to the code will be saved in a password protected file, only accessible to the

principal investigator.

30. CONSENT FORM

See Appendix A.

ATSU_000120


18

APPENDICES

A. COPY OF CONSENT FORM

B. COPY OF FULL PROPOSAL

ATSU_000121


19

Appendix A Consent Form

A.T. STILL UNIVERSITY, COLLEGE OF GRADUATE HEALTH STUDIES- DEPARTMENT OF PUBLIC HEALTH

CONSENT FOR PARTICIPATION IN RESEARCH ACTIVITIES

Antonina Capurro D.M.D.,M.P.H.,M.B.A, Principal Investigator





will be sorted by state, individual information will be kept confidential. The consent at the

beginning of each survey reads:

You are invited to take part in a research study to identify the common factors that

contribute to a successful school-based sealant project which will apply those elements to the

development of a template that can be used to increase access to care for school-age children.

The title of the research is The identification of factors associated with successful state-based

dental sealant programs.

This project is being completed as part of the requirements for a Dental Public Health

Residency Program through A.T. Still University. Participants will respond to a series of

question about the oral health services in their state. This study is not anonymous as each

participant must identify their state. Only the PI and Co-PI will have access to the raw data. All

data will be pooled and published in summary form only. Participants should be aware, however,

that the survey is not being run from a secure https server. Participation is voluntary.

If you have any questions about this study or your rights as a participant, you may contact the PI,

Dr. Antonina Capurro, by email at [email protected]. Questions or concerns about your

ATSU_000122


20 rights as a research participant may also be directed to Dr. Jeff Chaffin at [email protected].

If you have any questions about your rights as a research subject or in the event your believe you

have suffered any injury as a result of participation in the research project, you may contact,

Robert Theobald, Ph.D., the Chairman of KCOM Institutional Review Board (660-626-2316),

who will discuss your questions or will be able to refer you to the individual who will review the

matter with you, identify other resources that may be available, and provide further information

as to how to proceed.

Your participation in this quick fifteen question survey is greatly appreciated.

If you are 18 years of age or older, understand the statement above, and freely consent to

participate in the study, click on the "I Agree" button to begin the survey. If not, thank you for

your time.

ATSU_000123



21

Appendix A Project Proposal

The Identification of Factors Associated with Successful State-Based Dental Sealant

Programs.

Antonina Capurro, DMD,MPH,MBA

Faculty Advisor: Jeff Chaffin, DDS, MPH, MBA, MHA

A.T. Still University College of Graduate Health Studies

ATSU_000124


22 Abstract

The purpose of the study is to identify the factors that consistently contribute to

successful school-based sealant programs. Dental sealants can prevent up to 80% of cavities on

molars (Ahovuo-Saloranta, 2013). Dental decay remains one of the most common chronic

childhood diseases, causing pain, loss of school days, infections, and even death. School-based

sealant programs provide education and preventive dental services to elementary students. These

programs place a sealant onto the chewing surface of permanent molars. The sealant forms a

physical barrier between the tooth surface and the bacteria that cause tooth decay. Despite efforts

to increase access to dental services for low-income children insured by state Medicaid

programs, less than half of children enrolled in Medicaid receive a preventive dental service

annually, and there are wide variations across states (Mann, 2013).

This project will evaluate school-based sealant programs in an attempt to identify

traits/factors that are part of successful programs. Factors for analysis will include: a)funding

source(s), (b) the role of Medicaid reimbursement, (c) state policies for sealant placement, (d)

Centers for Disease Control and Prevention (CDC) funding both currently or historically and (e)

the design and structure of school-based sealant programs. The underlying premise of this

research is that school-based sealant programs that serve high-risk schools are often funded

through federal or state resources and that federal/state funding may afford a level of program

security that is related to program sustainability.

The study design is a cross sectional survey from a convenience sample of states and

sealant programs. Data will be collected through an electronic questionnaire. Participants for this

study will be recruited based on their affiliation with a school-based sealant program that occurs

entirely within a school setting. The first survey will be targeted to all state oral health programs

and they will be asked to complete a short questionnaire via an emailed survey link. Based on the

responses collected, a second survey will be distributed to specific school-based sealant

programs. The validity and reliability of the survey instrument has been increased by seeking

ATSU_000125


23 subject matter assistance from the Association of State and Territorial Dental Directors

(ASTDD)School and Adolescent Oral Health Committee. The Committee has assisted in

refining the survey questions. Content validity was also taken into account with additional

subject matter experts providing content on the surveys. ASTDD is a national non-profit

organization that supports the work of state and oral health agencies. As such, they are uniquely

positioned to provide content level expertise for this project. The ASTDD oral health program

listserve will be utilized to disseminate the final survey.

The principal goal of this research project is to identify the factors that commonly led to a

successful school-based sealant project and then theorize how those elements can be developed

into a template that can be used to increase access to care for all school-age children.

The Identification of Factors Associated with Successful State-Based Dental Sealant

Programs.

Universal access to health and education are fundamental to public health. It is for this

reason that the Affordable Care Act (ACA) included preventative services (regular medical and

dental checkups, scheduled immunizations, and screenings for childhood disease) as an essential

requirement. Despite the ACA’s vision to increase the availability of health services, according

to Oral Health in America: A Report of the Surgeon General, “more than 51 million school hours

are lost each year to dental-related illness”. When children miss valuable classroom hours due to

dental pain, they fall behind and are less likely to graduate and become a productive member of

society. Children with good oral health can spend more time in the classroom and concentrate on

their schoolwork.

School-based sealant programs are a fundamental component of population-based

interventions to reduce and control dental decay in school age children. These programs typically

ATSU_000126


24 target low-income schools that have a high percentage of children on the free and reduced lunch

program. According to the National Center for Health Statistics, children aged 5 to 19 from low-

income families are twice as likely to have untreated tooth decay as children from families with

higher socioeconomic status. While dental services are available to these children if they qualify

for the state Medicaid or CHIP programs, barriers exist in accessing these resources and

preventing tooth decay should be both an economic and public health focus for state Medicaid

units. School-based sealant programs are uniquely equipped to reduce preventable tooth decay

by increasing access to preventive services and reaching children where they are. According to

the CDC's Morbidity and Mortality Weekly Report, dental sealants prevent 80% of cavities in

the permanent molars, where 90% of cavities occur (Griffin, 2016). All oral health state

programs should explore the effectiveness and extent of school-based sealant programs.

The purpose of this study is to identify the factors that consistently contribute to

successful school-based sealant programs. Success will be quantified not only by the number of

children and schools served but the length of the program’s continued existence. Commonalities

between school-based sealant programs will also be described. This project will compare the

success of the school-based sealant programs to reach high-risk schools and increase enrollment

based on the funding source, Medicaid reimbursement, and state policies for sealant placement.

Of particular interest is the program’s history of funding from the Centers for Disease Control

and Prevention (CDC). In a five-year cycle, the CDC provides grants to twenty state health

departments to “assist their efforts to decrease dental caries, oral health disparities, and other

chronic diseases co-morbid with poor oral health”. (CDC, 2019). One of the core requirements

for state health departments is to manage statewide school sealant programs. This federal funding

provides unprecedented support for this activity, and as hypothesized by this study, provides an

advantage to states that would be otherwise unable to provide statewide preventive services in a

school-based setting.

The underlying premise of this research project is that school-based sealant programs that

ATSU_000127


25 serve high-risk schools and are funded through federal or state resources benefit from a level of



based sealant program has a direct and measurable impact on the state's CMS 416 report and

resulted in meeting or exceeding Healthy People 2020 goals.

To accomplish these goals assistance has been secured from the Association of State and

Territorial Dental Directors (ASTDD)School and Adolescent Oral Health Committee to help

develop the survey questions and then to validate and evaluate the final design. ASTDD is a

national non-profit organization that supports the work of state and oral health agencies.

Previous Experience

Dr. Antonina Capurro is the principal investigator in this study. She will be responsible

for overseeing the design of the survey, dissemination, coordination of analysis, and final

reporting of the study findings. Dr. Capurro oversees reporting of all school-based sealant

programs for Nevada.

Dr. Jeff Chaffin, ATSU Associate Professor of Public Health, will serve as the faculty

supervisor for this study.

Methodology

After completing a literature review on the subject of school-based sealant programs, the

three themes that stood out were the business model, staffing structure, and effectiveness of a

plan to reduce dental decay. The guiding questions of this project continue to be centered on the

funding source, especially the use of Medicaid reimbursement, the overall state's attitude towards

and perceived benefits of school-based sealant programs, the metrics commonly used to measure

the success of a program. Lastly, the relationship between state oral health programs and

community school-based sealant programs will be assessed. To gather quantitative data for this

investigation, the study design will be a survey research design. More specifically, a cross-

sectional survey design will be used as this will be a population-based observational survey. This

ATSU_000128


26 research is designed to evaluate the differences between school-based sealant programs and to

understand practice structure and overall philosophies at one point in time. Programs will be

compared based on their previous, present, or the absence of CDC funding history. Research will

be completed apart from the survey for participating states that will include creation of a timeline

of CDC funding, a report of preventive services based on CMS 416 report for the last five year,

and licensure restrictions for dental public health hygienists and dental therapists.

The purpose of this research is to evaluate the differences between programs and to

understand practice structure and overall philosophies at one point in time. For this reason, a

cross-sectional survey design is ideal. With this method, the association between an outcome—

decrease in the burden of oral disease—and the exposure—successful implementation of a

school-based sealant program—can be estimated.


test the research hypothesis. According to Jones, 2013, the disadvantages of using this method

are that there may be a low response rate, not all programs may have access to the survey, and

gathering feedback may require several attempts or targeted attempts to request participation. On

the other hand, possible advantages include ease of dissemination for a broad audience, real-time

responses, and streamlined data compilation and comparison.

Exposure to the services of a school-based sealant program, Medicaid reimbursement

rates, Medicaid reimbursement mechanisms/particular state plan amendments, and waivers, and

federal or state grant funding programs for school-based sealant programs are the independent

variables. The rate of dental decay, length of program history, number of children served each

school year, and CMS 416 reports on the utilization of sealants are the dependent variables.

Study Participants

Participants for this study will be recruited based on their affiliation with a school-based

sealant program that occurs entirely within a school setting, and purposive sampling will be used.

The study population has been expanded from surveying western states only to requesting

ATSU_000129


27 distribution assistance from ASTDD and will result in distributing the survey nationally. All state

oral health programs will be asked to complete a short questionnaire via an emailed survey link.

Based on the responses collected, a second survey will be distributed to specific school-based

sealant programs based on the state’s CDC funding response.

The study population may be substantial, depending on the number of school-based

sealant programs in the country. Unfortunately, that exact number is unknown. The 2018

ASTDD Synopses of State Dental Public Health revealed that 68.6% of states had a dental

sealant program that was supported by the state. Additionally, CDC funds 20 state oral health

programs to amongst other goals, increase and maintain school-based sealant programs. The

CDC SEALS program, which allows oral health programs to submit school-based sealant

information, is only available to grantee states and will provide program-specific data for this

project. While this does not give an exact number or any estimation on the reasonableness of

surveying all states, in 2013, the Pew Children's Dental Campaign evaluated all 50 states on the

effectiveness of the states to provide sealants to low-income children. Given this background, it

is possible to survey all states and states are responsive to this type of inquiry.

For this study, all state oral health programs will be initially surveyed, and based on their

CDC funding history will be contacted for participation in a follow-up survey. Inclusion in the

second follow-up survey will be limited to sealant programs that occur entirely within a school

setting. Programs that provide education only and deliver sealant in off-site clinics will be

excluded from the study.

Methods

To gather quantitative data for this investigation, the study design will be a survey

research design. More specifically, a cross-sectional survey design will be used as this will be a

population-based observational survey. This research is designed to evaluate the differences

between school-based sealant programs and to understand practice structure and overall

philosophies at one point in time. Programs will be compared based on their previous, present,

ATSU_000130


28 or the absence of CDC funding history. Research will be completed apart from the survey for

participating states that will include creation of a timeline of CDC funding, a report of preventive

services based on CMS 416 report for the last five year, and licensure restrictions for dental

public health hygienists and dental therapists.


test the research hypothesis. The Children’s Dental Health Project conducted a similar survey of

school-based sealant programs in 2014. In this study, thirteen state oral health programs that had

school-based sealant programs in existence for ten or more years were contacted to complete a

thirty-four-question survey and later a ninety-minute telephone interview. Five states from this

assessment were reviewed in detail as case studies. For those states that did not have long term

sustainable school-based sealant programs, their oral health programs were emailed a fifteen-

question survey. The combination of the data collected allowed researchers to build an in-depth

report.

For the proposed study, a similar initial survey and more detailed follow-up assessment

will be utilized. The first questionnaire will be distributed to all state oral health programs via an


specific school-based sealant programs based on the state’s CDC funding response. However,

the exact number of participants in the second survey will be based entirely on not only the

response rate from the initial national survey, but also participant’s willingness to engage in a

follow-up survey.

Assistance has been secured from the Association of State and Territorial Dental

Directors (ASTDD)School and Adolescent Oral Health Committee to help develop the survey

questions and then to validate and evaluate the final design. ASTDD is a national non-profit

organization that supports the work of state and oral health agencies. As such, they are uniquely

positioned to provide content level expertise for this project. Consequently, the ASTDD oral

health program listserve will be utilized to disseminate the final survey. In addition to the

ATSU_000131


29 mechanical evaluation of the survey which will be completed in partnership with the ASTDD

Committee, the content of the survey will be validated by content experts. The proposed timeline

for this project for survey design completion by July/August and survey dissemination by

September/October with additional follow-up for individual school-based sealant programs in the

late winter.

Risk/Benefit Assessment

There are no foreseeable risks to the survey participants. The survey will be completed on

a voluntary basis and no incentive will be offered. The information collected will inform state

policies and allow state oral health programs to build more sustainable school-based sealant

programs based on best practices. School-based sealant programs are critical to bring preventive

dental services to low-income children.

Subject Consent





will be sorted by state, individual information will be kept confidential. The consent at the

beginning of each survey reads:

You are invited to take part in a research study to identify the common factors that contribute to a successful school-based sealant project. These elements will be applied to develop a template that can be used to increase access to care for school-age children. The title of the research is The identification of factors associated with successful state-based dental sealant programs. This project is being completed as part of the requirements for a Dental Public Health Residency Program through A.T. Still University. Participants will respond to a series of question about the oral health services in their state. This study is not anonymous as each participant must identify their state. Only the PI and faculty advisor will have access to the raw data. All data will be pooled and published in summary form only. Participants should be aware, however, that the survey is not being run from a secure https server. Participation is voluntary. If you have any questions about this study or your rights as a participant, you may contact the PI,

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30 Dr. Antonina Capurro, by email at [email protected]. Questions or concerns about your rights as a research participant may also be directed to Dr. Jeff Chaffin at [email protected] If you have additional questions about your rights as a research subject or in the event your believe you have suffered any injury as a result of participation in the research project, you may contact, Robert Theobald, Ph.D., the Chairman of KCOM Institutional Review Board (660-626-2316), who will discuss your questions or will be able to refer you to the individual who will review the matter with you, identify other resources that may be available, and provide further information as to how to proceed. Your participation in this quick sixteen question survey is greatly appreciated. If you are 18 years of age or older, understand the statement above, and freely consent to participate in the study, click on the "I Agree" button to begin the survey. If not, thank you for your time.

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31 Appendix: Initial Survey: https://www.surveymonkey.com/r/CCST23Z

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https://www.surveymonkey.com/r/CCST23Z


32

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33

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34

Second Survey: https://www.surveymonkey.com/r/PHR6HNR

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https://www.surveymonkey.com/r/PHR6HNR


35

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36

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37

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38

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39

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40

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41 References: Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, Worthington HV.

(2013). Sealants for preventing dental decay in the permanent teeth. Cochrane Database

of Systematic Reviews. Issue 3. Art. No.: CD001830. DOI:

10.1002/14651858.CD001830.pub4.

Arevalo, O., Chattopadhyay, A., Lester, H., & Skelton, J. (2010). Mobile dental operations:

capital budgeting and long-term viability. Journal of Public Health Dentistry, 70(1), 28–

34. doi: 10.1111/j.1752-7325.2009.00140.x

Association of State and Territorial Dental Directors. (2018). Synopses of State Dental Public

Health Programs. Data for FY 2016-2017.

Bailit, H., Beazoglou, T., DeVitto, J., McGowan, T., & Mine-Joslin, V. (2012). Impact of Dental

Therapists on Productivity and Finances: III. FQHC-Run, School-Based Dental Care

Programs in Connecticut. Journal of Dental Education , 76(8), 1077–1081.

Bailit, H., Beazoglou, T., & Drozdowski, M. (2008). Financial Feasibility of a Model School-

Based Dental Program in Different States. Public Health Reports, 123(6), 761–767. doi:

10.1177/003335490812300612

CDC. (2019, October 01). CDC-Funded States. Retrieved May 31, 2020, from

https://www.cdc.gov/oralhealth/funded_programs/cooperative_agreements/index.htm

Children's Dental Health Project. (2014). Dental Sealants: Proven to Prevent Tooth Decay (pp.

1–39). Centers for Disease Control and Prevention.

Dye BA, Xianfen L, Beltrán-Aguilar ED. (2012). Selected Oral Health Indicators in the United

States 2005–2008. NCHS Data Brief, no. 96. Hyattsville, MD: National Center for Health

Statistics, Centers for Disease Control and Prevention.

Fowler, T. T., Matthews, G., Black, C., Kowal, H. C., Vodicka, P., & Edgerton, E. (2018).

Evaluation of a Comprehensive Oral Health Services Program in School-Based Health

Centers. Maternal and Child Health Journal, 22(7), 998–1007. doi: 10.1007/s10995-018-

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42 2478-1

FRAC.org . (2019). Understanding the Relationship Between Community Eligibility and Title I

Funding. Food Research & Action Center . Retrieved from https://www.frac.org/wp-

content/uploads/understanding-relationship-between-cep-and-title-I-funding.pdf

Gooch, B. F., Griffin, S. O., Gray, S. K., Kohn, W. G., Rozier, R. G., Siegal, M., … Zero, D. T.

(2009). Preventing Dental Caries Through School-Based Sealant Programs. The Journal

of the American Dental Association, 140(11), 1356–1365. doi:

10.14219/jada.archive.2009.0070

Griffin, S. O., Naavaal, S., Scherrer, C., Patel, M., & Chattopadhyay, S. (2017). Evaluation of

School-Based Dental Sealant Programs: An Updated Community Guide Systematic

Economic Review. American Journal of Preventive Medicine, 52(3), 407–415. doi:

10.1016/j.amepre.2016.10.004

Griffin, S., Naavaal, S., Scherrer, C., Griffin, P. M., Harris, K., & Chattopadhyay, S. (2016).

School-Based Dental Sealant Programs Prevent Cavities And Are Cost-Effective. Health

Affairs, 35(12), 2233–2240. doi: 10.1377/hlthaff.2016.0839

Griffin SO, Wei L, Gooch BF, Weno K, Espinoza L. (2016). Vital Signs: Dental Sealant Use and

Untreated Tooth Decay Among U.S. School-Aged Children. MMWR Morb Mortal Wkly

Rep. 65:1141-1145. DOI: http://dx.doi.org/10.15585/mmwr.mm6541e1external icon.

Griffin, S. O., Jones, K., Naavaal, S., Oconnell, J. M., Demopoulos, C., & Arlotta, D. (2017).

Estimating the cost of school sealant programs with minimal data. Journal of Public

Health Dentistry, 78(1), 17–24. doi: 10.1111/jphd.12224

Jackson, D. M., Jahnke, L. R., Kerber, L., Nyer, G., Siemens, K., & Clark, C. (2007). Creating a

Successful School-Based Mobile Dental Program. Journal of School Health, 77(1), 1–6.

doi: 10.1111/j.1746-1561.2007.00155.x

Jones, T. L., Baxter, M. A., & Khanduja, V. (2013). A quick guide to survey research. Annals of

the Royal College of Surgeons of England, 95(1), 5–7.

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https://www.frac.org/wp-content/uploads/understanding-relationship-between-cep-and-title-I-funding.pdf

https://www.frac.org/wp-content/uploads/understanding-relationship-between-cep-and-title-I-funding.pdf


43 doi:10.1308/003588413X13511609956372

Mann, Director, C. (2013). CMS Oral Health Initiative and Other Dental-Related Items (Rep.).

Baltimore, MD: Center for Medicaid and CHIP Services. Retrieved from

https://www.medicaid.gov/federal-policy-guidance/downloads/CIB-04-18-13.pdf.

Office of Disease Prevention and Health Promotion . (2014). Healthy People 2020. Oral Health.

Retrieved December 2019, from https://www.healthypeople.gov/2020/topics-

objectives/topic/oral-health/objectives.

PEW Center on the States. (2013). Falling Short: Most States Lag on Dental Sealants. The Pew

Charitable Trusts.

PEW Center on the States. (2011). The State of Children's Dental Health: Making Coverage

Matter. The Pew Charitable Trusts.

Setia M. S. (2016). Methodology Series Module 3: Cross-sectional Studies. Indian journal of

dermatology, 61(3), 261–264. doi:10.4103/0019-5154.182410

Siegal, M. D., & Detty, A. M. R. (2010). Do school-based dental sealant programs reach higher

risk children? Journal of Public Health Dentistry, 70(3), 181–187. doi: 10.1111/j.1752-

7325.2009.00162.x

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https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives

https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives


44

XII. Elements of Informed Consent The Food and Drug Administration has issued regulations pertaining to the elements required in an informed consent. All informed consents must comply with these regulations. To ensure compliance, the informed consent itemization listed below is provided to guide the investigator in drafting an acceptable informed consent. Please include any statement that is relevant to your project. However, you do not have to include the language example listed below. In addition, effective with the changes in the Common Rule, Jan. 21, 2019, OHRP has strongly suggested that Informed Consent be more easily understood by potential subjects. Therefore, Informed Consent that is complex because of the nature of the study or the science involved in the study, must have an overview of the significant components of Consent that are available in the first several pages of the Informed Consent Document. This overview, written in simple lay language, must provide a summary of the work being done, the requirements of the subjects when participating, and highlighting all significant risks, including potential of frequency of risk occurrence, and any benefits to the subjects that may be available. This overview does not preclude full disclosure of all components of the Informed Consent Document as described below. It is merely a summary overview for the potential subject’s benefit and convenience. 1. A statement that the study involves research, an explanation of the purposes of the

research, the expected duration of the your participation, a description of the procedures to be followed, and identification of any procedures which are experimental.

