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A publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong><br />
<strong>Winter</strong> <strong>2017</strong> Volume 16, Issue 1<br />
ORAL HEALTH<br />
KANSAS<br />
5<br />
IN<br />
TOOTH BRUSHING<br />
CHILD CARE<br />
FLUORIDE: PROTECTING<br />
SMILES FOR MORE THAN<br />
10SEVENTY YEARS<br />
ACA OFFERS PRIVATE<br />
DENTAL INSURANCE<br />
21FOR KIDS
<strong>Kansas</strong> <strong>Child</strong><br />
is a publication of<br />
<strong>Child</strong> Care Aware ®<br />
of <strong>Kansas</strong><br />
Executive Director<br />
Leadell Ediger<br />
Editors<br />
BWearing Consulting<br />
Angie Saenger, Deputy Director<br />
Publication Design<br />
Julie Hess Design<br />
On the Cover<br />
Aaron enjoying his first<br />
snowfall. Aaron is the son of<br />
Mandy Ediger, Salina, KS.<br />
<strong>Child</strong> Care Aware ® of <strong>Kansas</strong>,<br />
1508 East Iron, Salina, <strong>Kansas</strong> 67401,<br />
publishes <strong>Kansas</strong> <strong>Child</strong> quarterly,<br />
and is made possible through the<br />
financial support of the members<br />
of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong> and<br />
sponsorships from our corporate,<br />
private, and foundation partners.<br />
<strong>Kansas</strong> <strong>Child</strong> is intended to provide<br />
a forum for the discussion of child<br />
care and early education issues and<br />
ideas. We hope to provoke thoughtful<br />
discussions within the field and to<br />
help those outside the field gain a<br />
better understanding of priorities<br />
and concerns. The views expressed<br />
by the authors are not necessarily<br />
those of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong><br />
or their sponsors.<br />
Copyright © <strong>2017</strong> by <strong>Child</strong> Care<br />
Aware ® of <strong>Kansas</strong>, unless<br />
otherwise noted. No permission<br />
is required to excerpt or make<br />
copies of articles provided that<br />
they are distributed at no cost.<br />
For other uses, send written<br />
permission requests to:<br />
<strong>Child</strong> Care Aware ® of <strong>Kansas</strong>,<br />
1508 East Iron, Salina, KS 67401<br />
<strong>Kansas</strong> <strong>Child</strong> is distributed at<br />
no cost to <strong>Child</strong> Care Aware ®<br />
of <strong>Kansas</strong> donors. Single<br />
copies are available<br />
to anyone at a cost of<br />
$5 each, prepaid.<br />
Talk<br />
Resolved in <strong>2017</strong>: Talk, Read, Play<br />
You’re receiving this winter issue of<br />
<strong>Kansas</strong> <strong>Child</strong> several weeks after the New<br />
Year’s festivities. I wonder, did you make any<br />
resolutions this year? Will you keep them?<br />
LEADELL EDIGER<br />
<strong>Child</strong> Care Aware ®<br />
of <strong>Kansas</strong><br />
According to Statistic Brain, of the 45 percent<br />
of Americans who typically make New Year’s<br />
resolutions, only 8 percent are successful in<br />
achieving their resolutions.<br />
This issue of <strong>Kansas</strong> <strong>Child</strong> is all about oral<br />
health. We welcome our partner for this issue,<br />
Oral Health <strong>Kansas</strong>. Like good brushing and<br />
flossing habits, resolutions require effort.<br />
If you are one who chooses to make<br />
resolutions, and you are determined to make<br />
them stick, you might enjoy these helpful hints<br />
I found in an article written by Nancy Anderson<br />
Read<br />
for Forbes.com:<br />
Set short-term goals (she suggests making<br />
New Month’s resolutions every 30 or 31 days)<br />
Write down your goals and share them with a<br />
friend. It helps even more to set specific action<br />
steps (bite-size pieces instead of the whole).<br />
Create momentum: knock off a few<br />
important steps early in the process to build the<br />
momentum you need to succeed.<br />
Pick your “game-changer:” What is one thing<br />
you can accomplish? Focus your time and energy<br />
on that.<br />
Get some skin in the game: Use a negative<br />
consequence if you don’t meet your monthly<br />
goal: Write a check to a charity that you would<br />
normally not support. Then, swap the check<br />
with a friend who commits to mailing it to the<br />
charity if your monthly goal is not met.<br />
And finally: Nudge yourself. A little<br />
reminder along the way can help you accomplish<br />
your goals.<br />
Now that we know how to achieve our<br />
resolutions, I’d like to suggest an alternative to<br />
the traditional individual resolution. What if we<br />
set a collective resolution and hold each other<br />
accountable?<br />
Here’s what I’m thinking for <strong>2017</strong>: What if<br />
we all collectively resolve to TALK, READ,<br />
PLAY each and every day! If you are a child
Play<br />
care provider or parent this task should be very<br />
doable. Because I’m a grandmother who gets<br />
to see one of my grandchildren almost daily,<br />
it is a pledge I’m willing to make. Our good<br />
colleagues at The Family Conservancy have been<br />
working since 2014 to engage the <strong>Kansas</strong> City<br />
area — business, governments, schools, parents,<br />
etc. — to take up the challenge to TALK, READ,<br />
PLAY. So why can’t more of <strong>Kansas</strong> join this<br />
simple and noble effort?<br />
A pledge card is now on the <strong>Child</strong> Care Aware®<br />
of <strong>Kansas</strong> website, www.ks.childcareaware.org,<br />
so that we can hold each other accountable. No,<br />
this is NOT a fund-raising campaign. It is a<br />
language-builder, a knowledge-maker, and a funcreator!<br />
We can all do it together!<br />
You might say, “I don’t see any young children<br />
daily.” That’s OK. But when you do, pick up<br />
a book, sing a silly song, or play with kitchen<br />
spoons and measuring cups. In other words,<br />
improvise! Your heart will grow knowing that<br />
you touched a child’s mind! I hope you’ll join me<br />
in making and keeping this simple resolution,<br />
let’s make talking, reading and playing as much<br />
of a habit as brushing our teeth!<br />
p. 5<br />
p. 10<br />
IN THIS ISSUE<br />
Tooth Brushing in <strong>Child</strong> Care................... 5<br />
Your <strong>Child</strong>’s First<br />
Dental Appointment................................. 8<br />
Fluoride: Protecting Smiles<br />
for more than Seventy Years................... 10<br />
Sip All Day, Get Decay.............................12<br />
What’s in Your Drink?..............................12<br />
Healthy Snacking.................................... 14<br />
Brush, Book, Bed.................................... 16<br />
Book Nook:<br />
Tooth Adventures.....................................17<br />
Oral Health Books for <strong>Child</strong>ren..............18<br />
<strong>Child</strong>ren Receive Dental Coverage<br />
through CHIP......................................... 19<br />
KanCare:<br />
Benefits and Challenges.........................20<br />
ACA Offers Private<br />
Dental Insurance for Kids.......................21<br />
Certainly Smile-Worthy........................... 22<br />
p. 20
The Oral Health <strong>Kansas</strong> board and staff appreciate the opportunity<br />
to contribute several articles to this issue of <strong>Kansas</strong> <strong>Child</strong> to share<br />
insight and best practices about how to ensure all <strong>Kansas</strong> kids have<br />
good oral health. We hope you will find them interesting and thoughtprovoking.<br />
You will find stories about tooth brushing in child care<br />
settings, preparing healthy snacks for little ones, the best time to take<br />
a young child to the dentist, how to know if a child is at risk for dental<br />
disease, and how everyone can get involved in advocating to improve<br />
oral health policies in our state and across the country. We hope<br />
these stories spark conversations, plant new ideas, and inspire families<br />
and caregivers to make oral health an important part of daily life for<br />
every <strong>Kansas</strong> child.<br />
Dental disease is entirely preventable, yet it is the most common<br />
childhood disease — more common than asthma! When children<br />
or adults experience cavities, they are even more susceptible to other<br />
chronic diseases. Baby teeth are every bit as important as adult teeth,<br />
and healthy habits start young.<br />
Oral Health <strong>Kansas</strong> is the statewide advocacy organization dedicated<br />
to promoting the importance of lifelong dental health by shaping policy<br />
and educating the public so Kansans know that all mouths matter. We<br />
achieve our mission through advocacy, public awareness and education,<br />
and we have more than 1,400 supporters, including dentists, dental<br />
hygienists, educators, safety net clinics, charitable foundations and<br />
advocates for children, people with disabilities and older Kansans. The<br />
Oral Health <strong>Kansas</strong> staff stands as a resource to the readers of <strong>Kansas</strong><br />
<strong>Child</strong>. Learn more about us and subscribe to our e-newsletter by<br />
emailing us at info@oralhealthkansas.org or by visiting us at www.<br />
oralhealthkansas.org.<br />
Tanya Dorf Brunner,<br />
Executive Director<br />
Keep learning about oral health!<br />
Would you like to keep learning about oral health programs, tips, and policy?<br />
Sign up for Oral Health <strong>Kansas</strong>’ Weekly Wednesday Update. This is an<br />
e-newsletter that provides timely updates on best practices in dental care,<br />
legislative activity, and ideas about how to help children and families take<br />
good care of their teeth. Learn more and sign up to receive the e-newsletter<br />
at http://www.oralhealthkansas.org/WWU.html<br />
4 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
Tooth brushing<br />
in child care<br />
<strong>Child</strong>ren can be cavity-free, right<br />
from the start. Many children reach<br />
adulthood never having had a cavity.<br />
Unfortunately, a third of children<br />
already have tooth decay by the time<br />
they begin preschool. Dental decay is<br />
the most common chronic disease in<br />
children: it is about five times more<br />
common than asthma and seven times<br />
more common than hay fever.<br />
