{"id":647,"date":"2022-01-14T15:40:11","date_gmt":"2022-01-14T15:40:11","guid":{"rendered":"https:\/\/lab.prd.vanderbilt.edu\/dwjlab\/?page_id=647"},"modified":"2025-10-20T18:51:41","modified_gmt":"2025-10-20T18:51:41","slug":"tennessee-dental-caries-prevention-fluoride-levels-in-community-water-systems-cwss","status":"publish","type":"page","link":"https:\/\/lab.vanderbilt.edu\/dwjlab\/research\/previous-research\/tennessee-dental-caries-prevention-fluoride-levels-in-community-water-systems-cwss\/","title":{"rendered":"Tennessee Dental Caries Prevention: Fluoride Levels in Community Water Systems (CWSs)"},"content":{"rendered":"<div class=\"\">\n<p><span class=\"\" style=\"color: #222222\"><span class=\"\">The Tennessee Dental Caries Prevention Project evaluated the Tennessee Oral Health Plan program&#8217;s spatial selection of intervention efforts. The project assessed if dental services in Tennessee are in the areas of greatest need. The &#8216;area of greatest need&#8217; was defined as a community served by a water system that did not meet the recommended American Dental Association (ADA) fluoridation level to <\/span><\/span><span class=\"\" style=\"color: #222222\"><span class=\"\">prevent dental caries (i.e., cavities), 0.7 parts per million. Priori analysis conducted by the Tennessee <\/span><\/span><span class=\"\" style=\"color: #222222\"><span class=\"\">Department of Health used aggregated county-level fluoride measures. <\/span><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-674 alignleft\" src=\"https:\/\/cdn.vanderbilt.edu\/t2-main\/lab-prd\/wp-content\/uploads\/sites\/109\/2022\/01\/21-300x240.png\" alt=\"\" width=\"333\" height=\"266\" srcset=\"https:\/\/cdn.vanderbilt.edu\/t2-main\/lab-prd\/wp-content\/uploads\/sites\/109\/2022\/01\/21-300x240.png 300w, https:\/\/cdn.vanderbilt.edu\/t2-main\/lab-prd\/wp-content\/uploads\/sites\/109\/2022\/01\/21-768x614.png 768w, https:\/\/cdn.vanderbilt.edu\/t2-main\/lab-prd\/wp-content\/uploads\/sites\/109\/2022\/01\/21-1024x819.png 1024w, https:\/\/cdn.vanderbilt.edu\/t2-main\/lab-prd\/wp-content\/uploads\/sites\/109\/2022\/01\/21.png 1500w\" sizes=\"auto, (max-width: 333px) 100vw, 333px\" \/><\/p>\n<p><span class=\"\" style=\"color: #222222\"><span class=\"\">The DWJL team used commun<\/span><\/span><span class=\"\" style=\"color: #222222\"><span class=\"\">ity system water estimated service area boundaries (CWS ESABs) that the DWJL constructed to refine the prior analysis. Notable findings were that approximately 40% of the CWSs in Tennessee do not meet the ADA-recommended fluoride level to prevent dental caries. And the spatial distribution of those CWSs represents about 139,500 Tennesseans that do not have a TDH Oral Health intervention program in their community. TDH has delayed following up with Ashley about these findings because of COVID-19. The intent is to review results with Ashley in spring 2022 to prepare a manuscript to submit to a peer-reviewed journal.<\/span><\/span><\/p>\n<\/div>\n<p><b class=\"\">Research Assistant<\/b>: <a href=\"https:\/\/lab.vanderbilt.edu\/dwjlab\/person\/ashley-kim\/\">Ashley Kim<\/a><\/p>\n<p><b class=\"\">Faculty Advisors:<\/b> <a href=\"https:\/\/lab.vanderbilt.edu\/dwjlab\/person\/jack-ding\/\">Dr. Ke Jack Ding<\/a>, <a href=\"https:\/\/lab.vanderbilt.edu\/dwjlab\/person\/yolanda-j-mcdonald\/\">Dr. Yolanda J. McDonald<\/a>, &amp; Dr. Derek K. Smith<\/p>\n<p><strong>Academic Work:<\/strong><\/p>\n<ul>\n<li>Kim, Ashley. Are dental services located where they need to be: A Tennessee case study (poster: presenter). Vanderbilt University Undergraduate Research Fair, Fall 2021.<\/li>\n<\/ul>\n<p><b class=\"\">Theoretical Frameworks:<\/b><\/p>\n<ul>\n<li>The Drinking Water Disparities Framework\u00a0<a href=\"https:\/\/pubmed-ncbi-nlm-nih-gov.proxy.library.vanderbilt.edu\/24524500\/\">(Balasz &amp; Ray, 2014)<\/a><\/li>\n<li>The Framework of the Components of Drinking Water Infrastructure\u00a0<a href=\"https:\/\/www-ncbi-nlm-nih-gov.proxy.library.vanderbilt.edu\/pmc\/articles\/PMC3222486\/\">(VanDerslice, 2011)<\/a><\/li>\n<li>The Social Determinants of Health (<a href=\"https:\/\/pubmed-ncbi-nlm-nih-gov.proxy.library.vanderbilt.edu\/15781105\/\">Marmot, 2005<\/a>;\u00a0<a href=\"https:\/\/www.wiley.com\/en-us\/The+Social+Determinants+of+Health%3A+Looking+Upstream-p-9781509504312\">Ratcliff, 2017<\/a>)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The Tennessee Dental Caries Prevention Project evaluated the Tennessee Oral Health Plan program&#8217;s spatial selection of intervention efforts. The project assessed if dental services in Tennessee are in the areas of greatest need. The &#8216;area of greatest need&#8217; was defined as a community served by a water system that did not meet the recommended American&#8230;<\/p>\n","protected":false},"author":351,"featured_media":0,"parent":1131,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-647","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/pages\/647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/users\/351"}],"replies":[{"embeddable":true,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/comments?post=647"}],"version-history":[{"count":14,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/pages\/647\/revisions"}],"predecessor-version":[{"id":1356,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/pages\/647\/revisions\/1356"}],"up":[{"embeddable":true,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/pages\/1131"}],"wp:attachment":[{"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/media?parent=647"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lab.vanderbilt.edu\/dwjlab\/wp-json\/wp\/v2\/tags?post=647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}