Our Mission is to improve oral health in children and underserved populatioins through treatment and prevention education.
Program Values
- Place patients and their families at the center of the program.
- Support and promote individual dignity, self-worth and self-determination.
- Provide culturally competent, multi-language services that are confidential.
- Use parent, patient and provider input to improve PDI and its programs. •
- Continually work to improve outcomes and timelines.
- Utilize best practices standards in all program components.
- Support community collaborations that effectively serve patient needs
Who We Are
The Pediatric Dental Initiative of the North Coast (PDI) was formed in 2001 when a group of health providers, child advocates, social service programs and public health programs from Sonoma, Mendocino and Lake counties joined forces to address unmet oral health needs for low income children. Initial funding to support PDI in these early planning efforts was received from:
- The American Academy of Pediatrics/ HRSA-Healthy Tomorrows
- Community Foundation Sonoma County
- California Endowment
- The First 5 Commissions of Sonoma, Mendocino, and Lake counties
- Department of Developmental Disabilities
- Bank of the West
The Problem: A Crisis in Dental Care
While local hospitals in the area have made an effort to provide dental surgery to low-income families on a below-cost basis, hospitals are forced or compelled to reduce the availability of these services due to the financial strain of providing the services. Treatment in these hospitals is always subject to competing demands for limited OR space which produce greater revenue. The result is a rapidly growing number of children awaiting dental surgery in the five-county area. Over recent years, the situation has reached the point of crisis.
Access To Care is Desperately Needed
- Over 20,000 children in Sonoma, Mendocino, Lake, Napa and Marin Counties are at risk for ECC.
- Every year, more than 1,500 children in our region have tooth decay so severe that they require anesthesia to receive dental treatment.
- Kids require anesthesia when they have multiple cavities, are too young or scared to sit still for treatment, or have developmental disabilities.
- Families without insurance cannot afford hospital dentistry, which can cost $2,750 - $5,000.
- Local families enrolled in Medi-Cal often travel 8 hours round-trip to reach dental hospitals that accept their insurance.
- The waiting list for subsidized treatment is long, ranging from two months to a year.
Silent Epidemic
- The 2000 Surgeon General's report on oral health identified ECC as a "silent epidemic” of dental and oral diseases, and called for a national effort to improve oral health among all Americans.
- The severity of untreated Tooth Decay in children has reached a national audience. MSNBC and ABC News have covered tragic stories about families lacking dental insurance alltogether, or being unable to find timely treatment because they’re on Medi-Cal. In some extreme cases, children have even died, after the infections around the untreated teeth reached the brain.
The Surgery Center
Located in Windsor, Sonoma County, the dental surgery center provides an oral surgery resource for children from low-income families, and children and adults with developmental disabilities, throughout Northern California.
A Replicable Model
PDI’s unique public-private partnership model utilizes the efficiencies and revenue stream of a financially self-sustaining surgery center to support important community-based services. Performing oral surgery in an outpatient surgery center setting has proven more efficient than in a hospital setting. This is due to specialization, volume, and the absence of hospital overhead costs that allow the center to receive more Medi-Cal reimbursements.
Prevention Education
In addition to addressing a significant health disparity by providing access to a desperately needed service (dentistry with anesthesia), PDI uses short-term and long-term strategies, including case management and community outreach to help prevent ECC cases in the future.
Short Term
PDI’s bilingual and bicultural case managers use the time they spend with families to discuss the importance of good eating habits, limiting the frequency of sugar intake, not permitting a child to sleep with a juice bottle, brushing, and regular visits to the dentist.
Long Term
As part of its long-term strategy to reduce the need for intervention surgery services, PDI’s outreach and education efforts include participation in health fairs, school readiness programs, community events, radio guest shows in English and Spanish, and more. These efforts to work within the community are two-fold:
FIRST SMILES ORAL HEALTH TRAINING
The Dental Health Foundation and First 5 California’s First Smiles Oral Health Training provides an existing, well-regarded dental education curriculum that PDI uses. This bilingual parent provider training curriculum helps PDI’s case managers stay up-to-date with other dental education efforts.
DENTAL HEALTH CONNECTION PROJECTS
PDI is an active participant in the Dental Health Connection Project – an oral health access coalition of service providers and oral health advocates. PDI is also an active member of several county-specific oral health coalitions and committees.
PDI referring sources (partial list)
- SONOMA COUNTY
Alliance Medical Center (Healdsburg)
Kids’ Net
North Bay Regional Center (Santa Rosa)
Petaluma Health Clinic (Petaluma)
St. Joseph Dental Center (Santa Rosa)
St. Joseph Mobile Dental Health Clinic
Russian River Health Clinic (Sonoma)
Sonoma County Indian Health (Santa Rosa)
Healthy Start Program - NAPA COUNTY
Clinic Olé/Sister Anne Community Dental Clinic
North Bay Regional Center
Queen of the Valley Dental Van
ParentsCAN - MENDOCINO COUNTY
Anderson Valley Health Center (Boonville)
Long Valley Health Center (Laytonville)
Mendocino Community Health Clinics
(Ukiah and Willits)
Mendocino Coast Dental Clinic (Fort Bragg)
Redwood Coast Medical Services (Gualala)
Redwood Coast Regional Center (Eureka)
Potter Valley Community Health Clinic
(Potter Valley)
Consolidated Tribal Health Center
(Redwood Valley/Ukiah)
Healthy Start
(Fort Bragg, Laytonville, Ukiah)
- LAKE COUNTY
Mendocino Community Health Clinic
(Lakeport)
Adventist Health Redbud Clinic (Clearlake)
Healthy Start (Lakeport)
Healthy Start/Lake County Public Health
Mobile Dental Van
Lakeside Health Center
- MARIN COUNTY
University of Pacific
Marin County Dental Society
Marin County Dental Clinic
Children’s Oral Health Project Marin
College of Marin
