Abstract：
BACKGROUND:Dental coverage is provided for all children with Medicaid in Washington State. The goal of this study was to illuminate the characteristics of a sample of Medicaid-enrolled children with high dental expenses. METHODS:Dental care utilization data for a 33-month period were obtained from Washington State's Medicaid database. For children, 0 to 6 years, these data were linked with a parent survey addressing oral health behaviors, knowledge, family history of caries, snacking patterns, and access to dental care. Children with dental expenses of $1,000 or more were classified as the "high-expense" group. Risk factors for the high-expense group were evaluated using multiple logistic regression. RESULTS:345 children had at least one dental procedure including preventive and diagnostic care. Among these, 30 children (9 percent) incurred 64 percent of total dental expenses for the entire group. Parent perception of lack of dental coverage was associated with incurring high dental expenses. Children of Asian or Pacific Islander heritage were at disproportionately high risk compared to White children. Age of child and family history of caries were also associated with increased risk for high expenses. CONCLUSIONS:Not all low-income children on Medicaid are at high risk for caries. A combination of factors, including family history of caries and parent's perception of lack of dental insurance coverage, can potentially increase a child's likelihood for high-expense dental treatment. This study highlighted a small group of children with disproportionately high dental expenses. For some, earlier knowledge of coverage may have resulted in more timely access to preventive and diagnostic care, reducing the subsequent need for expensive restorative treatment.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Churchill SS,Williams BJ,Villareale NLdoi
10.1111/j.1752-7325.2007.00046.xsubject
Has Abstractpub_date
2007-10-01 00:00:00pages
199-207issue
4eissn
0022-4006issn
1752-7325journal_volume
67pub_type
杂志文章abstract：:The purpose of this study was to determine the effect of a 48-month preventive dental program on the incidence of root caries in an urban, geriatric, noninstitutionalized population residing in an optimally fluoridated area. The 466 participants were randomly assigned to one of three groups at baseline. Group A (contr...
journal_title：Journal of public health dentistry
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1752-7325.1993.tb02691.x
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVE:Using a cluster randomized trial, this study tested the effectiveness of a dental health education program designed to improve the oral hygiene and dental knowledge of 10-year-old children. METHODS:Thirty-two primary schools in the northwest of England participated. After a baseline assessment of plaque and ...
journal_title：Journal of public health dentistry
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1752-7325.2001.tb03351.x
更新日期：2001-01-01 00:00:00
abstract：:The ADA Acceptance Programs entail a rigorous evaluation of products and offer clear benefits to manufacturers, dental professionals, and consumers alike. This paper outlines the implications of the ADA product-evaluation programs for each of these three constituencies and concludes that while there may be an occasion...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02300.x
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity. METHODS:In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding-hours worked, practice size, payment and patient mix, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00180.x
更新日期：2010-10-01 00:00:00
abstract：:In 1986, the Columbus (Ohio) Health Department conducted an oral health survey of children in grades 1, 2, 6, and 7. The World Health Organization's Pathfinder methodology served as the basis for survey design. The survey was made possible through collaboration and sharing resources among the local and state health de...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1988.tb03178.x
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVE:To explore whether there are socioeconomic, ethnic, and geographical inequalities in dental caries among 12-year-old Chinese children. METHODS:Data from 2,307 12-year-old children living in Guangxi, Hubei, Jilin, and Shanxi and who participated in the Third National Oral Health Survey in China were used for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12091
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:Bottled water consumption in the United States has greatly increased in the past decade. Because the majority of commercial bottled water is low in fluoride, there is the potential for an increase in dental caries. In these secondary data analyses, associations between bottled water use and dental caries wer...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00013.x
更新日期：2007-07-01 00:00:00
abstract：:Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.2000.tb03338.x
更新日期：2000-10-01 00:00:00
abstract：:In order to investigate the similarity and differences between male and female dental students, the Bentler inventories, which utilize both self and peer report formats, were administered to first year students at U.C.L.A. Results indicated that male and female dental students are basically similar in terms of a wide ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1978.tb03742.x
更新日期：1978-07-01 00:00:00
abstract：:The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12412
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVES:The purpose of this paper is to describe the Hispanic/Latino (H/L) dentist workforce, their general practice patterns, and their contributions to oral health care for H/L and underserved patients. METHODS:A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 35....
