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To establish community oral health promotion/disease prevention (HP/DP) procedures consistent with current science and Indian Health Service priorities.

  1. Written Plan: the dental staff will develop a written community HPDP plan that will include:
    1. Priorities: The dental staff will establish oral HP/DP priority areas based on local needs and IHS focus areas.
    2. Target Groups: The dental staff will determine high risk groups that will most benefit from community based HP/DP programs.
    3. Evidence Based Activities: The dental staff will select evidence based activities to address oral health needs for the priority areas and target groups.
    4. Evaluation: The dental staff will regularly monitor the effectiveness of the programs, collect data on the program operation and outcome, and revise the program as needed to ensure maximum effectiveness.
  2. Annually, the dental staff will review the plan and revise as needed.
Insert Community HPDP Plan

[Facility] Dental Prevention Plan

Oral Health Condition


Target Group







ECC/ Caries Prevention

Head Start teachers and staff

Children age 3-4

4-9 Days /Year

*Annual Screening

*Fluoride Varnish


*Tobacco Prevention

*Nutritional *Counseling

*Health Advisory Committee

#Performance Standard assessment

#Teacher in-services

USET Mini-Award

# of children seen

Fluoride treatments

Untreated decay

Treatment urgency

Education provided

Caries, Perio, and Tobacco Prevention

Elem School

School Age Children

2-3 Days /Year

*Annual Screening

*Fluoride Varnish


*Nutritional Counseling

*Tobacco Prevention

Dental budget

# of children seen

Untreated Decay

Treatment Urgency

Education provided

Perio Prevention

Medical dept


DM Patients

#Newly diagnosed pt screening

#Current DM patient screening & Ed

Visit in last year (DM audit)

Patients with urgent dental needs

ECC Prevention/Perio

Medical Dept

Pregnant women and families

#Prenatal education

#Screening & OHI

#Caries stabilization

#Prevention services

Dental budget

# Screened# w/urgent needs

To support the IHS Head Start mission and goals, which are, “The mission of the Indian Health Service (IHS) Head Start Program is to promote healthy activities that will improve health outcomes for the Early Head Start and Head Start child, family, staff and community. Our goals will help to improve children's health, decrease health disparities, and increase health provider outreach.” (IHS 2012, Available online at:

The IHS Head Start Program goals are:

  • To support the Office of Head Start, including its health objectives and Performance Standard requirements.

  • To assist American Indian/Alaska Native (AI/AN) recipients in the development of health programs for children, families, staff and community.

  • To assist AI/AN programs in developing local and community partnerships.

  • To develop programs that promote healthy lifestyles.


The dental clinic staff will provide training and technical support to the [IHS Head Start or Tribal preschool] to facilitate the use of IHS Best Practices for Head Start centers.( Available online at:
The dental clinic staff will assist Head Start staff maintain dental performance standards required by IHS Head Start.

Insert other services provided to Head Start or preschools.


Provide direct access to dental examinations in the dental clinic

Screen Head Start children in the classroom and apply fluoride varnish

Serve on Head Start Health Advisory Board

Consult on classroom issues such as infection control for toothbrushing programs, oral health education, or healthy snacks


To comply with Centers of Disease Control and Prevention (CDC) and Organization for Sterilization and Aseptic Procedures (OSAP) recommendations for infection control for portable settings.

Portable dental settings: All procedures conducted outside of the dental clinic including but not limited to: operative dentistry, sealants, fluoride treatments, dental screenings, or oral hygiene instructions that fall within the levels of exposure.

Levels of Exposure: Classification of anticipated exposure to saliva, blood, or bodily fluids.,


  1. Levels of Exposure

    1. All infection control practices will conform to the recommendations according to the level of exposure anticipated in the procedures.

      1. Level I: Anticipated contact with the patient’s mucous membranes, blood or saliva visibly contaminated with blood.

      2. Level II: Anticipated with the patient’s mucous membranes but not with blood or saliva visibly contaminated with blood.

      3. Level III: No anticipated contact with the patient’s mucous membranes, blood, or saliva visibly contaminated with blood.

  2. Personnel

    1. The dental program will appoint a point person responsible for site assessment, fielding questions, training all field personnel, and facilitating follow-up for exposures

  3. Assessment

    1. The point person will conduct an infection control assessment prior to beginning any dental procedures.

    2. Assessment will follow current OSAP guidelines. Available online at:

  1. Training

    1. The point person will review all portable site infection control procedures with all staff, volunteers, or other personnel present during the procedures

  2. Documentation

    1. The point person will complete the site assessment worksheet before beginning a new program and at least annually thereafter.

    2. Exposures will be reported and followed up using the established procedures for the facility.


The purpose of local oral health surveillance is to establish a system that can be used within the community to measure the prevalence and severity of oral diseases, the oral disease burden on the (AI/AN) population, and the impact that our efforts in prevention, education, and early intervention and treatment has made on the population. The Surveillance Plan establishes the core health indicators which will be measured, the frequency of measurement, and comparability with other national oral health surveillance systems. Local surveillance should consider local, state or national data that may be used for comparison and/or determine oral health disparities.

  1. Determine local, state, or national data sources that may be used for comparison. (Consult the National Oral Health Surveillance System at to find data sources for your state) Possible sources:

    1. State Basic Screening Survey

    2. IHS National or Area survey

  1. Determine surveillance frequency

  1. Determine the target groups for surveillance

  1. Determine oral health indicators to be measured and select survey tool such as:

    1. IHS Oral Health Survey form

    2. BSS Screening forms (Manual available online at'sManual20081revised2.9.2010.pdf

  1. Contact community partners to schedule screening days and times

  1. Select consent (active or passive) methods and distribute appropriate forms

  1. Conduct screening, record results, and calculate disease prevalence using simple percentages (This is not as accurate as a weighted sample, but it is within the capabilities of most local programs)

  1. Report the findings to local partners, community groups, and clinic administration

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