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Integrating Oral Health into Primary Care

Oral health is closely connected to overall health, and therefore one of COHN’s major goals is to better integrate oral health into primary care. Lack of access to oral health care and tools to develop mouth-healthy habits early in childhood contribute to serious and costly health complications later in life. The Health Integration Action Team (HIAT) works to ensure access to preventive oral health care at well-child visits in the first years of life, often before most children have established a dental home. The HIAT guides From the First Tooth, the primary medical dental effort in Maine, as well as projects that support education for primary care providers in preventive care techniques and incorporating hygienists into primary care teams.

From the First Tooth

From the First Tooth is a pediatric oral health initiative promoting the oral health of infants, toddlers and preschool children in primary care.

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Dental Steps for ME

The Dental Steps for ME toolkit and video library are two components of a larger model for building oral health into every well-child visit. To learn more about how to implement the full model in your primary care practice, visit dentalstepsforme.org/providers.

dentalstepsforme.org

Maine Chapter of the American Academy of Pediatrics

The Maine Chapter of the American Academy of Pediatrics aims to make pediatricians and other child health professionals an essential part of the oral health care team in Maine practices. View a more complete list of their efforts and resources here.

www.maineaap.org

Maine Center for Disease Control and Prevention, Maine Chapter of the American Academy of Pediatrics, MaineHealth, Maine Primary Care Association, MCD Global Health, Northern Light Health, Penobscot Community Health Care

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Bringing Oral Health Care into Schools & Community Settings

Work in this area strengthens our oral health care system to reach Maine kids with services where they are: in childcare, schools, and other community settings. Thousands of children have gone without routine care because they are unable to access a traditional dental office. Network partners work to remove barriers and increase access to preventive oral health care through developing innovative approaches and collaborative strategies to serve children with high-quality services delivered directly in the community. 

A key project is the Cumberland County School Oral Health Project – a collaborative initiative bringing together local oral health providers (Mainely Teeth and Greater Portland Health), Cumberland County Public Health Department, the Maine CDC’s School Oral Health Program, and COHN. Supported by the Cumberland County Public Health Department and federal American Rescue Plan funding, the project is working over three years to expand access to comprehensive oral health services for every school in the county.

The project’s goal is to build a coordinated, sustainable school-based oral health system that meets children where they are – at school. By offering a full continuum of care, from prevention and early intervention to restorative services, the project aims to reach all Cumberland County schools and ensure oral health care is accessible to every student, and especially those who struggle to get care in a traditional dental home.

Maine CDC School Oral Health Program

 The Maine CDC School Oral Health Program is administered by MCD Global Health. If you’re interested in partnering with the School Oral Health Program, please email sohp@mcd.org.

mainesohp.org

COHN's Blueprint for Expanded School Oral Health Service Delivery

Maine's current School Oral Health Program (SOHP) supports oral health preventive care in close to a third of the state's elementary schools. Network partners are developing the School Oral Health Blueprint to build on this foundation with the vision of expanding oral health services to all students in public schools statewide from pre-kindergarten to graduation.

This approach aims to ensure screenings and fluoride varnish for all students, early intervention for those who need it, and connections to dental homes for restorative care. Key strategies include sustainable financing, a coordinated care structure, an oral health workforce, a data management system, and age-appropriate, culturally-tailored educational tools.

docs.google.com

Independent Practice Dental Hygienists that deliver mobile services

Dental ProgramRegion Served
ACAPAroostook County
Brighter Maine SmilesMidcoast Maine
Caring Hands of MaineHancock County
CHOMP Lincoln County DentalLincoln County
Greater Portland HealthGreater Portland
Healthy Smiles for ME, Inc.Western Maine
Maine Dental Health Out-Reach, Inc.Central and Western Maine
Mainely TeethSouthern, western, and central Maine
Prevention WorksCentral Maine
Saving Smiles of MaineCentral and midcoast Maine
Smile PatrolSomerset County
Smiles for LifePiscataquis County
Sunrise OpportunitiesWashington County
Tooth ProtectorsSouthern, central, western, and midcoast Maine

Sign up to be added to the list of IPDHs providing school services in Maine.

Maine CDC, MCD Global Health, Maine Department of Education, Mainely Teeth, Greater Portland Health, Maine Association of School Nurses, Cumberland County Public Health Department, Aroostook County Action Program, Sunrise Opportunities, numerous Independent Practice and Public Health Dental Hygienists, dentists, and more.

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Funding & Sustaining the Oral Health System of the Future

The Maine Oral Health Funders (MOHF) is an affinity group of philanthropic partners that convened over 22 years ago, focused on improving oral health for all people in Maine.  Today they collaborate on issues related to the funding and sustainability of an oral health system that ensures that all people in Maine can get the right care, in the right place, at the right time.