Why are baby teeth important?<br />
<strong>Child</strong>ren do not begin to get their<br />
permanent (adult) teeth until about<br />
age 6 and the last primary (baby)<br />
tooth is not lost until the child is<br />
about 12 years old. This means that<br />
baby teeth are a very important part<br />
of a child’s development, helping the<br />
child to eat, talk, and smile. Baby<br />
teeth are at higher risk for tooth decay<br />
because the hard, outside layer of<br />
enamel on baby teeth is much thinner<br />
than on permanent teeth. Parents<br />
and caregivers can help children have<br />
healthy teeth by making smart food<br />
choices and brushing the child’s teeth<br />
at least twice a day with fluoride<br />
toothpaste. Keeping a child’s smile<br />
healthy and bright is everyone’s<br />
job — parents, grandparents, older<br />
siblings, babysitters, teachers, and<br />
child care providers.<br />
Even infants need dental care.<br />
Parents and other caregivers are<br />
encouraged to use a clean cloth to<br />
wipe away milk that remains in<br />
the baby’s mouth each day. This<br />
creates a routine so the baby begins<br />
to anticipate and trust the practice.<br />
When the first tooth appears,<br />
caregivers should switch to a small,<br />
soft toothbrush. Some children get<br />
their first tooth at 3 months and<br />
others not until they are 12 months<br />
old. Brushing each morning, during<br />
the day (if possible) and just before<br />
bed helps to remove any food and<br />
cavity-causing bacteria on the teeth.<br />
Daily tooth brushing in a<br />
child care setting<br />
<strong>Child</strong> care providers can have<br />
significant influence on a child’s<br />
behavior and can help create healthy<br />
habits. Much like handwashing and<br />
toileting, brushing teeth should be<br />
part of the daily hygiene routine.<br />
Encouraging healthy habits is<br />
important in the overall health of a<br />
child. For some children, brushing<br />
while at child care might be the<br />
only time they get to brush. If you<br />
are already practicing daily tooth<br />
brushing in your child care setting,<br />
congratulations! The children you<br />
serve are fortunate. But please keep<br />
reading! You might learn some new<br />
approaches for children entering your<br />
program who are not used to brushing<br />
their teeth. Parents will thank you<br />
and so will their children when they<br />
grow up with healthy teeth.<br />
Continued on page 6<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 5
Get ready...<br />
Continued from page 5<br />
If you are just starting a tooth brushing routine, include families<br />
by sending home a letter outlining your tooth brushing activity and<br />
request that parents describe the child’s tooth brushing practice at<br />
home. If you already have daily tooth brushing practices for children,<br />
include that information in your application forms for new parents to<br />
complete. Asking parents about the child’s tooth brushing practices<br />
at home might give you some clues on how to create an individual<br />
approach for each child.<br />
Here are some great ideas to help you and the children in your care<br />
get ready for tooth brushing:<br />
•§<br />
Help children learn what to expect and why brushing is important.<br />
Examples:<br />
––<br />
Read tooth brushing books designed for young children during<br />
your daily circle time (check out the best children’s oral health<br />
books on page 18)<br />
––<br />
Show children tooth brushing videos. Check out YouTube for one<br />
from Sesame Street as an example.<br />
––<br />
Teach children simple tooth brushing songs, such as those<br />
from the American Dental Association web-site. (http://www.<br />
mouthhealthy.org/en/Kids-Brushing-Playlist)<br />
––<br />
Pantomime tooth brushing on a doll, puppet, or yourself, using<br />
your finger as a toothbrush. Encourage each child to mimic your<br />
actions, making sure they do not put their hands in their mouth.<br />
•§<br />
Make brushing an everyday practice that children come to expect.<br />
––<br />
Post tooth brushing time on your daily calendar, including a<br />
photo of each child brushing.<br />
––<br />
Remind children that tooth brushing time is scheduled, but<br />
expect that they will soon be reminding you!<br />
•§<br />
Choose the place for daily brushing<br />
––<br />
Sitting at a table right after lunch or afternoon snack is highly<br />
recommended. Tooth brushing as a group works well because<br />
you can demonstrate and encourage children as you observe the<br />
group, while also providing assistance, as needed.<br />
Get set...<br />
Gather the supplies you need.<br />
•§<br />
Toothbrushes<br />
––<br />
You decide if you or the families will provide child-sized, softbristle<br />
toothbrushes.<br />
––<br />
Change toothbrushes every 3 months or when bristles appear<br />
flattened or worn.<br />
––<br />
Label each toothbrush with the child’s name.<br />
•§<br />
Toothpaste<br />
––<br />
Experts now tell us that toothpaste with fluoride is safe to use<br />
at every age. Make sure to use an age-appropriate amount; a<br />
smear for infants and toddlers, a pea-size amount for children<br />
age 3 and older.<br />
––<br />
You can use a small tube for each child or a larger tube for<br />
all, as long as you are careful not to cross contaminate by<br />
putting toothpaste directly on the toothbrushes from the tube.<br />
Examples include placing a small dab of toothpaste on the<br />
edge of a small paper cup or small square of wax paper.<br />
––<br />
The flavor of the toothpaste is a matter of choice. Be aware<br />
that many children find mint flavoring to be “hot.” Most<br />
children tend to prefer fruity flavored toothpaste, but they will<br />
need to be reminded not to swallow it.<br />
––<br />
Store toothpaste in a locked cabinet.<br />
•§<br />
Toothbrush holders: There are a variety of ways that toothbrushes<br />
can be stored. However they are stored, be sure the holder is<br />
sturdy. It is important that brushes do not touch each other<br />
and that brushes are allowed to air dry (do not put individual<br />
toothbrush covers over a wet toothbrush where germs can breed)<br />
Some options to consider:<br />
––<br />
Sturdy plastic cup with child’s name attached<br />
––<br />
Upside down sturdy paper cups with child’s name written on it<br />
––<br />
Commercially available classroom toothbrush holder<br />
––<br />
When not in use, store toothbrushes in a cupboard or on a<br />
shelf away from children.<br />
•§<br />
Optional Disposable items: Small paper cup, paper plate, paper<br />
towel. These will vary depending on the method you choose to use.<br />
6 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
Tips to Encourage the<br />
Reluctant Tooth-brusher<br />
Reluctance can be triggered by shyness, embarrassment or hesitation<br />
to try a new activity. It can be overcome by watching all the other<br />
children brush, pretend-brushing with hand movements, or singing<br />
tooth brushing songs with you while everyone else brushes. The child<br />
might have tooth decay, loose teeth, or mouth sores, so tooth brushing<br />
could be painful. Information about tooth brushing that parents<br />
include in the application form might provide some insight into the<br />
child who refuses to brush when you first introduce tooth brushing<br />
in the group setting. Gentle, respectful questioning of the child<br />
can also generate reasons. While rare, the child may be subject to<br />
punishment or sexual abuse involving the mouth.<br />
Including tooth brushing into a child care setting can<br />
reinforce good habits that improve oral health through an<br />
activity children enjoy while practicing fine motor skills.<br />
What a great way to help children have<br />
good oral and overall health for life!<br />
Go!<br />
You are ready to begin! There are many<br />
methods you can choose to use for<br />
group tooth brushing. Here is one<br />
that is popular with many of the<br />
Head Start programs across <strong>Kansas</strong><br />
and the nation:<br />
1. Set out a paper towel and a small<br />
paper cup or paper plate for each<br />
child who will be brushing.<br />
2. Dispense the appropriate amount<br />
of toothpaste on each the edge of<br />
each cup, paper plate, or wax paper.<br />
3. Demonstrate to children how to<br />
scoop the toothpaste onto their<br />
brushes.<br />
4. Demonstrate and coach children<br />
while you model brushing your own<br />
teeth. Use the words “small circles”<br />
or “gentle scrubbing.” Young<br />
children may not have the dexterity<br />
to make circles, so gentle scrubs<br />
are fine. Assist children, as needed.<br />
Gloves are recommended.<br />
5. While brushing, children can spit the<br />
extra toothpaste and saliva into their<br />
cup. No rinsing is needed, as water would<br />
wash away the benefits of the fluoride.<br />
6. Brush for 2 minutes. You can use an egg timer or a<br />
2-minute children’s song to help.<br />
7. When complete, they can wipe their mouths with a paper<br />
towel and toss. They can line up to take their turn at a<br />
sink, rinsing their toothbrush (one at a time prevents<br />
impromptu “sword fights” under the water) and handing<br />
the brush to an adult to put away.<br />
<strong>Kansas</strong> regulations concerning tooth brushing<br />
(b) Every maternity center or child care facility shall furnish or cause<br />
to be furnished for the use of each resident and employee individual<br />
towel, wash cloth, comb and individual drinking cup or sanitary<br />
bubbling fountain, and toothbrushes for all other than infants, and<br />
shall keep or require such articles to be kept at all times in a clean<br />
and sanitary condition.<br />
(i) Toothbrushes shall be provided for each child’s use. They shall be<br />
used daily after meals, and shall be stored in a sanitary manner out<br />
of children’s reach.<br />
http://www.kdheks.gov/bcclr/regs/ccc/Preschools_and_<strong>Child</strong>_Care_<br />
Centers_all_sections.pdf<br />
To Continue Your Learning<br />
on Tooth Brushing and <strong>Child</strong> Care...<br />
Check out these additional resources<br />
•§<br />
Oral Health in <strong>Child</strong> Care and Early Education. National Health<br />