2. A description of any and all reasonably foreseeable risks or discomfort to you. 3. A description of any benefits to you or to others which may reasonably be expected

from the research. 4. A disclosure of appropriate alternative procedures or courses of treatment, if any, that

might be advantageous to you. 5. A statement of whom to contact for answers to pertinent questions about the research,

and whom to contact in the event of a research-related injury to you, that person is the IRB Chairperson, currently R.J. Theobald, Jr., Ph.D. (660-626-2316).

6. A statement that participation is voluntary, that refusal to participate will involve no

penalty or loss of benefits to which you are otherwise entitled, and that you may discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled.

7. A statement regarding confidentiality of records including references to: a. Confidential follow-up form filed at KCOM IRB b. KCOM IRB personnel reviewing pertinent medical records associated with the

study c. The possibility that FDA staff may review pertinent medical records associated with

the study 8. As required under Federal law, the Health Insurance Portability and Accountability Act

(HIPAA), the Notice of Privacy Practice has been explained to me, I was permitted to

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45 ask questions about HIPAA and which, in summary, included the following information:

The commitment to privacy and a contact person to whom I can direct questions. An explanation of how my information may be used and disclosure of which

individually identifiable health information (Information) may be used. How my information may be used and disclosed in certain special circumstances. My rights regarding my Information. The HIPAA Privacy Rule protects the privacy of personal health information contained

in your medical records (defined as “protected health information” (PHI) by HIPAA). The University has to obtain this Authorization from you so it can use your personal health information for the medical research described in this Consent Form. This Authorization gives you information about:

how your health information may be used as part of the research, how your health information may be disclosed to others as part of the research, who may disclose and receive your health information. By signing this document, you agree to the release of certain personally identifiable

health information from your medical record by (person or entity releasing information) to (the Principal Investigator, Researcher, and other members of the research team) or others as listed: for the research purposes described in this Consent Form and to the research sponsor and government agencies as required to monitor the research.

SPECIFIC AUTHORIZATIONS The following information will not be released unless you specifically authorize its disclosure by initialing the relevant line(s) below: _____ I specifically authorize the release of information pertaining to drug and alcohol abuse

diagnosis or treatment (42 C.F.R. §§2.34 and 2.35). _____ I specifically authorize the release of information pertaining to mental health diagnosis

or treatment as follows:___________________________________ _____ I specifically authorize the release of HIV/AIDS testing information. _____ I specifically authorize the release of genetic testing information.

The Investigator must circle one of the following two options: This Authorization will expire at the end of the research study; OR This Authorization has no expiration date.

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46 REVOKING AUTHORIZATION You can cancel this Authorization to allow release of your personally identifiable health information from your medical record at any time. To cancel this Authorization: write to the principal investigator identified in this Consent Form, or ask a member of the research team to give you a form to revoke this Authorization. If you cancel this Authorization, you will not be able to continue to participate in the research. The cancellation could affect your current research related treatment. You may want to discuss with your research team any impact on your treatment of revoking this Authorization. If you cancel this Authorization, the principal investigator and the research team may continue to use information about you that has already been collected. POSSIBLE DISCLOSURES Once your health information is disclosed to the research team it is not protected under HIPAA. The information may be redisclosed to others and the HIPAA Privacy Rule would not apply in those circumstances. Nevertheless the research team will continue to protect your personally identifiable health information as described in this Consent Form and the Notice of Privacy Practice. The research team and the University will comply with the requirements of all applicable laws that protect the confidentiality of your health information. ______________________________ __________________ Signature of Subject Date (If subject is between 12 and 18 years of age, provide a space for the child's signature, assenting to participation. Also provide a separate space for the parent or guardian's signature.) ______________________________ __________________ Print Name of Subject Date ______________________________ __________________ Signature of Witness Date (If required by the sponsor or funding agency or if the particular nature of the subject, investigation, or consent process suggest the need for a witness. There is no general legal requirement for a witness. 9. "I certify that I have explained to the above individual the nature and purpose, the

potential benefits and possible risks associated with participation in this research study, have answered any questions that have been raised, and have witnessed the above signature."

10. "These elements of Informed Consent conform to the assurance given by the

University to the DHHS to protect the rights of human subjects." 11. "I have provided the subject/patient a copy of this signed consent document."

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47 _______________________________ __________________ Signature of Investigator Date (Each consent form must be signed by the investigator at the time consent is obtained.) 12. A statement of compensation and medical treatment available if injury occurs.

The following may be incorporated: "If during the course of this study any injury shall occur to you as a direct

result of the administration of study drug therapy, agrees to pay all medical expenses necessary to treat such injury (1) to the extent you are not otherwise reimbursed by medical insurance and (2) provided you have followed the directions of the investigator.

If you desire, you may arrange to have such treatment performed by a

licensed physician selected by you; however, upon your request will arrange to have such treatment provided by the investigator or some other licensed physician.

makes no commitment to provide compensation beyond that

specified. However, should you require further information, you should contact , or IRB Chairman, Dr. Robert J. Theobald, 800 W. Jefferson,

Kirksville, MO 63501 (660) 626-2316. 13. *A statement of any additional costs to you that may result from participation. 14. *The consequence of your decision to withdraw and procedures for orderly

termination of participation. 15. *A statement that significant new findings will be conveyed to you in writing. 16. *A statement that certain risks may be currently unforeseeable. 17. *A statement that individual participation may be terminated by the investigator

with or without your consent. 18. *A statement of the approximate number of patients in the study. 19. A copy of the consent form given to the patient. 20. A statement of consent, e.g., "I agree to participate....." 21. A place for signature and date of signature for the patient or patient and parent (or

legally authorized representative). 22. Each page of the Informed Consent must have a place for the patient's initials. 23. The IRB phone number should be included in the Informed Consent.

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48 * When appropriate, one or more of these additional elements should also be

included. Please submit all material in original, plus three copies.

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49

XIII. Model Consent Form Read and address each numbered element of this model form in developing a consent form for the proposed human research study. The items numbered and in quotations are to be included in the consent form. The consent form must be written in lay language. When the subject is a child or ward, substitute "my ward" when appropriate. Add additional statements as directed and/or when appropriate. Copies of this Model Consent Form are available in the IRB office. KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (Also list other facilities where the research will be conducted.) CONSENT FOR PARTICIPATION IN RESEARCH ACTIVITIES List all investigators on the protocol who may request subject participation and list their academic titles. 1. You agree to participate in a research study at this institution. The title of the research is title of research. 2. "You understand that the purpose of the research is to . . . ."

Also, briefly describe the pertinent background information justifying the research, so that the subject can understand why the research is important.

If appropriate: Indicate the number of subjects to be involved in the study. If the study is also being performed at other institutions, indicate the

number of institutions and total number of subjects. This information should be included if it may have a bearing on the subject's decision to participate.

3. "Your participation will involve . . . " Describe the subject's participation and identify those aspects of

participation which are experimental or which would not be used otherwise. Indicate the expected duration of the subject's participation.

4. "You understand there are possible risks to you if you agree to participate in the study.

They are." Any foreseeable risks or discomforts, including the consequences of ineffective treatment shall be explained. Breach of confidentiality, embarrassment, loss of privacy, etc., should also be considered as risks.

"You understand that if side effects or discomforts do occur, name of investigator will try to minimize and treat these by. . . ." If appropriate, add the following statements:

Patient's Initials_________

"You understand that the treatment or procedure described may involve risks to you which are currently unforeseeable."

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50 "You understand that the researcher may terminate your participation without regard to your consent under certain circumstances or when, in the investigator's judgement, it is

in your interest to do so." 5. "You understand that the results of the research study may be published but that your

name or identity will not be revealed and that your records will remain confidential. In order that confidentiality can be maintained, name of investigator will . . .”

Describe the specific procedure for maintaining the subject's confidentiality. Indicate specifically how the investigator will keep the names of subjects confidential, the use of

subject identifiers (codes), how this information will be secured, and who will have access to the confidential information. "Confidentiality will be maintained" is not acceptable.

If appropriate, include the statements: "You understand that your records from this study may be reviewed by the FDA and/or the sponsor. 6. "You understand that the possible benefits of your participation in the research study are .

. . " Describe the benefits of participation, or lack of benefits, to the individual subject as well as to society.

If appropriate, include the statements: "You understand that your participation in this study will not benefit you." 7. "You understand that there are alternatives to this procedure." If the only alternative is

non-participation, state, "I understand that the alternative is non-participation." If there are other alternatives that either are procedural or therapeutic, these should be stated in language the subject can understand. Explain the risks and benefits of the alternatives.

8. "You also understand that your participation is voluntary and that refusal to participate

will involve no penalty to you or loss of benefits to which you are otherwise entitled. You also understand that you may withdraw from the research study at any time without penalty or prejudice."

If appropriate, include the statements:

"You understand that if you do withdraw from the research there may be possible risks to your health. They are. . . ."

"If you withdraw from the study, you will notify name of investigator, who will try to minimize the risks of withdrawing by . . . .”

Patient's Initials ___________

"You will be informed of any significant (major) new findings developed during the course of your participation in this research which may have a bearing on my willingness to continue in the study."

"As a voluntary participant in this research study, you understand that you will be charged (or not be charged) for . . . "

(consider the cost of drugs, devices, procedures, treatment of side effects, follow-

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51 up tests, etc.)

9. "You will be paid $________ for participation in the research study. If you should decide to terminate your participation prior to completion, you will be paid $_______. 10. "You understand that there may be harm to an embryo or fetus if you should become

pregnant. To the best of your knowledge, you am not pregnant, and if you do become pregnant, you will notify the researcher of my pregnancy.

11. "To the best of my knowledge, you are not participating in any other medical research

study". Add the above element if the study is medical research. If potential subjects are

or may be involved in other medical research studies, contact the IRB office for further instructions.

12. "Any questions that you may have concerning your participation in the research study

will be answered by name of individual, who can be reached at (telephone number). 13. "You understand that the name of individual will evaluate and refer you for treatment in

the event that an injury results because of your participation in this project. The College has not set aside funds to provide financial compensation. The College assumes no liability for any injury that results from your participation in this project.

This element must be included in all research where the risks are judged to be

more than minimal, and in all investigational clinical studies. 14. "If you have any questions about your rights as a research subject or in the event your

believe you have suffered any injury as a result of participation in the research project, you may contact, Robert Theobald, Ph.D., the Chairman of KCOM Institutional Review Board (660-626-2316), who will discuss your questions or will be able to refer you to the individual who will review the matter with you, identify other resources that may be available, and provide further information as to how to proceed."

Patient's Initials 15. "I have read the above statement and have been able to ask questions and express

concerns, which have been satisfactorily responded to by the investigator. I believe I understand the purpose of the study as well as the potential benefits and risks that are involved. I hereby give my informed and free consent to be a participant in this study."

Date Signature of Subject (If subject is between 12 and 18 years of age, provide a space for the child's signature, assenting to participation. Also provide a separate space for

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52 the parent or guardian's signature.) Print Name of Subject Signature of Witness (If required by the sponsor or funding agency or if the particular nature of the subject, investigation, or consent process suggest the need for a witness. There is no general legal requirement for a witness. 16. "I certify that I have explained to the above individual the nature and purpose, the

potential benefits and possible risks associated with participation in this research study, have answered any questions that have been raised, and have witnessed the above signature."

17. "These elements of Informed Consent conform to the assurance given by KCOM to the DHHS to protect the rights of human subjects." 18. "I have provided the subject/patient a copy of this signed consent document." Date Signature of Investigator (Each consent form must be signed by the investigator at the time consent is obtained.) Please submit all material in original, plus three copies.

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53

XIV. Model Advisor Report Form Read and address each numbered question below (for the reporting period only) and submit this form every three (3) calendars months that this project is active. The frequency of these reports may be increased by the IRB if it is deemed necessary by the IRB. If you have questions, please contact Robert Theobald, Ph.D., the Chairman of KCOM Institutional Review Board (660-626-2320) ([email protected]). Title of Project: ____________________________________________________________ Advisor: ______________________ ___________________________ Name Title Reporting Period: Start __________ End ____________ 1. How many potential subjects have been interviewed for this project? ________ 2. How many subjects were enrolled in the project? ______ 3. How many subjects were assigned to the control group? _________ treatment group? ______ 4. How many subjects are still enrolled? _________ 5. Have there been any adverse events in any subject? Y ____ N _____

If Yes, please describe including number of subjects, type of adverse event, severity, and if the research protocol contributed to the adverse event.

What was the resolution of the adverse event? 6. Open Comment: Advisor’s Signature: _________________________ Date: _____________

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mailto:[email protected]).


54

XV. REVIEWER'S CHECKLISTS To Reviewers: Date: Investigator: IRB #: In the enclosed HUMAN RESEARCH PROTOCOL FOR IRB REVIEW, the investigator should have addressed each of the categories numbered below. Indicate YES on the checklist if the information is adequate and meets the guidelines for IRB approval. Indicate NO if the information is inadequate and/or does not meet guidelines for approval. Organize your written objections/suggestions on additional pages using the same numbers as used for each category below. After you have completed the review, please return this page and any written suggestions/objections to the IRB office. APPROVAL PROTOCOL CATEGORY YES NO 1. Investigator's assessment of status of a new drug/device 2. Investigator's assessment of use of an approved drug/device 3. Investigator's assessment of use of radioactive materials 4. Investigator's assessment of new medical/surgical procedures 5. Investigator's assessment of use of approved procedures 6. Investigator's assessment of subjects' being in special groups 7. Investigator's assessment of minimal risks 8. Investigator's assessment of risks if confidentiality is broken 9. Investigator's assessment of anonymity 10. General purpose of the investigation 11. Background rationale and previous human/animal studies 12. Specific aims and hypotheses 13. Previous experience of investigator(s) 14. Expected groups in investigation 15. Number of subjects 16. Inclusion criteria 17. Exclusion criteria 18. Subject recruitment 19. Subject assignment to groups 20. Role of subject in study 21. Parameters measured 22. Duration of study 23. Data analysis 24. Risks to subject, and minimization of risks 25. Benefit to subject 26. Benefit to society 27. Alternatives procedures or therapies 28. Method of obtaining consent 29. Subject confidentiality, and maintenance of confidentiality 30. Consent form - see next page Use the following checklist while reviewing each element of the consent form. Check YES if the element is satisfactory. NO if not satisfactory, or NA if the element is not required. Organize any written objections/suggestions on additional pages using the same numbers as used

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55 for each element below. APPROVAL CONSENT FORM ELEMENT YES NO NA 30.01 Investigator's title and research title 30.02 Explanation of purpose and justification of research 30.03 Description of subject's participation 30.04 Description of risks, and minimization of risks Description of investigator's aid in case of side effects 30.05 Declaration and explanation of confidentiality 30.06 Description of benefits to subject/society 30.07 Description of alternative procedures 30.08 Explanation of voluntary participation 30.09 Statement of pregnancy status 30.10 Statement of non-participation in other medical research 30.11 Statement naming investigator who will answer questions 30.12 Statement of KCOM liability in cause of injury 30.13 Statement of referring subject to IRB in case of injury 30.14 Statement that subject has read and understands consent 30.15 Statement that investigator has explained the research 30.16 Statement that consent elements conform to regulations 30.17 Statement that subject is given copy of consent form Is the consent form clearly written and in lay language? Do the benefits of the research outweigh the risks? Comments: I have reviewed the enclosed Protocol and recommend: Full approval Deferral Contingent approval Disapproval Suggestions/contingencies/objections attached Signature of Reviewer Date

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56

XVI. REQUEST FOR PROJECT RE-REVIEW Kirksville College of Osteopathic Medicine

Institutional Review Board REQUEST FOR PROJECT RE-REVIEW

Reason for Re-Review (check 1) Periodic Review Change in Protocol Report of Untoward Event Project Ended (must be reported immediately) Expedited: Yes No Principal Investigator: Date: Department: Home Address: Title of Project: IRB #: Date of Last IRB Approval:

Please check appropriate items and attach pertinent information 1. The study is in progress as last approved by the IRB and a (not more than 200 word) summary of

findings within that period is attached. Attached is a copy of the consent form which is being used at present.

2. The study is in progress; attached is the description of a change in protocol, including the reasons

for the change. (If due to untoward event, include date event occurred and date of initial notification of IRB.)

3. The study has been discontinued for the following reason: 4. The study was never begun for the following reason: 5. The study has been completed and a brief (two-three paragraph) summary is attached. 6. A legal ______, medical ______, or other ______ problem has developed; attached is a

description of the situation. (Include date problem was first noted and date of initial notification of the IRB.)

7.The problem has been resolved, as the attachment describes. Advisor or Principal Investigator: Dept. Chairman: (signature) (signature) This form and attachments should be submitted as noted in your last approval letter or as appropriate, ten (10) days before a scheduled IRB meeting. Send this form and its attachments to the Coordinator, Institutional Review Board, KCOM. For further information, contact the Coordinator at 660-626-2320, or the IRB Chairperson at 660-626-2316.

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57

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58

XVII. Institutional Review Board Membership A. T. Still University - KCOM IRB #1

Name Sex Date of Appt. Background Institution (profession, Affiliation or capacity) (College, Hospital, Government, Agency, etc.) Theobald, Robert M 01/01/85 Ph.D., Pharmacology KCOM Nancy L. Rourke F 07/29/14 Risk Manager/ NRMC Facility Compliance Officer Eichor, Matt M 12-04-80 Retired Community Stuart, Melissa F 08-21-00 Ph.D., Microbiology KCOM Evans, Maria F 08-21-00 M.D., Pathology Community Snider, Karen F 08-21-00 D.O., OMM KCOM Grider, John M 07-29-14 D.O., Internal Medicine KCOM Goldman, David M 01-29-09 JD, DO, FCLM KCOM Clay, Deborah F 08-23-12 Sponsored Research and KCOM Program Development Johnson, Jane F 07-02-14 Sponsored Research and KCOM Program Development Geisbuhler, Tim M 07-02-14 Ph.D., Physiology KCOM Name: A.T. Still University – KCOM IRB #1 Assurance No.: FWA00001046 IRB No.: IRB00000557 Expires: March 9, 2025

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- 1 - Generated on IRBNet

UNLV Biomedical IRB - Administrative ReviewNotice of Excluded Activity

DATE: October 12, 2020 TO: Antonina Capurro, DMD,MPH,MBAFROM: UNLV Biomedical IRB PROTOCOL TITLE: [1641798-1] Oral Health Surveillance and Dental Education for Licensed Child

Care Centers in Rural NevadaSUBMISSION TYPE: New Project ACTION: EXCLUDED - NOT HUMAN SUBJECTS RESEARCHREVIEW DATE: October 12, 2020REVIEW TYPE: Administrative Review

Thank you for your submission of New Project materials for this protocol. This memorandum is notificationthat the protocol referenced above has been reviewed as indicated in Federal regulatory statutes45CFR46.

The UNLV Biomedical IRB has determined this protocol does not meet the definition of human subjectsresearch under the purview of the IRB according to federal regulations. It is not in need of further reviewor approval by the IRB.

We will retain a copy of this correspondence with our records.

Any changes to the excluded activity may cause this protocol to require a different level of IRB review.Should any changes need to be made, please submit a Modification Form.

If you have questions, please contact the Office of Research Integrity - Human Subjects at [email protected] call 702-895-2794. Please include your protocol title and IRBNet ID in all correspondence.

Office of Research Integrity - Human Subjects4505 Maryland Parkway . Box 451047 . Las Vegas, Nevada 89154-1047

(702) 895-2794 . FAX: (702) 895-0805 . [email protected]

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8/18/2020 New Training | Nevada Registry

https://ww2.nevadaregistry.org/UserPortal/NewTraining.aspx 1/5

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Submit a New TrainingCOVID-19 ALERT: The suspension of in-person training has been lifted. However, The Nevada Registry, with supportfrom the TAS Advisory Workgroup, continues to discourage trainers from offering in-person training during the COVID-19 pandemic. Should you opt to deliver in-person training during this time, you are encouraged to follow all currentsocial distancing guidelines and COVID-19 safety protocols outlined in the Governor’s Roadmap to Recovery (i.e.,hand-washing/hand sanitizer, wearing of masks, ensuring a social distance of 6 ft. between attendees, etc.) in order toprotect yourself as well as the health and safety of training participants.

By checking the box below, you acknowledge and accept that you are delivering training at your own risk and that TheNevada Registry is not responsible for any health and safety issues associated with and/or that arise as a result ofdelivering this in-person training during this time, or any costs arising from such issues.

Training TypeIs this training associated with your employer? No Yes

Basic InformationSave Progress

Will you work with a co-trainer(s)? No Yes

Training Title: Silver State Smiles in the Child Care Setting

In-Person or Virtual: Virtual

IN-PERSON training is delivered on a specific date, at a specific time, in a specific location in a more traditional face-to-face'classroom' setting. VIRTUAL training sessions are similar in that they occur on a specific date, at a specific time, but are offeredvia a distance learning platform (Zoom, GoTo Training, etc.). Both formats are delivered ‘live’. Specific requirements must bemet in order to be approved to deliver virtual training. Please contact The Nevada Registry for more information.

PLEASE NOTE: Virtual training is not the same as online training. ONLINE training is self-paced, independent learning that iscompleted on the computer at a time and in a location that is convenient for the adult learner. Organizations must be IACETapproved in order to offer online courses.

Start Date: 09/29/2020 Start Time: 04:00 PM

End Date: 09/29/2020 End Time: 06:15 AM

# of Hours: 2.5 (Min 1 hour) ATSU_000168

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Report the number of hours of actual content delivery, excluding lunch and breaks. A training must include at least 1 hour ofcontent delivery in order to be considered for Registry approval. (For example, if the training will be held for 3 hours with two15 minute breaks, request 2.5 contact hours).

Check one: Open to the general ECE public (posted to website) Being offered in-house (not posted to website)

Location of Training (business/building name if applicable):

Address: 1001 Shadow Lane MS 7411

City: Las Vegas Clark County

Registration Information

Is Pre-Registration Required? Yes No If yes, deadline for registration: 09/26/2020

Is there a cost? Yes No If yes, cost of training per person $

Number to call for more info. and/or to register: (702) 774-2573 x

Contact Person: dr. antonina capurro

Contact Email (optional): [email protected]

Additional Registration Information (optional): (i.e. no charge to members, training includes lunch, etc.):

50 max words. Words left: 45

Training Details

Audience Experience Level: Beginning

Target Audience: Check all that apply. If more than one group is chosen, the learning objectives must reflect the way inwhich differences in age/development/setting will be presented in the training.

