Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌ Fax‌ 775-626-9268

The Association of State and Territorial Dental Directors (ASTDD) is a national non-profit organization representing the directors and staff of state public health agency programs for oral health. It was organized in 1948 and is one of 17 affiliates of the Association of State and Territorial Health Officials (ASTHO). ASTDD formulates and promotes the establishment of national dental public health policy, assists state dental programs in the development and implementation of programs and policies for the prevention of oral diseases; builds awareness and strengthens dental public health professionals' knowledge and skills by developing position papers and policy statements; provides information on oral health to health officials and policy makers, and conducts conferences for the dental public health community.

A strong and effective governmental oral health presence in states and territories to assure optimal oral health.

ASTDD provides leadership to:
  • advocate for a governmental oral health presence in each state and territory,
  • increase awareness of oral health as an important and integral part of overall health,
  • address health equity,
  • promote evidence-based oral health policy and practice, and
  • assist in the development of initiatives to prevent and control oral diseases.

The ASTDD Membership consists of the chief dental public health officer (state dental director) of the state health department or equivalent agency, and the U. S. Territories. ASTDD also offers Individual or Organizational Associate Membership which is open to any public agency, voluntary organization, tribal entity and/or health professionals employed or interested in dental public health. Members and Associate members serve on and chair committee's or work groups, receive the ASTDD newsletter, are enrolled on the ASTDD list serve, and participate in the ASTDD Annual Business Meeting held in conjunction with the annual National Oral Health Conference. Individual Associate member dues are $75.00 per year. Organizational Associate Membership dues are $400 per year.

Apply online for ASTDD Membership

ASTDD Key Messages

State Oral Health Programs make an essential contribution to public health and must be continued and enhanced. Resources to Support ASTDD Key Messages.

  • 1. A successful SOHP must have diversified funding that includes funding for state and local evidence-based programs.
  • 2. A successful SOHP needs a continuous, strong, credible, forward-thinking leader.
  • 3. A successful SOHP needs a complement of staff, consultants and partners with proficiency in the ASTDD Competencies for SOHPs.
  • 4. A successful SOHP needs one or more broad-based coalitions that include partners with fiscal and political clout.
  • 5. A successful SOHP must have valid data (oral health status and other) to use for evaluation, high quality oral health surveillance, a state oral health plan with implementation strategies, and evidence-based programs and policies.

Announcements, Publications & Documents

  • Oral Health Matters - The winter 2017 edition of the ASTDD newsletter; meet members and associate members, check out state shots, and much more. (March 2017)
  • 2017 NOHC Registration Brochure
  • In this webcast, Lori Cofano, BSDH and Consultant to the ASTDD Healthy Aging Committee, Mike Manz, DDS, MPH, DrPH and ASTDD Surveillance Consultant, Kathy Phipps, DrPH and ASTDD Data and Surveillance Coordinator, and Diane Brunson, RDH, MPH and Chair of the ASTDD Healthy Aging Committee provide an overview on how to find older adult oral health data (BRFSS, NHANES, MEPS, CASOA, BSS, etc.). They show you where to find valuable information that can then be shared to raise the awareness of older adult oral health issues. Once you've discovered this treasure trove of information, how do you cash in on it? Check out an infographic template that was shared as part of the webcast. The template can be used to frame your newly found wealth of information. (March 2017)
    PowerPoint Slides
  • Silver Diamine Fluoride Fact Sheet (March 2017)
  • Give You and Your Baby A Lifetime Of Healthy Teeth A look at the new perinatal oral health educational module available through wichealth.org. Join Reg Louie, ASTDD Perinatal Oral Health Committee consultant, Emily Norrix, Michigan Perinatal Oral Health Consultant, Katrina Holt from the Oral Health Resource Center and Bob Bensley from wichealth.org to take a look at the newly developed, free perinatal oral health module entitled, "Give You and Your Baby A Lifetime Of Healthy Teeth." Lear what wichealth.org does, how the new module works and what it looks like, as well as how to advocate for this module to be chosen in your state.  (March 2017)
    PowerPoint slides
  • ASTDD Guidance for Drafting Dental Public Health Resource Documents - ASTDD has developed this guidance document to encourage consistency in developing evidence-based statements (such as white papers, issue briefs, fact sheets and other documents as well as Best Practice Approach Reports and State Activity Submissions and Descriptive Reports) by all ASTDD committees, consultants, and others including dental public health residents. ASTDD develops these documents for state oral health programs to reflect the Association's priorities and stance on dental public health issues and to share with and educate decision makers on dental public health issues and concerns of state oral health programs. The documents contain statements that may include recommendations, strategies, and/or information to assist decision makers (such as dental and other healthcare providers; federal, state or private agencies; employers; public health officials or the public) in choosing between alternative courses of action in specific situations. (February 2017)
  • ASTDD Best Practices Project-We Want You! - The ASTDD Best Practices Committee (BPC) routinely collects information from State Oral Health Programs (SOHPs) about successful state oral health activities. But how is this information used? And how can participation be useful to SOHP themselves? In this webinar we discuss the different types of activity reporting, how submissions are incorporated into Best Practice Approach Reports, and strategies for utilizing the reports to raise awareness and educate others about your program, including funders and advocacy groups, to expand program development opportunities.  We want you to share your successful activities as well as lessons learned.  We will also share and discuss the updated Descriptive Report Form and how it can help you track program activities. (January 2017)
  • PowerPoint slides
  • Medicaid Oral Health Coverage for Older Adults and People with Disabilities - This presentation, brought to you by the ASTDD Healthy Aging Committee in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), discussed the results of a survey the NASUAD administered to its network of state agencies and a review of state coverage policies. The study was developed to review current programs providing oral health services; understand access and utilization; recognize existing collaborations for outreach to beneficiaries; and identify challenges with oral health policy across state agencies. The survey analysis identified several key themes from state data, including: a need for additional collaborative actions to improve oral health; identifications of targeted innovations regarding coverage for older adults and people with disabilities; greater understanding of the incurred medical expense benefit could assist with coverage and access;  and outreach to participants and increased coverage could improve utilization.  Damon Terzaghi, MSA, Senior Director at the National Association of States United for Aging and Disabilities reviewed the survey findings and discussed the implications for state dental directors and policymakers. (January 2017)
  • PowerPoint slides
  • 2017 ASTDD State Synopsis Questionnaire Webcast - Kathy Phipps, Dr.PH, ASTDD Data & OH Surveillance Coordinator, provided an overview of changes to the annual ASTDD State Synopsis questionnaire. She also provided guidance on completing the survey and answered questions from the audience. (January 2017)
  • Silver Diamine Fluoride: A Game Changer in Managing Caries in High-Risk Populations? - Silver-containing products have been used as antimicrobial agents for many years in many medical applications, including dentistry.  Silver diamine fluoride (SDF) has been used for caries management in other countries for more than 80 years, but just gained acceptance by the US Food and Drug Administration in 2014. This presentation summarizes the clinical evidence for SDF as a topical agent to arrest or prevent dental caries.   It discusses the probable mechanisms by which SDF works, the clinical indications for SDF, and offers clinical and public health recommendations for using SDF based on the available scientific literature. (January 2017)
    PowerPoint slides
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