scholarly journals A Cross-Sectional Analysis of Oral Health Spending Over the Lifespan in Commercial and Medicaid Insured Populations

2021 ◽  
Author(s):  
Eric Tranby ◽  
Julie Frantsve-Hawley ◽  
Myechia Minter-Jordan ◽  
James Thommes ◽  
Matt Jacob ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Cancer ◽  
Dental Care ◽  
Care Delivery ◽  
Health Spending ◽  
Dental Service ◽  
Fee For Service ◽  
Cross Sectional ◽  
Medical Spending ◽  
Ibm Watson

Background: Life course theory creates a better framework to understand how oral health needs and challenges align with specific phases of the lifespan, care models, social programs, and changes in policy. Methods): Data are from the 2018 IBM Watson Multi-State Medicaid Marketscan Database (31 million claims) and the 2018 IBM Watson Dental Commercial and Medicare Supplemental Claims Database (45 million claims). Analysis compares per enrollee spending fee-for-service dental claims and medical spending on dental care from ages 0 to 89. Results: Dental utilization and spending are lower during the first 4 years of life and in young adulthood than in other periods of life. Stark differences in the timing, impact, and severity of caries, periodontal disease, and oral cancer are seen between those enrolled in Medicaid and commercial dental plans. Early childhood caries and oral cancer occur more frequently and at younger ages in Medicaid populations. Conclusions: This unique lifespan analysis of the U.S. multi-payer dental care system demonstrates the complexities of the current dental service environment and a lack of equitable access to oral healthcare. Practical Implications: Health policies should be focused on optimizing care delivery to provide effective preventive care at specific stages of the lifespan.

Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012–2015

2021 ◽  
pp. 238008442110285
Author(s):  
H. Lee ◽  
E. Tranby ◽  
L. Shi
Keyword(s):  
Risk Assessment ◽  
Oral Health ◽  
Prenatal Care ◽  
Service Utilization ◽  
Dental Care ◽  
White Women ◽  
Dental Service ◽  
Pregnancy Risk ◽  
Lower Odds ◽  
Dental Visits

Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status. Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015. Results: Only about half of the women (51.7%) reported that they had at least 1 dental visit for cleaning during their most recent pregnancy. One of 5 women (19.7%) experienced dental problems during pregnancy, and 34.4% of these women did not visit dentists to address the problems. Non-Hispanic Black women had 14% lower odds of visiting dentists for cleaning during pregnancy compared to non-Hispanic White women (odds ratio [OR], 0.86; 95% CI confidence interval [CI], 0.80–0.92). There was no difference in dental visits prior to pregnancy between non-Hispanic Black and White women. Women enrolled in Medicaid showed significantly lower odds of visiting dentists for cleaning during pregnancy compared to women covered by private health insurance (OR, 0.55; 95% CI, 0.52–0.58). Conclusion for Practice: Oral health, as an integral part of primary care, needs to be included in the standard prenatal care through oral health education and timely dental care during pregnancy. With mounting evidence of persisting disparities in dental service utilization during pregnancy, both public and private prenatal programs and policies should address specific barriers in accessing and using dental care during pregnancy, especially for women from socially disadvantaged backgrounds. Knowledge Transfer Statement: The current study updated the previous findings with more recent multiyear PRAMS data (2012–2015) and found the Black-White disparity and disparity among Medicaid-enrolled women in visiting dentists during pregnancy persist. The results of this study can be used by policymakers and practitioners to integrate oral health into prenatal care for pregnant women from marginalized backgrounds to achieve oral health parity.

scholarly journals Periodontal condition of adolescents and associated factors

2019 ◽  
Vol 67 ◽  
Author(s):  
Marise Fagundes SILVEIRA ◽  
Rafael Silveira FREIRE ◽  
Maria Fernanda Santos Figueiredo BRITO ◽  
Andrea Maria Eleutério de Barros Lima MARTINS ◽  
Luiz Francisco MARCOPITO
Keyword(s):  
Public Schools ◽  
Oral Health ◽  
Sampling Method ◽  
Population Based ◽  
Dental Service ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Population Based Study ◽  
Periodontal Condition ◽  
Type Of School

ABSTRACT Objective: This study aimed to describe the periodontal condition of adolescents and identify its potential determinants. Methods: This is a cross-sectional population-based study (n=763) conducted in a city in Northern Minas Gerais. Multistage probability cluster sampling method was used. Trained and calibrated professionals carried out the intraoral examinations and the interviews at the participants’ homes. Logistic regression model was used to identify the factors associated with the periodontal condition. Results: It was found that around 30% of the adolescents presented periodontal changes, being gingival bleeding (14.1%) and dental calculus (14.0%) the most prevalent impairments. Periodontal changes were associated in adolescents who did not attend school (OR=1,9; p=0.031), attended public schools (OR=2,0; p=0.005), never went to the dentist (OR=1,7; p=0,047), used public/philanthropic services (OR=1,7; p=0,002), smoked (OR=1,6; p=0,003), consumed alcohol (OR=1,6; p=0,016) and self-perceived their oral health as too bad/bad (OR=2,4; p=0,032) and regular (OR=1,5; p=0,023). Conclusion: About one-third of adolescents have periodontal changes, which were associated with the type of school and type of dental service they attend, smoking, alcohol consumption and self-perception of oral health.