Administrators Center-BasedHome-Based Parents/RelativesSchool-Age/Youth Trainers of Adult EducationOther

Age Groups: Content will focus on which age groups? Neonatal 0 to 11 to 3 3 to 55 to 8 Children with Special NeedsNA Other

Language of the Training: English Spanish Other

Minimum Class Size: 10 Maximum Class Size: 50

Core Knowledge Area: Health, Nutrition & Safety

Description of the Training: In 50 words or less, provide a narrative summary of the training content. Yoursummary should describe what participants are going to learn by attending. Summaries should be clear, concise,grammatically correct, and marketable. This summary is what visitors see on the Training Calendar and what Child CareLicensing surveyors review when the content of training isn’t obvious by title alone.

Division of Public and Beha

no charge, training includes all materials

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50 max words. Words left:

1

Training PlanList at least 3 learning objectives of this training. Click on "+" to add additional objectives.• Learning objectives should be written from the perspective of what the participant will be expected to do

during the training.• Learning objectives should be specific, measurable, attainable, realistic and time-bound (SMART).• Learning objectives should be based on sound theories of child development.

1.)

2.) Understand the cause of tooth decay and how to prevent it

3.)

4.) Discuss the first aid needed when treating pediatric dental trauma

5.)

6.)

+

List/state the benefits to the target audience:


1

What training delivery methods will be used? Delivery methods must support a variety of learningstyles and be sensitive to the needs of adult learners.

Brainstorming Case Studies Demonstration and PracticeDistance Ed Games HandoutsHands On/Interactive Large Group LectureMaterials Display Observation of Children Panel DiscussionPowerpoint Role Play Small GroupTest/Assessments Visual Aids Other

List/describe your sequence of training (order and estimated length of activities. For example;Introduction, Icebreaker, Learning Activities, Q&A, Evaluation, etc.). Total minutes should equal thenumber of contact hours being requested.

Minutes1.) Pre-course survey (online) 5

2.) Introduction and Overview 10

3.) Section 1: The basics of oral health with state data 15

This virtual training for licensed childcare educators will present educators with a working understanding of the landscape of dental disease in Nevada children, the etiology of tooth decay and prevention strategies, the relationship between nutrition and oral health, the importance of

Understand the prevalence of dental disease in children and Nevada

Learn strategies to effectively implement a tooth brushing program in

Provide resources on oral health teaching tools/lessons for young ch

Educators especially those in licensed childcare facilities spend many formative hours with young children. Caregivers should be prepared with basic information to promote general hygiene habits such as regular tooth brushing and handwashing.Through this course, educators will be equipped

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4.) Section 2: Oral health and hygiene 45

5.) Section 3: Diet, nutrition, and water fluoridation 15

6.) Section 4: Injury control and prevention 15

7.) 15

8.) Section 6: Resources 10

9.) Conclusion and Q&A 15

10.) Post-course survey (online) 5

Minutes left to assign: 0 150

+

Briefly describe how participants will be encouraged to integrate the information provided inthis training into their practice:


6

Share how participant's understanding of the training material will be checked during thecourse of the training:


37

List complete reference and copyright information for the sources used to develop thistraining (if applicable). Click on the + to add additional references.

1.)

2.)

3.)

4.)

5.)

6.)

7.)

8.)

+

Submit Training

Section 5: Wrap-up activity that reinforces oral health messages and

Educators will be encouraged to incorporate this information into their daily practice. Additionally, this is one component of C #22479 and the Nevada Oral Health Program will be traveling to each individual licensed childcare center and will review the presentation highlights with the

/

a. Pre-course survey (online) b. Post-course survey (online) c. Live chat and Q&A

AAP. (2020). AAP Provider Toolkit: Free Oral Health Resources. Ret

Bhoopathi, V., Joshi, A., Ocanto, R., & Jacobs, R. J. (2018). Oral hea

Boyer-Chu, L. (2007). Promoting Children's Oral Health. Manuscript

Kranz, A. M., & Rozier, R. G. (2011). Oral health content of early edu

Martens, L. C., Rajasekharan, S., Jacquet, W., Vandenbulcke, J. D.,

Office of Oral Health Massachusetts Department of Public Health. (2

Ramos-Jorge, M. L., Ramos-Jorge, J., Mota-Veloso, I., Oliva, K. J., Z

Unit 6: Child Development, Children's Oral Health. (2019, July 07). R

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Please double check your work and click the save button to submit this training to The Nevada Registry forapproval. This training will not appear on the Training Calendar (if open to the public) until approved.

Your confirmation will be emailed to: [email protected]

If you'd like the confirmation to be emailed to an additional email address, enter that address here:[email protected]

Submit this Training

Thank you!

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UNIVERSITY OF NEVADA LAS VEGAS

SCHOOL OF DENTAL MEDICINE

Christina A. Demopoulos, D.D.S., M.P.H. Associate Professor, Biomedical Sciences

October 2020 OFFICE ADDRESS: Department of Biomedical Sciences 1001 Shadow Lane MS 7425 Las Vegas, NV 89106 PHONE: 702-774-2545 FAX: 702-774-2721 EMAIL: [email protected] CITIZENSHIP: U.S.A. EDUCATION (Most recent first): Dates Degree College/University and Location 2011-2013 DPH University of Texas Health Science Center, Certificate San Antonio (UTHSCSA, Distance Program) 2007-2010 MPH University of Nevada, Las Vegas Las Vegas, Nevada 1995-2000 DDS University of Southern California School of Dentistry Los Angeles, California 1991-1995 BS University of Nevada, Las Vegas Honors Program Las Vegas, Nevada (Pre-Professional Biology with a minor in Chemistry and Business Administration CURRENT UNLV SDM APPOINTMENT: Position: Associate Professor Tenured or Non-Tenured: Tenure granted July 1, 2018 Date Hired: July 1, 2015 promoted to Associate Professor (UNLV hire date 11/6/2001) PRIOR NEVADA STATE DIVISION OF PUBLIC AND BEHAVIORAL HEALTH APPOINTMENT: Position: State Dental Director Bureau of Child, Family, and Community Wellness Date Hired: November 2012-August 2014

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AWARDS/ACCOMPLISHMENTS 2014: Achieved Diplomate Status for the American Board of Dental Public Health (ABDPH) 2013: Nevada State Health Division 2013 Silver Ace Award Achieving Chornic Disease Prevention Excellence Outstanding Surveillance/Data (Community) Seal Nevada South 2013: Las Vegas Woman Magazine Spring 2013 Issue Future Smiles: A Team Effort To Provide Oral Health Care To Children Interviewed For Seal Nevada South 2016: Nominated for the 5th Annual Las Vegas HEALS “Inspired Excellence in Healthcare Awards” 2016: Nominated for the 2017 Gies Award for Achievement/Dental Educator (ADEA Gies Foundation) 2017: Nominated for the UNLV Office of Community Engagement Service-Learning Faculty Award 2017: Silver Syringe Award: Innovation in Immunization 2017: Acelero Learning Community Partner award for Commitment and advocacy to children, families, and Acelero Learning Clark County Head Start programs 2017: Funding recognition: UNLV Division of Research and Economic Development (ECCPP) 2017: Silver Syringe Innovation in Immunization Certificate of Commendation (US Senator Catherine Cortez Masto) 2017: Silver Syringe Award Recognition (Governor Brian Sandoval) 2017: Silver Syringe Innovation in Immunization Recognition and Honors (US Senator Dean Heller) 2017: Sunrise Manor Community and Metro's Cinco De Mayo Holiday Event Recognition (Commissioner Marilyn K. Kirkpatrick) 2017: ADEA Gies Foundation/Gies Award For Achievement/Dental Educator Nomination 2017: Oral Health America's Smiles Across America Seal The Deal! 2017: Certificate of Recognition/School Community Partnership Program/Clark County School District 2018: UNLV Office of Community Engagement-Faculty/Staff Community Outreach Award: Honorable Mention 2018: Nevada Business Magazine Healthcare Heroes Educator Award 2018: Tenure granted on July 1, 2018

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2018: Outstanding Community Partner Award from Acelero 2019: Nomination: 2020 UNLV Office of Community Engagement Faculty/Staff Community Outreach Award 2020: UNLV News Center article titled: Putting Smiles on the Faces of All (20 years of addressing the needs of vulnerable populations) MEMBERSHIP IN PROFESSIONAL/SCIENTIFIC SOCIETIES (Current):

2003-Present Nevada Tobacco Prevention Coalition (NTPC) 2010-2018 State Advisory Committee for Oral Health (AC4OH) 2010-Present Community Coalition for Oral Health (CCOH) 2011-2013 Vice-Chair AC40H 2011-2012 Associate Member- Association of State & Territorial Dental Directors (ASTDD) 2012-2014 Full Member-ASTDD 2014-Present Associate Member – ASTDD 2011-Present American Association of Public Health Dentistry (AAPHD) 2011-Present Nevada Public Health Association (NPHA) 2012-2013 American Public Health Association (APHA) 2012-2013 American Association of Women Dentists (AAWD) 2012-2015 National Health Service Corps (NHSC) Ambassador 2013-Present ASTDD Best Practices Committee 2013-Present ASTDD Best Practices, Coalitions & Collaborations Best Practice Approach Report Subcommittee, Liaison 2013-2015 NPHA Scholarship Committee 2013-2014 ASTDD Nominations Committee 2013-Present National Oral Health Conference Abstract Reviewer 2013-Present UNLV Women's Council member (Hiring, Promotion, & Retention Workgroup) 2013-2020 Advisory Council on the State Program for Wellness and the Prevention of Chronic Disease 2013-Present American Dental Education Association (ADEA) /Community & Preventive Dentistry Section 2014-2015 Nevada Health Conference Planning Committee 2014-Present American Board of Dental Public Health (ABDPH) 2014-2019 AAPHD Education Committee/NOHC Abstract Committee (Chair) 2014-Present AAPHD Education Committee (Currently AAPHD Council on Educational Affairs) 2014-Present Rural Health Services Network 2015-Present AAPHD Workgroup to Evaluate HRSA DPH Curriculum 2015-Present 2016, 2017, 2018, 2019 NOHC Planning Committee 2015-Present AAPHD Committee to Establish Measureable Objectives/Partnership Development Section 2015 -2016 Silver Syringe Nomination Committee 2015-Present Statewide MCH Member 2015-Present Intermountain West HPV Vaccination Coalition 2015-Present Immunize Nevada: HPV Free NV Taskforce 2015-Present Southern Nevada Community Health Improvement Plan Committee/Health Care Access Committee 2015-Present ASTDD Best Practices, School and Adolescent Oral Health Committee Liaison 2017-2019 AAPHD Council on Educational Affairs (Co-Chair) 2017 AAPHD Foundation Anniversary Committee (2017 NOHC) 2017-2018 Dental Specialty Group

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2018-Present Acelero Head Start Policy Committee 2018-Present AAPHD Council on Educational Affairs/Preconference Subcommittee 2018-Present AAPHD Council on Educational Affairs/Goals Subcommittee 2018-Present AAPHD Council on Educational Affairs/Survey Subcommittee 2019-Present AAPHD Council on Educational Affairs/Abstract Review Subcommittee 2020 – Present AAPHD Board of Directors (Director at Large) 2020 – Present AAPHD Membership Committee 2020- Present AAPHD Foundation Committee 2020- Present AAPHD Joint Reference Committee 2020- Present AAPHD Council on Educational Affairs/Collaborative White Paper 2020- Present 2021 NOHC Planning Committee 2020-Present AAPHD Council on Educational Affairs (Co-Chair) MAJOR TEACHING RESPONSIBILITIES (Current): DOCTORAL EDUCATION

Course Director: DEN 7254 Contemporary Issues in Behavioral Science Summer/2010 1hr/week DEN7151 Healthcare Financing and Public Health Spring/2011 1hr/week DEN7156 Community Outreach: Pediatric Education Spring/2016 3 hr/week DEN7359 Community Outreach: Rural Rotation Fall/Spring/Summer/2015 DEN7157 Patient Communication and Cultural Competency Fall 2020 2 hr/week Lecturer: DEN7156 Community Outreach: Pediatric Education Spring/ 3hrs/semester P.A.N.D.A Lecture “Prevent Abuse and Neglect 2013-2015 Through Dental Awareness” DEN7236 Introduction to Periodontal Diagnosis and Fall/2012- 2 hrs/semester Initial Therapy Present “Tobacco Intervention Strategies” DEN7253 Dental Research and Analysis Methodology Spring 2014 2 hrs/semester “Dental Public Health” “Affordable Care Act” DEN7251 Specialty Practices Fall 2013- 1 hr/semester Present DEN7162 Biochemical Basis for Clinical Summer 2016- 4 hr/semester Nutrition Present DDS9351 International DDS/Outreach Fall 2017- 10 hr/semester Present DDS9352 International DDS/Outreach Spring 2018- 10 hr/semester Present DEN7255 Dental Public Health Research and Practice Spring 2019 1 hr/semester DEN7228 Pharmacotherapeutics I: Prescribing Medicines Summer 2018- 2 hr/semester Present DDS9261 Biomedical & Behavioral Sciences Summer 2017 10 hr/semester Present

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PGDE8403 Graduate Class: Child Abuse Lecture Spring 2020 2 hr/semester Mentor: DEN7163 Summer Research Enrichment (10 students) Summer 2016- 75 hr/semester 2019 Preclinic Instructor: DEN7235 Pediatric Dentistry Principals & Techniques Summer/2010-2014 SIM Lab Clinic instructor: DEN (pedo) Predoc Pedo Spring/2008-Fall/2017 DEN7252 Community Outreach: Geriatric Population Fall/2007-2014 DEN7359 Community Outreach Fall/2010-Present Panel Discussion: DEN7160 Integration: Research and Professional Spring/2012-2014 Development I DEN7161 Integration: Research and Professional Spring/2012-2014 Development II Invited to present during SDM Orientation Week (2006-Present) and the Pediatric Residency Orientation (2008-Present). Invited to present for an Ortho research day (2018-Present). CURRENT SERVICE ACTIVITIES: SCHOOL OF DENTAL MEDICINE/ UNLV 2011-Present Give Kids a Smile Coordinator/Planning Committee 2012-2015 Quality Assurance Improvement (QAI) Committee 2013-2015 Meaningful Use (MU) Committee 2012-2014 Faculty Council (alternate councilor) 2014-2018 SDM Curriculum Committee 2014-2016 Faculty Council (councilor) 2016-Present Full Graduate Faculty Status 2018-Present SDM Research Committee 2018-Present SDM Promotion and Tenure Committee (Chair 2020-2021) 2018-Present SDM Merit Committee 2018-Present SDM Faculty Peer Review Committee 2018 SDM Search Committee (Associate Dean of Research) 2019-Present UNLV Promotion and Tenure Committee 2019 SDM Search Committee (Predoc Pedo Faculty) 2019-Present UNLV Community Engagement Council 2019 UNLV Office of Community Engagement Faculty/Service Award Review Committee 2020- Present SDM Appeals Committee 2020- Present UNLV Graduate Programs Committee REVIEWER 2011-Present Reviewer for Health Resources and Services Administration (HRSA) Proposals 2012-Present Reviewer for Journal of Dental Education 2013-Present National Oral Health Conference (NOHC) Abstract Reviewer

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2014 Tobacco Quitline Evaluation Committee (RFP 3126/Nevada State Purchasing Position) 2015-Present Journal of Public Health Dentistry (JPHD) 2016-Present American Dental Education Association (ADEA) Abstract Reviewer 2016-Present Journal of Cancer Education 2019 Special Care in Dentistry 2019 Dimensions of Dental Hygiene 2020 Human Vaccines & Immunotherapeutics COMMUNITY Give Kids a Smile, 2010-present Saturday Morning Children’s Clinic 2008-2017 Outreach Screenings 2001-present Outreach Tobacco Education 2001-present Outreach Career Days: 2001-Present Misc Outreach Presentations to Community Groups: 2001-Present Outreach Sealants, Fluoride Varnish: 2010-Present UNLV Sealants for Smiles! 9/15/2012 Early Childhood Caries Presentations (Women, Infant, Children Centers), (Southern Nevada Health District Nurse Family Partnership): 2014-2016 UNLV GEAR UP: 2016 GRADUATE STUDENT ADVISING ACTIVITY (last ten years): MAJOR ADVISOR (Title, nature of project, resident/specialty and outcome) 2019 Dr. Heidi Iongi (DMD MPH Fast Track): Mentor for professional paper 2018 -2019 Dr. Arwa Gazzaz (AIDPH mentor) 2018 Dr. Katherine Sonoda (DMD MPH Fast Track): Mentor for professional paper and internship 2018 Dr. Molly Johnson (DMD MPH Fast Track): Mentor for professional paper and internship 2017 Dr. Douglas Bowen (Pedo Resident): Helped develop a project for his pediatric residency. 2017 “Parental Perception of Silver Diamine Fluoride versus Dental Treatment under General Anesthesia” Pediatric Resident. Submitted for Publication [Dr. Samira Farokh] 2016 “Parental Perceptions Toward the Pediatric Oral Health Provider’s Role in Bullying Education Pediatric Resident. Submitted for Publication [Dr. Nora Ghodousi] 2015 “Reported Youth Dietary Intake Associated with Tobacco Smoking” Pediatric Resident. Submitted for Publication [ Dr. Nasim Zarkesh] 2015 “Association between screen time and oral health status in children aged 6 to 12 years residing in Clark County, Nevada” Pediatric Resident. Submitted for Publication [Dr. Peter Cao] 2015 “Parental and provider perceptions of the Human Papilloma Virus (HPV) vaccine in a dental clinic Setting” Pediatric Resident. Submitted for Publication [Dr. Chandler Hyer]

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2016 “ Parental Perspective of Dental Care Access for Children Diagnosed with Autism Spectrum Disorders.” Pediatric Resident. Submitted for Publication [Dr. Jeong Ho Seo] 2016 “A Retrospective Study Comparing Pediatric Physiological and Behavioral Responses to Sedation Regimens with Midazolam or Meperidine Hydroxyzine Combination” Pediatric Resident. Submitted for Publication [Dr. Andrew Vaughn] 2015 “Commercial Advertising and Parental Choices of Children’s Dental Providers.” Pediatric Residents. Submitted for Publication [Dr. Truska Mahmood] 2015 “Influences of Oral Health Practices Implemented at the Head Start and WIC Programs in Las Vegas, Nevada .” Pediatric Resident. Submitted for Publication [Dr. Lily Hoang] 2014 “Assessment of Orthodontic Patients’ Preferences Regarding Treatment from General Dentists or Orthodontists. Orthodontic Resident. Presented Thesis [Dr. Brian Wilde] 2014 “Associations between BMI, early childhood caries, and sugar consumption.” Pediatric Resident. Submitted for Publication. [Dr. Jamie Son] 2014 “Oral Health Disparities in Nevada Medicaid Children: A Survey of Knowledge, Attitudes and Beliefs of Parents/Caregivers Regarding Access to Dental Care of Children Ages 0-10 Years Old at the University of Nevada, Las Vegas, School of Dental Medicine Advanced Pediatric Program.” Pediatric Resident. In Revision [Dr. Katrina Naasz] 2014 “Medical reimbursement for pediatric dental treatment in the emergency room versus preventative Care in Nevada.” Pediatric Resident. In Revision [Dr. Matthew Herring] 2014 “Parent's Knowledge of Children’s Oral Health and Their Ability to Retain Information.” Looked at any changes in parent’s oral health knowledge before and after an oral health education intervention session and a hands-on oral hygiene workshop. Pediatric Resident. Published in the Nevada Journal of Public Health, 2015.[Dr. Levi Sorenson] 2013 “Relationships Associated with Untreated Decay and ETS Exposure Among Adolescents 13-18 Years of Age in Nevada” Looked at associations between untreated decay and exposure to ETS. Pediatric Resident. Submitted for publication. [Dr. Monamie Ghatak] 2013 “Associations Between PSDQ Parenting Styles and Oral Health Status” Looked at oral health status as related to a standardized assessment taken by parents/caregivers. Pediatric Resident. Published in Open Journal of Pediatrics, August 2013. [Dr. Seran Ng]

2012 “Relationships Among Dental Disease, Tobacco Use, and Access to Health Care in Nevada Teens” Looked at associations between untreated decay and DMFT and students that reported using tobacco and/or marijuana. Pediatric Resident. Submitted for publication. [Dr. Michael Cottam]

ADVISORY COMMITTEE MEMBER (Title, nature of project, resident/specialty and outcome) 2014 MPH Candidate (Midlevel providers) Cara Kirby 2015 MPH Candidate: Laurel Shin (SDM Class of 2017) 2018 MPH Candidate: Molly Johnson (SDM Class of 2019) 2018 MPH Candidate: Katherine Sonoda (SDM Class of 2019)

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2019 MPH Candidate: Heidi Iongi (SDM Alumni) 2019 MPH Candidate: Letti Hale (Previous SDM Faculty) 2019 MPH Candidate (University of Alaska Anchorage): Douglas Bowen (SDM Alumni)

UNDERGRADUATE DENTAL STUDENT MENTORSHIP/ADVISOR UNLV SDM Class of 2023: Christoffer Devantier, Breeana Griffith, Hunter Jensen, Kristofer Luu, Tram Phan, Amy Smith Class of 2020: Alyssa Ariyoshi, Charles Cooley, Ryan Gov, Steven Lam, Jason Reid, Cristian Sosa, Teryn Mendenhall Class of 2019: Britton Allen, Brandon Bowen, Robert Chauncey, Arin Hartounian, Patrice Mara, Milan Montero Katherine Sonoda-Casper, Jacob Shea Class of 2018: Crystal Traeger, Taylor Cohen, Kimberly Zheng, Matthew Winter, Dustin Nygard, Keri Ishibashi, Bryce Gee Class of 2017: Fred Hadi, Vivi Baldwin, David Diehl, Jenela Chow, Devin Harr, Robert Nguyen, Tracy Pham, Blair Tiburcio, Jessica Dodge Class of 2016: Aimee Abittan, Brandon Comfort, Jacob Janseen, Sara Liu, An Nguyen, Tudor-Andrei Popescu,

Mark Whiting

UNDERGRADUATE DENTAL STUDENT MENTORSHIP/ADVISOR DEAN’S SYMPOSIUM 2015 Racial and Ethnic Oral Health Disparities Among Patients in Community-Based Programs in the Greater Las Vegas Area (Adam Marina, Christina Demopoulos) 2014 Descriptive Report on Student’s Perception Of Negative Health Effects Of Tobacco And Marijuana Use In A Sample of 13-18 Year Olds In Nevada (Vivi Baldwin, Freidun Hadi, Flaviona Bufi, Christina Demopoulos) 2014 Populations with the Highest Unmet Dental Needs by Comparing Average DMFT Scores of Patients in the Greater Las Vegas Area (Freidun Hadi, Adam Marina, Devon Kvarfordt, Christina Demopoulos) 2013 Retrospective Investigation of Community Outreach by UNLV-SDM (Dental) Students: An Analysis of Participant Demographics at Community Dental Clinics (Nicholas Freel, Joshua Leavitt, Matthew

