Our Mission: To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority


Sue Curfman, President and CEO




Meet Sarah McGrath, School Liaison Counselor at COMTREA. I provide therapy and resources/supports to students, their families, and school staff in the Jefferson County School Districts. This year, I am servicing schools in the Northwest School District. I collaborate with school staff and provide more intensive therapies that the school counselor is not able to provide or that their job does not allow the time and intensity to provide to students. I conduct group therapy, individual therapy, collaborate with teachers and staff to support students, and connect with parents and caregivers to provide support for carry-over at home and/or other resources available to assist the student and family, overall.

The school liaison position is very important due to the amount of time we can spend with a student versus a school counselor. I was a school counselor for 11 years, and one of the drawbacks was time constraints; this did not allow for developing therapeutic relationships. As a liaison counselor, I get to build therapeutic relationships. I can dive deeper into a situation, not just teach, but practice skills with students to better themselves. I am able to have conversations with families about medical and mental health needs that unfortunately school staff are limited to discuss. School counselors really depend on the services that the liaisons provide for kids. Many times, as the school liaison, I am the only way that a child can receive some more in-depth therapeutic interventions and that is really important!

Life throws crazy, unexpected things in our path, but one thing I have learned is the power of relationships and kindness. All it takes is one friendly smile or a simple “hi” to change someone’s day, know that they matter, and have purpose in this world.”

Meet Katie Prendergast, Assessment Coordinator, a registered alcohol and drug counselor for the COMTREA adolescent CSTAR program.

My role at COMTREA includes taking calls for assessments, scheduling appointments, and doing weekly counseling groups for a caseload of clients.

I feel my job is important because we are ‘planting seeds’ with the adolescents. I am fully committed to helping each and every client and treating them as individuals. It is important to break the cycle of addiction in the family. We help adolescents identify possible reasons for their alcohol or drug use and work on building positive coping skills. We try to fill the ‘tool box’ with a variety of skills to prevent relapse.

I have been lucky over the 19 years that I have been with COMTREA to work with people that I truly enjoy. It is important to be able to rely on your coworkers after a long and sometimes stressful day.

Got Sensitive Teeth?

Think you won’t ever be able to have ice cream again?  Well, good news, you don’t have to live with sensitive teeth!

There are several reasons why your teeth may become sensitive, ranging from mildly-severe worn tooth enamel to something a bit more detrimental such as a fractured tooth. 

Here are some other possible causes:

  • Brushing too hard resulting in gum recession.  This means your protective gums are not covering the most vulnerable parts of your tooth! 
  • Fractured teeth, missing fillings, gum disease or periodontitis, and cavities can also be painful.

If you find yourself with some sensitivity, there are options for you depending on your certain situation, and you should always consult your dental professional for detailed answers.  Don’t live with the possibility that it could get worse! 

Your dental professional may suggest some of the following treatments for sensitivity:

Sensitive Toothpaste: This is specially designed to help fill in microscopic tubes in your tooth enamel, which helps to insulate the nerve and help protect it from cold and hot foods or drinks. 

Fluoride Varnish: This would help relieve sensitivity by adding a protective layer over the sensitive area.

Desensitizing Agents: This treatment can be received at a dental office. Desensitizing treatment is stronger than over-the-counter sensitivity products.

Gingival Grafting:  If your sensitivity is due to brushing too hard or trauma that has removed gum tissue, you may need surgical intervention to help replace the tissue that generally does not grow back on its own.  This is called grafting which it is a minor surgical procedure done with a specialist in office under local anesthetics.

Root Canal:  If you have sensitivity due to a large cavity, there is also hope for you!  The tooth could undergo a root canal to save it.  This is also a procedure done in office under local numbing and helps preserve your smile!

How do you prevent tooth sensitivity? 

Most of these situations that cause sensitivity can be avoided.  If you brush with proper technique and a soft bristled toothbrush, the chance of brushing away the gum tissue is minimal.  Ask your dental hygienist how to brush properly and effectively!  Brushing also helps prevent tooth decay, or cavities, which helps reduce the need of a root canal in the future!

Prevention is the key to a less expensive and less painful dental situation!  If you have any questions about tooth sensitivity or any other issues with your teeth, gums, or mouth, your dental professional is ready and willing to answer them for you! 

Mouth Healthy. (n.d.-a). Sensitive Tetth. Retrieved from https://www.mouthhealthy.org/en/az-topics/s/sensitive-teeth

One in Five People Don't Wash Their Hands

  • Sadly one in five people don't wash their hands, and of those that do, three out of ten people use soap. Only about one person washes their hands for 15-seconds or more. The result – “waste” matter including bacteria such as E. coli can be found on just over a quarter of our hands.

Germs from Flushing the Toilet Can Jump Six Feet

  • It's not just the door and toilet handles you need to watch out for in public restrooms. Every time a toilet is flushed and the lid is left up, a fine mist is sprayed into the air that contains all types of bacteria causing diseases.
  • Air movement including hot air dryers can blow around the bacteria. It can be inhaled or deposited on your clothes, creating a potential mobile source of infection.

Q:  Who created soap?                                            

A:  The Romans.

We have them to thank because it's like a “do-it-yourself'” vaccine. When you use soap correctly to wash your hands it drastically decreases the chance getting sick.

