Same-Day Dental Sealant Workflow Same-Day Sealant Workflow Why - - PowerPoint PPT Presentation

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Same-Day Dental Sealant Workflow Same-Day Sealant Workflow Why - - PowerPoint PPT Presentation

Oct 05, 2023 427 likes •522 views

Same-Day Dental Sealant Workflow Same-Day Sealant Workflow Why implement? Prevention of chronic oral health disease First visit intake/ assessments Increased sealant measure Molars Schedule identified for Staff performing top of

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SLIDE 1

Same-Day Dental Sealant Workflow

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SLIDE 2

Same-Day Sealant Workflow

AmeriHealth Caritas District of Columbia 2

Why implement?

  • Prevention of chronic oral health disease
  • Increased sealant measure
  • Staff performing top of licensure scope
  • Avoiding no-show appointments

How to incorporate?

  • Ready-to-go sealant kits
  • Establishing protocol and workflow
  • Daily huddles to enhance communication

What outcomes expected?

  • Increased productivity
  • Enhanced patient concept of prevention

First visit intake/ assessments Molars identified for sealants Discuss with parent/ caregiver Implement using ready-to- go sealant kit Document sealant codes If time remains: prophy/fl2 If no time remains: make new appointment for prophy, Fl2, restorative Schedule next visit

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SLIDE 3

Dental Caries

AmeriHealth Caritas District of Columbia 3

Most common chronic disease in children ages 6 – 11 and adolescents ages 12 – 19 Five times more common than asthma in adolescents ages 14 – 17 Four times more common than early childhood obesity A primary health-related cause of school absenteeism

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SLIDE 4

Strategies for Same-Day Sealants

AmeriHealth Caritas District of Columbia 4

  • Ready-to-go sealant trays
  • Glass ionomer or wet bond sealant material
  • An assistant/isolation system/

dry shield, Isolite

  • Quick curing light
  • Identifying patients eligible for sealants

before the appointment (daily huddles)

  • Establishing a sealants-first workflow
  • Regular patient education on sealants
  • Provider buy-in
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SLIDE 5

International Caries Detection and Assessment System (ICDAS)

AmeriHealth Caritas District of Columbia 5

https://www.ncbi.nlm.nih.gov/pmc/articles?PMC5030492 http://www.nnoha.org/resources/hrsa-sealant-measure-faqs/ https://www.dchealthcheck.net/documents/DC_Medicaid_HealthCheck_DENTAL_Periodicity.pdf https://jada.ada.org/article/S0002-8177(16)30475-5/fulltext Code Description

Sound tooth surface: No evidence

  • f caries after 5 seconds of air drying

1 First visual change in enamel: Opacity

  • r discoloration (white or brown) is

visible at the entrance to the pit or fissure seen after prolonged air drying 2 Distinct visual change in enamel visible when wet, lesion must be visible when dry 3 Localized enamel breakdown (no clinical visual signs of dentinal involvement) when wet and after prolonged drying 4 Underlying dark shadow from dentin 5 Distinct cavity with visible dentin 6 Extensive (more than half the surface) distinct cavity with visible dentin

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SLIDE 6

Same-Day Sealant Workflow

AmeriHealth Caritas District of Columbia 6

Why implement?

  • Dental caries is the most common

chronic disease in children

  • Dental caries is five times more

common than asthma

  • Dental caries is four times more

common than early childhood obesity

  • Dental caries is a primary health-related

cause for school absenteeism

How to incorporate?

  • Staff performing to top of licensure scope
  • Ready-to-go sealant kits/Isolite
  • Established protocol and workflow
  • Daily huddles to enhance communication

What outcomes expected?

  • Increased productivity
  • Fewer no-shows for sealants
  • Increased sealant measure
  • Enhanced patient concept of prevention

Patient 6 – 14 years old presents for comprehensive

  • r periodic exam with RDH

RDH identifies one

  • r more molars

eligible for sealant RDH identifies no molars are eligible for sealants RDH discusses with parent sealant to be prioritized RDH enters sealant exclusion code (DZ1361) RDH/EFDA utilize sealant set up to complete sealants RDH continues with visit and completes prophy fl2 RDH/EFDA enters D1361 sealant code Document next visit If sufficient time remains, complete prophy/fl2; otherwise, make new appointment for prophy Document next visit RDH completes assessments/radiographs

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SLIDE 7

References

AmeriHealth Caritas District of Columbia 7

  • https://www.ada.org/en/publications/ada-news/2015-archive/march/cdc-

disparities-in-caries-continue

  • http://www.nationaloralhealthconference.com/docs/presentations/2007/0430/

Margherita%20Fontana%20%20Updating%20Recommendations%20for%20School% 20Sealant%20Programs.pdf

  • National Access to Oral Health Network webinar 2018:

https://www.nnoha.org/events/presentation-archives/2018-nnoha-annual- conference/

  • https://jada.ada.org/article/S0002-8177(16)30475-5/fulltext
  • Evid Based Dent, 2010;11(3):79 – 80
  • https://jada.ada.org/article/S0002-8177(14)64748-6/pdf
  • https://www.dryshield.com/
  • https://www.zyris.com
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SLIDE 8

ACDC-19653580-1