Delivering Preventive Oral Health Services In Pediatric Primary Care: A Case Study

Riter, Dianne; Maier, Russell; Grossman, David C.

doi:10.1377/hlthaff.27.6.1728

Cited by 26 publications

(31 citation statements)

References 4 publications

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“…9 By 2015, 49 of the 50 state Medicaid programs included this benefit for young children. 10 Studies in ≥6 states suggest that preventive dental interventions provided in medical offices will increase access to preventive services, [11][12][13][14][15] but their national impact on use of prevention dental services is unknown. All major dental organizations and most state Medicaid programs recommend that children initiate preventive dental visits by 12 months of age, 16 yet infants and toddlers are the least likely children of any age to have a dental visit.…”

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confidence: 99%

Provision of Preventive Dental Services in Children Enrolled in Medicaid by Nondental Providers

Arthur

Rozier

2016

Pediatrics

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OBJECTIVES: Aims of this study are to determine (1) the association of oral health services (OHS) provided by nontraditional providers with the percentage of Medicaid children 0 to 5 years of age who receive ≥1 preventive services from all provider types in the United States; and (2) characteristics of state Medicaid policies associated with provision of OHS. METHODS:We conducted a time-series cross-sectional study of preventive services provided by nontraditional (OHS) and dental (PDS) providers for Medicaid-enrolled children from birth to 5 years of age in all states during 2010 to 2013 (204 observations). We applied panel data multiple regression analysis techniques to exploit year and state variation in aggregate data available in Centers for Medicare and Medicaid Services reports (form CMS-416). Total preventive dental services (TPDS =OHS + PDS) was predicted by months since state enactment of a policy to reimburse medical providers for OHS. RESULTS:The 44 states with a policy reported 4.3% of children per state per year with any OHS. For all states, an average of 30.1% received PDS and 34.5% TPDS. The delivery of OHS was associated with a small increase in percentage with TPDS. One year of Medicaid OHS availability was associated with an increase of 1.5% in the percentage of children with TPDS per state per year.CONCLUSIONS: Implementation of policies by Medicaid programs to support integration of OHS into primary care is associated with increases in overallTPDS use, but efforts are needed to improve implementation in practice to achieve national impact on access.

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confidence: 99%

Provision of Preventive Dental Services in Children Enrolled in Medicaid by Nondental Providers

Arthur

Rozier

2016

Pediatrics

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“…For the child who was being breastfed exclusively at the breast, it was advised that mouth cleaning should be restricted to the tongue once a day because breast milk contains immunoglobulins that protect the child's mouth from infections. If the child is using artificial breast-feeding, cleaning should be performed throughout the oral cavity twice a day 6,7 . This is a cross-sectional, quantitative, qualitative study whose resulting data were analysed by using the PASW statistical package, version 21.…”

Section: Methodsmentioning

confidence: 99%

“…In order to reduce the risk of dental caries and promote the children's oral health, hygiene measures should be implemented even before the eruption of the first deciduous tooth. The teeth should be cleaned at least twice a day under supervision of the caretaker, who can use a diaper or soft toothbrush to decrease the bacterial colonisation by disorganising dental plaques [6][7][8] . Healthy or harmful habits are behavioral patterns which are learnt by the child.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Maternal Perception of the Oral Health of the Inpatient Infant

2017

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Aim: To evaluate the mother's perception of the oral health of their inpatient infants in maternity or infirmary units of a public hospital. Methods: Questionnaire applications were scheduled and educational lectures were carried out on how to sanitize the infant's mouth after breastfeeding, even in the absence of primary teeth, emphasizing the importance of breastfeeding. Results: A significant number of mothers reported that they received no guidance regarding the oral health care of their infants. They had never attended lectures by dental practitioners, as well as they did not know that the use of pacifier, baby bottle and digital sucking habit could interfere with their infant's oral heath over time. Conclusions: The majority declared that they had no care with the oral health of their infants. Only five mothers of newborns reported that they performed the oral hygiene of them once a day after the first breastfeeding. The mothers showed lack of knowledge on the diseases which can affect their children during early infancy as they had no information on how to prevent them. They did not know that early caries lesions could affect the infant and that harmful oral habits can predispose to the development of malocclusions.

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“…This would allow prevention and early intervention services to be delivered by dental hygienists or dental therapists, with "highend" surgical care reserved for dentists. Many advocated for a team approach, with multiple provider types delivering oral health care-from school nurses doing simple exams to pediatricians 11 and nurse practitioners performing oral health assessments and simple interventions such as fluoride varnish and temporary fillings. Mid-level dental providers or advanced-practice registered dental hygienists could be trained to do "routine" restorative work (such as fillings), with dentists treating the most serious diseases.…”

Section: Solutionsmentioning

confidence: 99%

Strengthening Children’s Oral Health: Views From The Field

Behrens

Lear

2011

Health Affairs

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Low-income children and adolescents continue to bear a heavy burden of untreated pain and complications from dental disease. To explore why proposals to remediate this problem have not gained traction, the authors interviewed experts involved in efforts to improve the oral health status of low-income and minority children during the past decade. Key informants believe that success requires addressing both consumer demand and provider supply factors. They especially cite the lack of public outcry for more accessible oral health care and the undervaluing of oral health, relative to medical care. Informants were cautiously optimistic that strategies such as health literacy and outreach campaigns, which have helped increase children's physical activity and improve their diets, offer unexplored opportunities for progress.

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Delivering Preventive Oral Health Services In Pediatric Primary Care: A Case Study

Cited by 26 publications

References 4 publications

Provision of Preventive Dental Services in Children Enrolled in Medicaid by Nondental Providers

Provision of Preventive Dental Services in Children Enrolled in Medicaid by Nondental Providers

Evaluation of the Maternal Perception of the Oral Health of the Inpatient Infant

Strengthening Children’s Oral Health: Views From The Field

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