Special needs oral health program Amber Burks Danielle Chelette

Agency Groves Elementary PN-G I.S.D. 4th and 5th grade students Mission: “We believe that all students can learn , the mission of the staff of groves elementary is to provide continuity of the teaching process, a challenge for all students to excel academically a positive school climate for learning, and to caring atmosphere through which we can offer the best possible educational opportunities.”

Goal and objectives Goal- Improve the oral health of the 4th and 5th grade special needs students at Groves elementary through an educational program. Objective 1- Increase the dental health knowledge of the students by 15% using the pre and post-test Objective 2- Decrease plaque and oral debris by 15% using plaque score Objective 3- Increase their oral health and skills by passing a toothbrush evaluation Objective 4: Increase their knowledge of healthy foods by getting 50% correct matches on the nutrition game board  

Review of Literature Oral Health Services for Children and Adolescents with Special Health Care Needs Oral Health Needs Survey 2009 Technical Report Michigan Department of Community Health Michigan Oral Health Coalition

Target Group 10 students total (ages 9-12) Life Skills Dept. Intellectual and developmental disability Enrollment requirements are based on the Dr.’s diagnosis Ex. Down’s syndrome, mental retardation, and autism Adaptive Behavior Unit 6 students Emotionally disturbed

Lesson #1 March 18, 2014 Topics Activities Timeframe: 30 minutes Role of an RDH Human deciduous permanent dentition Importance of keeping teeth Activities Pre-test Passed around masks, gloves, typodont, x-rays The Tooth Book by Dr. Seuss Mouth model Timeframe: 30 minutes

Lesson #2 April 4, 2014 Topics Activities Timeframe: 30 minutes Plaque Brushing (Fones method) Activities Brush on typodont Plaque scores Coloring page Timeframe: 30 minutes

Lesson #3 April 8, 2014 Topics Activities Timeframe: 30 minutes Caries Caries process Fluoride Activities The Power of Fluoride experiment Tooth anatomy coloring page Timeframe: 30 minutes

Lesson #4 April 15, 2014 Topics Activities Timeframe- 45 minutes Bad foods for teeth Good foods for teeth Frequency of consumption Activities Post-test Nutrition matching game Final plaque scores Healthy snack time Certificate ceremony Timeframe- 45 minutes

Survey Measurements Pre and post-test Plaque scores To determine the knowledge gained by the students throughout the program Plaque scores To analyze the effectiveness of skills learned by the students Toothbrush skill evaluation To test the tooth brushing skills by each student Nutrition game/quiz To determine the nutritional knowledge gained by the students

Pre and post-test results Pre-test (10) 100 80 70 60 50 40 10 Post-test (9) 100 90 80 40 Mean: 61 Mean: 83 Increased by: 36%

Plaque score results Initial plaque scores Final plaque scores 2.3 2.0 1.5 1.3 1.0 0.8 0.6 0.5 0.3 Final plaque scores 2.0 0.8 0.5 0.3 0.1 Mean: 0.9 Mean: 0.5 Increased by: 80%

Tooth brushing Skill evaluation results Highest possible score: 39 Passing score: 29.25 39 38 36 Recommendations were made to students as needed, but every student passed

Nutrition game results All students successfully matched 100% of their game pieces to the correct column

Previous PROGRAMS No previous oral health programs for our specific target group There has not been an oral health program held at Groves Elementary in the past

Weaknesses/recommendations Time constraints We ran over 15 minutes on lesson #2&4 while gathering plaque scores Recommendation: Plan ahead for the extra time that is needed for dates when gathering plaque scores Zero parental involvement A letter was sent out encouraging the parents attendance and involvement in our program Recommendations: A phone call can be made to each parent to make it more personable, we also can send a letter each time  

strengths Program planners work well together Program was well organized and designed Designed to meet their learning level Activities geared to their abilities Used 5 senses: sight smell, touch, taste, hear Hands on with students

Conclusion We feel that Groves Elementary will be a good future site The life skills and adaptive behavior unit was in need of an oral health program and will continue to be in need and benefit from oral health education This program was a success

Questions?