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Survey reveals alarming dental decay rates in Kentucky preschoolers

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Survey reveals alarming dental decay rates in Kentucky preschoolers


The University of Kentucky College of Dentistry’s 2023 Kentucky Early Learners’ Oral Health Surveillance Project survey found dental decay rates for Kentucky children ages 2 through 5 are significantly higher than the national average. 

The survey, funded by the Kentucky Department of Public Health, evaluated the prevalence of dental decay and treatment needs among children and identified populations most at-risk in the Commonwealth. This is one of the largest state-level oral health surveys of children in Pre-K and Head Start programs ever conducted. 

Pamela Stein, D.M.D., M.P.H., a professor in the Division of Public Health Dentistry, served as a co-investigator on the surveillance project. 

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The oral health of young children is essential to health equity as it not only sets the trajectory for oral health across the lifespan but also influences an individual’s overall health and development.”

Pamela Stein, D.M.D., M.P.H., Professor, Division of Public Health Dentistry, University of Kentucky

Project team members screened 6,660 kids across 106 Kentucky counties. Local dental hygienists were hired to serve as screeners and coordinate project efforts at the regional levels. Screeners contacted daycares and Head Start programs in their area. If the daycare or Head Start facilities agreed, screenings were scheduled for the children.  

The screeners were trained to standardize their identification of treated decay (cavities that already had fillings) and untreated decay. If a child was identified to have untreated decay the screener classified the severity of decay and determined the urgency of when the child should receive treatment. 

Each child’s screening results were documented on a report card and sent to their parents/guardians. All report cards contained referral information for local dentists and contact information for the regional coordinator for parents to contact for assistance if their child was identified as needing dental care. 

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The project team concluded that dental decay rates for Kentucky children ages 2 through 5 are considerably higher than the national average and were comparable to the highest risk group in the U.S. which is children living at or below 100% poverty. 

Multiple, interconnected demographic, geographic and social factors influence tooth decay rates among the children screened. Region was the strongest association for untreated decay followed by age, facility type and rural location.  

Additional findings show race, ethnicity and fewer economic resources compounded risk for dental decay. Higher decay rates were found in children attending rural Head Start facilities and Black children in poor ZIP codes in Jefferson County. 

The data from this survey should impact the dental care of young Kentucky children in the future. At a state-wide conference to discuss survey findings on Nov. 1, community and health leaders from across the state discussed strategies to reduce the level of dental decay in our youngest Kentuckians. 

“The University of Kentucky College of Dentistry has a statewide mission to increase oral health care access for all Kentuckians,” said Jeff Okeson, D.M.D., professor and dean of the College of Dentistry. “The survey’s findings can help guide and refine our continued efforts in reducing dental disease in children as a part of that mission. It’s just as important to educate everyone about good oral health practices as it is to improve access to oral health care.” 

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The American Academy of Pediatric Dentistry (AAPD) recommends that children see a pediatric dentist and get established when the first tooth appears, or no later than their first birthday, and continue every six months with preventive care. 

However, most children start going to the dentist too late, and it usually is due to complaints of pain associated with decay. Although dental decay is a preventable disease, it remains the most common chronic childhood disease, approximately four times more prevalent than childhood asthma. 

Other data collected from UK Dentistry’s mobile programs for preschool-aged and school-aged children have seen tooth decay rates decline over the years and could be an effective early intervention toward improved oral health that necessitates further examination.



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Where Kentucky turns following Donnie Freeman’s commitment to St. John’s

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Where Kentucky turns following Donnie Freeman’s commitment to St. John’s


Kentucky quickly made its move on Syracuse star transfer Donnie Freeman in the portal, making immediate contact and hopping on a Zoom call before getting a visit scheduled for the following week. The Wildcats emerged as the likely landing spot, fighting off Alabama and UConn for his services — only for St. John’s and Tennessee to throw their hats into the ring and make their own late pushes going into the weekend.

There was serious optimism in Lexington that Mark Pope had batted down those Hail Mary throws by the Red Storm and Volunteers with a potential public commitment coming Sunday, only for the afternoon to turn into evening without a peep. Then came the late-night chatter that Rick Pitino had tossed another deep ball toward the end zone, an offer Freeman couldn’t refuse to ultimately land his services as the No. 19 overall player and No. 5 power forward in the On3 Industry Transfer Portal Rankings. Kentucky had its chance to keep the bidding war alive and potentially flip the momentum back, but the fat lady has officially sung.