and Safety Performance Standards. Guidelines for Early Care and<br />
Education Programs. 3rd Edition. National Resource Center for<br />
Health and Safety in <strong>Child</strong> Care and Early Education. Nov. 2016<br />
http://cfoc.nrckids.org/standardview/spccol/oral-health<br />
•§<br />
Oral Health in the <strong>Child</strong> Care Setting. Tooth brushing: Easy as 1-2-3.<br />
Two-hour on-line course provides an overview of the importance of<br />
oral health in young children, the elements that cause tooth decay,<br />
and how to implement a tooth brushing routine into daily activities.<br />
http://kccto.org/programs/online-learning/course-descriptions<br />
•§<br />
Growing Healthy Smiles in the <strong>Child</strong> Care Setting — Implementing a<br />
Tooth Brushing Program to Promote Oral Health and Prevent Tooth<br />
Decay. Office of Oral Health. Massachusetts Department of Public<br />
Health. 2009<br />
http://www.mass.gov/eohhs/docs/dph/com-health/oral-growhealthy-smiles-child-care.pdf<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 7
Your <strong>Child</strong>’s First Dental Visit<br />
Setting the Stage for a Lifetime of Oral Health<br />
Dental decay is preventable, not inevitable. Cavities can begin shortly after the first teeth emerge in toddlers. Studies show that infants<br />
and toddlers who receive professional, preventive dental care, including fluoride varnish, have significantly better oral health than those<br />
who do not. Parents and caregivers who are educated about oral health habits are another important factor. Encouraging young families<br />
to seek dental services for their child by their first birthday will go a long way in improving oral and overall health that will last a lifetime.<br />
Early Identification<br />
Young children should have their teeth and mouth checked<br />
by a dental professional within six months of the eruption of the<br />
first tooth or no later than one year. The American<br />
Academy of Pediatricians, American Dental<br />
Association, and American Academy of Pediatric<br />
Dentistry all support this policy. This early visit<br />
ensures that the child’s first experience with a dental<br />
professional is positive and helps to build a trusting relationship<br />
that can last a lifetime. If cavities are identified early enough,<br />
sometimes they can be treated without drilling.<br />
Here are the services that might be provided at a child’s first visit:<br />
Oral Health Assessment: Checking teeth and soft tissue for<br />
areas of concern<br />
Cavities Risk Assessment: Asking about current habits to see<br />
if the child is at risk for cavities<br />
Anticipatory Guidance: Providing oral health information that<br />
is specific to the child’s current age and future needs<br />
Fluoride Varnish, if needed: Applying a thin coat of fluoride<br />
on teeth to protect them from cavities<br />
You may wonder what a dental exam might look like for a<br />
very young child. One method that is gaining in popularity is<br />
called the Knee-to-Knee exam. The dental professional and the<br />
parent sit opposite each other with their knees touching. The<br />
child sits facing the parent on the parent’s lap. While holding the<br />
child’s hands — helping the child to settle down and feel like,<br />
“This is where I’m supposed to be,” — the parent leans the child<br />
backwards into the lap of the dental professional. Your child may<br />
“squeak” a bit, but that can be a good thing as their mouth is wide<br />
open, which allows a great look inside.<br />
Lift the Lip<br />
Parents and others who care for young children also can<br />
play an early role in identifying problems. “Lift the lip” is a<br />
simple technique that can be used by non-dental<br />
professionals to identify possible oral health<br />
concerns.<br />
A child’s mouth and teeth should be screened<br />
once a month by a parent or caregiver so that<br />
problems can be found when they are small:<br />
Position: Place the child’s head in your lap or in your arm so<br />
you can see the teeth and all parts of the mouth.<br />
Clean: Remove food from teeth and gums using a clean soft<br />
cloth or soft toothbrush.<br />
Lift: Use your fingers to lift the child’s lips to look for white or<br />
brown spots on any of the teeth — signs of tooth decay. If you see<br />
any of these spots, contact a dentist.<br />
Look inside: Look at all areas of the mouth for unusual color,<br />
bumps, cuts, or sores. If you see any of these, contact a dentist.<br />
8 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
How to Find a Provider<br />
Families with babies reaching the first birthday can begin to<br />
find a dentist by checking with the dental office that adult family<br />
members attend. The request is simple: “I would like<br />
for the dentist or hygienist to look at my baby’s first<br />
teeth to see if there are any concerns and give some<br />
advice about teething and keeping my baby’s teeth<br />
free of tooth decay.” Keep the request simple rather<br />
than asking them to conduct an age-one dental visit.<br />
Another option for families who don’t have a regular dentist is<br />
to ask the baby’s health care provider, early child care providers,<br />
school nurses or other parents. If the recommended dentist is a<br />
pediatric specialist, ask for an “age-one dental visit.” If the dentist<br />
is not a pediatric specialist, simply ask about checking your baby’s<br />
teeth. It is also a good idea to ask which dental insurance the<br />
office accepts. If they don’t accept the insurance coverage your<br />
family has, you can ask what the fee will be for the appointment.<br />
Safety net dental clinics provide care to all ages, regardless of<br />
whether the family has dental insurance. They accept payment<br />
from Medicaid (KanCare), private insurance, and private pay. The<br />
fee is determined by the patient’s ability to pay. Use this map to<br />
see if you have a safety net dental clinic in your area. More details<br />
can be found on this website: http://www.kamuonline.org/<br />
In <strong>Kansas</strong>, a new resource for “age-one dental visits” is during<br />
routine early childhood developmental screenings. Families with<br />
young children who participate in developmental screenings in<br />
their community might discover dental professionals conducting<br />
dental screenings for children, along with application of fluoride<br />
varnish. The dentist or dental hygienist can provide guidance for<br />
families on teething and healthy habits to adopt so children can<br />
remain free of cavities. Check with local health departments and<br />
school districts in your area for availability of these services.<br />
To help your children stay healthy, it is important for them<br />
to see a dental professional on a regular basis, starting at age<br />
one. This is the best way for children to grow up cavity-free and<br />
ready to learn.<br />
2016 KAMU Member Clinics and Satellite Clinics<br />
As of 6/1/2016<br />
1. Agape Health Clinic<br />
2. Atchison Community Health Clinic<br />
3. Bluestem PACE<br />
4. <strong>Child</strong>ren’s Mercy West,<br />
The Cordell Meeks, Jr. Clinic<br />
5. Comcare of Sedgwick County<br />
6. Community Health Center in Cowley County<br />
7. Community Health Center of SE <strong>Kansas</strong><br />
8. Community Health Ministry Clinic<br />
9. Crosswinds Counseling & Wellness<br />
10. Douglas County Dental Clinic<br />
11. Duchesne Clinic<br />
12. E.C. Tyree Health & Dental Clinic<br />
13. Family Service & Guidance Center<br />
14. First Care Clinic<br />
15. Flint Hills Community Clinic<br />
16. Flint Hills Community Health Center<br />
17. Genesis Family Health<br />
18. GraceMed Health Clinic<br />
19. Greeley County Health Services<br />
20. Guadalupe Clinic<br />
21. Health Care Access<br />
22. Health Ministries Clinic<br />
23. Health Partnership Clinic<br />
24. HealthCore Clinic, Inc.<br />
25. Heart of <strong>Kansas</strong> Family Healthcare<br />
26. Heartland Community Health Center<br />
27. Hoxie Medical Clinic<br />
28. Hunter Health Clinic<br />
29. Hutchinson Area Student Health Services<br />
30. Jefferson County Health Department<br />
31. Johnson County Department of<br />
Health & Environment<br />
32. <strong>Kansas</strong> Statewide Farmworker Health Program<br />
a voucher program with 105 access points statewide<br />
33. Konza Prairie Community Health<br />
& Dental Center<br />
34. KU Health Partners/Silver City Health Center<br />
35. Lincoln County Medical Clinics<br />
36. Marian Dental Clinic<br />
37. Mayflower Clinic, Inc.<br />
38. Mercy and Truth Medical Missions<br />
39. PrairieStar Health Center<br />
40. Rawlins County Dental Clinic<br />
41. Saint Vincent Clinic<br />
42. Salina Family Health Care Center<br />
43. Shawnee County Health Agency &<br />
Community Health Center<br />
44. Southwest Boulevard Family Health Care<br />
45. Swope Health Services<br />
46. Turner House <strong>Child</strong>ren’s Clinic<br />
47. Valeo Behavioral Health Care<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 9
When screening<br />
young children, don’t<br />
forget the mouth<br />
<strong>Child</strong>ren grow up healthy when they hit<br />
developmental milestones at the right time.<br />
In counties across the state, children take part<br />
in developmental screenings to determine<br />
how their communication abilities, fine<br />
and gross motor skills, self-help behaviors,<br />
hearing and vision, and social-emotional<br />
health are progressing. In one county, oral<br />
health is now a part of those screenings. The<br />
Butler County <strong>Child</strong> and Family Development<br />
Task Force has added dental screenings in<br />
their “Count Your Kid In” screening process.<br />
What happens at an<br />
oral health screening?<br />
A dental hygienist conducts the screening,<br />
which lasts a few minutes. The screening<br />
includes a visual check for areas of concern,<br />
discussion with the parents regarding oral<br />
health habits, and an optional fluoride varnish<br />
treatment. Families are eager to find out<br />
about the health of their child’s teeth and<br />
mouth, and referrals are made when dental<br />
