November 2020 Volume LV Number 6

 
 
 
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Policy Center Updates

November 2020 Volume LV Number 6

New Publication Explains Restorative Choices to Parents and Insurers
 
Check out the new technical brief from the Policy Center, "Treating Tooth Decay: How to Make the Best Restorative Choices for Children’s Health," now avail- able on the Policy Center under Research on the AAPD website.
 
It offers practical information and top-quality photos on restorative choices for children’s teeth, including amalgams, stainless steel crowns, and tooth-colored fillings and crowns. Offering solu- tions for pediatric dentists, parents, policy leaders and insurers, the brief is a helpful support piece to aid all children in receiving the best treatment using proven restorative choices.
 
Here are ways to use the new brief in your outreach efforts with your patient families and public or private insurers:
  • Refer to it in your case presentations – especially the photos and restoration comparison chart
  • Use it as support material for virtual presentations
  • Send it to insurers as valuable reference material
  • Share with your referring dental and medical offices
  • Post it on your office website
The Policy Center extends warm appreciation to the following contributing authors: Judith R. Chin, D.D.S., M.S.; Yasmi O. Crystal, D.D.S., M.Sc.; Edward Ginsberg, D.D.S.; Eugene McGuire, D.D.S.; and Maria Regina Estrella Yuson, D.D.M., M.S.
 
AAPD Town Hall: Mental Health and Taking Care of You
 
On Aug. 26, 2020, the AAPD hosted a town hall titled "Mental Health and Taking Care of You" with panelists Dr. Joel Berg, host of Pedo Teeth Talk; AAPD President, Dr. Jessica Lee; and guest Dr. Sheela Raja, Licensed Clinical Psychologist, Author and As- sociate Professor and Director of Clinical Behavioral Sciences at the University of Illinois at Chicago College of Dentistry. Dr. Raja turned our attention to pediatric dentist-specific mental health topics such as vicarious trauma, compassion fatigue and moral injury as we confront the ongoing challenges of the COVID-19 pandemic in our offices and communities. She left us encour- aged to continue taking care of ourselves and being there for each other so we can do what we do best, caring for children’s health.
 
Resources to Keep You Healthy
  • ADA COVID-19 Mental Health Resources. This ADA web page provides a variety of resources, including informa- tional websites, podcasts, videos, online courses and hotlines.
  • NAMI COVID-19 Information and Resources. This publi- cation from the National Alliance on Mental Illness (NAMI) provides information from reputable sources on managing stress and anxiety, helpfully organized in a Q and A format.
  • Five Things You Should Know About Stress. We all handle stress in our own way. Learn how stress impacts you and the tips to help you manage successfully from this short informational reference from the National Institutes of Mental Health.
  • Tips to Manage Anxiety and Stress. From mental health leader, Anxiety and Depression Association of America (ADAA), this webpage is an excellent guide for times when anxious feelings arise.
  • Tips for Managing Financial Pressures. Adapting to a new financial reality during the COVID-19 pandemic is dif- ficult. This article from the American Psychological Associa- tion covers manageable strategies to help you cope.
  • Tips for Coping with Discrimination. Confronting in- equities and biases in your day-to-day experience causes chronic stress and takes a considerable toll on your health. Learn a few techniques to help reduce the ill effects, fol- lowed by a handful of resources, in this short article put together from the American Psychological Association, Discrimination: What it is and How to Cope.
  • Self-Care Resources from Tulane University. This user- friendly site has information on meditation, at-home exer- cise, and connecting with friends and loved ones during social distancing.
  • HeadSpace Mindfulness App. This highly rated app and website offer hundreds of articles on such topics as sleep, stress, meditation, exercise and healthy living.
  • PsyberGuide. Among its resources, this website has 3-minute reading articles on using technology to mind your mental health and 40 things to do at home while you’re self-isolating.
National Suicide Prevention Lifeline
https://suicidepreventionlifeline.org/
(800) 273-8255
 
National Institute of Mental Health information and helpline
Call (800) 273-8255 Text HELLO to 741741
https://www.nimh.nih.gov/health/topics/suicide-prevention/ index.shtml
 
Substance Abuse and Mental Health Services Administration National Helpline
(800) 662-HELP (4357), or TTY: (800) 487-4889
 
Slides for Your Next Virtual Presentation: What’s the Latest on Pediatric Dentistry?
 When you are asked to give a presentation about careers in pediatric dentistry – or if you need a one-stop resource for the current state of your profession – you can turn to "Trends in Pediatric Dentistry 2020," a newly revised PowerPoint presentation from the Policy Center.
 
The presentation provides up-to-date facts on such topics as:
  • AAPD Member Demographics
  • Pediatric Dental Practice Characteristics
  • Access to Care for Underserved Populations
  • Current and Projected Supply of Pediatric Dentists
Here is a sample of the information you will discover:
  • Over 8,000 pediatric dentists practice in the U.S., making it the second largest specialty in dentistry.
  • There are nine pediatric dentists for every 100,000 children under 19 years of age in the U.S., up from five in 100,000 in 2001.
  • Pediatric dentists treat more than one in four of the patients under age 17 who visit a dentist in a given year in the U.S.
  • About 70 percent of pediatric dentists accept Medicaid, CHIP or both. 
AAPD members can access "Trends in Pediatric Dentistry 2020" here https://www.aapd.org/resources/member/governance/ under Other Governance, Pediatric Dentistry Facts.
 
Evidence-Based Dentistry Committee Update
The Non-Vital Pulp Therapy Systematic Review was published in the July/August 2020 issue of Pediatric Dentistry, and the Clinical Practice Guideline in the September/October Issue. The Evidence-Based Dentistry (EBD) Committee continues to over- see the evidence-based clinical practice guidelines currently under development:
  • Clinical Practice Guideline on Behavior Guidance for Pedi- atric Dental Patients
  • Clinical Practice Guidelines for Permanent Tooth Vital Pulp Therapy in Children and Adolescents
  • Clinical Practice Guideline on Frenectomy/Frenotomy and Lactation for Pediatric Dental Patients
The Vital Pulp Therapy Systematic Review and Guideline, published in 2017, is scheduled for revision by 2022. The work- group formed by the EBD Committee to produce the system- atic review and clinical practice guidelines on permanent tooth vital pulp therapy in children and adolescents will assume this essential project as well. They will review the 2017 systematic review and conduct a literature update to carry out qualitative analysis. Both quantitative and qualitative evidence will be analyzed to update the clinical practice guidelines and produce the plain language summary. This workgroup is comprised of Drs. James Coll (chair), Chia-Yu Chen, Yasmi Crystal, Vineet Dhar, Marcio Guelmann, Abdullah Marghalani, Shahad Al Shamali, Kaaren Vargas, and Zheng Xu.
 
The Permanent Tooth Vital Pulp Therapy in Chil- dren and Adolescents Workgroup is pleased to welcome Gerald N. Glickman, D.D.S., M.S., M.B.A., J.D., as its newest member to bring the perspec- tive and expertise of an experienced endodon- tist and international author in permanent tooth vital pulp treatment. Glickman is a full professor in the Depart- ment of Endodontics at Texas A & M College of Dentistry in Dal- las. He received a D.D.S. from the Ohio State University, a GPR Certificate from the University of Florida, a Certificate and MS in Endodontics from Northwestern University, an M.B.A. from Southern Methodist University, and a J.D. from Texas Wesleyan University. He is a past President of the American Board of End- odontics and the American Association of Endodontists.
 
The table in the PDF below indicates the timeline of clinical practice guideline development.