Thacker, Christina Demopoulos) 2012 S. Mutans and P. Gingivalis Screening Reveals Disparities Among Minorities (Nicholas Freel, Jan Ericksen Davis, Allison Findley, Keaton Tomlin, Katherine M. Howard, Clifford C. Seran, Patricia Cruz, Christina Demopoulos, Karl Kingsley) 2012 Retrospective Investigation of Community Outreach by UNLV-SDM (Dental) Students: An Analysis of Participant Demographics at Community Dental Clinics (Joshua Leavitt, Matthew Thacker, Nicholas Freel, Christina Demopoulos, Karl Kingsley) 2012 Dental Faculty Loan Repayment Program (DFLRP) Insights (Cody Hughes, McKinley Self, Tanya Al-

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Talib, Christina Demopoulos, Rhonda Everett) 2012 A Feasibility Study of Healthy Smiles: Oral Health Education for Parents (Ellen Huang, Cody Hughes,

Christina Demopoulos) 2011 A Feasibility Study of Healthy Smiles: Oral Health Education for Parents (Levi Sorenson, Cody Hughes, Christina Demopoulos) ORAL PRESENTATIONS Demopoulos C (Presenting Author), Argueta, M. Putting Teeth into Early Childhood Education: A Community Collaborative Model: 2020 Nevada Public Health Association (Virtual). September 21, 2020. Demopoulos C, Mobley C. How Wellness Dries Peak Performance in the Health Professions: 2018 Nevada Public Health Association. Las Vegas, NV. September 27, 2018. Demopoulos, C. Dental Healthcare Professionals Collaborating to Increase HPV Vaccination Rates: 2018 CDC National Immunization Conference. Atlanta, GA. May 17, 2018. (colleague presented my slides) Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical-Dental Collaboration. 2018 National Oral Health Conference. Louisville, Kentucky. April 16, 2018. Demopoulos, CA., Ditmyer, M. State of Oral Health: HPV and Beyond. Nevada Health Conference. Las Vegas, NV. November 13, 2017. Demopoulos, CA., Ditmyer, M. Closing the HPV Vaccination Gap: The Fundamentals of HPV for Oral Health Care Providers. National Oral Health Conference. Albuquerque, NM. April 25, 2017. Seo JH, Demopoulos CA. Parental Perspective of Dental Care Access for Children Diagnosed with Autism Spectrum Disorders. 28th Annual Special Care Dentistry Association. Chicago, Illinois. April 14-17, 2016. C. Mobley, C. Demopoulos, M. Ditmyer, J. Son. Associations Between BMI, Sugar Intake, and Early Childhood Caries. Los Angeles, California. 2016-2017 AADR/CADR. March 16-19, 2016. Demopoulos, C, Aquino, D. An Interdisciplinary Approach to Addressing Dental Health Across the Lifespan. Oral Presentation. 2015 Nevada Health Conference. Las Vegas, Nevada, November 19, 2015. Demopoulos, C. Adolescent Oral Health: Oral Health Status of Adolescents in Nevada. Oral Presentation: 2015 MCH Adolescent Health Symposium. Las Vegas, Nevada, January 21, 2015. Ditmyer M, Demopoulos C, Mobley C. Assessing Attributes of an Oral Health Literate Organization: A Feasiblity Study. Oral Presentation: 142nd American Public Health Association Annual Meeting. New Orleans, Louisiana, November 19, 2014. Ditmyer M, Demopoulos C, Mobley C. Precancerous Oral Conditions in Nevada Adolescents Assocaited with Tobacco and Marijuana Use. Oral Presentation: 142nd American Public Health Association Annual Meeting. New Orleans, Louisiana, November 19, 2014.

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Demopoulos, C. An Interprofessional Approach to Addressing the Oral Health Needs of 0-5 Years Old. Oral Presentation: UNLV-UNSOM Interprofessional Health Equity Symposium. Las Vegas, Nevada, October 10, 2014. Demopoulos C, Marina A. Populations with the Highest Unmet Dental Needs by Comparing Average DMFT Scores of Patients in the Greater Las Vegas Area. Oral Presentation: UNLV-UNSOM Interprofessional Health Equity Symposium. Las Vegas, Nevada, October 10, 2014. Ditmyer M, Demopoulos C, Mobley C. Oral Health Literate (OHL) Dental Schools: The IOM Challenge, Part I and Part II. Oral Presentation: 2014 Nevada Public Health Association. Las Vegas, Nevada, September 25-26, 2014. Demopoulos, C. Community Engagement: Public/Private Partnerships in Providing Dental Care to Underserved Communities. Oral Presentation: 2014 24th Annual Hispanic Dental Association Conference. Las Vegas, Nevada, August 21-22, 2014. Demopoulos, C. An Innovative Approach to Addressing Oral Health Disparities in the Older Adult Population. Oral Presentation: 2014 Exploring Health Care Disparities in Nevada An Interprofessional Symposium. Las Vegas, Nevada, April 17, 2014. Ditmyer, M, Demopoulos, C, Mobley, C. The Effect of Tobacco and Marijuana Use on Oral Health in Nevada Youth. Oral Presentation: 2013 Nevada Public Health Association Southern Nevada Chapter Meeting. Las Vegas, Nevada, October 18, 2013. Demopoulos, C. UNLV School of Dental Medicine Community Outreach. Oral Presentation: 2013 Downtown Project Center, Downtown Project, 21 Speaking Event. Las Vegas, Nevada, October 15, 2013. Ditmyer, M, Demopoulos, C, Mobley, C. The Effect of Tobacco and Marijuana Use on Oral Health in Nevada Youth. Oral Presentation: 2013 Nevada Public Health Association Annual Conference. Reno, Nevada, September 12-13, 2013. Demopoulos, C. The Mouth is a Part of the Body Too. Oral Presentation: 2013 Nevada Public Health Association Annual Conference. Reno, Nevada, September 12-13, 2013. Demopoulos, C, Wood, C. Physical, Mental, and Social Well Being: What’s Oral Health Got to Do with It? Oral Presentation: 2013 Nevada Public Health Association Annual Conference. Reno, Nevada, September 12-13, 2013. Demopoulos, C. Promoting Healthy Oral Lifestyles for Individuals with Disabilities Across the Life Span. Oral Presentation: 2013 National Association of QDDPs (NAQ) Annual Conference. Reno, Nevada, August 6-9, 2013. Demopoulos, C. Promotion of Healthy Oral Health Lifestyles for Individuals with Disabilities Across the Life Span. Oral Presentation: 2013 Nevada Disabilities Conference. Reno, Nevada, March 21, 2013. Demopoulos, C. Oral Health Program Policy Tool Priority Areas. 2013 Synchronicity: Coordinating Nevada’s Chronic Disease Management, Prevention, & Health Promotion Efforts. Las Vegas, Nevada. January 18-19, 2013. Demopoulos, C. Mobile Dental Practice. 2012 Geriatric Training for Physicians, Dentist, and Behavioral/Mental Health Professionals Faculty Development Program. Las Vegas, Nevada. April 1, 2012. Demopoulos, C. Mobile Dental Practice. 2011 Geriatric Training for Physicians, Dentist, and Behavioral/Mental Health Professionals Faculty Development Program. Las Vegas, Nevada. April 8-10, 2011.

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Ditmyer, M, Demopoulos, C, McClain, M, Mobley, C. Trends (2001-2010) in Untreated Decay & Mean DMFT Indices between 3 Cohorts of Adolescents Living in Fluoridated (Clark County) and Non-fluoridated (Washoe and “All Other”) Communities in Nevada. Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. Demopoulos, C, McClain, M, Ditmyer, M, Mobley, C. Gender Differences in Untreated Decay & Mean DMFT Scores among Adolescents 13-18 Years of Age Living in Fluoridated and Non-fluoridated Communities in Nevada. Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. Levi Sorenson, Cody Hughes, DMD, MSD, Christina A. Demopoulos, DDS, MPH. A Feasibility Study of Healthy Smiles:Oral Health Education for Parents. Poster/Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. McClain, M, Demopoulos, C, Ditmyer, M, Mobley, C. Racial Differences in Decay and Mean DMFT Scores of Nevada Middle and High School Students Living in Fluoridated and Non-Fluoridated Communities. Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. Demopoulos, C. Crackdown on Cancer. UNLV School of Dental Medicine Student Research Day. Las Vegas, Nevada. March 25, 2010. POSTER PRESENTATIONS Cao, P., Demopoulos, C. A. (May 2017). Association between screen time and oral health status in children aged 6 to 12 years residing in Clark County, Nevada. Poster – presented at the American Academy of Pediatric Dentistry Annual Conference, Washington, DC. Hyer, C., Demopoulos, C. A. (May 2017). Parental and provider perceptions of the Human Papilloma Virus (HPV) vaccine in a dental clinic setting. Poster – presented at the American Academy of Pediatric Dentistry Annual Conference, Washington, DC. Zarkesh, N., Demopoulos, C. A. (May 2017). Reported Youth Dietary Intake Associated with Tobacco Smoking. Poster – presented at the American Academy of Pediatric Dentistry Annual Conference, Washington, DC. Cao, P., Demopoulos, C. A. (May 2017). Association between screen time and oral health status in children aged 6 to 12 years residing in Clark County, Nevada. Poster – presented at the UNLV Graduate Professional Student Association (GPSA) Research Day, Las Vegas, NV. Hyer, C., Demopoulos, C. A. (May 2017). Parental and provider perceptions of the Human Papilloma Virus (HPV) vaccine in a dental clinic setting. Poster – presented at the UNLV Graduate Professional Student Association (GPSA) Research Day, Las Vegas, NV. Mahmood T, Demopoulos, CA. Commercial Advertising and Parental Choices of Children’s Dental Providers. American Academy of Pediatric Dentistry. Annual Conference. San Antonio, Texas. May 26-29, 2016.

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Hoang L, Demopoulos CA. Influences of Oral Health Influences of Oral Health Practices Implemented at the Head Start and WIC Programs in Las Vegas, Nevada. American Academy of Pediatric Dentistry. Annual Conference. San Antonio, Texas. May 26-29, 2016. Seo JH, Demopoulos CA. Parental Perspective of Dental Care Access for Children Diagnosed with Autism Spectrum Disorders. American Academy of Pediatric Dentistry. Annual Conference. San Antonio, Texas. May 26-29, 2016. Seo JH, Demopoulos CA. Access for Children Diagnosed with Autism Spectrum Disorders, Abstract for poster session. 28th Annual Special Care Dentistry Association. Chicago, Illinois. April 14-17, 2016. Marina A, Demopoulos C. Racial and Ethnic Oral Health Disparities Among Patients in Community-Based Programs in the Greater Las Vegas Area. 2016 AADR/CADR. Los Angeles, California. March 16-19, 2016. Dounis G, VanBeuge S, Schuerman S, Demopoulos C, McClain M. Interprofessional training program designed to address the oral-systemic healthcare needs of older adults. AADR/CADR. March 16-19, 2016. Effects of Environmental Tobacco Smoke on the Oral Health of Adolescents Living in Nevada. Poster Presentation: 2013 National Oral Health Conference, Huntsville, Alabama, April 22-24, 2013. Michael Cottam, MS, DMD, Christina A. Demopoulos, DDS, MPH. Teen Drug and Tobacco Use, Caries, and Access to Care. Poster Presentation: 65th Annual American Academy of Pediatric Dentistry Session. San Diego, CA, May 24-May 27, 2012. Marcia M. Ditmyer, PhD, MCHES, Christina A. Demopoulos, DDS, MPH, Connie Mobley, PhD, RD. Effectiveness of Community Water Fluoridation on Untreated Caries in Nevada Adolescents: A Cohort Study. Poster Presentation: 13th Annual National Oral Health Conference. Milwaukee, WI, April 30-May 1, 2012.

Levi Sorenson, Cody Hughes, DMD, MSD, Christina A. Demopoulos, DDS, MPH. A Feasibility Study of Healthy Smiles:Oral Health Education for Parents. Poster/Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. Levi Sorenson, Cody Hughes, DMD, MSD, Christina A. Demopoulos, DDS, MPH. A Feasibility Study of Healthy Smiles:Oral Health Education for Parents. Poster/Oral Presentation: 2011 Nevada Public Health Association Annual Conference. Reno, NV, September 15-16, 2011. Marcia M. Ditmyer, PhD, CHES, Christina A. Dempoulos, DDS, Connie Mobley, PhD, RD. Trends in Caries Experience in Children in Nevada and the Effect of Water Fluoridation (2001-2010). Poster Presentation: 139th American Public Health Association. Washington, DC. October 29-November 2, 2011. Christina A. Demopoulos, DDS; Emily Anderson. (2009). Crackdown on Cancer. Poster Presentation: Second Annual UNLV Division of Health Sciences: Interdisciplinary Research Scholarship Day. Las Vegas, Nevada. April 2009. Christina A. Demopoulos, DDS; Emily Anderson. (2008). Crackdown on Cancer. Poster Presentation: First Annual UNLV Division of Health Sciences: Interdisciplinary Research Scholarship Day. Las Vegas, Nevada. April 10, 2008.

EXTRAMURAL RESEARCH, EDUCATIONAL OR SERVICE FUNDING:

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Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: PI: Dr. E Steven Smith; Co-PI: Dr. Christina A. Demopoulos Percentage Effort 100% Term of Grant 7/1/02-6/30/03 Total Award $705,688.00 Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: PI: Dr. E Steven Smith; Co-PI: Dr. Christina A. Demopoulos Percentage Effort 100% Term of Grant 7/1/03-6/30/04 Total Award $742,309.00 Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: PI: Dr. E Steven Smith; Co-PI: Dr. Christina A. Demopoulos Percentage Effort 50% Term of Grant 7/1/04-6/30/05 Total Award $537,167.00 Title Crackdown on Cancer Funding Agency Trust Fund for a Public Health Aim/Goal Tobacco education; reduction in tobacco use in middle school students in Nevada PI/Co-PI/Other PI: PI: Dr. E Steven Smith; Co-PI: Dr. Christina A. Demopoulos Percentage Effort 50% Term of Grant 7/1/04-6/30/05 Total Award $144,570.00 Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: PI: Dr. E Steven Smith; Co-PI: Dr. Christina A. Demopoulos Percentage Effort 100% Term of Grant 7/1/05-6/30/06 Total Award $539,782.00

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Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: PI: Dr. Christina A. Demopoulos Percentage Effort 50% Term of Grant 7/1/06-6/30/07 Total Award $565,415.00 Title Crackdown on Cancer Funding Agency Trust Fund for a Public Health Aim/Goal Tobacco education; reduction in tobacco use in middle school students in Nevada PI/Co-PI/Other PI: PI: Dr. Christina A. Demopoulos Percentage Effort 50% Term of Grant 7/1/06-6/30/07 Total Award $68,626.00 Title Crackdown on Cancer Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI:Dr. Christina A. Demopoulos Percentage Effort 100% Term of Grant 7/1/07-6/30/08 Total Award $565,415.00 Title workOUT Funding Agency American Legacy Foundation Aim/Goal Tobacco education, oral cancer screenings; 18-24 year olds PI/Co-PI/Other PI:Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/07-6/30/08 Total Award $95,366.00 Title Crackdown on Cancer/Oral Health Component Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort 10% Term of Grant 7/1/08-6/30/09 Total Award $45,000 Title Crackdown on Cancer/Tobacco Component Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI:Dr. Christina A. Demopoulos Percentage Effort 90%

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Term of Grant 7/1/08-6/30/09 Total Award $344,610 Title Crackdown on Cancer/Oral Health Component Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI Dr. Christina A. Demopoulos Percentage Effort 10% Term of Grant 7/1/09-6/30/10 Total Award $40,275 Title Crackdown on Cancer/Tobacco Component Funding Agency Fund for a Healthy Nevada Aim/Goal Tobacco education, oral cancer screenings; reduction in tobacco use in middle and high school students in Nevada PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort 90% Term of Grant 7/1/09-6/30/10 Total Award $286,371 Title ADA/GKAS Continuity of Care Funding Agency ADA Foundation Aim/Goal Case management for 2011 GKAS patients PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 5/1/2011-8/31/2012 Total Award $6,249.50

Title Seal Nevada South Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/10-6/30/11 Total Award $4,000 Title Dental Faculty Loan Repayment Program Funding Agency Human Resources and Services Administration Aim/Goal Establish within the UNLV School of Dental Medicine a Faculty Loan Repayment

Program (DFLRP) to assist in recruitment and retention of Academic Dental Faculty for pre-doctoral dental students and post-doctoral residents in general dentistry and recognized dental specialties.

PI/Co-PI/Other Other (Research team member, data analysis) Percentage Effort Term of Grant 7/1/10-6/30/14

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Total Award $4,000 Title Clark County Dental Initiative Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/11-6/30/12 Total Award $20,000 Title Effects of Environmental Tobacco Smoke on the Oral Health of Adolescents Living in Nevada Funding Agency American Association of Public Health Dentistry Foundation Aim/Goal Oral health screenings; relationships between untreated decay and environmental Tobacco smoke exposure in 13-18 year olds PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 5/1/2012-8/30/2013 Total Award $5,000

Title Clark County Dental Initiative Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/12-6/30/13 Total Award $15,000 Title State Dental Director for NSHD Funding Agency Nevada State Health Division Aim/Goal Support State Dental Director Position PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 11/13/2012-7/31/2016 Total Award $124,140.15 Title South SEALS Project Funding Agency Nevada State Health Division/CDC Funding Aim/Goal Standardization of sealant data using SEALS/SEALS-ACCESS Database PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 5/1/2013-9/30/2013 Total Award $31,000 Title SEALS Nevada So. Funding Agency Nevada State Health Division/WIC Aim/Goal Coordinate the planning and creation of a database for Community Health Worker Program PI/Co-PI/Other PI: Dr. Christina A. Demopoulos

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Percentage Effort Term of Grant 9/10/2013-11/30/2013 Total Award $8,800 Title Clark County Dental Initiative Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/13-6/30/14 Total Award $15,000 Title Development and Pilot Testing of One Method for Assessing Attributes of an Oral

Health Literate Organization Funding Agency American Dental Education Association (ADEA) Aim/Goal Organizational oral health literacy PI/Co-PI/Other Co-PI: Dr. Christina A. Demopoulos (PI: As of 7/1/2014) Percentage Effort Term of Grant 11/1/13-10/31/2014 Total Award $5,000 Title Clark County Dental Initiative/Seal Nevada South Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/15-6/30/16 Total Award $15,000 Title Seal Nevada South Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 7/1/16-6/30/17 Total Award $7,500 Title OHA RMHC ECCPP Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, caries risk assessment, parent/child engagement, case management for all Early Head Start and Head Start Centers in NV and 3 other states PI/Co-PI/Other PI: Dr. Christina A. Demopoulos

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Percentage Effort Term of Grant 1/30/2017-1/29/2018 Total Award $200,000 Title OHA RMHC ECCPP Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, caries risk assessment, parent/child engagement, case management for all Early Head Start and Head Start Centers in NV and 3 other states PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 1/30/2018-1/30/2020 Total Award $400,000 (awarded, but funding was not received) Title Seal Nevada South Funding Agency Oral Health America Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk children PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 9/1/17-6/30/18 Total Award $7,500 Funding Agency Delta Dental Foundation Aim/Goal Oral health screenings, fluoride varnish, sealants; reduce untreated decay for at-risk Children; Will also provide follow up care for patients impacted by COVID-19 and children that participated in the annual Give Kids a Smile (GKAS) event PI/Co-PI/Other PI: Dr. Christina A. Demopoulos Percentage Effort Term of Grant 5/2020-5/2021 Total Award $50,000 PENDING MANUSCRIPTS TO PEER REVIEWED PUBLICATIONS 1. Baldwin V, Hadi F, Bufi F, and Demopoulos C. (2014) Descriptive Report on Student’s Perception Of Negative Health Effects Of Tobacco And Marijuana Use In A Sample of 13-18 Year Olds In Nevada (working on manuscript) 2. Christina A. Demopoulos, DDS, MPH, Marcia Ditmyer, PhD, MCHES, Connie Mobley, RD, PhD, David Cappelli, DDS, MPH, PhD. Increased Oral Health Risk Associated with Environmental Tobacco Smoke (ETS) Exposure in Adolescents (13-18) Living in Nevada. (working on manuscript) SUBMITTED MANUSCRIPTS TO PEER REVIEWED PUBLICATIONS

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1.Ditmyer D, Demopoulos C. The Long-Term Effect of Community Water Fluoridation (CWF) on the Dental Caries Rates Between Three Cohorts of Adolescents. (Not Published) 2. Herring M, Demopoulos C. (2015). Medicaid reimbursement for pediatric dental treatment in the emergency room versus preventative care in Nevada. (Not Published) 3. Naasz K, Demopoulos C. Parental Perceptions of Access to Dental Care for Children in Nevada Associated with Insurance Status. (2015) (Not Published) 4. Seo J, Demopoulos C. (2016) Parental Perspective of Dental Care Access for Children Diagnosed with

Autism Spectrum Disorders (Not Published) 5. Vaughn A, Demopoulos C. (2016) A Retrospective Study Comparing Pediatric Physiological and Behavioral Responses to Sedation Regimens with Midazolam or Meperidine Hydroxyzine Combination (Not Published) 6. Zarkesh N, Demopoulos C. (2017) Reported Youth Dietary Intake Associated with Tobacco Smoking (Not Published) 7. Cao P, Demopoulos C. (2017) Association between screen time and oral health status in children aged 6 to 12 years residing in Clark County, Nevada (Not Published) 8. Hyer C, Demopoulos C. (2017) Parental and provider perceptions of the Human Papilloma Virus (HPV) vaccine in a dental clinic setting (Not Published) 9. Ghodousi N, Demopoulos C. (2018). Parental Perceptions Toward the Pediatric Oral Health Provider’s Role in Bullying Education. (In Revision) 10. Farokh S, Demopoulos C. (2018). Parental Perception of Silver Diamine Fluoride versus Dental Treatment under General Anesthesia (Will Resubmit) 11. Sohini Dhar; Christina A. Demopoulos, DDS, MPH; Casey Kluesner; Marcia Mastracci Ditmyer, PhD, MBA, MS (2018). An Innovative Approach to Promoting the Human Papilloma Virus (HPV) in Dental Settings (In Revision) 12. Chandler Hyer, Karl Kingsley, Christina Demopoulos (2018). Assessment of Parental and Dental Provider Perceptions of the Human Papilloma Virus (HPV) Vaccine in a Dental Clinic Setting: A Pilot Study (Under Review with Compendium for Continuing Education in Dentistry)