work is indicated. <strong>Child</strong>ren will receive a new<br />
toothbrush and toothpaste, and families<br />
will gain basic knowledge of the importance<br />
of oral health and its contribution to their<br />
child’s overall health. Finding and treating<br />
dental problems early will help children have<br />
good oral health for life.<br />
Why is this important?<br />
In addition to early identification of dental<br />
problems, oral health screenings produce<br />
data that help drive oral health policy. The<br />
screening data is useful in understanding<br />
the oral health needs of young children,<br />
which helps demonstrate the need for<br />
funding dental services and developing<br />
educational programming for families and<br />
children. Since 2015, close to 200 children in<br />
Butler County have received an oral health<br />
screening. The data that is collected at these<br />
screenings is anonymous. It is submitted to<br />
the <strong>Kansas</strong> Department of Health and<br />
Environment Bureau of Oral Health and<br />
included in their statewide, dental screening<br />
data base.<br />
Are you interested<br />
in oral health screenings?<br />
Including oral health in developmental<br />
screenings is a great way to keep children<br />
healthy, educate families, and improve oral<br />
health policy across the state. To find out how<br />
to add oral health into the developmental<br />
screenings in your community, contact Doug<br />
Bowman at Oral Health <strong>Kansas</strong>, dbowman@<br />
oralhealthkansas.org or 785-235-6039.<br />
Fluori<br />
Protecting smiles for more than<br />
Let’s face it, most children are not<br />
very good at brushing their teeth.<br />
Getting your children to brush can be a<br />
battle of wills. There are several actions<br />
that a parent can take to improve their<br />
children’s oral health. Providing the<br />
benefits of fluoride is one action that<br />
can protect children from unnecessary<br />
pain and trauma.<br />
Why is fluoride important?<br />
Baby teeth are more than a practice<br />
set. <strong>Child</strong>ren have baby teeth until they<br />
are at least 12 years old, and sometimes<br />
even longer. <strong>Child</strong>ren’s teeth can be more<br />
vulnerable to decay because they have<br />
thinner enamel, and because children have<br />
a limited diet and do not yet have the skills<br />
to brush effectively.<br />
A tooth that has a cavity can spread that<br />
infection to surrounding teeth. All teeth<br />
are important, and when baby teeth are<br />
lost too soon, children can have challenges<br />
with social development, proper chewing,<br />
and even their facial features. Most<br />
importantly, baby teeth hold the<br />
space for the adult tooth that is<br />
forming and getting ready to push up<br />
into the mouth. Fluoride builds and<br />
strengthens the enamel walls of the adult<br />
teeth, while preventing cavities in the<br />
baby teeth. This is what makes fluoride an<br />
important nutrient for the development<br />
and protection of teeth. It is important for<br />
parents to know the sources of fluoride<br />
and the role it plays in good oral health.<br />
Fluoride comes in several forms, and<br />
together they work to help prevent or lessen<br />
the severity of decay in children’s teeth.<br />
Community water fluoridation<br />
Cavities are the number one preventable<br />
chronic disease in children in the United<br />
States, and the number one way to<br />
10 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
de<br />
seventy years<br />
prevent cavities is drinking water with<br />
fluoride. Fluoridation of water<br />
began in 1945 and has been used to<br />
strengthen teeth effectively for more<br />
than 70 years. Fluoride is a mineral that<br />
exists naturally in all water supplies, and<br />
water is considered to be fluoridated when a<br />
public water system adjusts the fluoride to a<br />
level that is optimal or ideal for preventing<br />
tooth decay. It takes a very small amount<br />
of fluoride in the water to provide effective<br />
protection against cavities.<br />
Drinking water straight out of the tap<br />
is the easiest and safest way to provide<br />
protection against tooth decay. The only<br />
requirement is to drink it every day! Most<br />
bottled water does not have fluoride in<br />
it, but people who live in communities<br />
without fluoridated water can<br />
purchase bottled water with fluoride,<br />
which can be found in most stores in<br />
the nursery section. The pink label will<br />
identify it as containing fluoride.<br />
Fluoridated toothpaste<br />
Another great defense against tooth<br />
decay is good tooth brushing habits<br />
that include using toothpaste with<br />
fluoride. All children should brush for<br />
two minutes, two times a day using a<br />
small-headed soft toothbrush that is ageappropriate.<br />
The American Academy of<br />
Pediatrics recommends toothpaste with<br />
fluoride as soon as the first tooth<br />
begins to erupt. Parents should use a<br />
smear of fluoride toothpaste until the<br />
child turns three and use a small peasized<br />
amount after age three. An adult<br />
should always dispense the toothpaste<br />
and assist with brushing. Swallowing<br />
a small amount of toothpaste is not a<br />
problem, but spitting out as much as<br />
possible is encouraged. Do not swish<br />
with water after brushing. This helps<br />
ensure the fluoride has time to soak into<br />
the teeth. Since the 1950s, fluoridated<br />
toothpaste has been an important part<br />
of preventing cavities for children and<br />
continues to be today.<br />
Fluoride varnish<br />
Fluoride varnish also is an effective<br />
tool in fighting tooth decay. It can be<br />
applied by a trained medical or dental<br />
professional at routine office visits or<br />
in community-based settings. Painting<br />
this clear, sticky gel on the teeth is a quick,<br />
easy, and painless process, but the<br />
teeth might feel a bit fuzzy for a few<br />
hours. This varnish covers the teeth<br />
and allows the fluoride to become part of<br />
each tooth, right where it is most needed.<br />
Fluoride varnish protects teeth from acid<br />
attacks that cause tooth decay. According<br />
to the American Academy of Pediatrics,<br />
fluoride varnish can be applied every three<br />
to six months for children of all ages. This<br />
method of using fluoride gives children<br />
an extra boost to protect their teeth<br />
from decay.<br />
Parents who ensure their children<br />
regularly use fluoride find that their<br />
children have less severe decay. Fluoride<br />
in all forms helps form strong teeth,<br />
repairs areas that are under acid attack,<br />
and helps prevent cavities. It also<br />
can reduce both painful tooth problems<br />
for children and costly dental and<br />
medical bills for parents. Fluoride is an<br />
excellent way to get children off to the<br />
right start that can last a lifetime. Let<br />
this next generation live a life free<br />
of dental decay.<br />
Is my child<br />
at risk for<br />
cavities?<br />
Try out this simple quiz to see if your child<br />
is at risk for getting cavities.<br />
A “yes” answer to any of these<br />
questions can put your child at greater<br />
risk for cavities.<br />
Y N<br />
n n Has your child ever had a cavity?<br />
n n Has a daily caregiver or someone<br />
who lives in the same house as<br />
the child had a cavity in the past<br />
two years?<br />
n n Does your child share toothbrushes<br />
with other family members?<br />
n n Does your child go to bed with a<br />
bottle containing any liquid other<br />
than water?<br />
n n Does your child regularly use a<br />
sippy cup containing any liquid<br />
other than water?<br />
n n Does your child snack regularly<br />
on foods containing sugar and<br />
white flour?<br />
What change can you make to lower the<br />
risk of your child getting cavities?<br />
A “yes’” answer to any of these questions<br />
will help protect your child from cavities.<br />
Y N<br />
n n Does your child drink water daily<br />
that contains fluoride?<br />
n n Are your child’s teeth brushed by an<br />
adult before bedtime?<br />
n n Does the toothpaste you use for<br />
your child contain fluoride?<br />
n n Has your child been seen by a<br />
dental professional?<br />
What change can you make to protect<br />
your child from cavities?<br />
If you have decided to make a change<br />
or two:<br />
•§<br />
How important is it to you to make<br />
this change?<br />
•§<br />
How confident are you that you can<br />
make it?<br />
•§<br />
What support do you need from others<br />
to help make this change?<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 11
Sip all day,<br />
What’s in Your Drink?<br />
Oral Health <strong>Kansas</strong> has a sugary drink display available to check out for up to one month at<br />
no cost. Organizations, schools, and businesses may check out the display to share at an<br />
event, in a lobby, or anywhere else it can be seen and enjoyed. The display includes ten popular<br />
beverages and shows how much sugar is in each. The sugar is shown in clear glass jars, and<br />
each drink has a sign that lists the number of teaspoons of sugar it contains. The display also<br />
includes healthier beverage options as alternatives to sugary drinks.<br />
This display has been popular at health fairs, schools, clinics, dental offices and day care<br />
centers. People report that it changes their perspective of how much sugar the drinks contain.<br />
Some even report they decided to stop drinking a favorite beverage because of the amount of<br />
sugar. Others have taken pictures of the drink display to share with family members. Both adult<br />
and child versions of the drink display are available. They include drinks popular with different<br />
age groups, from chocolate milk<br />
and juice to energy drinks and<br />
sugary coffee beverages.<br />
Oral Health <strong>Kansas</strong> will<br />
ship the display for free and<br />
reimburse shipping costs to<br />
return it. It is free to use, but<br />
its effect may be priceless. To<br />
reserve a drink display, email<br />
Oral Health <strong>Kansas</strong> at info@<br />
oralhealthkansas.org.<br />
