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

Chronic Disease and Medical/Dental Integration

Poor oral health is a contributing factor to, and a symptom and consequence of many chronic diseases. Understanding the relationships between and among oral health and chronic diseases, and how strategies for health promotion, disease prevention, and early intervention can be collaboratively developed and implemented, can facilitate efficiency and effectiveness in public health approaches. These approaches will not only enhance the ability of chronic disease programs to implement their strategies but will also help to integrate oral health programs from 'siloed' programs into more mainstream public health efforts. Although some of the resources don't address all aspects of the connections between oral health and chronic diseases, they should be helpful to oral health programs in educating health officials, policy makers, and others about how oral health messages can be effectively integrated into chronic disease prevention and health promotion activities -- particularly when programs are targeting the same risk factors and/or conditions. As promising approaches are identified, ASTDD will share them on this webpage.

General Resources

ASTDD White Paper: Opportunities for Improving Oral Health and Chronic Disease Program Collaboration and Medical-Dental Integration (October 2018)

Division of Oral Health At A Glance

Chronic Disease Collaboration Among Health Systems - What Can We Learn and Apply in Oral Health?

Chronic Disease and Oral Health Integration Efforts Being Funded by CDC Through DP16-1609

Description of CDC-funded DP16-1609 Projects in 6 states

Examples of How Oral Health Promotion and Risk Reduction Strategies Align with the Chronic Disease Four Domains

National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention

National Association of Chronic Disease Directors website contains helpful links to chronic disease program resources and State Success Stories

Preventing Chronic Disease. Public Health Research, Practice and Policy - Online Peer-Reviewed Journal

Cardiovascular Disease

American Academy of Periodontology Fact Sheet on the Relationship Between Oral Health and Heart Health

American Dental Association Fact Sheet on the Relationship Between Oral Health and Heart Health

American Heart Association webpage on the link between dental health and heart health

CDC Division for Heart Disease and Stroke Prevention webpage

National Network for Oral Health Access: Promising Practice Protocol for Managing Patients with Uncontrolled Hypertension in the Dental Setting


American College of Physicians Fact Sheet on Oral Health and Diabetes

CDC Division of Diabetes Translation webpage.

Screening for Diabetes in Dental Offices

Working Together to Manage Diabetes: A Toolkit for Pharmacy, Podiatry, Optometry and Dentistry (PPOD) from the National Diabetes Education Program

Medical/Dental Integration

To decrease the complications associated with poor oral health and chronic disease, increased emphasis is being placed on identifying models for medical/dental integration.

Case Studies of Medical/Dental Homes in Community Health Centers in the U.S.

Integration of Oral Health into Pediatric Medical Primary Care in Community Health Centers

Integration of Oral Health and Primary Care: Comprehensive Issue Brief Summarizing Opportunities for GrantmakersIntegration of Oral Health and Primary Care Practice

Integration of Oral Health and Primary Care Practice

Integration of Oral Health and Primary Care: Marshfield Clinic Pilot Project

Medical-Dental Integration in Public Health settings: An Evironmental Scan
The University of Iowa Public Policy Center 2018

Medical/Dental Integration Toolkit from Delta Dental With Helpful Forms and Protocols for Bi-Directional Referrals

OHRC Highlights: Integrating Oral Health into Primary Care

Oral Health: An Essential Part of Primary Care

Oral Health and the Patient Centered Medical Home

Oral Health and Primary Care Integration

Oral Health Strategic Framework 2014–2017

Partnership between the National Interprofessional Initiative on Oral Health and the Association of American Medical Colleges

Promising practices related to integrating oral health with other health center services and barriers that hinder integration efforts

User's Guide for Implementation of Interprofessional Oral Health Core Clinical Competencies: Results of a Pilot Project

Obesity Prevention

CDC Childhood Overweight and Obesity webpage.

CDC Division of Nutrition and Physical Activity webpage.

Driving Action and Progress on Obesity Prevention and Treatment: Proceedings of a Workshop.

Healthy Futures: Engaging the Oral Health Community in Childhood Obesity Prevention

Healthy Futures: Engaging the Oral Health Community in Childhood Obesity Prevention National Conference-Executive Summary

Innovations in Childhood Obesity Resource Center. Center for Health Care Strategies, Inc.

Provider Competencies for the Prevention and Management of Obesity. Bipartisan Policy Center.

10 Tips: Make Better Beverage Choices USDA

State Examples

Alaska Department of Health and Social Services Division of Public Health's "Play Every Day" Campaign is being funded by CDC as a DP16-1609 Pilot State and focuses on exercise and consumption of water instead of sugar sweetened beverages.

Georgia Department of Public Health Pilot Project targeting pregnant women is being funded by CDC as a DP-16-1609 Pilot to increase utilization of dental and tobacco cessation services through

Georgia Association of Obstetrics and Gynecology Fact Sheet About How to Help Pregnant Women Stop Smoking

Idaho Primary Care Association was granted $334,800 over 18 months to increase access and improve health care outcomes for residents of Idaho

Colorado - Medical/Dental Integration Toolkit

Colorado - Medical/Dental Integration Request for Proposals

Maryland Department of Health is being funded by CDC as a DP16-1609 Pilot to promote high blood pressure screening in dental offices

Michigan Department of Health and Human Services Assessment of Blood Pressure and Diabetes Screening Practices Among Oral Health Professionals by the Michigan Department of Health and Human Services

North Carolina - NC Oral Health Collaborative

Ohio - CWRU dental school receives $3.6 million grant (to improve oral health via primary care referrals)

Oregon - White Paper on Oral Health Integration

South Carolina - McLeod Health Foundation gets $2.5M in grants from Duke Endowment ($2,021,000 will help the foundation implement an oral health system integrated delivery model)

Virginia - Delta Dental of Virginia Foundation awards Virginia Tech Carilion School of Medicine $100,000 for pilot program

Wisconsin - Integrating Medical and Dental Care Coordination for Patients with Diabetes: Marshfield Clinic Pilot


ASTDD Tobacco Resources Page

CDC Office on Smoking on Health website with access to state specific data

OHRC Highlights: Oral Health and Tobacco Use

WHO Monograph on Tobacco Cessation and Oral Health Integration