13. Marcia Mastracci Ditmyer, PhD, MBA, MS; Sohini Dhar; Casey Kluesner; Christina A. Demopoulos, DDS, MPH (2018). Dental Practitioners Moral or Ethical Position Regarding HPV Vaccination for the Prevention of HPV and HPV-Associated Cancers (In Revision)

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PEER REVIEWED PUBLICATIONS 1.Jeffrey Ebersole, Vera Samburova, Yeongkwon Son, David Cappelli, Christina Demopoulos, Antonina Capurro, Andres Pinto, Brian Chrzan, Karl Kingsley, Katherine Howard, Nathaniel Clark, Andrey Khlystov (2020). Harmful Chemicals Emitted from Electronic Cigarettes and Potential Deleterious Effects in the Oral Cavity. Tob. Induc. Dis. 2020;18(May):41. 1. Demopoulos, C.A., Ditmyer, M.M. (2017). Bridging the HPV Knowledge Gap. Dimensions of Dental Hygiene. 2. Susan O’Griffin, Kari Jones, Shillpa Naaval, Dawn Arlotta, Christina Demopoulos, Joan O’Connell (2017). Estimating the cost of school sealant program with minimal data. Journal of Public Health Dentistry. 3. Demopoulos, C. A., Ditmyer, M.M. (2017). Association between Human Papillloma Virus (HPV) and Oral Health. Decisions in Dentistry. 4.Hoang L, Demopoulos CA. Influences of Oral Health Influences of Oral Health Practices Implemented at the Head Start and WIC Programs in Las Vegas, Nevada. Nevada Journal of Public Health. 2016. 5. Mahmood T, Demopoulos C. (2015). Commercial Advertising and Parental Choices of Children’s Dental Providers. Nevada Journal of Public Health. 2016. 6.Ditmyer M, Demopoulos C, Mobley C. (2015) Oral Effects of Tobacco and Marijuana Use. Decisions in Dentistry. October 6, 2015 Issue. 7.Sorenson LJ, Hughes CC, Demopoulos DA, Mobley CC, Ditmyer M. Parents’ knowledge of Children’s Oral Health and Their Ability to Retain Information. Nevada Journal of Public Health. 2015. 8.Rhonda J. Everett, Karl Kingsley, Christina A. Demopoulos, Edward E. Herschaft, Christine Lamun, Sheniz Moonie, Timothy J. Bungum, and Michelle Chino. Awareness and Beliefs Regarding Intimate Partner Violence Among First-Year Dental Students. J Dent Educ 2013 77(3): 316-322. 9. Marcia M. Ditmyer, PhD, MCHES; Christina A. Demopoulos, DDS, MPH; and Connie Mobley, PhD, RD. Under the Influence: An in-depth look at the association between tobacco and marijuana use and dental caries. Dimensions of Dental Hygiene. July 2013 Issue. 10.Seran Ng, Christina Demopoulos, Connie Mobley, Marcia Ditmyer. Parenting style and oral health status. Open Journal of Pediatrics (accepted August 2013 online) 11. Marcia Ditmyer, Ph.D., Christina Demopoulos, D.D.S., Mildred McClain, Ph.D., Georgia Dounis, D.D.S., and Connie Mobley, R.D., Ph.D. The Effect of Tobacco and Marijuana Use on Dental Health Status in Nevada Adolescents: A Trend Analysis. Journal of Adolescent Health. Volume 52, Issue 5, pg 641-648 May 2013. 12. Demopoulos, C.A. & Cochran, C. (2011). Effects of the Master Settlement Agreement on Smoking Among Nevada Teens: A Decade After Implementation and Implications of Reduced Funding. Journal of the Nevada Public Health Association. 2011. P. 32-43

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http://www.tobaccoinduceddiseases.org/Author-Jeffrey-Ebersole/134316

http://www.tobaccoinduceddiseases.org/Author-Vera-Samburova/134317

http://www.tobaccoinduceddiseases.org/Author-Yeongkwon-Son/134318

http://www.tobaccoinduceddiseases.org/Author-David-Cappelli/134319

http://www.tobaccoinduceddiseases.org/Author-Christina-Demopoulos/134320

http://www.tobaccoinduceddiseases.org/Author-Antonina-Capurro/134321

http://www.tobaccoinduceddiseases.org/Author-Antonina-Capurro/134321

http://www.tobaccoinduceddiseases.org/Author-Andres-Pinto/134322

http://www.tobaccoinduceddiseases.org/Author-Brian-Chrzan/134323

http://www.tobaccoinduceddiseases.org/Author-Karl-Kingsley/43299

http://www.tobaccoinduceddiseases.org/Author-Katherine-Howard/134324

http://www.tobaccoinduceddiseases.org/Author-Nathaniel-Clark/134325

http://www.tobaccoinduceddiseases.org/Author-Andrey-Khlystov/134326

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13. Ditmyer, Mobley, Draper, Smith & Demopoulos. Development of a Theoretical Screening Tool to Assess Caries Risk in Nevada Youth. Journal of Public Health Dentistry. 68(4): 201-208. Other Publications:

1. Contributed to the DentaQuest HPV & Oral Health Infographic (2020)

2. Interview with the Center for Health Care Strategies (CHCS) [value based care, 2020]

3. Interview for a dissertation on Successful Women in STEM (2019-2020)

4. Invited to serve as HPV expert to validate a survey used for a Master’s Program in Dental Hygiene at the Massachusetts College of Pharmacy & Health Sciences (2020)

5. Demopoulos, CA. Closing the HPV Vaccination Gap: The Fundamentals of HPV for Oral Health Care

Providers Webinar. American Cancer Society/AHEC. April 19, 2017.

6. Demopoulos, C. (2017). HPV and Oropharyngeal Cancer. ASTDD white paper

7. Demopoulos, C. (Published Interview) Marijuana Use and Oral Health: Talking with Patients About the Rising Cannabis Trend. AGD Impact, January 2016 44(1):25-30.

8. Created Oral Health You Tube Videos for the Nevada Wellness Site

9. Interview for National Children’s Dental Health Month (Nevada News Service)

10. Development of Dental Public Health Residency Program

11. Demopoulos, C. (Interview) Brief Tobacco Use Interventions. Southern Nevada Health District: “The

Perspective.” March 2014.

12. Demopoulos, C. Preventing Tobacco Use and Eliminating Exposure to Secondhand Smoke Policy Statement. Association of State and Territorial Dental Directors (ASTDD). Adopted March 6, 2013.

13. Demopoulos, C. (Interview) Future Smiles. Las Vegas Woman Magazine. February 2013.

ABSTRACTS Montgomery T, Demopoulos C. Putting Teeth into Early Childhood Education: A Community Collaborative Model. 2019 ADEA Annual Session & Exhibition (not accepted) Humiston, S., Demopoulos, CA., Seetoo, K, Feinstein, J., and Bright, D. Dental Healthcare Professionals Collaborating to Increase HPV Vaccination Rates. National Immunization Conference – 2018. Atlanta, Georgia. May 27, 2018. (accepted for oral presentation). Demopoulos, C. A. (2017 - 2018). Promoting HPV Vaccine: An Opportunity for Medical-Dental Collaboration. Conference Panel Presented – National Oral Health Conference Accepted for 4/2018 Demopoulos, C. A. (2017). Improving the oral health of Head Start and Early Head Start children: a multistate demonstration project. Oral Presentation – presented at the National Oral Health Conference. (not accepted)

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Gewelber, C. L., & Demopoulos, C. A. (2017 - Present). Challenges Faced by Special Needs Patients Aging Out of Pediatric Care. Poster – Not accepted presented at the 2017 ADEA Annual Session & Exhibition, Long Beach, CA. Seo JH, Demopoulos CA. Access for Children Diagnosed with Autism Spectrum Disorders, Abstract for poster session. 28th Annual Special Care Dentistry Association. Chicago, Illinois. April 14-17, 2016. (accepted for poster presentation) Marina A, Demopoulos C. Racial and Ethnic Oral Health Disparities Among Patients in Community-Based Programs in the Greater Las Vegas Area. 2016 AADR/CADR. Los Angeles, California. March 16-19, 2016. (accepted for poster presentation) C. Mobley, C. Demopoulos, M. Ditmyer, J. Son. Associations Between BMI, Sugar Intake, and Early Childhood Caries. Los Angeles, California. 2016-2017 AADR/CADR. March 16-19, 2016. (accepted for oral presentation)

Dounis G, VanBeuge S, Schuerman S, Demopoulos C, McClain M. Interprofessional training program designed to address the oral-systemic healthcare needs of older adults. AADR/CADR. March 16-19, 2016. (accepted for poster presentation) Demopoulos, C. Ditmyer, M. Mobley, C. Skelton, J. Oral Health Literate (OHL) Dental Schools: The IOM Challenge, Part I. Oral Presentation: 2015 ADEA Annual Session & Exhibition. Boston, MA. March 7-10, 2015. (not accepted for oral presentation) Demopoulos, C. Ditmyer, M. Mobley, C. Skelton, J. Oral Health Literate (OHL) Dental Schools: The IOM Challenge, Part II. Oral Presentation: 2015 ADEA Annual Session & Exhibition. Boston, MA. March 7-10, 2015. (not accepted for oral presentation) Demopoulos, C. Ditmyer, M. Mobley, C. Skelton, J. Oral Health Literate (OHL) Dental Schools: The IOM Challenge. Oral Presentation: Nevada Public Health Association. Las Vegas, Nevada. September 25, 26, 2014. (accepted for oral presentation) Ditmyer M, Demopoulos C. Skelton J. Mobley C. Assessing Attributes of an Oral Health Literate Organization: A Feasibility Study. Oral Presentation: 142nd APHA Annual Meeting and Exposition. New Orleans, Louisiana, November 15-19, 2014. (accepted for oral presentation) Ditmyer M, Demopoulos C. Skelton J. Mobley C.Trend Analysis: Effect of Tobacco and Marijuana Use on Oral Health in Nevada Youth. Oral Presentation: 142nd APHA Annual Meeting and Exposition. New Orleans, Louisiana, November 15-19, 2014. (not accepted for oral presentation) Ditmyer M, Demopoulos C. Skelton J. Mobley C. Precancerous Oral Conditions in Nevada Adolescents Associated with Tobacco and Marijuana Use. Oral Presentation: 142nd APHA Annual Meeting and Exposition. New Orleans, Louisiana, November 15-19, 2014. (accepted for oral presentation) Cody Hughes, DMD, MS, McKinley Self, DMD, Tanya Al-Talib, DDS, Christina A. Demopoulos, DDS, MPH, Rhonda Everett, DDS, MPH. Dental Faculty Loan Repayment Program Insights. Oral Presentation: 2012 ADEA Session & Exhibition. Orlando, Florida, March 17-21, 2012.

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Ditmyer M, Demopoulos C, McClain M, Dounis G, Mobley G. Surveillance for selected tobacco-use behaviors among Nevada Adolescents, 2002-2010. Poster Presentation: 2012 American Public Health Association 140th Annual Meeting & Exposition. San Francisco, California, October 27-31, 2012. Ditmyer M, Demopoulos C, Mobley C. The Effect of Water Fluoridation on the Oral Health Status in Nevada Children (2001–2010), Poster Presentation: American School Health Association, 85th Annual Conference & Exposition. Louisville, Kentucky, October 12 - 15, 2011. Ditmyer M. Demopoulos C, Mobley C. Oral Health Disparities: Implications for School Health Professionals. Concurrent Round-table session: American School Health Association, 85th Annual Conference & Exposition. Louisville, Kentucky, October 12 - 15, 2011. Ditmyer, M, Mobley, C, Demopoulos, C. A Theoretical Model Development for Caries Risk Assessment. Oral Presentation: 37th Annual Conference of American Association of Dental Research. Dallas, Texas, April 2-5, 2008. Ditmyer M, Dounis G, McClain M, Mobley C, Demopoulos C. Defining Caries Severity in Nevada Youth: A Comparison between Mean DMFT Indices and Significant Caries Index (SiC). Oral Presentation: Nevada Public Health Association Annual Conference. Las Vegas, Nevada, October 1-2, 2008. Ditmyer M, Mobley C, Dounis G, McClain M, Demopoulos C. Attitudes of High School Students in Nevada on the Effectiveness of a Tobacco Education Program. Oral Presentation: 82nd Annual American School Health Association Conference. Tampa, Florida, November 12-15, 2008. Ditmyer M, Mobley C, McClain M, Dounis G. Demopoulos C. Assessing Caries Prevalence and Severity in Hispanics Living in Nevada: A Trend Analysis. Poster Presentation: 136th American Public Health Association Annual Conference. San Diego, California, October 25-29, 2008.

Ditmyer M, Mobley C, Dounis G, McClain M. Demopoulos C. Caries Severity in Nevada Youth using Mean DMFT Scores and Significant Caries Index (SiC). Poster Presentation: 136th American Public Health Association Annual Conference. San Diego, California, October 25-29, 2008.

Ditmyer M, Mobley C, Dounis G, McClain M, Demopoulos C. Attitudes of High School Students in Nevada on the Effectiveness of a Tobacco Education Program. Oral Presentation. 82nd Annual American School Health Association Conference. Tampa, Florida, November 12-15, 2008. Miller C, Mobley C, Ditmyer M, Smith S, Demopoulos C. Fruit and Vegetable Intake and Children’s Attitudes Toward Smoking Status. Oral Presentation: 85th General Session & Exhibition of the IADR. New Orleans, Louisiana, March 21-24, 2007. Nelson C, Orr T, Mobley C, Ditmyer M, Smith ES, Demopoulos C. Secondhand Tobacco Smoke and DMFT in Nevada Adolescents. Oral Presentation: 85th General Session & Exhibition of the IADR. New Orleans, Louisiana, March 21-24, 2007. McKinney M, Mobley C, Smith ES, Ditmyer M, Demopoulos C. The Association between Piercings and Enlarged Lymph Nodes in Nevada Teens. Poster Presentation: 85th General Session & Exhibition of the IADR. New Orleans, Louisiana, March 21-24, 2007. White B, Ditmyer M, Mobley C, Smith ES, Demopoulos C. Tobacco Use Prevalence Rates Reported by Nevada School Students. Poster Presentation: 85th General Session & Exhibition of the IADR. New Orleans, Louisiana, March 21-24, 2007.

ATSU_000195

Demopoulos, C.

24

McCarlie, Orr, Mobley, Ditmyer, Smith, & Demopoulos. Oral health and smoking in Nevada teens: An environmental impact. University of Nevada, Las Vegas, School of Dental Medicine. Oral Presentation: IADR General Session & Exhibition, Brisbane, Australia, June 28-July 1, 2006. Nelson, Orr, Mobley, Ditmyer, Smith & Demopoulos. Smoking and DMFT Scores in Nevada Adolescent Females. Oral Presentation: IADR General Session & Exhibition, Brisbane, Australia, June 28-July 1, 2006. Cameron, Meacham, Mobley, Ditmyer, Smith, Demopoulos. [University of Nevada Las Vegas School of Dental Medicine (UNLV)], Validation of Visual Body Mass Index for Oral Health Screening. Oral Presentation: ADEA/AADR/CADR Meeting & Exhibition, Orlando, Florida, March 8-11, 2006. Draper, Cameron, Mobley, Ditmyer, Smith & Demopoulos. University of Nevada Las Vegas, School of Dental Medicine (UNLV)]. Caries Risk Factors Associated with Adolescent Health. Oral Presentation: ADEA/AADR/CADR Meeting & Exhibition, Orlando, Florida, March 8-11, 2006. INVITED PRESENTATIONS: Demopoulos, C. The Mouth is Part of the Body Too: Las Vegas Science Café (Virtual) (August 5, 2020) Demopoulos, C. HPV: The Role of the Dental Team: National Network for Oral Health Access (NNOHA) webinar (April 24, 2020) Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: Southern NV SoCRA Chapter Monthly Meeting (October 2019) Demopoulos, C. Sunrise Children’s Foundation Pre-Service Training (Oral Health, Dental Disease): Las Vegas,

NV (August 19, 2019) Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: Texas Oral Health Coalition (July 2019) Demopoulos, C. AAPHD Foundation Panel, 2019 National Oral Health Conference, Aril 15-17, 2019. Memphis, TN. Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: High Sierra AHEC. Project ECHO webinar. March 8, 2019. Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: NYU Langone Faculty Development. December 4, 2018. Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: Nevada Cancer Control Summit. September 17, 2018. Demopoulos, C. Promoting the HPV Vaccine: An Opportunity for Medical Dental Collaboration: 2018 Hawaii Health Workforce Summit. September 8, 2018. Demopoulos, C. High Sierra AHEC Webinar. Closing the HPV Vaccination Gap: The Fundamentals of HPV for Oral Health Care Providers. April 19, 2017.

ATSU_000196

Demopoulos, C.

25

Demopoulos, C. Southern Nevada Dental Hygiene Association. Closing the HPV Gap: The Fundamentals of HPV for Oral Health Care Providers. October 20, 2016. Demopoulos, C. Immunize Nevada/High Sierra AHEC Webinar. Closing the HPV Vaccination Gap: The Fundamentals of HPV for Oral Health Care Providers. August 24, 2016. Demopoulos, C. Health Effects of Tobacco and Marijuana Use: An In-Depth Look at the Association between Tobacco and Marijuana Use and Dental Caries. Continuing Education Presentation. Las Vegas, Nevada, May 18, 2016. Demopoulos, C. Legislative Committee on Health Care. Children’s Oral Health in Nevada. Las Vegas, Nevada, May 18, 2016. Demopoulos, C. Immunize Nevada & The Intermountain West HPV Vaccination Coalition, March Meeting. The Fundamentals of HPV for Oral Health Care Providers. March 3, 2016. Demopoulos, C. Adolescent Oral Health: Oral Health Status of Adolescents in Nevada. Oral Presentation: 2015 MCH Adolescent Health Symposium. Las Vegas, Nevada, January 21, 2015. Demopoulos, C. Immunize Nevada Webinar. Closing the HPV Vaccination Gap: Best Practices for Oral Health Care Providers. August 19, 2014. Demopoulos, C. Community Engagement: Public/Private Partnerships in Providing Dental Care to Underserved Communities. Oral Presentation: 2014 24th Annual Hispanic Dental Association Conference. Las Vegas, Nevada, August 21-22, 2014. Demopoulos, C. Legislative Committee on Health Care. Oral Health in Nevada. Las Vegas, Nevada, March 5, 2014. Demopoulos, C. An Innovative Approach to Addressing Oral Health Disparities in the Older Adult Population. Oral Presentation: 2014 Exploring Health Care Disparities in Nevada An Interprofessional Symposium. Las Vegas, Nevada, April 17, 2014. Demopoulos, C, Wood, C. Physical, Mental, and Social Well Being: What’s Oral Health Got to Do with It? Oral Presentation: 2013 Nevada Public Health Association Annual Conference. Reno, Nevada, September 12-13, 2013. Demopoulos, C. Promoting Healthy Oral Lifestyles for Individuals with Disabilities Across the Life Span. Oral Presentation: 2013 National Association of QDDPs (NAQ) Annual Conference. Reno, Nevada, August 6-9, 2013. Demopoulos, C. ASTDD Webinar. Cancer…It’s On the Move-Let’s Find It. September 25, 2013. Demopoulos, C. North Dakota Center for Persons with Disabilities. Promotion of Healthy Oral Health Lifestyles for Individuals with Disabilities Across the Life Span. November 4, 2013.

ATSU_000197

Department of Health and Human Services

State of Nevada

Steve SisolakGovernor

Richard WhitleyDirector

Helping people. It’s who we are and what we do.

Division of Public and Behavioral HealthAntonina Capurro, DMD, MPH, MBA

State Dental Health OfficerJessica Woods, RDH, MPH

Interim State Dental Hygienist

10/08/2020

Silver State Smiles in the Child Care Setting

ATSU_000198

Learning Objectives

Understand the prevalence of dental disease in children and Nevada’s ranking

01Understand the cause of tooth decay and how to prevent it

02Learn strategies to effectively implement a tooth brushing program in a childcare setting

03Discuss the first aid needed when treating pediatric dental trauma

04Provide resources on oral health teaching tools/lessons for young children

05

ATSU_000199

Overview• Pre-course survey (online link)• Introduction & Overview • Section 1: The basics of oral health with state data• Section 2: Oral health and hygiene • Section 3: Diet, nutrition, and water fluoridation • Section 4: Injury control and prevention • Section 5: Wrap-up activity that reinforces oral health

messages and discusses barriers to oral health care and strategies

• Section 6: Resources • Conclusion and Q&A • Post-course survey (online link)

ATSU_000200

Pre-course survey

https://www.surveymonkey.com/r/ChildCareSettingPre-Test

4ATSU_000201

https://www.surveymonkey.com/r/ChildCareSettingPre-Test

State Dental Health OfficerAntonina Capurro, DMD, MPH, MBA

Interim State Dental HygienistJessica Woods, RDH, MPH

Executive Administrative AssistantLoretta Moses, BSBM

5

Nevada Oral Health Program Team

ATSU_000202

First, thank you!!

We are mothers and could not do what we dowithout childcare educators such as yourself thatloving care for the children in your charge.

6ATSU_000203

7

Mission of the Nevada Oral Health Program

The mission of the Nevada Oral Health Program is to protect, promote, and improve the oral health of the people of Nevada. The Oral Health Program and its partners collaborate to promote optimal oral health for Nevadans across the lifespan.

Vision:A healthy Nevada, where all people experience the benefits of oral health intrinsically linked to overall health. Our vision is to remove barriers to a patient’s ability to maintain oral health regardless of the patient’s location, age, or financial status.

Authorization:Nevada Oral Health Program: NRS 439.2791

to increase public knowledge and raise public awareness of the importance of oral health and to educate the residents of Nevada on matters relating to oral health, including, without limitation: 1) proper oral hygiene; 2) the factors that increase the risk of a person developing oral diseases; and 3) the prevention and treatment of oral diseases.

State Dental Health Officer: NRS 439.272State Public Health Dental Hygienist: NRS 439.279

ATSU_000204

Nevada Oral Health Survey History

In 2003, a dental screening was conducted too review the oral health status on children enrolled in Nevada’s Head Start programs. All 44 Head Start sites were screened. In 2007, a second screening of all 44 Head Start sites in the state was conduced. In 2017, another dental screening was conducted to collect oral health data on Nevada’s rural Head Start children. All 16 Head Start Centers in 11 of Nevada’s 17 counties were screened. This year, we are planning a comparison oral health screening survey of licensed childcare facilities in rural Nevada.