It’s no secret there is a strong link<br />
between the frequent use of sugary<br />
drinks and getting more cavities.<br />
Ninety-one percent of children in the<br />
United States drink sugary beverages daily.<br />
In the last decade, the calories consumed<br />
from sugary beverages have jumped 60<br />
percent in children. At the same time, 30<br />
percent of children now have cavities by<br />
the time they reach preschool age.<br />
Soft drinks tend to get all the media<br />
attention, but fruit juices are not a better<br />
option. Parents, child care providers and<br />
kids are drawn to the convenience of<br />
the small, 6.75-ounce juice boxes. The<br />
boxes are attractive — bright colors with<br />
promises of 100 percent real juice and<br />
vitamins give people the idea that juice is<br />
a healthy choice. In fact, even though<br />
they have more nutrients, they contain<br />
just as much sugar and calories as soft<br />
drinks. Drinking too much juice can lead<br />
to tooth decay and obesity.<br />
What are sugary drinks doing to<br />
your child’s teeth?<br />
Drinking juice, soda or sports drinks<br />
might help wash down a meal or help<br />
your thirst, but they leave unwanted sugar<br />
behind on teeth. Tooth decay is caused by<br />
bacteria in the mouth using sugar<br />
from foods and drinks to produce<br />
acids that dissolve and damage the<br />
teeth. Each “acid attack” lasts for<br />
around 20 minutes. Every time you<br />
take a sip of a sugary drink, the<br />
acid attack begins all over again.<br />
Stay hydrated the right way<br />
Our bodies need water to<br />
function properly. Did you know<br />
lack of water can make a<br />
person feel tired? Next<br />
time you or your child<br />
12 <strong>Kansas</strong> <strong>Child</strong>
get decay<br />
of children in the United States<br />
91 % drink sugary beverages daily<br />
start to feel sluggish or cranky, reach for<br />
water. Tap water is free and easy! Just turn<br />
on the faucet. If the water in your area is<br />
fluoridated, there is the added benefit of<br />
protecting teeth from cavities. Water is good<br />
for your whole body and won’t damage your<br />
teeth like sugary drinks.<br />
Here are some other benefits from<br />
drinking plenty of water:<br />
•§<br />
It washes out leftover food and cavitycausing<br />
bacteria in the mouth.<br />
•§<br />
When chosen over a sugary drink, it is<br />
healthier and filling, which<br />
can prevent overeating that leads<br />
to obesity.<br />
•§<br />
It improves cognitive and physical<br />
performance.<br />
•§<br />
It flushes out toxins that can lead to<br />
illness.<br />
Fun and easy ways to get kids to<br />
drink more water<br />
There is a growing number of early<br />
child care programs that make drinking<br />
water available to young children whenever<br />
they wish. The goal is to increase water<br />
consumption each day and reduce<br />
children’s dependence on juice or sweet<br />
beverages for hydration. <strong>Kansas</strong> City<br />
<strong>Kansas</strong> Community College’s <strong>Child</strong> Care<br />
Center, for example, offers water in pitchers<br />
at every meal, allowing the children to<br />
pour it themselves. While at school, some<br />
children drink two cups of water at the<br />
meal and have water fountains available at<br />
all other times throughout the day. Here<br />
are tips for encouraging children to drink<br />
fluoridated water during the day.<br />
Make it fun: Drink from single-use bendy,<br />
silly, or colored straws. Or children can<br />
choose their favorite cups or water bottles.<br />
Keep it portable: Water bottles that can<br />
be carried anywhere and refilled with tap<br />
water are great.<br />
Flavor it: <strong>Child</strong>ren used to drinking<br />
juice, juice drinks, or pop (soda) might<br />
think water is too plain. Add fruit, such as<br />
lemon, lime, or orange slice, blueberries,<br />
raspberries, strawberries, or fresh mint.<br />
Ice it: Serve water with ice cubes or<br />
crushed ice. Look for ice cube trays in fun<br />
shapes such as dinosaurs, letters,<br />
or animals.<br />
Make it available: Set up a station where<br />
children can get a drink of water so they<br />
do not get thirsty. It can be as simple as<br />
keeping a non-breakable water pitcher<br />
on a low counter or a chair where young<br />
children can reach it.<br />
Model it: Young children learn by watching.<br />
Be a good role model by drinking water<br />
instead of drinks that have sugar.<br />
Feel free to enjoy the occasional sugary<br />
drink as a treat. Here are some ways to<br />
reduce the amount of sugar in beverages<br />
that children and their families are<br />
drinking:<br />
•§<br />
Plain white milk can be a healthy option<br />
at meals, but flavorings add a lot of<br />
sugar.<br />
•§<br />
Look on the packaging on juices to<br />
make sure there is no added sugar.<br />
•§<br />
If you are eating out, ask to replace the<br />
default sugar-sweetened beverage with<br />
water.<br />
•§<br />
Give your child a water bottle to refill<br />
throughout the day at daycare or<br />
preschool.<br />
•§<br />
When other people, such as<br />
grandparents or babysitters look after<br />
your child, ask them to give your<br />
children low-fat milk or water rather<br />
than other drinks.<br />
Be creative and come up with some other<br />
fun ideas! Helping children make smart<br />
choices early on will result in a longer life<br />
with good oral and overall health.<br />
The Benefits of Water<br />
Water is the cornerstone for all body<br />
functions. It is sugar-free, caffeine-free<br />
and calorie-free, plus it costs nothing!<br />
Water washes out leftover food, residue<br />
and cavity-causing bacteria in the<br />
mouth that wears away enamel. Water<br />
cleans every mouth with every sip.<br />
It is as easy as turning on the tap.<br />
Reserve drinks such as juice and soda<br />
for an occasional treat.<br />
As a money-saving and protective<br />
choice, most tap water contains<br />
fluoride, which has the added benefit<br />
of protecting teeth from cavities.<br />
Carry a refillable water bottle for easy<br />
access and add healthy fruit such as<br />
lemons and berries to water.<br />
To prevent dehydration, it is best to not<br />
only drink water throughout each day,<br />
but also eat raw vegetables and fruits,<br />
which are valuable sources of water.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 13
Fishing “Snack-tivity”<br />
Here is an idea that combines healthy snacking with a fun activity<br />
addressing fine motor skills, sequencing, language production<br />
and imaginary play. Using carrots, whole-grain fish-shaped snack<br />
crackers, and hummus or peanut butter, children have a great time<br />
“catching” their snack! For complete details, check out this web-site:<br />
http://www.two-daloo.com/toddler-snack-idea-fine-motor-fishing/<br />
Healthy<br />
Snacking<br />
Mini Pizza Crackers<br />
Ingredients<br />
•§<br />
24 whole-wheat crackers<br />
•§<br />
3 tablespoons pizza sauce<br />
•§<br />
Pizza topping, such as diced vegetables (for example,<br />
mushrooms, olives, or peppers) or cooked and cubed beef,<br />
chicken, or ham<br />
•§<br />
1½ cups shredded low-fat cheese<br />
Directions<br />
Snowman Crackers<br />
Ingredients<br />
•§<br />
1 box round whole-wheat or rice crackers<br />
•§<br />
1 package light cream cheese, softened<br />
•§<br />
1 can black beans, drained and rinsed<br />
•§<br />
1 carrot, cut into thin strips about ¼ inch long<br />
•§<br />
1 red or orange bell pepper, cut into<br />
strips about ¼ inch wide<br />
•§<br />
1 to 2 celery stalks, cut into<br />
short thin strips<br />
Directions<br />
1. Spread a thin layer of cream<br />
cheese onto 3 crackers.<br />
2. Arrange the crackers to make a snowman.<br />
3. Add black beans for eyes, a mouth, and<br />
buttons; a carrot for a nose; bell pepper<br />
for a hat; and celery for arms.<br />
Safety tip: An adult should slice<br />
the ingredients.<br />
Featured December 2013: Tooth brushing Tips<br />
1. Spread each cracker with ½ teaspoon pizza sauce.<br />
2. Put pizza topping on top of sauce.<br />
3. Sprinkle pizza topping with low-fat cheese.<br />
4. Put crackers on a microwave-safe plate.<br />
5. Microwave on high for 1 to 2 minutes, until cheese melts. Before<br />
serving, check to make sure that the cheese is not too hot.<br />
Young children eat small amounts of food because<br />
their stomachs are small. This means they are more likely to eat<br />
several times each day. Most people are aware that sugar causes<br />
cavities, but did you know that foods that are not sweet, but that<br />
are made with white flour also can cause cavities? This includes<br />
snacks such as pretzels and crackers. Studies show that children<br />
who snack on foods with sugar and white flour throughout the<br />
day are more likely to get cavities.<br />
How do sugar and white flour cause cavities?<br />
To get a cavity, three ingredients must be present. Germs that<br />
cause cavities live in our mouths. They need sugar and white<br />
flour (simple carbohydrates) to live and grow. The germs break<br />
down foods with sugar and white flour to form acid. Each time<br />
these types of foods are eaten, more acid is formed that can eat<br />
away at the enamel of teeth for 20-40 minutes. We call these acid<br />
attacks. The more acid attacks you have during the day, the more<br />
likely they are to make holes (cavities) in your teeth. Check<br />
out the graph below to see how these ingredients make up the<br />
Cavity Equation.<br />
We don’t feel the acid attack happening, but our teeth can be<br />
under attack every day. Because of this, in order to prevent tooth<br />
decay, how often we eat is just as important as what foods we eat.<br />
Here is an example: If we eat 3 times a day, breakfast, lunch and<br />
dinner, and we eat the kinds of food that germs like to eat, we have<br />
three, 20-minute acid attacks daily. But if we eat little bits of these<br />
foods or sip on sweet drinks all day long, we have many, many acid<br />
attacks throughout the day that damage the enamel of our teeth.<br />
The graph on the next page shows how frequent snacking on<br />
sugary foods can cause our teeth to be under “attack” all day long.<br />