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12194
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:In the United States, silver diamine fluoride (SDF) is a relatively new, quick, and low-cost method for arresting dental caries. This study's purpose was to identify determinants of the implementation of an SDF protocol for pediatric patients in three safety net clinics to inform future efforts to implement ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12324
更新日期：2019-12-01 00:00:00
abstract：:The purpose of this survey was to determine how frequently various components of oral health education were included in 27 preschool oral health education programs and to compare the frequencies and the various combinations of components. The results of this survey indicate that the most significant problems relate to...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1984.tb03033.x
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVES:To compare the Dean's and DDE indices in examining dental fluorosis and diffuse opacities. METHODS:Survey of a random sample of 9-year-old children in Southland, New Zealand. Dental fluorosis was measured using Dean's index. Enamel defects were recorded using the DDE index. RESULTS:A total of 436 children ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00186.x
更新日期：2010-10-01 00:00:00
abstract：:Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12303
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVES:To assess the prevalence, extent, and risk indicators of tooth loss in a representative young urban population from south Brazil. METHODS:A representative sample was drawn using a multi-stage probability cluster sampling strategy, and consisted of 612 subjects 14-29 years of age in the metropolitan area of ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb02565.x
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to analyze the relationship between oral health behaviors and general health behaviors in adults. METHODS:A total of 2,467 adults (1,208 men and 1,259 women aged 20-59 years) who consulted dentists in Chiba City were administered a questionnaire. RESULTS:Women, older participants, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2003.tb03508.x
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVE:To investigate geographical variations and their relationship to race/ethnicity in dental sealant utilization for first molars among Wisconsin Medicaid enrollees from 2010 to 2013. METHODS:Wisconsin Medicaid dental claims for sealants in children aged 6-16 years were analyzed. County-level population density...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12420
更新日期：2020-11-11 00:00:00
abstract：OBJECTIVES:To test the feasibility of colocating registered dental hygienists (RDHs) into medical practices and to evaluate parent/caregiver oral health characteristics. METHODS:From December 2008 to April 2009, we colocated five RDHs into five medical practices identified for their service to low-income children. Dua...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12010
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (E...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00369.x
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:This study examines the relationships between stated restorative treatment thresholds of 16 dentists and both their restorative decisions and caries depth determinations for approximal tooth surfaces based on bitewing radiographs. METHODS:Sixteen dentists independently examined 15 pairs of experimental bitew...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02433.x
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00324.x
更新日期：2012-07-01 00:00:00
abstract：:The efficacy of communal water fluoridation in reducing dental caries has been reviewed based on surveys conducted in the last decade of caries prevalence in fluoridated and nonfluoridated communities in the United States as well as in Australia, Britain, Canada, Ireland, and New Zealand. The efficacy is greatest for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1989.tb02086.x
更新日期：1989-01-01 00:00:00
abstract：:Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1984.tb03077.x
更新日期：1984-10-01 00:00:00
abstract：OBJECTIVES:The purpose of this cross-sectional study was to identify risk markers and risk indicators for periodontal attachment loss in a remote Canadian community. Of special interest was the association between smoking and periodontal disease experience. METHODS:Data were collected from a convenience sample of 187 ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2002.tb03421.x
更新日期：2002-01-01 00:00:00
abstract：:This paper presents a background discussion of the estimation of normative need for dental care. Definitions are given which differentiate normative need for dental care from perceived need, demand, or utilization. Four different approaches to obtaining estimates of normative need for dental care are outlined. They ar...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1980.tb01049.x
更新日期：1980-10-01 00:00:00
abstract：:Infant caries is an infectious disease with microbiological, dietary, and host risk factors. The disease is of epidemic proportions in immigrant and Native American populations studied. This paper reviews progress in current research and suggests a number of new approaches focusing on behavioral and chemotherapeutic m...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1996.tb02396.x
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVES:This study investigated possible reasons for observed discrepancies in prevalence estimates and measures of association for periodontal disease between phases (1988-91 and 1991-94) of the third National Health and Nutrition Examination Survey (NHANES III). METHODS:NHANES III data on CD-ROM were obtained fro...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1999.tb03237.x
更新日期：1999-04-01 00:00:00
abstract：:In conclusion, as community agencies under P.L. 93-641 embark upon the definition of health status goals, health system goals, and program implementation, dentists have the opportunity to clarify and assist in developing a vigorous approach to meeting dental health needs through primary prevention. Insofar as public h...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1979.tb01835.x
更新日期：1979-01-01 00:00:00
abstract：:It was the purpose of this study to investigate several variables in family structure which might influence the caries experience in 3-12-year-old children for Central Oklahoma. These variables, which included parental age at marriage and at birth of the child for both mother and father, birth rank, family size, and a...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1982.tb04056.x
更新日期：1982-04-01 00:00:00
