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April 2009, Vol 99, No. 4 | American Journal of Public Health 595-599
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.149211

FIELD ACTION REPORT

ElderSmile: A Comprehensive Approach to Improving Oral Health for Seniors

Stephen Marshall, DDS, MPH, Mary E. Northridge, PhD, MPH, Leydis D. De La Cruz, Roger D. Vaughan, DrPH, Jarlath O'Neil-Dunne and Ira B. Lamster, DDS, MMSc

At the time of the writing of this article, Stephen Marshall, Leydis D. De La Cruz, and Ira B. Lamster were with the Columbia University College of Dental Medicine, New York, NY. Mary E. Northridge and Roger D. Vaughan were with the Mailman School of Public Health, Columbia University, New York. Jarlath O'Neil-Dunne was with the Spatial Analysis Lab, University of Vermont, Burlington.

Correspondence: Requests for reprints should be sent to Stephen Marshall, DDS, MPH, Columbia University College of Dental Medicine, P&S Box 20, 650 W 168th St, New York, NY 10032 (e-mail: sm15{at}columbia.edu).

Societal changes, including the aging of the US population and the lack of routine dental service coverage under Medicare, have left many seniors unable to afford any dental care whatsoever, let alone the most advanced treatments.1 In 2004, the Columbia University College of Dental Medicine and its partners instituted the ElderSmile program in the largely impoverished communities of Harlem and Washington Heights/Inwood in New York City. The long-term goal of this program is to improve access to and delivery of oral health care for seniors; the short-term goal is to establish and operate a network of prevention centers surrounding a limited number of treatment centers. Preliminary results indicate substantial unmet dental needs in this largely Hispanic and Black elderly population.






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