CARE Series - Substance Use Disorder and Oral Health: Implications and Treatment Options

Tuesday, July 22, 2025, 12:00 PM - Saturday, July 22, 2028, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Review of:

• Connections between oral health and whole person health and functioning

• Sublingual buprenorphine and dental problems

• Minimally invasive dental care techniques implementable by primary care:

  • Silver Diamine Fluoride

  • Navigating access to dentistry & dental hygienists as Vermont Medicaid providers

Presenters

Robin Miller, RDH, MPH 
Oral Health Director
Vermont Department of Health

Debora D. G. M. Teixeira, D.D.S., M.Ed.
Oral Health Systems Administrator/802 Smiles Network Coordinator
Vermont Department of Health

1. Describe how oral health is connected to systemic health.
2. Discuss key oral health risks in relation to substance use disorder and medication for addiction treatment.
3. Identify strategies for referring patients with SUDS to dental offices that accept Medicaid insurance.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

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2. Register for the activity.

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4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).

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6. Complete and Submit the Evaluation.

Bibliographic Material

• Dartmouth Health. Center for Advancing Rural Health Equity. The Use of Silver

  Diamine Fluoride (SDF) in Pediatric Care. https://www.dartmouth-health.org/sites/default/files/2025-02/use-of-silver-diamine-fluoride-in-pediatric-care.pdf

• D’Alessandro, M., Greene, K., Hraber, M. Brief 03/17/2025. Making the Connection to Care: Oral Health and Substance Use Disorder. National Academy for State Health Policy. https://nashp.org/making-the-connection-to-care-oral-health-and-substance-use-disorder/

• National Council for Mental Wellbeing. Center for Excellence for Integrated Health Solutions. Oral Health, Mental Health and Substance Use Treatment: A Framework for Increased Coordination and Integration. https://www.mpca.net/wp-content/uploads/2023/01/OralhealthMentalHealthSubstanceUseChallenges_Toolkit-6-2023.pdf

• Nundy, S., Cooper, L. A., & Mate, K. S. (2022). The quintuple aim for Health Care Improvement. JAMA, 327(6), 521. https://doi.org/10.1001/jama.2021.25181

• Olayiwola, J. N., & Rastetter, M. (2021). Aiming for Health Equity: The bullseye of the quadruple aim. Journal of Hospital Management and Health Policy, 5, 11–11. https://doi.org/10.21037/jhmhp-20-101

• Society of Teachers of Family Medicine. Smiles For Life Oral Health Curriculum. 2025. https://www.stfm.org/teachingresources/curriculum/smilesforlife/ Accessed 07/21/2025

• US Food and Drug Administration. Buprenorphine: Drug Safety Communication - FDA warns about dental problems with buprenorphine medicines dissolved in the mouth to treat opioid use disorder and pain. 01/12/2022. https://www.fda.gov/safety/medical-product-safety-information/buprenorphine-drug-safety-communication-fda-warns-about-dental-problems-buprenorphine-medicines

• Vermont Department of Health.  Health Promotion & Chronic Disease Prevention: Oral Health: Dental & General Health: Mouth-Body Connection. https://www.healthvermont.gov/sites/default/files/document/hpdp-mouth-body-connection.pdf

• Vermont Department of Health. Information for Treatment Providers: FDA Warns About Dental Problems with Buprenorphine Medicines Dissolved in the Mouth to Treat Opioid Use Disorder and Pain. https://www.healthvermont.gov/sites/default/files/document/hpdp-buprenorphine-and-oral-health-for-providers.pdf

• Vermont Department of Health. Tips for a Healthy Mouth. https://www.healthvermont.gov/sites/default/files/document/hpdp-buprenorphine-and-oral-health-for-patients.pdf

• Vermont Department of Health. Silver Diamine Fluoride Facts.

  https://www.healthvermont.gov/sites/default/files/documents/pdf/HPDP-Oral%20Health-SDF-FactSheet.pdf

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
ACE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.