Q:  What is the proper way to wash your hands?        

A:  Get your Hands Wet. Scrub your hands for 15 -20 seconds to kill germs. Rinse and Dry.

Q:  How long is 15-20 seconds?                                

A:  It is the same time that it takes to sing the happy birthday song, twice!

Written by: Dr. Hampton M.D., COMTREA Pediatrician 

Having been in the dental field providing screenings and care for over 13 years, I have been able to see the trend of a caregiver’s (parent or grandparent, etc) dental health IQ and dental decay.  Here are some of the findings:

  • How much you know about taking care of your teeth affects your children
  • The caregiver is the key to success for a child’s dental health
  • Caregivers are, or should be, the most influential person in a child’s life
  • Parents and grandparents have the ability and responsibility to their children to keep them healthy…mind, body, and spirit
  • Children are watching and learning by example

While these points may be known to some parents, they are not known to all.  I have heard several excuses for children having health problems, anything from “He will cry if I don’t give it to him” referring to candy or a bottle at night, to “well, it didn’t hurt me as a child”.  These thought processes can be very damaging to your children.

So what can you do?  Stand up and make a change.  Your children are important to you; make the necessary changes in their lives, if not your own, that will provide them with the education and environment that will cause change. 

The numbers don’t lie.  Over the past year, I have personally been working with several school districts providing dental screenings and collecting data.  The average rate of dental needs (one or more areas of possible cavities) hovers around 30-35%.  This is alarming! Every third child that was screened has suspected dental decay or other dental related problems! 

Why is this an issue?  Primary teeth, or baby teeth, have several very important jobs.  They do fall out and are replaced by adult teeth, so why even bother fixing them or putting the effort in to preserve them?  The simple fact is, children need their baby teeth!

These teeth hold the place for adult teeth to erupt; they help guide the adult tooth into the proper place.  They have nerves and can cause life threatening abscesses just like adult teeth. Children with dental issues can run fevers, suffer from infections, and lose attention in school due to pain.

Even today, the value placed on body health far outweighs the value of dental health.  The stigma that you can live without teeth is rampant.  The mouth is most definitely part of your body!  There have been several links discovered with oral health and medical issues such as:



Arteriosclerosis-- Arteriosclerosis, Thrombosis, and Vascular Biology, 2003; 23:1245

Heart Disease--Journal of Periodontology, Dec. 2007; 78(12)2289-302


Preterm labor in pregnant women

Preeclampsia in pregnant women

You obviously want to protect your children from these health issues, and it could be as simple as taking them to a dentist on a regular basis and maintaining their dental health at home through routine home care.  Children should see a dentist before the age of one…many general dentists will not see a child until the age of three or four, but this does NOT mean that they should not be seen by a dental professional.  If this dentist does not see infants, then find a dentist that will.  I have personally discovered two-year-olds and younger with rampant decay and abscessed teeth!

Here are some helpful hints to helping your child maintain their dental health, and help protect their overall health in the future. 

  • Help brush your child’s teeth until the age of seven or eight. They do not have the manual dexterity to reach all the areas or get all the angles that they need to keep their mouth clean.  Even if it appears that they are doing a good job, they are missing something!
  • Brushing must be done twice daily, for two minutes using fluoride toothpaste. Children under the age of two can now use fluoridated toothpaste, but the amount should equal the size of a grain of rice. Over two years of age should have a small pea sized amount of fluoridated paste, and if spitting well while brushing, you can use a pea sized amount of paste.
  • Chalky white spots along the gums of their front teeth are signs of dental decay; these areas should be evaluated by a dental professional. Dark spots are possible evidence of more advanced dental decay; please have your child see a dentist to discuss your options.
  • Just because you lost your teeth, does NOT mean that your child will. Even though there are genetic links to dental decay or periodontal disease, this does not mean that it is inevitable.  This simply means that you need to be more proactive in your child’s care.
  • Pacifiers and thumb sucking should be subsided by age two. These habits can affect the growth of their mouth.  These can cause what is called an “open bite” in which the front teeth are flared and do not touch when your child closes their teeth together.  This can make it difficult for the child to eat certain foods.
  • Bottles and sippy cups at bedtime are not recommended, and if they are used, NOTHING but WATER should be given at bedtime. Anything else can sit on the child’s teeth and cause cavities to form. I hear parents say “But they cry and can’t sleep without their milk”.  My response is always that they will have a few rough nights and so will the parents but in the long run, it’s better for their health.

As more and more research is conducted, the evidence points to the link between dental and overall health.  If you become proactive in your child’s dental care, you may be saving them the heartache of major medical issues in the future.  You love your children, no doubt about that.  Sometimes it is hard to know or follow through with the right care.  Fight the fight and pick your battles with your children, but do not let the important things fall through the cracks! Dental health care is definitely one of these important battles.

As a registered dental hygienist, I perform dental screenings for the WIC program in the St. Genevieve Health Department on Mondays, and can provide free dental screenings to your children.  We also have other dental hygienists available at the Hillsboro WIC office in Jefferson County.  Please call COMTREA at 636-232-2334, for more information.

Written by: Sandra Holifield, Oral Health Outreach Manager


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COMTREA Main Office: Festus, Missouri   Phone: 636-931-2700   Fax: 636-931-5304                                     

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