8ATSU_000205

Nevada Oral Health Survey 2017

What Did We Learn• 26% of rural Head Start children in this survey had untreated decay

• 31% of these rural Head Start children had treated decay. • 29% of these rural Head Start children needed either restorative or urgent dental care.Other key findings• About 10% (43) reported that in the last 12 months their child could not get care when they needed it. About 23% reported “other reason” as to why they could not care; the next most reported reason was no insurance (11%).• A higher proportion of American Indian children in rural Head Start programs had caries experience (62%) than did White (40%), Hispanic (49%) children, or those children where Race/Ethnicity was stated as “Other” (45%).• A higher proportion of American Indian children in rural Head Start programs had untreated decay (27%) than did White or Hispanic (23%) children.

9ATSU_000206

Nevada Oral Health Survey2017 Survey Discovered:

About two thirds of the parents of survey children provided a name for their dental provider, while 15% of the parents stated that they had no dental provider.

10

38

56.8

54.8

61.7

0 10 20 30 40 50 60 70

Licensed Dentists

Licensed Dentists per 100,000 population

U.S. Average Nevada (Statewide)Nevada's Urban Counties Nevada's Rural Counties

From 2008 – 2018, there has been a decrease in dentists per 100,000 in rural and frontier territories by 2.9%

There has been an increase in dentists per 100,000 in urban areas of 18.3%Nevada Rural and Frontier Health Data Book-9th Ed. January 2019

ATSU_000207

Designated Dental Professional Shortage Areas, 2017

Nevada Dental Health Professional Shortage Areas by County

Humboldt

Elko

White Pine

Clark

Nye

Esmeralda

Mineral

Lander Eureka

Pershing

ChurchillWashoe

Carson City

Douglas

Lyon

Storey

2017 Nevada Primary Care Office Data

KeyLincoln

11ATSU_000208

Currently, an estimated 2,168,638 Nevadans or 72.0% of the state’s population reside in a federally designated dental health professional shortage area (HPSA)

13 of 17 counties in Nevada are single county dental HPSAs.

12

Designated Dental Professional Shortage Areas, 2019

Nevada Rural and Frontier Health Data Book — Ninth Edition

ATSU_000209

13

Number of Counties Visited:

11

Number of Head Start Centers Visited:

16

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14

18

Treatment urgency also shows improvement. Figure 5 displays the distributional findings of treatment need for rural Nevada Head Start children from the 2017 survey. In comparing to rural results for the 2007 survey and combining “urgent ̀ and “early ̀ dental needs, 2017 results reveal that 28% of rural Head Start children have need for dental care, compared to 42% of rural children in 2007. However, the 8% of children with “urgent” need for dental care is higher than the overall 5% in 2003 and the 3% in 2007, and represents many children with dental pain or infection at the time of the screenings. This “urgent ̀ category may be less reliable though, if screeners in the different surveys had slightly different interpretations of the difference between “early ̀ and “urgent ̀ needs. Even though there appears to be improvement since 2007, one in four children is still a very high proportion of children having need for dental care. Figure 5: Treatment Urgency Distribution for 2017 Nevada Head Start Children

0%

10%

20%

30%

40%

50%

60%

70%

80%

Urgent Need Early Need No Dental Need

5%

33%

62%

3%

39%

58%

8%

20%

71%

Treatment Urgency by Year

2003

2007

2017

16

Healthy People 2020 Healthy People 2020 is a set of health objectives for the nation to achieve by the year 20204. There are 17 specific oral health objectives to prevent and control oral diseases and reduce oral health disparities. Three oral health indices are included for children three to five years of age. They are: OH 1.1 Reduce the proportion of children aged 3 to 5 years with dental caries experience in their primary teeth (target . 30%) OH 2.1 Reduce the proportion of children aged 3 to 5 years with untreated dental decay in their primary teeth (target 21.4%) OH 12.1 Increase the proportion of children aged 3 to 5 years who have received dental sealants on one or more of their primary molar teeth (target 1.5%) Figure 3 compares 2017 caries experience and untreated decay for children in Nevada’s Head Start programs (age three to five) to Healthy People 2020 objectives 1.1 and 2.1. This clearly demonstrates the gap in achieving the Healthy People 2020 objectives for children of families with low incomes. The 2017 Nevada Head Start Survey did not assess dental sealants on primary teeth. Figure 3: 2017 Nevada Head Start Children.. Oral Health Compared to Healthy People 2020 Objectives - Caries Experience and Untreated Decay

4 https://www.healthypeople.gov/

0%5%

10%15%20%25%30%35%40%45%50%

CariesExperience

UntreatedDecay

50%

26%30%

21%

Caries Experience and Untreated Decay vs. HP Target

2017 NV HS

HP 2020 Target

2017 Nevada Head Start Children’s Oral Health Compared to Healthy People 2020 Objectives-Caries Experience and Untreated DecayTreatment Urgency Distribution

ATSU_000211

2017 Oral Health Survey Summary

• 26% or about one in four children, had untreated decay

• 29% needed early or urgent dental care• A higher proportion of American Indian Children

had untreated decay than children of any other racial/ethnic group.

• There is still progress to be made towards Healthy People 2020 Objectives (now HP 2030).

15ATSU_000212

Head Start vs. Licensed Childcare

16

Head Start

Federally funded and free to families that qualify

Serves children 3 to 5 year olds

Federally mandated curriculum with the goal to prepare at-risk children to succeed in kindergarten

Medical screenings and evaluations provided.

Annual dental exam required

Toothbrushing and daily hygiene routine required

Licensed Childcare

Paid through tuition and fees

Serves children birth to 5 years of age

Wide range of curriculum with mixture of play and learning

Learning and physical evaluations may be encouraged if issues identified

No annual dental exam required

No toothbrushing or daily hygiene routine required

ATSU_000213

Silver State Smiles for Licensed Childcare Centers

The Nevada Division of Public and Behavioral Health (DPBH), Oral Health Program(OHP) currently housed through contract (C 23271) at the UNLV School of Dental Medicine (UNLV SDM) has received a grant from the Department of Education’s Office of Early Learning and Development (C22479) to conduct a dental surveillance project in Nevada’s rural licensed childcare centers.

ATSU_000214

Silver State Smiles for for Licensed Childcare Centers

The purpose of this surveillance project is to evaluate the oral health status of children receiving care from licensed childcare centers in rural Nevada. A similar project was completed by the Nevada Oral Health Program in 2017 and 2018 when the oral health status of children in rural Head Start programs was assessed. Aggregate results of this study will be compared to the reports from the 2017 Head Start oral health assessment. This project is not research but a public health surveillance project to inform Nevada public health action, planning, and program evaluation.

ATSU_000215

Services Provided by NV Oral Health Program

• Oral Health Education for Classroom• Screening • Children assigned an ID number and their number entered

onto screening form• Data into a HIPAA compliant database for analysis of project

effectiveness• Preventative Dental Services

• Fluoride Varnish Application• Case management• Classroom toothbrushing supplies

http://www.ceogc.org/head-start-students-get-dental-screenings-thanks-case-western-partnership/https://commons.wikimedia.org/wiki/File:Children_receive_dental_screening_and_care_at_the_USAID-sponsored_Kon_Ray_School_(6940469059).jpg

ATSU_000216

http://www.ceogc.org/head-start-students-get-dental-screenings-thanks-case-western-partnership/

https://commons.wikimedia.org/wiki/File:Children_receive_dental_screening_and_care_at_the_USAID-sponsored_Kon_Ray_School_(6940469059).jpg

Basic Screening SurveyBasic Screening Survey (BSS) is used nationally as a tool for oral health surveillance. • Developed by the Association of State and

Territorial Dental Directors BSS • Non-invasive, open mouth survey• Assesses and monitors the burden of oral

disease• Data on dental caries experience,

untreated decay, permanent tooth loss, and urgent dental needs drive public health decisions and policy development

• The screening includes a visual observation of the child's dental health with a mouth mirror and light.

• All screeners will be calibrated to ensure inter rater reliability.

https://www.astdd.org/docs/bss-surveillance-not-research-july-2017.pdfATSU_000217

MethodologyInitial calls to secure participationIntroductory letters to licensed childcare facility

administrators Webinar on project outline and oral health educationFollow up calls to answer questions and schedule a

screening visitPackets mailed to each site with letter to parents,

consent forms, and oral health brochureConfirmation/reminder calls/emails will be made a

week before the visit date and then the day before the visit.

21ATSU_000218

Welcome Letter

22ATSU_000219

To Be Sent- Letter w Consents

23ATSU_000220

To Be Sent - Letter w/ Consents

24

Key Takeaways:

• Parent letters and consent forms will be stapled and ready for distribution

• Wristbands will be in your packet

• Sites that reach 70% consent form rate of return will receive a $100 gift card

• To qualify, forms need to be return even if parent declines the screening

ATSU_000221

25ATSU_000222

26

To Be Sent - Consent Form

ATSU_000223

Take Home Findings

The take home findings form and oral hygiene kit will be provided to you for the child to take home at the end of the day.

27ATSU_000224

Section 1: The basics of oral health

with state data

ATSU_000225

Oral Health Is Linked to Overall Health

Interprofessional Solutions for Improving Oral Health in Older Adults. Gerontological Society of America, July 2017.

• Diabetes Type II – periodontal disease and the release of inflammatory markers in response to infection has an adverse effect on glycemic control

• Atherosclerotic Conditions–periodontal disease and oral plaques have been associated with ischemic heart disease

• Respiratory disease and aspiration pneumonia – oral pathogens serve as a reservoir of respiratory pathogens and become a source of infection if they travel to the lungs

29ATSU_000226

Oral Diseases

• Tooth decay (caries)

• Periodontal disease

• Gingivitis• Oral herpes

• Oral cancer• Temporomandibular pain

• Dry mouth

• Burning mouth syndrome• Thrush

• Trauma

http://www.kidstowndentist.com/kidstown-services/no-x-ray-cavity-detection/

ATSU_000227

Oral health remains the largest unmet pediatric health care need in the United States

• Age 6-11 years• ~21% of US children are affected by caries in permanent teeth

• 27% in Hispanic children• 19% in non-Hispanic white children

• Age 12-19 years• ~60% of US children have dental caries in permanent teeth AND

~15% it remains untreated

• In adulthood• ~ 92% of people have dental caries in permanent teeth

ATSU_000228

• 64.9% of third-grade students in Nevada have experienced dental decay and 28.1% of third-grade students have untreated dental decay. (Basic Screening Survey for Third-Grade Students in Nevada, 2008-09)

• National HP2020 Goal: OH1.2: 49.0% (unmet goal); OH 2.2: 25.9% (unmet goal)

National and State Data

32

In the United States, more than 51 million school hours are lost due to dental disease in children, leading to increased educational disparities.

Oral Health in America: A Report of the Surgeon General

• Tooth decay is the #1 most common chronic childhood disease

• 5x more common than asthma, 4x more common than early childhood obesity, and 20x more common than diabetes. (American Academy of Pediatric Dentistry)

• 24.8% of children in Nevada Head Starts have untreated dental decay. (Basic Screening Survey for Head Start Children in Nevada, 2017)

• National HP2020 Goal: OH 2.1: 21.4% (unmet goal)

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33

Old Wives Tale: You lose a tooth with every pregnancy

40% of pregnant women in the U.S. suffer from some form of oral disease during pregnancy from periodontitis, gingivitis, or active decay. (American College of Obstetricians and Gynecologists).

40% of Nevada adults over the age of 21 do not obtain dental care each year (2017 BRFSS).

According to the Centers for Disease Control and Prevention:

• 1 in 4 women of childbearing age have untreated cavities.• Children of mothers who have high levels of untreated cavities or tooth loss are

more than 3 times more likely to have cavities as a child.• Children with poor oral health status are nearly 3 times more likely to miss school

because of dental pain.

Disclaimer: Nevada’s response rate and CDC threshold (55% for 2017 data), potential non-response bias, and data covered only June-December births.

2017 Nevada Pregnancy Risk Assessment Monitoring System (PRAMS)• 74% of women surveyed knew it was important to care for their

teeth• 27.9% of women had their teeth cleaned during pregnancy• 63.2% of women reported having dental insurance

Oral Health During Pregnancy

ATSU_000230

• 1 out of 4 adults in Nevada avoid smiling due to the poor condition of their mouth and teeth.

• 30% of Nevada adults report that they experience regular dental pain due to a lack of dental treatment

• 6 in 10 low-income adults lacking dental coverage report their oral health impedes job prospects

• 40% of adults in Nevada did not visit a dentist in the last year.

Oral Health In Adulthood

34American Dental Association’s Health Policy Institute; 2016 Behavioral Risk Factor Surveillance Survey (BRFSS)

ATSU_000231

35

In 2016, Nevada Medicaid financed 64% of births in the state, ranking Nevada’s Medicaid birth rate as the 5th in the nation.

During the 2018-2019 school year, 51% of students were enrolled in Medicaid.

Medicaid provides medical and dental services as well as transportation for children.• Covered dental services include:

Routine exams, teeth cleanings (periodontal scaling and root planning or prophylaxis), preventive treatments, restorations, prosthetics, oral surgery, and emergency dental care.

Dental Benefit Overview:

• Comprehensive benefits for children (0 to 20 years old)• Comprehensive benefits for adults during pregnancy• Emergency and removable prosthetics for adults ( 21+)

Nevada Department of Health and Human Services, Office of Analytics, 2019

Fiscal and Policy LeversNevada Medicaid

ATSU_000232

36

Oral Health Strategy

ATSU_000233

37

Nevada Medicaid

ATSU_000234

https://nccd.cdc.gov/BRFSSPrevalence/38

Health Care in the U.S.

ATSU_000235

https://nccd.cdc.gov/BRFSSPrevalence/39

Health Care in the U.S.

ATSU_000236

Emergency Departments As the Safety Net for Oral Health Conditions

$867 million to $2.1 billion in 2010 – according to ADA’s Health Policy

Institute

From 1997 to 2000, dental related discharge diagnostic codes encompassed 0.7% or 4.1 million visits of all emergency department encounters.

The ER is often the safety net of the health care system for those that are

unable to access care from a primary medical or dental provider due to:

• Geographic• Financial• Cultural or • Attitudinal barriers

40ATSU_000237

Nevada Emergency Room Visits2012-2017

41

749,796783,319

848,246903,734

939,574979,368

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

2012 2013 2014 2015 2016 2017

EncountersATSU_000238

Statewide Non-Traumatic Dental Emergency Department Encounters, 2017

42

0-5 years4% 6-20 years

8%

21-44 years65%

45-64 years20%

65+3%

0-5 years 6-20 years 21-44 years 45-64 years 65+ ATSU_000239

Payer Sources in Emergency Departments

43ATSU_000240

Change of mindset that it’s “Just Baby Teeth”• Most common chronic disease of

childhood• Cost to child

• Pain• School loss—51 million hours of

school lost per year (Surgeon General’s Report, 2000)

• Impact on “adult” teeth—greatest likelihood of poor outcome in adulthood when caries in primary teeth

• Systemic health• Increased costs/morbidity

44

Source NCHS 1996

Educators Can Set the Stage for a Lifetime of Health

ATSU_000241

…As Educators

• Great area of health care disparities• 80% of caries in permanent teeth

occur in ~ ¼ of American children

• 2-5 Years: 75% of caries in primary dentition found in 8.1% of population (Macek et al., 2004)

• >6 years: 75% of caries in primary dentition found in 33 % of population (Macek et al., 2004)

ATSU_000242

• Greatest area of health care disparities• Race/ethnic

…As Educators

ATSU_000243

Healthy People 2030Dental decay is not inevitable it is 100% preventable

1. Reduce the proportion of children and adolescents with lifetime tooth decay experience in their primary or permanent teeth

Baseline: 48.4 percent of children and adolescents aged 3 to 19 years had lifetime tooth decay experience in their primary or permanent teeth in 2013-16; Target: 42.9 percent

2. Reduce the proportion of children and adolescents with active and currently untreated tooth decay in their primary or permanent teeth

Baseline: 13.4 percent of children and adolescents aged 3 to 19 years had active and currently untreated tooth decay in their primary or permanent teeth in 2013-1; Target: 10.2 percent

3. Reduce the consumption of calories from added sugars by persons aged 2 years and over

Baseline: 13.5 percent was the mean percentage of calories from added sugars consumed by persons aged 2 years and over in 2013-16 (age adjusted to the year 2000 standard population); Target: 11.5 percent

4. Increase the proportion of persons served by community systems with optimally fluoridated water systems

Baseline: 72.8 percent of persons were served by community water systems with optimally fluoridated water in 2016; Target: 77.1 percent

47ATSU_000244

Quick Break

48ATSU_000245

Section 2: Oral health and hygiene

ATSU_000246

Being Healthy Means Good Oral Health

• Oral health is essential to general health • Oral health means more than healthy teeth and

absence of disease – it means that the teeth, gums, and moth are healthy, comfortable and functional

• Oral health facilitates good nutrition• We need healthy teeth and gums to effectively

chew and swallow food and absorb nutrients essential for the body’s general health

Resource: California Childcare Health Program (2007)ATSU_000247

What does health look like?

ATSU_000248

Why Should YOU Care About Tooth Decay?

• Baby teeth are important! • When very young children develop tooth decay it can hurt more

than just their smile ---• Nutrition• Socialization• Self-esteem development• Well-being• Development and eruption of their adult (permanent) teeth

• Having tooth decay in early childhood puts the child at-risk for tooth decay in adulthood.

• No child should experience these problems because TOOTH DECAY IS PREVENTABLE.

Resource: Massachusetts Department of Public Health, Office of Oral Health (2009)

ATSU_000249

ATSU_000250

STRIKES

Question 1: How many primary and How many permanent teeth do we have?

Answer:20 and 32

ATSU_000251

Normal Development

• Primary dentition starts at 6-8 weeks gestation• Calcification primary dentition at end first trimester

• Permanent dentition starts forming at 5 months gestation

• Calcification permanent dentition at birth

• Eruption first tooth at around 6 months (4-9 months)

• Natal teeth rare (1/2,000 births)ATSU_000252

Dental Enamel

• 96% hydroxyapatite (crystalline CaPO4)• 4% water and organic materials• Avascular, no nerve supply• Helps protect teeth from daily use such as chewing, biting,

crunching, and grinding• Insulates the teeth from potentially painful temperatures

and chemicals• Because enamel has no living cells, the body cannot repair

chipped or cracked enamel

©C. Robinson Oral BiologyThe structure of calcium hydroxyapatite.

(https://www.academia.edu/1732481/Dental_Enamel_Chemistry)

ATSU_000253

https://www.academia.edu/1732481/Dental_Enamel_Chemistry

How Does Tooth Decay Happen?• In most children, primary (baby) teeth begin to erupt at

around 6 months of age. • Once the first tooth erupts, a child is at-risk for tooth decay. In

fact, tooth decay is the most common chronic disease among children.

• Tooth decay or dental cavities is an infectious disease, meaning the bacteria that cause tooth decay can spread from person to person.

• The disease starts after eating or drinking something with starch or sugar. Bacteria (germs) in the mouth “eat” these carbohydrates, which allow them to grow and collect together on the tooth.

• This collection of bacteria is called dental plaque. The bacteria in dental plaque continue to eat carbohydrates and produce acids. These acids weaken the tooth and a hole, or a “cavity,” is formed.

Resource: Massachusetts Department of Public Health, Office of Oral Health (2009)ATSU_000254

• Plaque is a sticky, colorless layer of germs and saliva that sits on the teeth and gums. When plaque is left on the teeth and gums, it hardens and becomes tartar or calculus.

• When the germs break down the sugars in the food, acids are formed. This happens for about 20 minutes after the food is eaten.

• These acids can eat away the enamel on the teeth. The result is damage to the teeth also known as cavities.

What Does Plaque Look Like?

ATSU_000255

Received from Dr Susan Fischer-Owens

ATSU_000256

Tooth decay

Starts with destruction enamel

https://www.wilkdental.com/anatomy-of-a-tooth/ATSU_000257

What Does Tooth Decay Look Like?

The first sign of tooth decay is a white and chalky spot on the tooth, often on the front teeth near the gumline. At this stage, the dental caries process can be stopped and the tooth can be healed if minerals like fluoride in drinking water and toothpaste are used regularly; and if the child’s diet is changed to limit foods and drinks with a lot of sugar, as well as carbohydrates.

If the teeth aren’t kept clean, they don’t receive enough fluoride, and sugar isn’t limited in the diet, eventually a hole forms in the tooth’s enamel or outer surface. Once the tooth has a hole it must be treated by a dentist. The dentist will remove the infected part of the tooth and fill the hole.

If a cavity is not treated, the infection will continue to weaken the tooth. If it spreads to the innermost part of the tooth where the blood vessels and nerves are located, the tooth can become very painful and the infection can spread to other parts of the body. This severe infection must be treated immediately.


ATSU_000258

Received from Dr Susan Fischer-Owens

ATSU_000259

What Factors Affect the Tooth Decay Process?The demineralization and remineralization process is affected by several factors. Some of these factors include:• Saliva• Oral hygiene behaviors• Fluoride exposure• Diet• Medicine• General healthAll people with teeth (children and adults) are at-risk for developing tooth decay; however primary (baby) teeth have a much thinner layer of enamel compared to adult teeth. Therefore, young children are more at-risk for tooth decay, which usually progresses quicker than it does in adult teeth.


ATSU_000260

Oral cavity is the battle between demineralization and remineralization

Demineralization (Caries)

Acid producing bacteria

Sub-normal saliva flow and/or function

Frequent eating/drinking of fermentable carbohydrates

Poor oral hygiene

Remineralization

Antibacterial (fluoride, chlorhexidine, xylitol)

Saliva flow and components

Fluoride, calcium, phosphate

Good oral health

ATSU_000261

Dental Caries

• Rare mortality, significant morbidity• Pain, loss of work or school time, suffering• Billions of dollars in healthcare spending

• Genetic determinants (pit and fissures morphology)• Environmental determinants that modify caries risk

• Factors affecting tooth development• Oral hygiene• Carbohydrate exposure• Microbiome exposure

ATSU_000262

STRIKES

Question 2: True or False. Dental decay is an infectious transmissible disease

Answer: True

ATSU_000263

Summary:Poor Oral Health Consequences• Nutrition • Attention Issues• Lack of sleep• Difficulty learning• Behavior Issues, irritability, self-injurious behaviors

ATSU_000264

Summary: Dental Decay in Childhood

• Dental caries is the most common chronic disease in children: it is about five times as common as asthma and seven times as common as hay fever.

