The Effects of Medical Well Baby Visits in Promoting Earlier First Dental Visits for Children

Park, Sungchul; Momany, Elizabeth T.; Jones, Michael P.; Kuthy, Raymond A.; Askelson, Natoshia M.; Wehby, George L.; Damiano, Peter C.; L, D

doi:10.1177/2380084417728237

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…It was found that children in more recent cohorts had significantly higher rates of first dental visits compared to those born in earlier cohorts. In addition, children between the ages of 1 and 3 y with more WCVs had significantly greater first dental visit rates compared to those with fewer WCVs (Park et al 2018). Although these studies provided some evidence for the positive influence of WCVs on early dental visits, this evidence was limited to only 1 state.…”

Section: Introductionmentioning

confidence: 99%

Association between Medical Well-Child Visits and Dental Preventive Visits: A Big Data Report

Tiwari¹,

Rai²,

Brow³

et al. 2019

JDR Clinical & Translational Research

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Objective: This study evaluated the impact of well-child visits (WCVs) on promoting preventive visits to the dentist. Effects by age, race, gender, and dental diagnosis were investigated. Methods: Administrative claims data for 1.85 million Medicaid-enrolled children aged 4 or less in 13 states in 2013 were identified from the Truven MarketScan Medicaid Database. A cohort for all children who had a WCV in 2013 was generated and followed for 365 d to identify the date of closest preventive dental visit. Results: The cohort included 1,308,719 Medicaid-enrolled children with a WCV in 2013. Three percent of children under the age of 1 with a WCV had an oral health assessment within 1 y compared to only 0.4% of all Medicaid-enrolled children in that age group. Similar patterns were seen in all age groups: age 1 (13% vs. 9%), age 2 (32% vs. 23%), age 3 (50% vs. 37%), and age 4 (59% vs. 48%). On average, about 1.4% of children received an oral health assessment during their WCV, and another 0.6% were diagnosed with a dental condition. These children had a higher proportion of visits to the dentist for a preventive visit after a WCV. Children of all races (White, Hispanic, and Black) with a prior WCV had higher preventive dental compared to total enrolled. However, Hispanic children with a WCV reported the highest preventive dental visits within 1 y (White 24%, Black 29%, and Hispanic 46%). Furthermore, Hispanic children visited the dentist earlier than White and Black children; 16.9% of Hispanic children visited the dentist within 90 d of the WCV compared to 8.5% of White and 10% of Black children. Conclusion: This study demonstrated increased utilization of dental preventive visits for the children who received a well-child visit. Knowledge Transfer Statement: Results of this study indicate a higher number of preventive dental visits for children with prior WCV. Clinical implications of this study would be to continually increase and promote the inclusion of oral health within primary care. This can increase the likelihood of preventative dental visits and, ultimately, better dental health in children.

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Section: Introductionmentioning

confidence: 99%

Association between Medical Well-Child Visits and Dental Preventive Visits: A Big Data Report

Tiwari¹,

Rai²,

Brow³

et al. 2019

JDR Clinical & Translational Research

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“…9,21 A recent US study found that the proportion of children with an FDV in recent cohorts has dramatically improved since earlier ones because more physicians have been making dental referrals since the AAP's endorsement for first-birthday dental visits. 26 Unfortunately, in this region physicians are seldom trained to incorporate oral health into their practice. A recent local study found that only 21.9% of paediatricians were familiar with the AAP oral health guidelines.…”

Section: F I G U R Ementioning

confidence: 99%

Timing, reasons, and predictors for first dental visits among children seen at two university hospitals

Farsi,

Albadawi

et al. 2024

Int J Paed Dentistry

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BackgroundDental caries is the most common chronic childhood disease. The recommended age for the first dental visit (FDV) is 1 year, yet a minority of children visit before the age of 3 years.AimThe aim of the study was to estimate the patterns of and predictors for dental visits among a sample of children.DesignParents of children between the ages of 6 months and 18 years, who attended the paediatric dentistry clinics and the well‐baby clinics, were recruited. A validated questionnaire was used to collect data. Logistic regression was utilized to assess the predictors of ever visiting a dentist.ResultsThe mean age at FDV was 5.8 ± 2.1 years. Parents' belief of not needing to see a dentist was the most common barrier to visiting a dentist (33%). Among the reasons for FDV, caries and pain were the most common (45% and 20%, respectively). Predictors of ever visiting a dentist were children who are not an only child and children of parents who visited a dentist themselves.ConclusionChildren visited the dentist at an age older than that recommended, and the reasons for FDV were mainly caries and its consequences.

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“…Unlike dentists, pediatricians generally see children in their first week of life, followed by regular, periodic visits throughout the first three years of their lives for optimal care [24]. Almost all children see a physician for multiple medical well-baby visits in their first two years of life and are likely to see a physician as many as 13 times before they ever visit a dentist, especially since primary medical care is more accessible than dental care for many families [25][26][27]. In these routine check-up visits, primary care physicians administer immunizations, track growth and development, and manage and monitor any concerns the child's parents may have [24].…”

Section: Introductionmentioning

confidence: 99%

Oral Health Knowledge, Attitudes, and Clinical Practices of Pediatricians and Pediatric Residents: A Cross-Sectional Study

Farsi,

Alagili

2023

Cureus

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BackgroundPediatricians are the first line in the provision of healthcare for children. They can make an important contribution to the oral health of their patients because they usually see children and parents early and frequently in life. This study aims to assess the pediatricians' and pediatric residents' oral health knowledge, attitudes, and practices with patients. MethodsA structured English survey was developed based on previous surveys in the literature. It collected data on oral health knowledge, attitudes, and practices. Pediatricians were visited and invited to take the survey. A link to the survey was sent via email to all pediatric residents. An oral health practice score was created based on participants' responses to the practice questions, and a linear regression assessed its predictors. Frequencies of oral health knowledge, attitudes, and practices were presented and compared between both groups by the chi-square test. ResultsA total of 218 pediatricians and residents were surveyed. The oral health knowledge was low overall, but it was higher among pediatricians, 10.0±1.9, compared to the residents, 8.2±2.5 (P<0.001). The attitude ranged from 66.3% agreeing with the statement "Limited time with patients makes it difficult to integrate oral health into primary care practice" to 87.4% agreeing with the statement "Primary healthcare physicians should know their local dentists to facilitate dental referral and treatment." Overall, pediatricians practice positive oral health behaviors more than pediatric residents, and higher knowledge levels predicted more positive oral health practices. ConclusionDespite acknowledging their important role in promoting oral health, pediatricians' and future pediatricians' knowledge is poor, and their participation in oral health continues to be limited. The potential for the non-dental workforce to greatly improve children's oral health is underexploited. The healthcare system should seek to integrate medical and dental practices better. Incorporating oral health into residency programs and providing continuous education courses are strongly encouraged.

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The Effects of Medical Well Baby Visits in Promoting Earlier First Dental Visits for Children

Cited by 4 publications

References 23 publications

Association between Medical Well-Child Visits and Dental Preventive Visits: A Big Data Report

Association between Medical Well-Child Visits and Dental Preventive Visits: A Big Data Report

Timing, reasons, and predictors for first dental visits among children seen at two university hospitals

Oral Health Knowledge, Attitudes, and Clinical Practices of Pediatricians and Pediatric Residents: A Cross-Sectional Study

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