Safety tip: If children are too young to read or follow written<br />
directions, they are too young to use a microwave without<br />
supervision.<br />
Featured February 2013: Oral Health Literacy<br />
14 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
1 2 3<br />
Here are 3 great ways to help keep the acid from destroying<br />
your teeth:<br />
1 Limit the times you eat simple carbohydrates.<br />
Choose snack foods that do not contain sugar or<br />
white flour. Eat carbohydrates only at mealtime.<br />
2 Swish with water right after eating to wash off the food.<br />
3<br />
Remove the germs from your mouth by brushing<br />
and flossing.<br />
Finding hidden sugar<br />
Many foods contain added sugar. The best place to check for<br />
sugar is in the ingredients list on the food label. Be aware that<br />
sugar can be listed by many different names. Look for words like:<br />
•§<br />
Beet sugar<br />
•§<br />
Brown sugar<br />
•§<br />
Cane sugar<br />
•§<br />
Corn sweeteners<br />
•§<br />
Corn syrup<br />
•§<br />
Cane juice<br />
•§<br />
High fructose corn syrup<br />
•§<br />
Honey<br />
•§<br />
Malt syrup<br />
•§<br />
Molasses<br />
•§<br />
Raw sugar<br />
•§<br />
White sugar<br />
This ingredient list shows three types of sugar in a granola bar.<br />
Ingredients: Whole Grain Oats, Sugar, Canola Oil, Rice<br />
Flour, Honey, Salt, Brown Sugar Syrup,<br />
Baking Soda, Soy Lecithin, natural Flavor. CONTAINS<br />
SOY; MAY CONTAIN PEANUT,<br />
ALMOND AND PECAN<br />
INGREDIENTS.<br />
Tips for healthy snacking and healthy teeth<br />
Here are some tips that can help you keep children<br />
cavity-free:<br />
•§<br />
Think of sugary foods as “treats” that you save for<br />
special days and non-sugary foods as snacks that<br />
can be eaten every day.<br />
•§<br />
When offering sugary foods and drinks, try to<br />
serve only at meal time.<br />
•§<br />
If you need to travel with cereal or crackers, make<br />
sure to choose whole grains.<br />
•§<br />
Encourage child to try new snack foods that do<br />
not contain sugar.<br />
•§<br />
Give a child water or plain white milk to drink<br />
with snacks.<br />
•§<br />
Offer only water when a child is thirsty.<br />
•§<br />
Avoid foods that cause choking, such as popcorn,<br />
nuts, seeds, raw carrots, or whole grapes. Cut<br />
foods into small pieces.<br />
•§<br />
Try using soothing words or actions rather than<br />
food to calm a child.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 15
BRUSH<br />
BOOK<br />
BED<br />
Young<br />
Structuring a Young <strong>Child</strong>’s Bedtime Routines<br />
children thrive when they have<br />
structure. In Topeka, a new program is<br />
being launched that will help families start<br />
bedtime routines that will keep kids healthy,<br />
and make a habit out of reading. The Brush,<br />
Book, Bed program works with low-income<br />
families to make it a habit to brush teeth<br />
and read a book before bedtime.<br />
Bedtime can be a particularly stressful<br />
time for young families, but there is help<br />
available to address this challenge. The<br />
Brush, Book, Bed program, designed by<br />
the American Academy of Pediatrics, offers<br />
a simple and clear message for all parents<br />
of young children:<br />
•§<br />
Every night, help your child to brush<br />
his or her teeth.<br />
•§<br />
Snuggle up and read a book.<br />
•§<br />
Get to bed at a regular time.<br />
Every night, help your child to<br />
brush his or her teeth.<br />
BRUSH Young children need<br />
assistance from an adult to ensure that<br />
tooth brushing is done effectively. The need<br />
for brushing before bedtime is essential in<br />
removing food particles from the mouth.<br />
This will prevent the onset of tooth decay<br />
during the night’s sleep. Look for guidance<br />
on tooth brushing in the article found on<br />
page 7 of this magazine.<br />
At bedtime, it should be noted that<br />
brushing teeth does not have to occur in<br />
the bathroom. Two minutes at the bedside<br />
might reduce the distractions that could<br />
otherwise unravel the routine. It is not<br />
necessary or recommended to rinse after<br />
brushing, as this simply washes away the<br />
helpful fluoride provided by the small dab<br />
of toothpaste. If it is absolutely necessary<br />
to spit, try having an extra cup on hand<br />
for that specific purpose. The intent is<br />
to minimize the distractions from the<br />
bedtime routine.<br />
Continued from page 17<br />
16 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
Continued from page 16<br />
Snuggle up and read a book<br />
(maybe more than one).<br />
BOOK It is never too early to<br />
start reading to a child. When selecting<br />
a book at bedtime, choose something<br />
that is appropriate for the child’s age and<br />
temperament, and provides the “winding<br />
down” mood you hope to create. Some<br />
children will insist on making their own<br />
choice. Don’t allow the selection process<br />
to get out of hand. Try asking: “This<br />
book or that one?” Providing a small<br />
number of options allows the child a<br />
sense of controlling their environment,<br />
while helping to avoid looking at all the<br />
books in your library.<br />
Get to bed at a regular<br />
(predictable) time.<br />
BED The importance of sleep<br />
to your child’s health (and yours)<br />
cannot be overstated. The closeness or<br />
“snuggle” time is a critical component<br />
of the going-to-bed process. Fostering<br />
a sense of warmth and security while<br />
reading the book(s) will contribute to<br />
the child’s willingness to go to sleep. A<br />
standard, nighttime routine that clearly<br />
helps the child wind down is a good first<br />
step. Striving for a regular bedtime and<br />
sticking to it is critical. If you are waiting<br />
for signs of sleepiness such as yawning,<br />
you might already have lost the battle by<br />
delaying the process.<br />
In Topeka, three home-visiting<br />
programs are pilot-testing the Brush,<br />
Book, Bed program. As a way to teach<br />
children about their teeth and visiting<br />
the dentist, they are providing families<br />
with children’s oral health books<br />
recommended by the Maryland Dental<br />
Action Coalition. Families also will<br />
receive some popular non-oral health<br />
children’s books. Through the pilot<br />
project, children and families will be able<br />
to learn how to create a bedtime routine<br />
involving brushing teeth and reading<br />
books. The lessons learned through the<br />
project will help create a program that<br />
organizations across the state can use to<br />
help families create healthy habits that<br />
will last a lifetime. Communities that<br />
are interested in offering Brush, Book,<br />
Bed should contact Doug Bowman<br />
at Oral Health <strong>Kansas</strong>: dbowman@<br />
oralhealthkansas.org or 785-235-6039.<br />
Tooth Adventures<br />
By Alice Eberhart-Wright, Family and Early <strong>Child</strong>hood Specialist<br />
Books can help families and early childhood educators teach children to care for<br />
their teeth. This issue of <strong>Kansas</strong> <strong>Child</strong> is all about oral health, so I turned to my stash<br />
of children’s books on that topic. I limited myself to a<br />
few written by favorite authors and featuring wellloved<br />
characters.<br />
The Tooth Book, by Dr. Seuss, is a Bright and<br />
Early board book. Babies getting their first teeth<br />
will probably love to chew on it! The rhyming<br />
verses are fun for adults and<br />
beginning readers to read<br />
aloud and serve as a delightful<br />
introduction to a focus on<br />
teeth. There are some simple<br />
facts worked into this silly<br />
story about teeth in people<br />
and animals: numbers of<br />
teeth in your mouth, what happens when you<br />
gobble junk and how teeth help you talk, rather<br />
than quack like a duck. This Dr. Seuss book is so<br />
much fun that you could read it every day until<br />
children have memorized it: “They sure are handy<br />
when you smile. So keep your teeth around awhile.”<br />
Next is a pop-up board book from Sesame Street called Ready, Set, Brush! We love<br />
this book because it has all sorts of things to manipulate while learning how much<br />
toothpaste to put on the brush, the motions involved in brushing teeth and tongue,<br />
and how to swish water around in your mouth. Readers<br />
can also count the teeth in Martha Monster’s<br />
mouth. <strong>Child</strong>ren reading this book will need<br />
supervision from adults or older children.<br />
Otherwise, the toothbrush will disappear and<br />
Sesame Street characters will lose body parts!<br />
Some people may think that you can’t give<br />
children books because they will tear them up.<br />
Instead, consider that this is a book to enjoy<br />
together, to be read, put back on a shelf and<br />
retrieved frequently for positive time between a<br />
child and an adult or older child.<br />
Finally, I chose the old, familiar Berenstain<br />
Bears Visit the Dentist. <strong>Child</strong>ren should start<br />
visiting the dentist as babies, so it’s important<br />
to have a book that orients them with some<br />
of their trusted, lovable literary friends.<br />
What will the dentist do in that room with all<br />
those gadgets? Will it be scary or an exciting<br />
adventure? Will the dentist be nice? Brother has<br />
a cavity and gets a filling that requires all sorts of<br />
interesting procedures while Sister curls up on<br />
mother’s lap looking a little worried. Sister only has<br />
a loose tooth. The dentist gives a little tug and out it<br />
comes. She heads home with a tooth for the tooth<br />
fairy and a balloon proclaiming “I brush every<br />
day,” instead of a lollipop.<br />
These are but a few of the many great books on<br />
this topic. See page 18 for more titles.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 17
Oral Health Books<br />
for <strong>Child</strong>ren<br />
Oral Health Care<br />
Highly Recommended<br />
Brush, Floss, and Rinse: Caring for Your Teeth and Gums*<br />
Amanda Doering Tourville, Picture Window Books, 2009<br />
Ready, Set, Brush<br />
Sesame Street, Readers Digest <strong>Child</strong>ren’s Books, 2008<br />