• About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.

• 1 of 7 (13%) adolescents aged 12 to 19 years have at least one untreated decayed tooth.

• Children aged 5 to 19 years from low-income families are twice as likely (25%) to have cavities, compared with children from higher-income households (11%).

(Dye BA, Xianfen L, Beltrán-Aguilar ED. Selected Oral Health Indicators in the United States 2005–2008. NCHS Data Brief, no. 96. Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention; 2012.)

ATSU_000265

Summary: Prevention vs. Management of Acute Symptoms

• Early positive experiences in a dental office; easier behavior management in the future.

• Desensitization appointments aren’t reimbursed, but are theoretically beneficial in the long run to help a patient trust and be more cooperative

• Pain management often means extractions leading to malocclusion (worse than they already had) or loss of function, and for higher functioning individuals, loss of self esteem.

ATSU_000266

ATSU_000267

• This is Deamonte Driver from Maryland. For those of you who don’t know who he is, he was a 12 year old child who had an abscessed tooth and couldn’t find a dentist to treat him since he had ADD and was poor. The abscess spread to his brain requiring surgery which resulted in his death on February 25, 2007.

• He endured two surgeries and weeks of hospital care totaling about $250,000. When dentist were asked about why they turned their backs on seeing him they said, “With Medicaid, we don’t even break even.”

Used by permission of Dr. Perlman. Pacific Dental Services Foundation. ATSU_000268

Prevention Through Daily Oral Hygiene

ATSU_000269

Why is Toothbrushing Important?

According to the Centers for Disease Control and Prevention (CDC), “When done routinely and properly, toothbrushing can reduce the amount of plaque which contains the bacteria associated with gum disease and tooth decay, as well as provide the cavity- preventing benefits of fluoride.” Toothbrushing is important for two major reasons:

Brushing teeth removes plaque, which contains tooth decay causing germs. Plaque tends to form after meals or drinks that contain any sugar or carbohydrates. Brushing after eating/drinking can remove and control the growth of plaque bacteria (germs) that forms on the teeth.

Brushing with toothpaste that contains fluoride makes the tooth stronger and less at -risk for developing tooth decay.


ATSU_000270

Start Early

• Infants. Wipe their gums and teeth with a clean moist cloth after means and again before bed.

• Toddlers and Preschoolers. Start teaching them to use a toothbrush when they are about 2 years old. Young children want to hold the toothbrush and participate in toothbrushing. Since they do not have enough fine motor control, they need your help

• School-Age Children. Supervise and help them until age 8 –the age most children acquire fine motor skills such as the ability to tie their own shoelaces or completely dress themselves.


Bright Smiles, Bright FuturesNevada Teachers’ Workshop

Los Angeles TeamCamilo, Nina & Alli

ATSU_000272

77

Bright Smiles, Bright FuturesIn 1991, Colgate introduced Bright Smiles, Bright Futures (BSBF), an oral health education and prevention program designed to improve the oral health of underserved children.

Today, BSBF is a far-reaching, impactful oral health education initiative

Globally… ● In over 80 countries

In North America….● Raise awareness● In school curriculum● Mobile Dental Unit Program

ATSU_000273

https://www.colgate.com/en-us/bright-smiles-bright-futures/program-materials/oral-health-education-program-teachers-guide-for-pre-k

78

Oral Health and Hygiene● Why do we brush?

○ To help prevent cavities and gum disease○ To remove plaque and bacteria from the teeth surfaces○ To keep the mouth and body healthy and clean○ To maintain a bright smile

● Why do we floss?○ To help prevent cavities and gum disease○ To access areas the toothbrush cannot○ To remove food particles and bacteria from in-between the teeth○ To keep teeth strong

ATSU_000274

79

Oral Hygiene Instructions● When should the kids brush their teeth?

○ After breakfast, lunch and before bed.○ Or at least 2 times per day

● How long should they brush for?○ Two minutes each time

● What type of toothbrush should they use?○ Using a soft-bristle toothbrush

● When should the toothbrush be replaced?○ Every three months○ If the bristles are frayed○ After recovering from illness

● What kind of toothpaste should they use and why?○ Fluoride toothpaste ○ To help prevent cavities and strengtheneth the

teeth enamel● How much of toothpaste should they use?

○ A smear would do● When to floss?

○ After each meal○ Or at least once a day

● What type of floss to use?○ Flossers

ATSU_000275

80

Brushing & Flossing Techniques

Brushing Flossing

ATSU_000276

81

Recap

NoSharing

ATSU_000277

82

Contact Us

Visit us: www.colgatebsbf.com@ColgateBSBF ~ #ColgateBrightSmiles

E-mail us at: [email protected]

ATSU_000278

http://www.colgatebsbf.com/


83

Colgate Resources


https://www.youtube.com/watch?v=MOpY7SA8OJA

#ColgateBrightSmilesBrightSmiles, Bright Futures® "Chompers: Loose in Tooth City," A Read Along Audiobook for Children

ATSU_000279


https://www.youtube.com/watch?v=MOpY7SA8OJA

https://www.youtube.com/results?search_query=%23ColgateBrightSmiles

STRIKES

Question 3: How many times a day should you brush and for how long?

Answer: 2 minutes twice a day with a fluoride containing toothpaste (if you can spit)

ATSU_000280

Implementing a Toothbrushing Program

Classroom toothbrushing programs can improve children’s oral health.

The Scottish Government and National Health Service have funded a nation-wide supervised nursery toothbrush program called Childsmile.

The aim of the program was to reduce childhood dental decay and narrow health inequalities.

Childsmile Program offers:

• a dental pack containing a toothbrush and fluoride toothpaste to children up to age five

• free, daily, supervised toothbrushing to every three- and four-year-old attending nursery school

Findings:In the eighth year of the toothbrushing program the expected savings were more than two and a half times the costs of the program implementation.

The program improved child oral health status during a period of general child health flat-lining.

Anopa, Y., Mcmahon, A. D., Conway, D. I., Ball, G. E., Mcintosh, E., & Macpherson, L. M. (2015). Improving Child Oral Health:Cost Analysis of a National Nursery Toothbrushing Programme. Plos One, 10(8). doi:10.1371/journal.pone.0136211 ATSU_000281

Implementing a Toothbrushing ProgramAs part of the Oral Health Program Survey, we will provide you with a classroom toothbrushing kit.

What’s in the kit?1. Ultraviolet toothbrush sanitizer2. Toothbrushes3. Marker for writing each child’s name4. Toothpaste5. Paper cups6. Gloves7. Hand sanitizer


Implementing a Toothbrushing Program

Steps for toothbrushing in the classroom

https://eclkc.ohs.acf.hhs.gov/video/steps-toothbrushing-table-growing-healthy-smiles-early-care-education-programs

ATSU_000283

https://eclkc.ohs.acf.hhs.gov/video/steps-toothbrushing-table-growing-healthy-smiles-early-care-education-programs

Implementing a Toothbrushing ProgramThings to Consider:

1. Toothbrushing instructions;2. Managing and storing supplies;3. Infection control and organization of tooth

brushing activity;4. Staff involvement and supervision of

children; and5. Informing parents/caregivers about the

program and the prevention of tooth decay.


STRIKES

Question 4: After brushing, should children spit or rinse their mouth with water?

Answer: Spit

ATSU_000285

Section 3: Diet, nutrition, and water

fluoridation

ATSU_000286

The Process of Tooth Decay

Sugar/Starch

Bacteria (Germs) Acid

Acid


Bacteria(Germs)

ATSU_000287

Focus on nutrition• Healthy foods for healthy teeth are essentially the

same as those for good overall health• Avoid or at least minimize sugary, sticky and/or starchy

foods such as cakes, chips, pastries, candies and dried fruits.

• There are some areas that are confusing, however. For example, there are sugars in milk and milk products, fruits and starchy foods, which are generally considered to be healthy foods.

• Encourage the selection of “health-IER” alternatives and explain how to make some “not-so-good” snacks better, e.g. by selecting 100 percent fruit juices rather than juice drinks, or by diluting juice.

• Also, there should be an emphasis on limiting the number of exposures to sugary or sticky foods and juices to 4-6 ounces a day (AAP, 2001).

ATSU_000288

When you can’t brush at meals...

• Promote daily toothbrushing with fluoride toothpaste after meals and snacks.

• If not possible, offer healthy meals and snacks, limiting the amount of foods high in sugar and starch, and encourage “swishing,” the action of taking a mouthful of water and swirling it in one’s mouth several times to try to remove food remaining in one’s mouth after meals.

• “Swishing” is intended to dislodge food particles from between teeth and on tooth surfaces. The child should take a mouthful of water and force the water from one cheek to the other and force the water through the teeth several times. The water may be swallowed or spit.

Resource: California Childcare Health Program (2007)

ATSU_000289

Use care if bottle feeding • Breastfeed your baby—it is the healthiest option and

breastfed babies have a reduced risk of dental caries. If bottle feeding is necessary, take the bottle away when the child has had enough.

• Never allow the child to fall asleep with a bottle of milk, formula, fruit juice, or sweetened liquids.

• Introduce a feeding cup between age 6 to 8 months. Wean from the bottle by the first birthday.

• Encourage children to drink water rather than fruit juices or sweet drinks when thirsty.


Pacifier and Thumb/Finger Sucking

• Babies suck even when they are not hungry (a natural reflex called non-nutritive sucking) for pleasure, comfort and security. In fact, some babies begin to suck on their fingers or thumbs even before they are born.

• In the pacifier-versus-thumb debate, the AAPD votes for pacifiers over thumb to comfort new babies.

• Sucking on a thumb, finger, or pacifier is normal for infants and young children; most children stop on their own.

• If a child does not stop on their own, the habit should be discouraged after age three.

• A pediatric dentist can encourage the child to stop a sucking habit and discuss what happens to the teeth and mouth if the child does not stop.

ATSU_000291

STRIKES

Question 5:Why are sweets bad for oral health?And, Does it matter when you eats sweet snacks?

Answer: Sweets contain sugars, and sugars are the main food source for bacterial metabolic processes. Bacteria metabolizing these sugars results produce organic acids andSweets eaten with a meal are less likely to cause tooth decay than sweets eaten by themselves between meals.

ATSU_000292

Adapted from Featherstone, BMC Oral Health 2006

Fluoride

Received from Dr Susan Fischer-OwensATSU_000293

Type of Drink Type of Acid in Drink Natural or Added Purpose/Use

Soda/PopCarbonic

PhosphoricCitric (certain)

AddedAddedAdded

Fizz, “bite”Tartness, preservative

Fruity taste

Fruit Juices

MalicCitric

Ascorbic (vitamin C)Tartaric

NaturalNatural/Added

AddedAdded

In most fruits, tartnessCitrus flavorPreservative

Acidity, tartness

Juice DrinksCitric

AscorbicFumaric

Natural/AddedAddedAdded

Citrus flavorPreservative

TartnessSports/Energy

DrinksCarbonic

CitricAddedAdded

Fizz, “bite”Citrus flavor

Wines

TartaricMalicLacticCitric

NaturalNaturalAddedAdded

Stability, acidity, tart tasteTartness, apple flavor

“Milky” flavorsBoosts overall acidity

Beers Carbonic Natural Fizz, “bite”

The following table summarizes the types of acids found in various types of drinks

ATSU_000294

Influence of dietary practices on oral ph

www.oralanswers.com/tag/acidATSU_000295

(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2997506/?tool=pubmed)

ATSU_000296

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2997506/?tool=pubmed

Saliva

• 99.5% water and electrolytes• Leucocytes, epithelial cells, IgA• Enzymes (e.g. amylase, lipase, lysozyme)

• Breakdown food particles in dental crevices

• Stookey: J Am Dent Assoc 139, 11S-17S, 2008

ATSU_000297

STRIKES

Question 6: How much saliva do we produce on daily basis?

Answer: 750-1500 ml or 3-6 cups

ATSU_000298

Oral Hygiene

• Limit snacks• Regularly brushing teeth• Flossing• Mouthwash• Preventative dental visits• Fluoride

ATSU_000299

• Reduces demineralization of enamel in the presence of acids produced by cariogenic bacteria in dental plaques

• Remineralization of early enamel caries• Inhibition of bacterial activity in dental

plaque

Protective Factor: Fluoride

https://www.123rf.com/photo_26132681_tooth-hero-mascot-cartoon.htmlATSU_000300

https://www.123rf.com/photo_26132681_tooth-hero-mascot-cartoon.html

STRIKES

Question 7: Name potential sources of fluoride

Answer: Water, Salt, Milk, Fluoride mouth rinses, Dietary supplements (drops or tablets), Toothpaste (including prescription strength fluoride toothpaste), Professionally applied Gels and Varnish

ATSU_000301

Fluoridation

• Worldwide• ~ 427 M have access to

fluoridated water• ~57 M naturally fluoridated

(Sweden, China, Sri Lanka, Finland, Zimbabwe and Gabon)

• ~370 M adjusted (~24 countries, including Australia, Brazil, Canada)

• United States• 211 M (~75%) people have access

to fluoridated water

• Worldwide• 40-280 M ~ 420 M have

access to salt fluoridation• South& Central America,

Europe• 211 M people have access to

fluoridated water

Water Salt

ATSU_000302

County Fluoride water Population 2017Carson City No 55,438

Churchill No 25,387Clark YES 2,193,818

Douglas No 48,300Elko No 53,287

Esmeralda No 970Eureka No 1,932

Humboldt No 16,978Lander No 6,200

Lincoln No 5,170Lyon No 54,657

Mineral No 4,674Nye No 46,390

Pershing No 6,743Storey No 4,084

Washoe No 451,923White Pine No 10,705

Nevada Revised Statute 445A mandates fluoridation in all counties with populations greater than 700,000.Counties with less then 700,000 residents have the option of fluoridation.

ATSU_000303

Fluoride supplementation

Age Fluoride level in drinking water (ppm)

≤ 3 0.3-0.6 >0.6

<6 months None None None

6 mo – 3 y 0.25 mg/d None None

3-6 y 0.50 mg/d 0.25 mg/d None

6-16 y 1.0 mg/d 0.50 mg/d None

1 ppm = 1 mg/L

From the ADA: Oral Health Topics: Fluoride: Topical and systemic applications. Available at www.ada.org/en/member-center/oral-health-topics/fluoride-topical-and-systemic-supplements

Reno Henderson

ATSU_000304

Fluoride consumption in infants (<12 months of age)

Daily recommended intakeAdequate: 0.05-0.07 mg/kg/day

Maximum: 4 mg/kg/day

Age Weight AdequateAmount

Birth 3.5 kg 0.24

3 months 6 kg 0.42

6 months 8 kg 0.56

9 months 9 kg 0.63

12 months 10 kg 0.7

ATSU_000305

28 oz (=0.8L) formula bottled ~0.8 mg

28 oz (=0.8L) formula bottled ~0.16 mg

• Breast milk minimal

• Fluoride content in formulas (0.13-0.3 mg/L)

• Community water Henderson: 0.8 pppm (= 0.8 mg/L)• Community water Reno: none

Community Water Fluoridation for Babies

ATSU_000306

ATSU_000307

Preventive Dental Services

Fluoride Varnish Application• Thin coating of 5% sodium fluoride applied to tooth surfaces• Used to reduce, arrest, or reverse the process of tooth decay• Strengthens the tooth’s enamel making it less susceptible to

bacterial acids

Dental Sealants • Thin plastic coating placed on permanent molars and

premolars with deep grooves• Protects the chewing surfaces and pits and fissures of teeth

by forming a physical barrier on the surface of the tooth

ATSU_000308

Summary• The good news is that oral diseases are almost

entirely preventable. • Children, like adults, should brush their teeth with

fluoride toothpaste twice a day-after breakfast and before bedtime at night. Remember that until age 8, children need adult help to brush thoroughly.

• Good nutrition, which is good for the body, is also good for the mouth. The most harmful foods are those containing sugar.

• Encourage children to drink plenty of water • Children should visit the dentist every year. First

dental visit should occur at age 1. • Prevent baby bottle tooth decay—don’t leave a child

sleeping with a bottle that contains anything but water.


ATSU_000309

Section 4: Injury control and

prevention

ATSU_000310

Dental First AidFollowing a Head or Mouth Injury:• Calm the injured person.• Check to determine the type of injury and refer to

the Action Plan.If minor bleeding:• Apply direct pressure with sterile gauze or clean

cloth. If bleeding doesn’t stop within ten minutes,• contact parent and arrange to take child to the

emergency room.If bleeding profusely:• Contact parent and arrange for emergency services

by an emergency squad or emergency room.Resource: Ohio Department of Health, Oral Health Program (2015)

ATSU_000311

Dental First Aid – Action Plan

•Find tooth, but do not handle it by the root (hold tooth by the crown).• If tooth is dirty, rinse gently with tap water—don’t scrub or use antiseptic.•Attempt to gently replant tooth into the socket. Have the child hold in place with a tissue or gauze. If not possible to replant tooth, place tooth in a tooth preservation system* or if unavailable, a glass of cool skim or low-fat milk. If skim or low-fat is not available, use 2% or whole milk.

•If milk is unavailable, place tooth in saliva by spitting into a cup.•Place tooth in saline solution or water only as a last resort. Tooth must not dry out!•Contact parent and arrange to take child and tooth to dentist immediately. Replantation within 15–20 minutes is best. * Only available in the Save-A-Tooth transport system.

Knock out permanent (adult) tooth (avulsed tooth)

•Primary (baby) tooth should not be replanted.•Contact parent. Arrange to take child to dentist immediately.

Knocked out primary (baby) tooth

•Gently clean the area with warm water.•Do not attempt to move tooth into correct position.•Contact parent. Arrange to take child to dentist immediately.

Loosened/chipped tooth/tooth pushed into gums

Resource: Ohio Department of Health, Oral Health Program (2015)

ATSU_000312

Dental First Aid – Action Plan

• Do not place aspirin on gum tissue of aching tooth (aspirin will burn tissue!)• Contact parent. Arrange to take child to dentist as soon as possible.

Toothache

• Rinse affected area with warm water.• Place cold compress over area to minimize swelling.• If injury is due to a fall or if tooth is chipped, contact parent and arrange to take child to

dentist immediately. (Foreign matter lodged in lip may cause infection.) Also, see #3 above.

Injury to lips, tongue, cheek

• Immobilize jaw by placing a scarf, necktie, or towel under the chin tying the ends on top of the head.

• Contact parent. Arrange to take child to emergency room immediately.

Broken or dislocated jaw

Resource: Ohio Department of Health, Oral Health Program (2015)

ATSU_000313

Emergency Contact

ATSU_000314

Section 5: Wrap-up activity

ATSU_000315

A 14-month old falls from her highchair causing her front tooth to dislocate and appear pushed back towards the palate. What should you do next?

a. Place a cold, damp cloth to the injury site and inform the child’s parents/ caregivers

b. Place a cold, damp cloth to the injury site, inform the child’s parents/ caregivers and take the child to the hospital immediately

c. Place a cold, damp cloth to the injury site, inform the child’s parents/ caregivers and take the child to the pediatrician immediately

d. Place a cold, damp cloth to the injury site, inform the child’s parents/caregivers and take the child to the pediatric dentist immediately


ATSU_000316

One of your five-year-old children is playing outside and knocks his tooth on the slide. You see the tooth is fractured and a piece is missing. What should you do next?

a. Find the piece, call the child’s parents/caregivers and place a cold, damp cloth to the injury site

b. Find the piece, call the child’s parents/caregivers, place a cold, damp cloth to the injury site and take the child to the hospital immediately

c. Find the piece, call the child’s parents/caregivers, place a cold, damp cloth to the injury site and take the child to the pediatrician immediately

d. Find the piece, call the child’s parents/caregivers, place a cold, damp cloth to the injury site and take the child to the pediatric dentist immediately


Group Activity

Write down four oral health messages you would like to teach children attending your center.

1Brainstorm ways of conveying these messages.

2Demonstrate at least three of the above ways through explanation and/or role playing

3Identify specific needs or problems that may arise, and ways of resolving them.

4


❑Demonstrate proper oral health practices, e.g. toothbrushing❑Place oral health equipment, e.g. various sizes of toothbrushes,

toothpaste container samples (with caps glued on), dental floss containers, etc. in the dress-up/imagination area

❑Obtain samples of dental equipment (masks, white coat, goggles) to demystify dental office

❑Read books to groups of children and to individuals during circle time

❑Place children’s oral health books in the book area❑Sing songs about taking care of teeth and eating health foods❑Conduct dance/movement and puppet activities❑Conduct games or other activities about health vs. unhealthy snacks❑Monitor actual practice and providing feedback


2. Brainstorm Ways of Conveying Oral Health Messages. Examples:

ATSU_000319

Strategy “Needs” Ways of resolving themExample:Demonstration of proper toothbrushing

Children to pay attention during demonstration

Tooth model for demo purposes

Keep presentation brief and interactive

Involve children in “doing,” not just listening or watching

Ask local dentist practice or dental school to donate or teach your children


4. Identify Specific Needs or Problems That May Arise and Ways to Resolve Them

ATSU_000320

Section 6: Resources

ATSU_000321

ResourcesMaterials/Trainings• Nursery toothbrushing saves £6m in dental costs https://www.bbc.com/news/uk-

scotland-24880356

• Scottish study finds that preschool tooth-brushing program saves millions, improves kids' oral health https://www.dentistryiq.com/dental-hygiene/patient-education/article/16353796/scottish-study-finds-that-preschool-toothbrushing-program-saves-millions-improves-kids-oral-health

• Happy Teeth. Pamphlet: www.happyteeth.org

• First Smiles: Oral Health Training. www.first5oralhealth.org

• Bright Futures in Practice: Oral Health. www.brightfutures.org/orralhealth/pdf/index.html

• Early Childhood Caries: A medical and dental perspective. Www.pc.maricopa.edu/dental/ecc/preview/docs/text.htm

• Access to baby and child dentistry (ABCD). www.dental.Washington.edu/pedo/AllPages/abcd.htm

• Oral Health America. www.oralhealthamerica.org

• American Academy of Pediatric Dentistry (AAPD). www.aapd.org

ATSU_000322

https://www.bbc.com/news/uk-scotland-24880356

https://www.dentistryiq.com/dental-hygiene/patient-education/article/16353796/scottish-study-finds-that-preschool-toothbrushing-program-saves-millions-improves-kids-oral-health

http://www.happyteeth.org/

http://www.first5oralhealth.org/

http://www.brightfutures.org/orralhealth/pdf/index.html

http://www.pc.maricopa.edu/dental/ecc/preview/docs/text.htm

http://www.dental.washington.edu/pedo/AllPages/abcd.htm

http://www.oralhealthamerica.oorg/

Dental Home

• Encourage parents to obtain a “dental home” by the age of 1 year for all children, and especially for those at high risk, as assessed by Caries Risk Assessment Tool.

