Smiles for Life: A National Oral Health Curriculum
- First edition of educational materials on oral health released in 2005 by the Society of Teachers of Family Medicine Group on Oral Health and focused towards Family Medicine residency program physicians to further promote oral health.
- Second edition released in 2008 with additional modules on fluoride varnish and prenatal oral health and was geared for all primary care providers including physicians, nurse practitioners, and physician assistants and health profession students.
- Third edition released in June 2010 with an additional module on geriatric oral health released in September 2011 and again is focused to training primary care clinicians and health profession students on aspects of oral health care.
- iPhone app released in February 2012
Summary of conference call on Monday, August 4, 2014, between SFL and AETC Program Oral Health Collaborative
Present: Melinda Clark, MD, Smiles for Life Editor; Mona Van Kanegan, DDS, MS, MATEC Dental Director, John Nelson, PhD, CPNP, AETC NRC Director
Currently, there exist no HIV-related course materials in the modules.
Educational materials need to highlight most important aspects, pearls for practice, and not “drowning” with lots of details.
Options to provide materials include:
1. Re-do some of their current case studies to include HIV related materials/education
2. Provide SFL with evidence-based resources already created by the AETC Program on oral health and HIV
3. Provide SFL with links to resources from the AETC Program
4. Create a module: concept and objectives to be outlined and presented to the SFL board by no later than mid-September to be reviewed in late September
5. Create a video (short, focused)
6. PowerPoint presentation(s) for download or to be made into a video
Draft Development of Ideas from above:
1. Re-do/add to some of their current case studies to include HIV related materials/education
Module 3: Adult Oral Health and Disease (
a. After slide19 (Meth Mouth), add overview slide on HIV/AIDS and Oral Health
b. Under common Oral Lesions section, slides 29 and 30 covercandidiasis, expand section to include consideration of localized or system immune-compromised health status that may result in candidiasis: use of steroid inhaler, uncontrolled diabetes, HIV infection, use of systemic antibiotics and or steroid therapy. Add case slide such as on slide 20, or in assessment section such as in slide 44.
c. Add slide of HPV lesions
d. Add clinical picture of HPV associated Oropharyngeal Cancer in slide 33
e. Add slide on HIV Periodontitis
2. Provide SFL with evidence-based resources already created by the AETC Program on oral health and HIV
Comments from Melinda on the AETC resources that were shared with her for SFL:
I puttered around the AETC website some. In particular, I liked 3 items:
1. OralManifestations Associated withHIV/AIDS poster
2. Oral Health Care for the HIV-Infected Patient PPT.
3. Oral Lesions and Treatment recommendations for the HIV-infected Patient (this is really well-done, but too long andin-depth for the primary care audience to just link too)
HIV Fact sheet andHIV web study appear to have some good info and you may be able to pull from the Innovative OralCare programs tool-kit.The 3 videos are well-done, but not really what we need. I did not have time to view the 2 webinars, so not sure if appropriate for the primary care clinician (our audience).
3. Provide SFL with links to resources from the AETC Program
Need to list out concise and helpful HIV resource links for SFL.
4. Create a module: concept and objectives to be outlined and presented to the SFL board by no later than mid-September to be reviewed in late September
Module 9: HIV/AIDS and Oral Health
Concept:Review epidemiology, disease process and resulting effect on the oral health of individuals living with HIV infection.
Objectives:
Outline
Current trends in US HIV epidemic
Populations for increased risk of HIV transmission
Early testing/connecting to care
Monitoring response to care and pertinent lab values
CD4 count and Risk of Clinical disease
Common oral health problems in HIV/AIDS patients
Most oral health care is routine
Review of common oral manifestations of immune-compromised state
Review head/neck/oropharyngeal findings seen in some HIV+ but not immune-compromised persons (like parotititis, lymphadenopathy)
Indirect benefits of HIV oral health services
5. Create a video (short, focused)
Does a good one already exist that is not widely known?
6. PowerPoint presentation(s) for download or to be made into a video