That’s a tricky predicament for Pope and the Wildcats, who already passed on Colorado transfer and Florida State pledge Sebastian Rancik to continue their pursuit of Freeman. That came after Magoon Gwath (DePaul) and DeSean Goode (Miami (FL)), two other confirmed targets, committed elsewhere, along with the departures of Mo Dioubate (LSU) and Andrija Jelavic (Ohio State) from Pope’s second roster in Lexington.

So, uh, who is left for the Wildcats? Let’s separate the potential candidates into four categories.

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“Gotta make Brad Stevens say no”

Two absolute gems remain at the position and could make all of the Pope Whiff doomers stop in their tracks: Iowa State’s Milan Momcilovic and Santa Clara’s Allen Graves. You know both names because Kentucky played each of them in the NCAA Tournament, the former knocking the Wildcats out in the Round of 32 and the latter nearly doing so with a dagger in the final seconds of regulation — only to be topped by Otega Oweh’s half-court miracle at the buzzer.

They’re ranked No. 1 and No. 3 at the position, respectively, and are obvious home-run hits if UK can make contact. The issue? Despite entering the portal, they prefer to keep their names in the draft and will likely do so with first-round guarantees. A return to college isn’t impossible for either — Graves sits at No. 32 in ESPN’s latest draft rankings while Momcilovic comes in at No. 43 — but you won’t even get a meeting without $5M as a starting point, with the bidding likely finishing at or near the $6M mark. Are you ready to back up the Brinks truck? That’s the only option if you want the prized forwards.

Now, if you’re looking for better value, Saint Mary’s Paulius Murauskas and Iowa’s Alvaro Folgueiras are both technically available, sitting at No. 2 and 11 at the position, respectively. Kentucky has had exploratory conversations with both players — the latter was seen as a serious target this time last offseason, as well — and the talent is there. Murauskas averaged 18.4 PPG and 7.6 RPG on 48/33/84 splits with the Gaels this season and earned All-WCC honors in each of the last two years. That would do the trick. Folgueiras averaged 8.4 PPG, 3.6 RPG and 2.2 APG for the Hawkeyes, but is most famous for hitting the game-winning three to beat Florida in the NCAA Tournament. Maybe not a can’t-miss superstar, but pretty darn solid for a pivot.

But, heavy emphasis on technically available — because they both have On3 RPM picks in favor of other schools. Murauskas is projected to follow his former St. Mary’s coach, Randy Bennett, to Arizona State, while Folgueiras is expected to land at *sigh* Louisville. They haven’t made public commitments, but the clock is ticking and Pope would have to make up a lot of ground in a hurry.

Both are highly unlikely to wear the blue and white.

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Realistic, but not a needle-mover

If you’re looking for somebody solid to join the fold, James Madison’s Justin McBride is the perfect candidate. Standing 6-7, 240 pounds following previous stops at Oklahoma State and Nevada, the versatile forward earned Third Team All-Sun Belt honors, averaging 15.3 PPG, 5.6 RPG and 1.5 APG on 49/40/78 splits as a junior in Harrisonburg. Before that, he averaged 7.8 PPG and 4.2 RPG as a sophomore with the Wolfpack and 2.5 PPG and 1.5 RPG as a freshman with the Cowboys.

Finding his fourth home in four years, McBride is scheduled to visit Lexington this week, he tells Jacob Polacheck of KSR+. That comes after a Zoom meeting with the staff last week.

He’s productive with experience as a journeyman, finally tapping into his potential as a former top-125 recruit out of high school after seeing his role increase as a junior. There is a lot to like there, but the idea was for the Plano, TX native to serve as a complementary plug-and-play backup, staggering minutes with the go-to starter. You absolutely take him, but with the idea that you still need much more.

Potential wildcards

No. 1 recruit Tyran Stokes is trending heavily toward Kansas — and he’s also more of a jumbo wing capable of playing 1-4 more than a true power forward — but the conversation starts there in terms of obvious names to upgrade talent on a roster desperate for upgrades. Whatever it takes if you’re Pope, no matter how unlikely.

The Wildcats have also been involved with No. 15 overall prospect Miikka Muurinen, who is undeniably talented, but there are maturity questions. North Carolina and Arkansas are among those to poke around, but there is a risk factor to keep in mind before automatically connecting those dots.

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Pope went overseas to find Jelavic, so maybe that’s the path? It’s possible, but easier said than done when looking for obvious star talent. That was supposed to be the 6-11 forward, coming in with multiple years of eligibility and committing to Kentucky after a single conversation — exactly what you’d want when going down that road. The Wildcats weren’t able to see that process through and there is no guarantee the next international find won’t have similar year-one hiccups.