• Things that can make a child high-risk:• Caries experience• Lack of fluoride exposure• Eligible for government programs (WIC, Medicaid, etc.)• Dental appliances• Special needs

ATSU_000323

Dental Decay (Caries) Risk Factors

• Active or past tooth decay• In parents, siblings, caregivers,

or child• White spot lesions on teeth

• Poor Feeding Habits • Frequent snacking on

carbohydrates • Sticky sugary foods • Sweet/acidic drinks • Bottle in bed • Bottle after age 1

• Lack of Fluoride in:• Drinking water• Supplements • Toothpaste

• No Recent Dental Visit• > last year

• Poor Homecare• Lack of daily brushing and

flossing • Children w/Special Needs

• Meds• Self-care

ATSU_000324

Remember...

• Adults can spread the germs that cause cavities. Do not put anything in a child’s mouth (such as a pacifier) if it has been in another person’s mouth.

• Children should see a dentist by their first birthday.• Children, like adults, should brush their teeth with

fluoride toothpaste twice each day: after breakfast and before bedtime at night.

• Children need an adult’s help in brushing their teeth until they are 8 years old.

• Limit how often your child has juice, sweet drinks and snacks.


Post-Course Survey

https://www.surveymonkey.com/r/ChildCareSettingPost-Test

ATSU_000326

https://www.surveymonkey.com/r/ChildCareSettingPost-Test

Q & A

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Antonina Capurro, DMD, MPH, MBAState Dental Health Officer Oral Health [email protected]

Contact Information

139

Department of Public and Behavioral Health, Nevada Oral Health Programhttp://dpbh.nv.gov/Programs/OH/OH-Home/

Jessica WoodsRDH, MPHInterim State Dental HygienistOral Health [email protected]

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http://dpbh.nv.gov/Programs/OH/OH-Home/


• ADA – American Dental Association• BRFSS - Behavioral Risk Factor Surveillance Survey• BSS – Basic Screening Survey• CDC - Centers for Disease Control and Prevention • EPSDT - Early and Periodic Screening, Diagnostic and

Treatment• HPSA – Health Professional Shortage Area• HS – Head Start• ID/DD – Intellectual and Developmental Disabilities • MCH – Maternal and Child Health• OH – Oral Health• OHN - Oral Health Nevada• OHP - Nevada Oral Health Program• PRAMS - Pregnancy Risk Assessment Monitoring System

140

Acronyms

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• Association of State and Territorial Dental Directors . (2018). 2018 Synopses of State Dental Public Health Programs, Data for Fy 2016-2017. Centers for Disease Control and Prevention.

• Basch CE. (2011). Healthier students are better learners: a missing link in school reforms to close the achievement gap. J Sch Health. 81: 593–598. doi: 10.1111/j.1746-1561.2011.00632.x

• Basch CE, Gracy D, Johnson D, Fabian A. (2015). Health Barriers to Learning and the Education Opportunity Gap Progress of Education Reform. Education Commission of the States. Retrieved from: http://www.ecs.org/clearinghouse/01/20/69/12069.pdf

• Bertness, J., Holt, K., and Barzel, R. eds. 2016. Promoting Oral Health in Schools: A Resource Guide (3rd ed.). Washington, D.C.: National Maternal and Child Oral Health Resource Center

• Belcove-Shalin, J. S. (2006). Disability Rights and Resources in Nevada. In Dmitri N. Shalin, The Social Health of Nevada: Leading Indicators and Quality of Life in the Silver State 1-23. Retrieved from http://cdclv.unlv.edu/healthnv/disabilities.html.

• Centers for Disease Control and Prevention. (2014). Results from the School Health Policies and Practices Study 2014. Retrieved from: “http://www.cdc.gov/healthyyouth/data/shp ps/pdf/shpps-508-final_101315.pdf”.

• Demopolous, C. (2018). Basic Screening Survey for Head Start Children in Nevada. Las Vegas, NV.

• Department of Health and Human Services Nevada State Health Division Oral Health Program. (2009). 2008-2009 Third Grade Oral Health ¬Survey Nevada. Retrieved from http://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Programs/OH/Oral_Health_Program_Reports/2008-2009_Third-GradeOralHealthSurvey.pdf

• Department of Health and Human Services U.S. Public Health Service. (2000). Oral Health in America: A Report of the Surgeon General. Rockville, MD: National Institute of Dental and Craniofacial Research.

• Eke, C., Mask, A., Reusch, C., Vishnevsky, D., Quinonez, R.B. (2019) Data brief: Improving oral health coverage in pregnancy in the U.S. Children’s Dental Health Project.

141

References

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• Fisher-Owens SA, Barker JC, Adams S, et al. (2008). Giving policy some teeth: Routes to reducing disparities in oral health. Health Aff (Millwood). 27(2):404-12.

• Gracy D, Fabian A, Basch CH, Scigliano M, MacLean SA, MacKenzie RK, et al. (2018) Missed opportunities: Do states require screening of children for health conditions that interfere with learning? PLoS ONE 13(1): e0190254. Retrieved from https://doi.org/10.1371/journal.pone.0190254

• Gracy D, Fabian A, Roncaglione V, Savage K, Redlener I. (2017). Health Barriers to Learning: The Prevalence and Educational Consequences in Disadvantaged Children [Internet]. Children’s Health Fund. Retrieved from: https://www.childrenshealthfund.org/hbl-literature-review/

• Havercamp, S. M., & Scott, H. M. (2015). National health surveillance of adults with disabilities, adults with intellectual and developmental disabilities, and adults with no disabilities. Disability and Health Journal, 8(2), 165–172. doi: 10.1016/j.dhjo.2014.11.002

• Interprofessional Solutions for Improving Oral Health in Older Adults. (2017). Gerontological Society of America.

• Kwan, S., & Petersen, P. E. (2003). Oral health promotion: An essential element of a health-promoting school.In: World Health Organization Information Series on School Health. . Geneva: WHO.

• Michael SL, Merlo CL, Basch CE, Wentzel KR, Wechsler H. (2015). Critical connections: health and academics. J Sch Health. 2015;85: 740–758. doi: 10.1111/josh.12309

• Pediatr Dent . (2017). Policy on the dental home. American Academy of Pediatric Dentistry, (39), 29–30.

• The Pew Center on the States. (2011, May 24). The State of Children's Dental Health. Retrieved from http://www.pewtrusts.org/en/research-and-analysis/reports/0001/01/01/the-state-of-childrens-dental-health

142

References

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https://www.childrenshealthfund.org/hbl-literature-review/

Trainer Name: Antonina Capurro

Trainer ID: 22918

Trainer Type: Topic Trainer

Trainer Category: Sponsored Presenter

Trainer Expiration: 12/31/2024

Approved Topics: No Approved Topics

Total Approved Training Sessions: 6

Date of Transcript: 10/14/2020

Approval

CodeTraining Title CKA Start

DateApproved# Hours

TrainingStatus

80266 Silver State Smiles in theChild Care Setting (Virtual

training via ZOOM)

Health, Nutrition & Safety 10/13/2020 2.5 Approved


training via ZOOM)



training via ZOOM)



training via ZOOM)



training via ZOOM)



training via ZOOM)


Page 1 of 1ATSU_000332

Helping People -- It's Who We Are And What We Do

Dear Licensed Childcare Facility Administrator, The Nevada Division of Public and Behavioral Health (DPBH), Oral Health Program (OHP) has partnered with the Department of Education’s Office of Early Learning and Development to assess children’s oral health at licensed childcare centers across the state. Our goal is to increase the number of young children with dental “homes” and to decrease the number of children with untreated tooth decay. This information will help determine the extent of children’s dental needs and allocate resources. But it al l starts with dental screenings of students like yours. DPBH,OHP is offering a dental screening to all children 3-5 years of age within identified licensed childcare facilities who provide parental consent. Parents can also consent to a fluoride varnish application for their child to strengthen teeth and reduce dental decay. This year, we will also be working with you to establish a toothbrushing station. Our team will conduct the oral health services from October 2020 – January 2021. All services are of no cost to you or your students. Our team will call to schedule the screening at a time that is convenient for each site and mail the forms in advance for distribution (please see enclosed samples, which will also be available in Spanish). The screening and application of fluoride varnish will be conducted by a licensed dental professional who will follow all current infection control protocols and wear proper personal protective equipment(PPE). The process should take about two minutes per child. Each participating classroom within an individual childcare center will receive a grade-level appropriate, oral health educational session to equip children with dental hygiene and nutritional information and to remove any apprehension about the dental screening. Supplies for the in-classroom toothbrushing station will also be provided. Following the screening, children will receive a toothbrush, toothpaste, floss, written take-home findings for the parents, and contact information of dental providers where treatment can be rendered for issues identified during the screening. We are pleased to offer a webinar as part of the 2020 Nevada Licensed Childcare Oral Health Survey which has been approved by the Nevada Registry. While the screening targets 3-5-year olds, this webinar is for all educators, staff, and administrators of licensed childcare facilities. This training will provide a working understanding of the landscape of dental disease in Nevada children, the etiology of tooth decay and prevention strategies, the relationship between nutrition and oral health, and tips to implement a classroom tooth brushing program. We ask that you and your team register for this free virtual 2.5-hour webinar prior to your screening date. Multiple dates and times are available. The registration page can be found here: https://tinyurl.com/y3l27u72 Also included is a flyer on this webinar.

STEVE SISOLAK Governor

RICHARD WHITLEY, MS Director

LISA SHERYCH Administrator

IHSAN AZZAM, Ph.D., M.D. Chief Medical Officer DEPARTMENT OF HEALTH AND HUMAN SERVICES

DIVISION OF PUBLIC AND BEHAVIORAL HEALTH 4150 Technology Way

Carson City, Nevada 89706 Telephone (775) 684-4200 • Fax (775) 687-7570

http://dpbh.nv.gov

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September 17, 2020 Page 2

9/17/2020 Document1

Licensed childcare facilities that enroll in the QRIS star quality rating may use participation in this program to meet compliance under the QRIS indicator Health and Safety 3T: Preschool children receive annual oral health education. Evaluation of past surveys from similar state studies have shown that these dental screenings are well received. In 2007, 95% said that the screening was important for measuring children’s oral health, and 91% said that the screening was valuable to their programs. Previously written-in comments include:

• “It helps to identify children who are in need of dental treatment who may not have access or have not visited a dentist to receive routine care.”

• “Good feedback from staff about identifying children with emergency needs which might have gone unmet without the screening team visit.”

• “We had two different teams come out to our center and they were very child friendly, courteous and professional”.

While the names of the children screened may be shared with the licensed childcare facility coordinator for follow-up, no individual child will be identified in any reports. Only aggregated results will be reported (e.g., from centers or counties). The information will be used to inform policy makers and others on what is needed to improve oral health for young children. Participating licensed childcare facilities and administrators will be the first to receive these reports. Your center’s participation is very important even if the children regularly visit a dentist . Your site may be representative of a geographic section of Nevada that may not otherwise be characterized. Participating in the screening can help the children currently attending your center and the aggregated reports will assist in designing programs to meet the needs of young children in years to come. We sincerely hope that you will accept this opportunity, and let your site staff know of your support. The Nevada Oral Health Program will contact you for your response within the week. Thank you for your attention in this matter.

Respectfully,

Patti Oya Director, Office of Early Learning and Development

Antonina Capurro, DMD, MPH, MBA State Dental Health Officer, Division of Public and Behavioral Health

Jessica Woods, RDH, MPH Interim State Dental Hygienist, Division of Public and Behavioral Health

ATSU_000334

Department of Public Health

Site and Preceptor Approval Form

Feel free to discuss with Practicum Coordinator whether site and/or preceptor are acceptable prior to completing this form.

The student should complete this document and email to the ATSU MPH Practicum Coordinator for approval.

Site and preceptor have not been officially approved until you receive confirmation email from the Practicum Coordinator. At that time, please upload this document into PUBH7800 in Canvas.

Once approved the student should secure the Memorandum of Agreement and a copy of the preceptor’s credentials.

Work on student project should not start until the MOA and preceptor credentials have been submitted to the MPH Program.

Student Name: Dr. Antonina Capurro

Site/Organization Name: Nevada Division of Public and Behavioral Health, Oral Health Program

housed within the University of Nevada, Las Vegas School of Dental Medicine

Organization Website: http://dpbh.nv.gov/Programs/OH/OH-Home/

Site/Organization Address: 1001 Shadow Lane, MS 7411, Las Vegas, NV 89106

Preceptor Name: Dr. Christina Demopoulos

Preceptor Position at Site/Organization: Associate Professor of Biomedical Sciences

Preceptor Work Email: [email protected]

Preceptor Work Phone: 702-774-2545

Preceptor Biography:

Dr. Christina A. Demopoulos joined UNLV School of Dental Medicine during fall 2001

ATSU_000335

http://dpbh.nv.gov/Programs/OH/OH-Home/

and teaches public health, tobacco cessation, health promotion, behavioral sciences, and access-

to-care topics within the pre-doctoral dental program. She also provides information about

tobacco cessation and access to care within the post-graduate pediatric dental program.

Dr. Demopoulos’ research focuses on improving the health of diverse populations. Her

current work focuses on improving the health of newborn to 5-year-olds within Early Head Start

and Head Start Centers in Nevada. The project involves other states and aims to identify what

factors may contribute to increased oral health risks among this population. The study also seeks

to identify which evidence-based health promotion strategies can be implemented in these centers

to improve the overall health of these kids and their families. She is actively involved with a

variety of other projects that have been implemented in school and community-based settings.

Dr. Demopoulos earned her undergraduate and master of public health degrees from

UNLV. She received her dental degree from the University of Southern California and her dental

public health training from the University of Texas Health Science Center at San Antonio. She

received Diplomate status for the American Board of Dental Public Health (ABDPH ) in 2014.

She is a member of the Nevada Public Health Association, Association of State and

Territorial Dental Directors, American Association of Public Health Dentistry (AAPHD —for

which she serves as co-chair of the association’s council on educational affairs—American Board

of Dental Public Health, and a variety of other associations and committees focused on

improving the health of a diverse population. She also serves as a Director at Large for AAPHD.

She was recognized as a Healthcare Hero by Nevada Business Week for her contribution to

education.

Degrees

MPH: 2010: University of Nevada, Las Vegas

DDS: 2000: University of Southern California School of Dentistry, Los Angeles, CA

BS: 1995: University of Nevada, Las Vegas

ATSU_000336

Project Work Plan for Licensed Childcare Screening

Goal 1: Sample Size

Activities Planned to Meet Objectives Timeline Components

Data Source and Evaluation

Methodology

Person Responsible Comments

ASTDD Contract

Completed in January/Paid in June Completed

All 91 sites received and initial phone call

Interested sites were evaluated by Kathy Phipps at ASTDD

Excel spread sheet provided n=28 sites and an additional list of 25 additional sites that were either closed for the summer or did not respond Completed

Sample size defined as centers or group care facilities with 10 or more students

Kathy Phipps and Antonina

Six centers/group care sites are very interested but have 8 students.

For sites that were mailed a welcome packet but did not originally respond, complete spreadsheet of information

Completed Loretta

Standardized screening

Interrater reliability

PPE standards in the midst of covid

Goal 2: Contact and Schedule Sites



Methodology

Person/Area Responsible Comments

Initially all sites received a phone Completed Antonina

ATSU_000337

call to identify their willingness to participate, number of students enrolled, etc.

Welcome packet

September 22nd mailed Completed

1. Admin letter signed

2. Sample consent form

3. Flyer on webinar

Team

Follow Up Email/Call to schedule visit and input information on spreadsheet

Scheduled for October 20th

Place screening date on individual screening letter

Team

Screening packet to sites

Scheduled for October 19th

1. Individual letter w info on $100 card

2. Consent forms 3. Parent letters 4. OHI brochures

Team

Packet for children (we take to sites)

To Organize on Friday the 23rd

1. OHI bag 2. Dental referral

form 3. Take-home

findings 4. FL varnish

brochure

Team

Screening materials (we take to sites)

To Organize on Friday the 23rd

1. Screening form 2. Take home

findings 3. PPE and

screening materials

4. FL varnish

Team

Goal 3: Webinar



Methodology


Create presentation and coordinate Completed Antonina and

ATSU_000338

with Colgate

Jessica

Pre-survey

Creation-completed for webinar Analysis by Nov. 3rd.

Creation Send results to

Colgate Download and

analyze results

Antonina and Jessica

Post-survey

Creation-completed for webinar Analysis by Nov. 3rd.

Creation Send results to

Colgate Download and

analyze results


Handouts to upload to Go-to-Webinar Completed

First aid handout Classroom

Brushing handout Antonina and

Jessica

Hold Webinar six times

Friday the 9th to Tuesday the 13th Completed

Number of attendees Antonina and Jessica

NV registry Sign in sheet

All attendees verified and entered into NV Registry Completed

Each course has a form Antonina

Return to NV Registry A pre-printed

Training

Attendance/Sign-

In Sheet has also

been provided

Post Webinar follow up. Tuesday the 20th

Email all attendees with certificate and presentation pdf

Loretta

Print certification and staple to OHI whitening kit—TAKE TO SITE

Organize on Friday the 23rd

OHI whitening kit and specific certificates organized by licensed childcare site

Team

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Goal 4: Class Presentations



Methodology


In-class presentation

Organize materials on the 23rd

1. Books 2. Handouts 3. Script 4. Song


Tooth-brushing station

Provide kits at the time of visit

In classroom OHI poster w steps and mirror


Leave toothbrushes and book on OHI


Goal 5: IRB



Methodology


Complete IRB application

Aug-Sept Completed

Antonina

Submit to Dr. D

Aug-Sept Completed

Antonina

Submit all components to IRB for review

Aug-Sept Completed

Antonina

File decision letter

Aug-Sept Completed

Antonina

Goal 6: Materials and Supplies to Order



Methodology


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Polo shirts

Complete the week of the 19th Jessica

Stamp w our license number Completed Jessica and

Loretta

Amazon Order Order submitted Cart x2

Larger containers Antonina

Reprographics Completed Fluoride brochure Loretta

Office Depot

Envelopes Pens Clip boards Paper clips

Loretta

Goal 7: Packages

Toothbrushing Classroom Kit

1. UV sanitizer 2. Toothbrushes

and 3 month replacement

3. Gloves 4. Paper cups 5. Water bottles

(labeled with a. soap and water and b. bleach solution)

6. Sandwich board with toothbrushing steps

Screening Kit

1. Mouth mirror 2. Varnish 3. Gauze 4. Gloves 5. Masks 6. Head covering 7. Plastic face

covering

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8. Gown 9. Head lamps 10. Extra

batteries 11. Pens 12. Highlighters 13. Paperclips 14. File folder

for papers 15. Referral list 16. Take-home

findings 17. FL brochure 18. Stapler and

extra staples 19. Camera 20. DPBH photo

release forms 21.

Take to Sites

1. Our polo shirts to wear

2. OHI materials for class presentation

3. Book that stays 4.

Goal 7: Travel Schedule

Individual travel forms Complete the week of the 19th Antonina and

Francine

Hotel reservations Complete the week of the 19th Antonina and

Francine

Car Complete the week of the 19th Antonina and

Francine

Flight Complete the week of the 19th Antonina and

Francine

Reimbursement

Complete the week of the 19th

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Goal 7: Follow-up Survey to sites that participated on their feedback

This will provide program evaluation


Site Follow Ups

Spiral bound booklet with PDF, dental first aid form, toothbrush station how to, contact information page, results of webinar, and project results

Gift card Survey Colgate webinar

flyer

This will be program follow up


Buy gift cards from Lakeshore learning Loretta and

Antonina

Methodology:

1. Initial calls a. All interested sites=n28 b. Question included 5? Sites that were interested but had less than 10 children c. Additional included sites that did not respond or were out for the summer but were in counties of interest.

Weekly Meetings: October 5th: Antonina Jessica Loretta Review and finalize ppt Upload surveys Call all sites

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Review survyes Tee shirts, Eagle with logos? Mail 2nd packet Thursday Email Jessica and Alliance and arrange dummy prep course

Referral sheets—contact the Board for complete list

Call mail center

Review dental first aid form Create letter for teachers Translate forms into Spanish Host course on Friday Host course on Friday October 11th: Create attendee list from survey monkey Host remaining webinars Assist Francine in finding a Lakeshore

Learning contact in order to buy gift cards Verify attendee against go-to-webinar and enter attendance into NV Registry page for each session

Tee shirt order follow up Final calls to sites without consent to participate and completion of spreadsheets for those that are.

Email participants missing email addresses etc. for completion of NV Registry

Contact Nathan about dental first aid form and toothbrushing steps

Mail packets to sites (teacher letter, parent letter w consent and OHI brochure and paper wristbands) we can review in person. also, how many Spanish forms?

Host remaining webinars Download survey monkey results and enter into excel

Create attendee certificates (names with attendee date provided in excel )

Email each attendee with a certificate and copy of ppt

Print certificates for the trip. These will be hand-delivered with OHI baggie

Certificates of appreciation for oral health service day which takes place on November 7th. -we may need to order state seals for this.

State printing office order: Business Cards--for you and Jessica Letterheads Envelopes certificate paper if available state seals DPBH stickers or OHP logo stickers?

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October 19th: Complete travel documents –including fleet services, UNLV approval form, hotel reservations, and flight purchase

Create travel schedule Mail packets to sites

Contact Kathy Phipps—sites, inter rater reliability, ppe changes?

Organize supplies with Team on Friday Confirm by email or phone screening dates with each site. Jessica will send over the travel schedule

Work on OHI script for 3-5 year olds Follow up with Nathan O. on dental first aid document and sandwich board toothbrushing steps

Call Little Red Caboose regarding make up class—q: will multiple teachers attend? Would you like the ppt or are you seeking the CE credits?

Finalize and process Amazon order Create referral lists for each county Touch base with Ely site Organize supplies with Team on Friday Organize supplies with Team on Friday Share excel with Colgate Email attendees that did not complete pre-

or post survey---then Then email everyone a copy of their

certificates and a copy of the pdf

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ATSU_000346

ATSU_000348 - Nevada State Board of Dental Examiners

Documents

Transcript of ATSU_000348 - Nevada State Board of Dental Examiners