Compounding challenges such as workforce shortages and insufficient financing limit the capacity of the statewide oral health system to meet the needs of all people, especially underserved populations, including children, indigenous and people of color; people living in poverty; veterans; and people with disabilities. For many years, MOHF has filled gaps by providing the necessary funding to keep non-profit dental practices and mobile programs in operation. Now they are turning their attention and efforts to addressing long-term sustainability in Maine’s oral health care system.

Maine Oral Health Centers Alliance

MOHF continues to fund the work of this Alliance, comprising six of the state’s stand-alone non-profit dental centers, to address workforce, policy issues, and collaborative quality improvement strategies. The Alliance has set goals to build financial and care capacity, strengthen data systems, and test innovative models for expanding delivery of quality care and increasing community access. MOHCA members include:

Financial Analysis of the Oral Health Care System

Partnerships for Health and the University of Maine at Farmington are working on methods for a financial analysis of Maine’s oral health care system. This includes development of financial simulators and business case tools to assess the readiness, implications, and viability of emerging models of care that align with MOHF’s goals.

Current MOHF members are:

  • Agnes M. Lindsay Trust
  • Betterment Fund
  • Bingham Program
  • Children’s Oral Health Network of Maine
  • Davis Family Foundation
  • Doree Taylor Charitable Foundation
  • Francis Hollis Brain Foundation
  • Maine Community Foundation
  • Maine Health Access Foundation
  • Northeast Delta Dental Foundation
  • Sadie & Harry Davis Foundation
  • Samuel L. Cohen Foundation
  • State of Maine Oral Health Program
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Expanding & Diversifying the Workforce of the Future

The Oral Health Industry Partnership (OHIP) launched in 2023 with funding from the Maine Department of Labor’s State Workforce Board and the Maine Health Access Foundation. OHIP unites non-profit dental providers, workforce partners, and community-based organizations in creating accessible entry points into the oral health field. OHIP also seeks to strengthen and diversify Maine’s oral health infrastructure and build a more sustainable and community-aligned oral health workforce.

A key project is the Oral Health Navigation (OHN) Learning Series, a first-of-its-kind initiative that supports upskilling for frontline workers and expanding access to preventive dental services. The series also provides career exploration opportunities for individuals interested in the oral health field. Through self-paced, online modules, the OHN Learning series covers the basics of oral health and how oral health care is delivered and paid for. Modules are grouped together into levels that allow learners to earn Oral Health Foundations digital badges issued by the University of Maine System (UMS). This low-barrier training has empowered learners from Community Health Worker organizations, childcare centers, nonprofit dental clinics, community paramedicine and primary care practices to earn over 100 digital badges (and counting!). The OHN Learning Series was developed by a core group of partners, including the Children's Oral Health Network, MCD Global Health, Maine CDC, and Maine Access Immigrant Network. The training is administered by MCD Global Health. The Maine State Workforce Board, Maine Health Access Foundation, and Maine CDC awarded the funds to make this training available and free for the public.

OHIP has also worked to increase the number and capacity of Independent Practice Dental Hygienists (IPDHs), enabling more care delivery in community settings through the Maine Dental Connection model. Partners have developed a new course offering in the dental hygiene program at the University of Maine Augusta (UMA) that aligns with a comprehensive online toolkit, both designed to support Registered Dental Hygienists (RDH) who wish to practice with Independent Practice authority. The course and the toolkit were developed in tandem by subject matter experts from the dental hygiene field, and they provide RDHs with knowledge and skills to advance along their career pathway.

Though the Industry Partnerships grant from the Department of Labor has come to an end, the strategies launched through OHIP are well positioned to continue expanding in 2026 and beyond. Maine CDC provided initial funding for the Oral Health Navigation concept, and continues to support this work. The OHN Learning Series and the strategies to support the growth of IPDHs form a strong foundation for the next phase of oral health workforce development. With a new three-year grant from the Northern Border Regional Commission’s (NBRC) Catalyst program, COHN partners will bring the OHN skillset to community paramedicine and primary care practices in rural counties. IPDH work is continuing through other grant-funded projects with focus on Maine Dental Connection capacity expansion. These efforts deepen the availability of community-based care and help grow the workforce needed for this expansion.

Oral Health Navigation Learning Series

Learn more about this innovative online training program

ohn.mcd.org

Oral Health Foundations Micro-credential

Explore the different levels of the badging platform and work towards earning a micro-credential

www.maine.edu

Oral Health Navigation Learning Series Toolkit

Check out this comprehensive toolkit designed to help employers and community-based organizations learn about and implement the OHN Learning Series within their workplace.

ohn.mcd.org

Independent Practice Dental Hygienist Toolkit

Learn more about how to make the transition from a Registered Dental Hygienist to an Independent Practice Dental Hygienist using this toolkit

rise.articulate.com

Maine Dental Career Center

Explore the various entry points into the oral health care field that are available in Maine

www.medentalcareers.org