1. Northwest Tribal Dental Support Center: Joe Finkbonner, RPH, MHA (Lummi) Ticey Casey, BS (Siletz) Project Manager Bonnie Bruerd, DrPH HP/DP Consultant Bruce Johnson, DDS Clinical Consultant Kathy Phipps, DrPH Epidemiologist Consultant

2. The overall goal of the NTDSC is to improve the oral health of American Indian people in the Pacific Northwest.

3. Collaboration with the 34 IHS/Tribal dental programs in the Portland Area to address the broad challenges and opportunities associated with these dental programs.

4. Four-prong approach Clinical Program Support Prevention Program Support Implementation of an oral health surveillance system (BSS) Provision of CDE opportunities

5. Sample Activities On-site program reviews Public health orientation for new dental staff Quarterly newsletter and email groups Assist with grant writing On-site and regional CDE courses Yearly Prevention Coordinators and Dental Chiefs meetings

6. National ECC Collaborative

7. Comprehensive and Collaborative ECC Collaborative DOH and Dental Programs CHR sHead Start Tribal Organizations WIC Medical and Public Health Programs Pharmacists

8. ECC Family Materials: Mighty Mouth Sealants and Fillings

9. Portland Area Progress: 0-5 Acce ss

10. Portland Area Progress: 0-5 Sealants

11. Portland Area Progress: Fluoride

12. Portland Area Progress: ITRs

13. Dental Access for Young Children: A Missed Opportunity 100 children X 4 visits = 400 visits 400 visits X $300 = $120,000 We are missing opportunities to increase revenue AND prevent ECC We need the support of the tribes, CEOs, and SU administration to prevent ECC

14. Our goal is to prevent ECC!!!

15. NTDSC Highlights Provide 6-8 clinical and prevention site visits Provide dental staff with CDE credits Completed Oral Health Surveys on 1-5 year olds last year and 6-8 year olds this year. Ongoing communication with 34 programs.

16. GPRA “Thermometers” Goal: 1000 Current: 500

17. NTDSC Highlights: Grants NTDSC marketed and provided technical assistance to Portland Area dental programs for various funding opportunities. 8/39 Portland Area dental programs received free supplies and CDE as participants in the national ECC Virtual Learning Community. 3/15 Portland Area dental programs received national HP/DP awards.