Oral Health Assessment Form​

Return this form to the school no later than 
​May 31 of your child's first school year.
DENTAL HEALTH & SCHOOL
Cavities (also known as caries or tooth decay) are one of the most common chronic diseases of childhood in the United States. Untreated cavities can cause pain and infections that may lead to problems with eating, speaking, playing and learning. Children who have poor oral health often miss more school and receive lower grades than children who don’t.
  • About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.
  • 1 of 7 (13%) adolescents aged 12 to 19 years have at least one untreated decayed tooth.
  • Children aged 5 to 19 years from low-income families are twice as likely (25%) to have cavities, compared with children from higher-income households (11%).
Click here for more information on how to maintain good oral health to keep students in school.
​​The key is to seek help before it impacts your students' learning and overall health. You may find the resources on this webpage helpful in finding a provider for your child if they are suffering from dental pain. Contact your child's school nurse if you need further assistance.

DENTAL HEALTH RESOURCES

First 5

San Joaquin County Care Coordination Agencies

San Joaquin County Public Health Services Resource

For additional resources that may be helpful, contact the San Joaquin County Public Health Services at 209-953-7309. 

Medi-Cal/Denti-Cal Dentist Resource

Medi-Cal/Denti-Cal’s toll-free number or Web site can help you to find a dentist who takes Denti-Cal: 1-800-322-6384; www.denti-cal.ca.gov. For help enrolling your child in MediCal/Denti-Cal, contact your local social service agency at 209-468-1000 or http://www.sjchsa.org/. 

Medi-Cal/Denti-Cal Orthodontics Resource

Orthodontic services are a covered benefit for members 20 years of age and under as long as they meet the criteria guidelines. The best way of know if you qualify is to have an evaluation by a Certified Orthodontist that is enrolled in the Medi-Cal Dental Program. That Orthodontist would submit for authorization for approval.
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