You also can’t rule out that another wave of portal announcements won’t come over the next 24 hours before things close tomorrow at midnight. Auburn’s Sebastian Williams-Adams is an intriguing option that popped up Monday, making himself available following a successful rookie season on the Plains. He started in 21 of 36 games for the Tigers, averaging 6.8 points, 3.5 rebounds and 1.5 assists in 27.2 minutes per contest as a former four-star prospect out of high school.

You’re hoping and praying at that point that something presents itself that fits and elevates Kentucky’s ceiling in 2026-27. Odds are good — and someone will want to take the big pile of cash in Lexington — but no guarantees beyond the options already in front of us.


One thing we know for sure? Kentucky’s starting power forward will not be Donnie Freeman, and the search continues for Mark Pope.



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Kentucky will get a visit from a forward with three-point upside

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Kentucky will get a visit from a forward with three-point upside


Over the weekend, it was reported that the Kentucky Wildcats and coach Mark Pope had interest in former James Madison forward Justin McBride. Now, per Jacob Polacheck of Kentucky Sports Radio, McBride will take a visit to Lexington.

The report states that McBride will visit with Kentucky on Wednesday, Apr. 22. He had previously stated that he wanted to visit, but had to clear up some transcript issues first. It appears that things are worked out there now.

McBride is a 6’8″, 230 lb forward who has versatility. He averaged 15.3 points and 5.6 rebounds last season, but also made 40% of his three-point attempts, making him the kind of stretch big Pope likes to use. He could start, or be a valuable player off the bench.

Pope needs some recruiting wins, and he needs some depth for next year’s team. Right now, there are still more questions than answers, and Big Blue Nation is getting restless. We will update this story after his visit and more news becomes available.

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Vanderbilt baseball’s series win vs Kentucky revelatory

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Vanderbilt baseball’s series win vs Kentucky revelatory


Entering the weekend, Vanderbilt baseball had gotten swept in its only SEC series in which it hadn’t won the first game.

So the Commodores had a tough task in a series they badly needed after dropping the opener 5-2 on a walk-off grand slam after Vanderbilt’s best healthy starter, Connor Fennell, pitched well.

But the Commodores (24-17, 9-9 SEC) rebounded to take the series with an 8-7 win in the second game and a 13-6 win in the finale April 19. They did that despite not having any pitcher go more than three innings in either game. Though the pitching was still shaky at times — they issued more free passes than strikeouts in both of the wins — they worked out of enough jams to let the offense go to work.

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Here’s what we learned from the series.

Will Hampton proves an unlikely hero for the offense

Vanderbilt got strong performances from a few of its typical top performers, including Braden Holcomb (6-for-13, four doubles) and Brodie Johnston (4-for-12, two home runs, three walks). But one of the biggest hits of the series came from the unlikeliest of sources.

Logan Johnstone was held out of the finale after colliding with Mike Mancini in Game 2, and in his place coach Tim Corbin opted to go with redshirt freshman Will Hampton in left field. Hampton had recorded just six college plate appearances, all of which were in nonconference games.

But Hampton reached in all three of his plate appearances against Kentucky, first on a single, then a walk. In the sixth inning, with the score tied, he came up with the bases loaded and two outs and blasted a grand slam, giving Vanderbilt its first lead.

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Tyler Baird learns the ups and downs of being a closer

Freshman Tyler Baird has been Vanderbilt’s closer for the past three weeks, recording his first save April 2 against Texas A&M. But he learned the pitfalls that can come with that role in Game 1 against Kentucky. Summoned for an eight-out save with the Commodores leading 2-1, he retired the first five batters, but loaded the bases with nobody out in the ninth. He struck out the next two batters but then gave up the walk-off grand slam.

Baird returned for Game 3, this time attempting a five-out save and coming in with runners on first and second and one out with a three-run lead in the eighth inning. He allowed both inherited runners to score, but kept the lead and then had a scoreless ninth inning after Vanderbilt scored three runs in the top of the inning.

Baird’s emergence has been key for the Commodores, and the Game 3 bounce-back was especially important.

Vanderbilt’s RPI shows improvement

On April 15, Vanderbilt was 95th in RPI, a mark that wasn’t going to cut it for NCAA Tournament selection. But with a road series win against a Kentucky team that started the week in the top 20 of RPI, the Commodores moved all the way up to 75th, according to Warren Nolan.

While Vanderbilt will need to keep moving up — a top-50 mark would be ideal — the series win did a lot. In the next two weeks, it will face two top-five RPI teams in Alabama and Texas, giving more opportunity to improve its standing.

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Aria Gerson covers Vanderbilt athletics for The Tennessean. Contact her at agerson@gannett.com or on X @aria_gerson.





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