Hospital Based Emergency Department Visits Attributed To Dental Caries in the United States in 2006

Nalliah, Romesh; Allareddy, Veerajalandhar; Elangovan, Satheesh; Karimbux, Nadeem Y.; Allareddy, Veerasathpurush

doi:10.1016/j.jebdp.2010.09.013

Cited by 45 publications

(37 citation statements)

References 11 publications

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“…Na Dental-related ED visits are costly. Nationally, one-year costs for visits for dental caries were $110 million, 16 pulpal or periapical lesions $163 million, 17 and gingival and periodontal lesions $33 million. 18 Unfortunately, because most EDs lack readily available dental services, they often are unable to provide comprehensive emergency dental services, 8 requiring patients to seek additional urgent care services from dentists.…”

Section: Current Statusmentioning

confidence: 99%

Expanding the Physician’s Role in Addressing the Oral Health of Adults

Cohen

2013

Am J Public Health

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Many disadvantaged adults visit physicians or hospital emergency departments to receive relief from dental pain. Physicians also see patients with general questions or concerns about their oral health. Unfortunately, because physicians generally have received little oral health training, patients often do not receive comprehensive emergency services or appropriate counseling. This situation has begun to change, as there has been a growing sentiment among the dental and medical communities that better integration and coordination between medicine and dentistry would be beneficial. Reports from the Institute of Medicine and professional associations and foundations reflect the need for better integration. I have outlined the rationale for and progress toward expanding the physician’s role in addressing the oral health of adults.

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Section: Current Statusmentioning

confidence: 99%

Expanding the Physician’s Role in Addressing the Oral Health of Adults

Cohen

2013

Am J Public Health

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“…Use of the emergency department (ED) for management of non-traumatic dental conditions (NTDCs) is a growing problem in the U.S. (Wall, 2012; Lee, Lewis, Saltzman, & Starks, 2012), especially among vulnerable population subgroups such as individuals without health insurance, Medicaid enrollees, and minorities (Lewis, Lynch, & Johnston, 2003; Nalliah, Allareddy, Elangovan, Karimbux, & Allareddy, 2010; Hong et al, 2011; McCormick, Abubaker, Laskin, Gonzales, & Garland, 2013; Okunseri, Okunseri, Chilmaza, Harunani, Xiang, & Szabo, 2013). It is common for State legislatures to eliminate Medicaid dental benefits to balance budgets, which leads to greater unmet dental care needs and subsequent ED admissions (Cohen, Manski, & Hooper, 1996; Wallace, Carlson, Mosen, Snyder, & Wright, 2011).…”

mentioning

confidence: 99%

“…Individuals with poor access to office-based dental care services commonly use the ED for management of dental pain and infection (Dorfman, Kastner, & Vinci, 2001; Patel, Miner, & Miner, 2012). Most studies report individual-level risk factors associated with ED admission for NTDCs (e.g., age, gender, race/ethnicity, income, health insurance status and type) (Wall, 2012; Lee, Lewis, Saltzman, & Starks, 2012; Lewis, Lynch, & Johnston, 2003; Nalliah, Allareddy, Elangovan, Karimbux, & Allareddy, 2010; Hong et al, 2011; McCormick, Abubaker, Laskin, Gonzales, & Garland, 2013; Okunseri, Okunseri, Chilmaza, Harunani, Xiang, & Szabo, 2013; Cohen, Manski, & Hooper, 1996; Wallace, Carlson, Mosen, Snyder, & Wright, 2011). Despite evidence suggesting that individuals with intellectual and developmental disabilities (IDDs) are at risk for dental disease and poor access to timely dental care (Authors, 2011a; Morgan et al, 2012), no published studies to date have examined NTDC-related ED admissions for individuals with IDDs.…”

mentioning

confidence: 99%

“…First, individuals with IDDs are a vulnerable population subgroup whose dental needs are more efficiently managed within office-based dental homes. For instance, NTDC-related ED admissions are costly with per patient charges ranging from $381 to $526 (Nalliah, Allareddy, Elangovan, Karimbux, & Allareddy, 2010; Nagarkar, Kumar, & Moss, 2012). Second, most NTDCs in the ED are managed non-definitively with analgesics or antibiotics, which do not address the underlying cause of dental disease and lead to repeat ED visits (McCormick, Abubaker, Laskin, Gonzales, & Garland, 2013; Davis, Deinard, & Maïga, 2010; Pajewski & Okunseri, 2012).…”

mentioning

confidence: 99%

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U.S. Emergency Department Admissions for Nontraumatic Dental Conditions for Individuals With Intellectual and Developmental Disabilities

Donald¹,

Masterson²,

Wong³

2014

Intellectual and Developmental Disabilities

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We hypothesized that individuals with intellectual and developmental disabilities (IDDs) are more likely to have an emergency department (ED) admission for non-traumatic dental conditions (NTDCs). We analyzed 2009 U.S. National Emergency Department Sample data and ran logistic regression models for children ages 3-17 years and adults ages 18+ years. The prevalence of NTDC-related ED admissions was 0.8% for children and 2.0% for adults. Children with IDDs were at increased odds of NTDC-related ED admission, but this difference was not statistically significant (pOR=1.06; 95% CI=0.91,1.23). Adults with IDDs had significantly lower odds of an ED admission for NTDCs (pOR=0.49;95% CI=0.44,0.54). Children with IDDs are not at increased odds of NTDC-related ED admissions whereas adults with IDDs are at significantly reduced odds.

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“…1 Dental caries take up the majority of oral diseases. Not drastically threatening a person's life, dental caries, however, can cause pain, discomfort, and dysphagia, thus further interfering with the development of children.…”

Section: Introductionmentioning

confidence: 99%

The physical property evaluation of degradation thermoplastic polylactic acid net-reinforced dental filling material

Lin

2013

Journal of Thermoplastic Composite Materials

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Filling materials are used in root end surgery to seal the cavities of teeth and protecting teeth from saliva and bacterial leakage. This study fabricates nonwoven nets using low-melting point polylactic acid (PLA) fibers. Intermediate restorative material (IRM1, a temporary filling material) is made of zinc oxide powder and eugenol solvent with a 3:1 ratio. IRM is then added with PLA fibers or nets to form the fiberreinforced composite filling material (FFM) or net-reinforced composite filling material (NFM), respectively. FFM and NFM are tested in terms of setting time, compressive strength, solubility, and microleakage to compare the difference between the addition of fibers or nets. The results show that FFM with 2% PLA fibers demonstrates an optimal reinforcing effectiveness and does not cause leaking beyond 40 days after being tested. In addition, it also has better compressive strength than IRM and thus provides greater reinforcement.

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Hospital Based Emergency Department Visits Attributed To Dental Caries in the United States in 2006

Cited by 45 publications

References 11 publications

Expanding the Physician’s Role in Addressing the Oral Health of Adults

Expanding the Physician’s Role in Addressing the Oral Health of Adults

U.S. Emergency Department Admissions for Nontraumatic Dental Conditions for Individuals With Intellectual and Developmental Disabilities

The physical property evaluation of degradation thermoplastic polylactic acid net-reinforced dental filling material

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