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August 2005, Vol 95, No. 8 | American Journal of Public Health 1322-1324
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.057778

FIELD ACTION REPORT

The ABCDs of Treating the Most Prevalent Childhood Disease

G. Jay Donahue, MPA, Nancy Waddell, BA, Alonzo L. Plough, PhD, MPH, Michael A. del Aguila, PhD and Tracy E. Garland, MUP

G. Jay Donahue and Tracy E. Garland are with the Washington Dental Service Foundation, Seattle. At the time of the study, Nancy Waddell was with the Washington Dental Service Foundation and Michael A. del Aguila was with the Delta Dental Data & Analysis Center, Seattle. Alonzo L. Plough is with Public Health–Seattle & King County and the Washington Dental Service Foundation, Seattle.

Correspondence: Requests for reprints should be sent to G. Jay Donahue, MPA, Washington Dental Service Foundation, PO Box 75983, Seattle, WA 98175-0983 (e mail: jdonahue{at}deltadentalwa.com).

Dental caries is a potentially preventable infectious disease that, untreated, can cause significant morbidity requiring costly treatment. The Access to Baby and Child Dentistry (ABCD) program increases access to prevention and early treatment for Medicaid-eligible children aged younger than 6 years in Washington State.

The program is a partnership of Washington Dental Service Foundation, the University of Washington School of Pediatric Dentistry, the state Medical Assistance Administration, and local stakeholders. Through training in pediatric dental techniques and enhanced reimbursement, ABCD equips and encourages dentists to serve young Medicaid patients. Family counseling increases oral care compliance and reduces no-show rates. Program evaluation demonstrates changing attitudes and behavior among participating families and dentists, with more young, low-income Washington children receiving oral health care.




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