Brushing Teeth<br />
Mari Schuh, Capstone Press, 2008<br />
Toothful Tales: Becoming Me Cavity Free<br />
Jeanette Flannery Courtad, DDS<br />
Mentors International Publications, 2015<br />
Recommended<br />
Brush, Brush, Brush!<br />
Alicia Padron, Scholastic, 2010<br />
Brush Your Teeth Please<br />
Leslie Mcguire, Studio Fun, 2013<br />
Flossing Teeth*<br />
Mari Schuh, Capstone Press, 2008<br />
Visiting the Dentist<br />
Highly Recommended<br />
At the Dentist*<br />
Mari Schuh, Capstone Press, 2008<br />
Going to the Dentist<br />
Anne Civardi, Usborne, 2010<br />
Dentists Help<br />
Dee Ready, Capstone Press, 2013<br />
Dentists<br />
Kristin L. Nelson, Lerner Publishing Group, 2005<br />
Recommended<br />
Max Goes to the Dentist*<br />
Adria F. Klein, Picture Window Books, 2006<br />
My Dentist, My Friend<br />
P. K. Hallinan, Ideals <strong>Child</strong>ren’s Books, 2002<br />
A Visit to The Dentist’s Office<br />
Patricia J. Murphy, Capstone Press, 2005<br />
A Day in the Life of a Dentist<br />
Heather Adamson, Capstone Press, 2004<br />
The Berenstain Bears Visit the Dentist<br />
Stan and Jan Berenstain, Random House, 1981<br />
General Information About Teeth<br />
Highly Recommended<br />
Loose Tooth*<br />
Mari Schuh, Capstone Press, 2008<br />
Mouth*<br />
Cynthia Klingel and Robert B. Noye, Gareth Stevens Publishing, 2010<br />
I Know Why I Brush My Teeth<br />
Kate Rowan, Scholastic, 2000<br />
Recommended<br />
All about Teeth*<br />
Mari Schuh, Capstone Press, 2008<br />
Snacks for Healthy Teeth*<br />
Mari Schuh, Capstone Press, 2008<br />
The Tooth Book<br />
Dr. Seuss, Random House, 2003<br />
The book list and additional information about each book<br />
is available at http://guides.hshsl.umaryland.edu/dentistry/<br />
DentalBooksFor<strong>Child</strong>ren<br />
*Bilingual edition also available 4/15<br />
18 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
<strong>Child</strong>ren receive<br />
dental coverage<br />
through CHIP<br />
Contact your representatives<br />
to continue coverage for children<br />
What is CHIP?<br />
The <strong>Child</strong>ren’s Health Insurance Program<br />
(CHIP) provides free or low cost health<br />
coverage to kids and other family members,<br />
even kids whose parents make too much<br />
money for Medicaid coverage can qualify<br />
for CHIP. To qualify in <strong>Kansas</strong>, kids must be<br />
under the age of 19. Over the past 15 years,<br />
CHIP has done an excellent job in reducing<br />
the number of children without health<br />
insurance. And, under the Affordable Care<br />
Act, even more kids are covered.<br />
What’s covered?<br />
Under CHIP, there are 26 completely<br />
free “preventative health services” that<br />
include vaccinations and 10 essential<br />
health services that include pediatric<br />
dental and vision care, emergency services,<br />
maternity and newborn care.<br />
What’s at stake?<br />
CHIP provides health and dental<br />
coverage to more than 8 million children<br />
nationwide and is in jeopardy of running<br />
out of funding. If funding for the program<br />
runs out, millions of low-income working<br />
families will be worse off. <strong>Child</strong>ren<br />
currently enrolled in CHIP would be<br />
required to get private coverage on the<br />
health insurance Marketplace, and it is<br />
estimated that nearly two million children<br />
would not be eligible for a tax credit.<br />
Without any payment support, replacing<br />
CHIP coverage with private insurance will<br />
simply be unaffordable for these families.<br />
In fact, if CHIP ends, families will pay<br />
much more for children’s coverage, even<br />
if they are eligible for a tax credit. Under<br />
CHIP, families are protected from paying<br />
no more than 5% of their income for<br />
their children’s health and dental-related<br />
expenses, but many CHIP income-eligible<br />
families purchasing private coverage could<br />
be expected to pay nearly 9% of their<br />
annual household income in addition to<br />
their premiums. And unlike CHIP, in most<br />
state Marketplaces, there is no guarantee<br />
that children will receive dental coverage<br />
when they purchase a health plan.<br />
Act now<br />
Congress must act in <strong>2017</strong> to ensure<br />
that this critical children’s health coverage<br />
continues, and it is up to families, providers<br />
and advocates to stand up and deliver that<br />
message. Allowing CHIP funding to expire<br />
would be a step backward for families<br />
- especially at a time when our country<br />
has made important strides in expanding<br />
coverage. Contact your representatives<br />
(see below) and make sure they know that<br />
letting CHIP end is not an option.<br />
See if you qualify<br />
Each state program has its own rules<br />
about who qualifies for CHIP. There are<br />
two ways to see if your children qualify:<br />
•§<br />
Visit www.insurekidsnow.gov and<br />
select <strong>Kansas</strong>. Or call 1-877-543-7669.<br />
•§<br />
Fill out a Marketplace application.<br />
HealthCare.Gov will tell you which<br />
programs you and your family qualify<br />
for. If it looks like anyone is eligible<br />
for CHIP, they will let your state CHIP<br />
agency know so your coverage can<br />
start right away.<br />
To find out more information on CHIP<br />
or how to contact your representatives,<br />
contact Rachel Alexander at ralexander@<br />
ohks.org or 785-235-6039.<br />
SENATOR<br />
PAT ROBERTS<br />
109 Hart Senate Office Building<br />
Washington DC, 20510<br />
202-224-4774<br />
Email form<br />
SENATOR<br />
JERRY MORAN<br />
Russell Senate Office Building<br />
Room 361A<br />
Washington DC, 20510<br />
202-224-6521<br />
Email form<br />
CONGRESSMAN<br />
ROGER MARSHALL, MD*<br />
Contact Information Pending<br />
http://www.whoismyrepresentative.<br />
com/<br />
CONGRESSWOMAN<br />
LYNN JENKINS<br />
(2ND DISTRICT)<br />
1027 Longworth HOB<br />
Washington DC, 20515<br />
Phone 202-225-6601<br />
Email form<br />
CONGRESSMAN<br />
KEVIN YODER<br />
(3RD DISTRICT)<br />
215 Cannon HOB<br />
Washington DC, 20515<br />
Phone 202-225-2865<br />
Email form<br />
CONGRESSMAN<br />
MIKE POMPEO**<br />
(4TH DISTRICT)<br />
107 Cannon HOB<br />
Washington DC, 20515<br />
Phone 202-225-6216<br />
Email form<br />
*Dr. Marshall was elected in November 2016. He will be sworn into office in January <strong>2017</strong>. At this writing, his Congressional contact information has not yet been set.<br />
**On November 18, 2016, Congressman Pompeo was nominated by President-elect Trump to serve as the new CIA Director. A replacement for the Congressman may be selected by early<br />
<strong>2017</strong>, at which time new contact information would be available.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 19
ACA<br />
KanCare: Benefits and Challenges<br />
The <strong>Kansas</strong> Medicaid program, known as KanCare, provides<br />
health and dental services to more than 450,000 low-income<br />
Kansans. The program is funded with a combination of state<br />
and federal funds, and since 2013 it has been operated by<br />
three private, managed care organizations: United Healthcare,<br />
Sunflower Health Plan, and Amerigroup.<br />
KanCare covers dental services for children that include<br />
cleanings, fluoride varnish, and fillings. For adults, coverage<br />
is limited to cleanings and emergency extractions. This means<br />
the parents of many children on KanCare do not have dental<br />
coverage. Their children are able to get dental problems such as<br />
cavities fixed, but parents must go without care when they have<br />
dental issues.<br />
The number of dental providers who accept KanCare patients is<br />
low, compared to the number who accept patients with private<br />
insurance. This is due in part to the low rates KanCare pays for<br />
services. In general, KanCare pays dentists less than the actual<br />
cost of providing the services.<br />
Because few dentists accept KanCare patients, it can be difficult<br />
to find a dental provider. In July 2016, the problem increased<br />
when the KanCare rates for dental providers were further cut in<br />
an effort to help balance the state budget. The additional rate<br />
cut resulted in some prominent dentists deciding to stop seeing<br />
KanCare patients.<br />
The KanCare program has faced additional challenges during<br />
the past several months as the process to determine people’s<br />
eligibility has become very slow. Low-income Kansans have been<br />
waiting weeks or months to find out if they are eligible for the<br />
program, and in the meantime, they have not had coverage for<br />
medical or dental services.<br />
Oral Health <strong>Kansas</strong> is an advocate for KanCare dental services.<br />
The organization believes it is critically important for low-income<br />
Kansans to have access to dental services to maintain both their<br />
oral health and their overall health. If you or a family you know<br />
has had trouble finding KanCare dental services for a child or a<br />
parent, please contact Oral Health <strong>Kansas</strong>. Stories about the real<br />
challenges <strong>Kansas</strong> families are facing help Oral Health <strong>Kansas</strong><br />
explain to lawmakers why it is important to invest in a strong<br />
network of dental providers who serve KanCare patients. Contact<br />
Oral Health <strong>Kansas</strong> at info@oralhealthkansas.org with your story.<br />
How is dental<br />
coverage offered in<br />
the Marketplace?<br />
Are families required to purchase<br />
dental insurance for their children<br />
through the Marketplace?<br />
What services<br />
are covered?<br />
What is the cost breakdown of<br />
dental plans in the Marketplace?<br />
Are you<br />
eligible for cost<br />
assistance?<br />
20 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
ACA Offers Private Dental Insurance For Kids<br />
All across the country, the Affordable Care Act (ACA) is helping to make health care accessible to millions of people. In fact, six<br />
years after its passage, 20 million more Americans now have health care coverage thanks to the ACA, and this number is expected<br />
to grow as more people continue to seek the quality, affordable care they need.<br />
