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Introduction. In Vermont, $2.7 million is spent annually caring for children ages 0-5 with early childhood caries (ECC) who require hospitalization for treatment. Nationwide, obstetricians are often not familiar with published prenatal oral health guidelines. It is unclear how providers in Vermont address prenatal oral health. Recently, the $495 Medicaid cap on reimbursement for perinatal dental care was lifted and now extends coverage 60 days after delivery, making the prenatal period an ideal time to intervene.


Wendy Davis, MD, University of Vermont College of Medicine

Kristin Fontaine, MPH, Fletcher Allen Health Care Community Health Improvement


Fletcher Allen Health Care Community Health Improvement


Access to Health Services, Maternal, Infant, and Child Health, Oral Health, Social Determinants of Health


Presented at the American Public Health Association 142nd Annual Meeting & Expo, New Orleans, LA, November 18, 2014 as "Ensuring Access to Dental Care for Pregnant Women in Vermont," by Reiko Sakai, Katia Chavez, Heather Gardiner, Shane Greene, Nicolas Monte, Dwight Parker, Shravan Rao, Thomas V. Delaney, PhD, Kristin Fontaine, MPH, Wendy Davis, MD, and Jan K. Carney, MD MPH.

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