Oral Health Risk Assessment Online Training

Continuing Medical Education Information


Richard Simpson, DMD.  See bio here
Grant R. Allen, MD, FAAP.  See bio here
Nola Ernest, MD, PhD, FAAP.  See bio here

Please review the information below and follow the instructions in order to view the training, complete the online evaluation form, and successfully pass the online post-test, which will automatically submit for CME credit.

Disclaimer Statement

This enduring material does not necessarily reflect the views, opinions, policies or procedures of the Alabama Chapter-American Academy of Pediatrics, Children's of Alabama, or their staff or representatives.  Alabama Chapter-American Academy of Pediatrics cannot and does not assume any responsibility for the use, misuse or misapplication of any information.

Designation Statement

Children’s of Alabama designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Children’s of Alabama and the Alabama Chapter-AAP.  Children’s of Alabama is accredited by the Medical Association of the State of Alabama to provide continuing medical education for physicians.

Planners' Disclosures

The following Planners of this enduring material have nothing to disclose:

Andrew W. Stubblefield, MD, FAAP
Linda Champion, MPA
Linda Lee, APR
Sherry Goode, RDH

Content Reviewers' Disclosures

The following Content Reviewers of this enduring material have nothing to disclose:

Andrew W. Stubblefield, MD, FAAP
Khalilah L. Brown, MD, FAAP

Content Review was conducted prior to the release of this enduring material and considered compliant with the standards listed below.

Content Review

Children’s of Alabama requires that:

  • Content is free from bias in favor of a specific product or service of a commercial interest. A commercial interest is any entity producing, marketing, re-selling or distributing healthcare goods or services consumed by or used on patients.

  • Slides do not contain any advertising, trade names corporate logos or a product-group message.

  • Generic names are used when discussing therapeutic options or if trade names are used then those of several companies are listed.

  • All recommendations involving clinical medicine are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.

  • All scientific research referred to, reported or used in support of justification of a patient care recommendation conform to the generally accepted standards of experimental design, data collection and analysis.

Speakers' Disclosures

Richard Simpson, DMD, Grant Allen, MD, FAAP and Nola Ernest, MD, PhD, FAAP:

  • Will discuss commercial products or services.

  • Will discuss non-FDA approved uses of products/providers of services.

  • Do not have any relevant financial relationships or affiliations with any commercial interests.

Commercial Support

This activity receives no commercial support.


Educational Objectives 

Upon completion of this Enduring Material, participants will be able to:

a.  Cite the role of the child health professional in assessing children’s oral health; 

b.  Restate the pathogenesis of caries;

c.  Apply approaches to conduct an oral health risk assessment;

d.  Identify caries prevention strategies;

e.  Recognize the need for establishing a dental home;

f.   Explain how to provide appropriate oral health education to families.


Faculty:  Richard Simpson, DMD; Grant Allen, MD, FAAP; Nola Ernest, MD, PhD, FAAP

The Alabama Chapter-American Academy of Pediatrics is pleased to offer its 1st Look/Oral Health Risk Assessment Training as an on-demand, CME-approved "enduring materials" module for 1st Look certification by the Alabama Medicaid Agency and Alabama's Children's Health Insurance Program (ALL Kids).

Please review the information below and follow the instructions in order to view the training and successfully pass the online post-test, which will automatically submit to the Chapter staff for 1st Look certification under ALL Kids.

NEW IN 2019: In order for Medicaid to certify you as a 1st Look provider, you/your staff will need to complete the process on the Medicaid provider portal. See #4 under instructions below.


According to statistics from the Alabama Department of Public Health, as well as numerous national sources, including the American Academy of Pediatrics and the American Academy of Pediatric Dentistry, appropriate early oral health prevention, intervention, and education are needed to prevent dental decay.  Dental caries is a common and chronic disease process with significant consequences. Data reveal that 89 percent of infants and one-year-olds had office-based physician visits annually, compared with only 1.5 percent who had dental visits. 

As health care professionals responsible for the overall health of children, pediatricians frequently confront morbidity associated with dental caries. Because caries is a nonclassic infectious process (arising from shifts in subpopulation ratios of established normal flora), pediatricians have an opportunity to prevent, intervene, and, in collaboration with dental colleagues, manage this disease.