In November 2016, <strong>Kansas</strong> kicked off another open enrollment period for the Health Insurance Marketplace. The Health Insurance<br />
Marketplace is an online price comparison website where consumers can purchase health insurance. The Marketplace is open each<br />
year during the annual open enrollment period. Open enrollment is the only time you can apply for cost assistance, enroll in a plan,<br />
or switch plans without qualifying for a special enrollment period.<br />
The ACA requires that pediatric dental coverage be offered on the<br />
Marketplace, either as part of a qualified health plan (QHP) that<br />
combines medical and dental coverage or as a stand-alone dental<br />
plan, sold separately. This means that any child or adolescent<br />
(age 0-18) enrolling in health coverage on the Marketplace is also<br />
eligible to enroll in dental coverage.<br />
In nearly all counties in <strong>Kansas</strong> there is at least one combined health<br />
plan offered that includes pediatric dental coverage. For the <strong>2017</strong> plan<br />
year, BlueCross BlueShield <strong>Kansas</strong> Solutions, Inc., is the only insurer<br />
offering plans that include pediatric dental. However, this insurer does<br />
not offer plans in Johnson or Wyandotte counties.<br />
In addition to medical plans that include pediatric dental coverage,<br />
families have the option to purchase their children’s health and dental<br />
coverage through separate plans. These stand-alone dental plans may<br />
also allow adults to purchase dental coverage for themselves at an<br />
additional cost.<br />
Families enrolling their children in a medical plan that does not<br />
include dental insurance are not required to enroll them in a<br />
dental plan.<br />
Any plan offering pediatric dental coverage must cover preventive<br />
and restorative services, such as cleanings, fluoride treatments,<br />
dental sealants, X-rays, and fillings. Orthodontic services such as<br />
braces typically are covered only when medically necessary. You<br />
can find the full list of services at: https://www.insurekidsnow.gov/<br />
state/ks/index.html.<br />
When purchasing a dental plan separately from a medical plan,<br />
families will be required to pay an additional monthly premium for<br />
that dental coverage.<br />
High-coverage dental plans have a lower deductible or copayment<br />
at the dental office but a higher monthly fee. This means that a<br />
family will pay more every month but less for dental services at the<br />
time of the visit.<br />
Low-coverage dental plans have lower premiums but higher<br />
copayments and deductibles. A family will pay more when they use<br />
dental services but less in monthly premiums.<br />
When buying health insurance through the Marketplace, a family<br />
might be able to get financial assistance to help pay their monthly<br />
premiums. The amount of financial assistance available will<br />
depend on the household income.<br />
Families can use this assistance to help pay for any health plan<br />
in the Marketplace, and get the same amount of assistance<br />
no matter which health plan they buy. If families get enough<br />
assistance to cover the full premium for a health plan and still<br />
have money left over, they can use that money to pay for a<br />
separate children’s dental plan. However, they cannot get financial<br />
assistance if they are buying only a separate dental plan.<br />
To compare dental plans in the Marketplace and find details about<br />
each plan’s costs, copayments, deductibles, and services covered,<br />
visit: https://www.healthcare.gov<br />
Future of the ACA<br />
The incoming Trump Administration has pledged to repeal and replace the ACA, which is also known as Obamacare. It is impossible<br />
to say how, if or when the law will be replaced. Many parts of the ACA remain popular, including the provision that adult children<br />
under age 26 can remain on their parent’s insurance policy, and the stipulation that people cannot be denied coverage if they have a<br />
pre-existing condition. Today, the ACA remains the law of the land. More than 100,000 Kansans have been able to purchase health<br />
insurance through the Marketplace, and the percent of Kansans who are uninsured dropped from 9 percent in 2009 to 6.3 percent in<br />
2016 following the passage of the ACA.<br />
For additional information regarding dental benefits in the Marketplace, contact Rachel Alexander at ralexander@oralhealthkansas.<br />
org or 785-235-6039.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 21
Certainly Smile-Worthy<br />
<strong>Kansas</strong> Can Improve<br />
Oral Health in <strong>2017</strong><br />
with Dental Therapists<br />
A guest article by Amanda Gress<br />
Director of Government Relations<br />
<strong>Kansas</strong> Action for <strong>Child</strong>ren<br />
It’s no secret that regular dental care<br />
carries enormous benefits for children’s<br />
overall health and well-being.<br />
Cavities and toothaches hurt, and dental<br />
decay makes it difficult for kids to succeed in<br />
school and grow up healthy. Unfortunately,<br />
too many <strong>Kansas</strong> families struggle to find<br />
regular, affordable dental care, and our<br />
children’s oral health suffers as a result.<br />
That’s why the <strong>Kansas</strong> Dental<br />
Project is working to increase access<br />
to dental care in our state by adding a<br />
new mid-level provider, called a dental<br />
therapist, to the dental team. Dental<br />
therapists will work with a dentist’s<br />
supervision to provide routine restorative<br />
and preventive care, through the most<br />
common procedures like cleaning teeth<br />
and filling cavities. They will be dental<br />
hygienists who receive rigorous education<br />
and training to provide additional<br />
procedures and serve more of their<br />
patients’ oral health needs.<br />
Dental therapists have been<br />
flourishing as a part of the<br />
dental team in Minnesota for<br />
five years, and in Alaska<br />
for more than a decade.<br />
Maine and Vermont also<br />
have authorized dental<br />
22 <strong>Kansas</strong> <strong>Child</strong> A Publication of <strong>Child</strong> Care Aware ® of <strong>Kansas</strong>
therapists to practice, and Washington<br />
and Oregon are currently launching dental<br />
therapy programs. Extensive research<br />
confirms that dental therapists provide<br />
safe, high-quality care to patients most in<br />
need. <strong>Kansas</strong> can follow these states’ lead<br />
to realize the benefits of increased access<br />
to oral health care.<br />
Here are our top three reasons why the<br />
<strong>Kansas</strong> Legislature should allow dentists to<br />
hire dental therapists in <strong>2017</strong>:<br />
Establishing dental therapists will<br />
1 create <strong>Kansas</strong> jobs. Dentists can grow<br />
their practices by hiring dental<br />
therapists to serve the large number of<br />
Kansans who currently go without dental care.<br />
Dental therapy can save the state<br />
2 money. Since dental therapists cost<br />
less to employ than dentists, they can<br />
help publicly funded safety net clinics with<br />
limited budgets serve more patients. Regular,<br />
preventive care prevents costly emergency<br />
room visits. Best of all, <strong>Kansas</strong> can allow dental<br />
therapists to practice at no cost to the state.<br />
Dental therapy will improve the oral<br />
3 health of <strong>Kansas</strong> children. Every<br />
<strong>Kansas</strong> child should receive the dental<br />
care they need to be healthy, no matter where<br />
they live or what kind of insurance they have.<br />
Dental therapists can help address our state’s<br />
severe dental workforce shortage so that<br />
more families can find dental care for their<br />
children. That’s certainly smile-worthy!<br />
Momentum for dental therapists<br />
is growing across the country, and<br />
<strong>Kansas</strong> has the opportunity in <strong>2017</strong><br />
to establish them in our state. More than<br />
50 organizations, including professional<br />
associations, advocacy groups, and health<br />
care providers, support dental therapists<br />
for <strong>Kansas</strong>. We need your help to convince<br />
the <strong>Kansas</strong> Legislature that now is the<br />
time to approve this solution for <strong>Kansas</strong>’<br />
oral health care needs. Please talk to your<br />
elected officials about why access to dental<br />
care is important to you and the children<br />
in your community, and visit www.<br />
kansasdental.com to learn how you can<br />
help bring dental therapists to <strong>Kansas</strong>.<br />
www.ks.childcareaware.org <strong>Kansas</strong> <strong>Child</strong> 23
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U.S. POSTAGE<br />
PAID<br />
SALINA, KS 67401<br />
PERMIT NO. 122<br />
PO Box 2294, Salina, KS 67402-2294<br />
www.ks.childcareaware.org<br />
Call Toll Free 1-855-750-3343<br />
Open your eyes to the importance<br />
of quality early education. Donate today!<br />
Early Learning<br />
is More Than<br />
Just Basic Care.<br />
Early learning is quality child<br />
care and preschool opportunities<br />
that expose children to positive<br />
learning experiences that are<br />
critical to their emotional, social<br />
and intellectual development.<br />
Why Does Early<br />
<strong>Child</strong>hood Matter?<br />
When children trust their<br />
caregivers to respond<br />
consistently to their needs,<br />
they learn to regulate their<br />
emotions and behavior. Strong<br />
social-emotional skills are the<br />
foundation of lifelong learning.<br />
What Makes an Early<br />
Education Program a<br />
High-quality Program?<br />
• Strong health and safety standards<br />
• Qualified, well-educated teachers<br />
• Proven curricula and learning processes<br />
• Meaningful involvement by parents<br />
Proven Impact<br />
Long-term studies of the impact<br />
of high-quality early education<br />
estimate a 700% return on<br />
investment. That is, for every<br />
$1.00 invested, $7.00 is saved<br />
through reduced social spending.<br />
Your support of early childhood is needed now more than ever. www.ks.childcareaware.org