Therefore, it is critical that pediatricians and other primary care providers receive education on oral health needs assessment in order to identify young children’s risks, provide preventive education, and make an appropriate referral to a dental home. There is mounting evidence to prove that the incidence of caries can be reduced by having children six months to 36 months of age assessed by their pediatric provider and a fluoride varnish applied during routine pediatric visits.  The goals of the program are to improve awareness of early childhood caries (EEC), increase early prevention education, enlarge the dental referral provider base and reduce the incidence of dental caries. 

1st Look/Oral Health Bibliography

AAP Oral Health page
Policy Statement:  Preventive Oral Health Intervention for Pediatricians  
Pediatrics Vol. 122 No. 6 December 1, 2008 pp. 1387 -1394  (doi: 10.1542/peds.2008-2577)

Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey, Rocio B. Quinonez, DMD, MS, MPH; Ashley M. Kranz, PhD; Charlotte W. Lewis, MD; Lauren Barone, MPH; Suzanne Boulter, MD; Karen G. O’Connor, BS; Martha Ann Keels, DDS, PhD.  ACADEMIC PEDIATRICS, 616, Volume 14, Number 6, November–December 2014.

Guideline on Infant Oral Health Care, American Academy of Pediatric Dentistry. Clinical Affairs Committee – Infant Oral Health Subcommittee. Adopted 1986. Revised 1989, 1994, 2001, 2004, 2011, 2012, 2014.

Policy Statement:  Oral Health Risk Assessment Timing and Establishment of the Dental Home Pediatrics Vol. 111 No. 5 May 1, 2003 (reaffirmed in 2009) pp. 1113 -1116

Early Childhood Caries, Alabama Report, by Stuart Lockwood, DMD (Alabama Department of Public Health Dental Division, October, 2005)

Oral Health Resources for 1st Look Providers

ALL Kids Program Specifics
Alabama Medicaid Program Specifics
Promoting Oral Health Bright Futures Guidelines for Health Supervision
After Varnish Instructions for Parents - various languages
Oral Health Self Management Goals for Parents/Caregivers
AAP Oral Health Handout for Parents - English
AAP Oral Health Handout for Parents - Spanish
AAP Oral Health Risk Assessment Tool
AAP Oral Health Risk Assessment Tool Guidance
AAP Self-Management Goal Sheet - Spanish
Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents - American Academy of Pediatric Dentistry

Enduring Materials Information

Formats Available: Streaming*
On-Demand Release Date: 9/12/2017
On-Demand Expiration Date: 9/12/2020

Approved Credit

Physician: 1.5 AMA PRA Category 1 Credits

Non-Physician: 1.5 AMA PRA Category 1 Credits

IMPORTANT:  In order to receive credit for the lecture watched, you MUST take and pass the post-test and complete the online evaluation (see below).

Please note that effective July 1, 2011, enduring materials are required to provide an assessment of the learner that measures achievement of the educational purpose and/or objectives of the activity.  Upon completion of this activity, you will be directed to the post-test.  To receive your CME certificate, you must score a minimum of 75% on the test.



Steps #1, #2, and #3 are required; Step #4 is required if you are a Medicaid provider:

1.  Video Training

Click the video at top right or access it here.  It is recommended that you access the PowerPoint presentation handout here to review as you watch the video.  You will be instructed to return here for the following links to the post-test and evaluation:

2.  Post-Test

To take test, choose physician post-test or non-physician post test (test is the same but CME certificate is different).  You must click through and complete entire test (75% pass rate) in order for your test results to be submitted for CME credit AND for you to become certified as a 1st Look provider (see #4 below).  On the last screen you will see your test score and if passing, will be prompted to download your CME certificate.

3.  Evaluation

Click HERE to take/submit CME activity evaluation. 

4.  1st Look Certification (Effective January 2019)

If you are an ALL Kids provider, the Chapter staff will send your certificate of completion to ALL Kids to complete the process. For Alabama Medicaid, your practice manager or staff member must visit the Provider Secure Portal HERE to submit an Electronic Enrollment Update. Attach a request for adding specialty 274 to the location needed and include your CME certificate/certificate of completion as documentation of the training. Questions on this process? Call Provider Enrollment at 1-888-223-3630, Option 1.

**NOTE:  If buffering occurs, which may signal bandwidth issues, please contact your IT department or call (334) 206-5618 or email ALPHTN.