scholarly journals Location of community pharmacies and prevalence of oral conditions in the Western Cape Province

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Feroza Amien ◽  
Neil G. Myburgh ◽  
Nadine Butler
Keyword(s):  
Oral Health ◽  
Oral Cancer ◽  
Community Pharmacists ◽  
Health Problems ◽  
Health Conditions ◽  
Community Pharmacies ◽  
Western Cape ◽  
Western Cape Province ◽  
Cross Sectional Survey ◽  
Cross Sectional

Community pharmacists are approached regularly for oral health advice; most commonly for ulcers which could be indicative of oral cancer, HIV, and various systemic diseases. Community pharmacists should know how to manage these conditions yet they have very limited training to manage these conditions appropriately. The area location and socioeconomic status (SES) of the pharmacy should be considered as it may influence patient management. A study of this nature has not yet been conducted in the Western Cape Province of South Africa. To determine the prevalence and frequency of oral complaints at community pharmacies and if these parameters differ by metropolitan location and SES. A cross-sectional survey of 162 randomly-selected private sector pharmacies was conducted. The sample (n = 121) was stratified by SES and metropolitan location. An open-ended structured questionnaire was faxed to pharmacists. A telephonic interview was conducted a day later. Community pharmacists were asked about the frequency and type of oral health problems they encountered. Most pharmacists (91%) dealt with oral health problems frequently, most commonly for ulcers (55.8%), thrush (49.2%), and toothache (33.3%). The results did not differ by metropolitan location and SES (Chi-squared, Fisher’s Exact, p > 0.05), with the exception of toothache and mouth sores. Community pharmacists are an important part of an interdisciplinary team, and play a definite role in the early detection of oral health conditions, namely, caries, HIV and oral cancer. Training on common oral health conditions should be included in undergraduate pharmacy curricula and continuous professional development courses.Gemeenskapsaptekers word gereeld genader vir advies rakende mondgesondheid, hoofsaaklik mondsere wat ’n aanduiding kan wees van mondkanker, MIV en verskeie sistemiese siektes. Gemeenskapsaptekers moet weet hoe om hierdie kwessies te hanteer. Die ligging van die area en die sosio-ekonomiese status (SES) van die apteek moet in ag geneem word aangesien dit ’n invloed mag hê op die hantering van die pasiënt. ’n Studie van hierdie aard is nog nie in die Wes-Kaap Provinsie van Suid-Afrika onderneem nie. Die doel van hierdie studie is om die voorkoms en herhaling van klagtes oor mondsiektes by gemeenskapsapteke te bepaal en of hierdie parameters verskil na gelang van metropolitaanse ligging en SES. ’n Deursnee-opname van 162 ewekansig geselekteerde privaat sektor-apteke is onderneem. Die steekproef (n = 121) is gestratifiseer ten opsigte van SES en metropolitaanse ligging. ’n Oopeinde gestruktureerde vraelys is aan apteke gefaks. ’n Telefoniese onderhoud is ’n dag later gevoer. Gemeenskapsaptekers is gevra na die herhaling van en die tipe mondgesondheidsprobleme wat hulle teëgekom het. Die meeste aptekers (91%) het dikwels met mondprobleme te doen gekry, meestal mondsere (55.8%), mondsproei (49.2%) en tandpyn (33.3%). Die bevindinge het nie verskil na gelang van metropolitaanse ligging en SES (Chi-kwadraat, Fisher se eksakte toets, p > 0.05) nie, met die uitsondering van tandpyn en mondsere. Gemeenskapsaptekers vorm ’n belangrike deel van ’n interdissiplinêre span, en speel ’n definitiewe rol in die vroeë opsporing van mondgesondheidstoestande, naamlik tandverrotting, MIV en mondkanker. Opleiding in algemene mondgesondheidstoestande behoort deel te vorm van voorgraadse aptekerskurrikulums en voortgesette professionele ontwikkelingskursusse.

scholarly journals A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

2019 ◽  
Vol 7 (23) ◽  
pp. 4131-4136
Author(s):  
Zainab Albasry ◽  
Bayan Alhaddad ◽  
Mashael Abdullah Benrashed ◽  
Asim Al-Ansari ◽  
Muhammad Ashraf Nazir
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Treatment ◽  
Care Utilization ◽  
Eastern Province ◽  
Cross Sectional ◽  
Dental Visits ◽  
Dental Problem

BACKGROUND: Oral and systemic problems are common among pregnant women. Routine dental visits are important for the maintenance of optimal oral health which is linked with systemic health. AIM: To evaluate dental care utilization and related factors among pregnant women in the Eastern province of Saudi Arabia. METHODS: This cross-sectional study was conducted in hospitals and healthcare centers in the cities of Khobar, Dammam, and Qatif in the Eastern province of Saudi Arabia. A piloted tested self-administered questionnaire available in Arabic and English languages was distributed among a calculated sample of 341 pregnant women. Pearson's chi-square test and multiple logistic regression analyses were performed. RESULTS: In the study, 270 questionnaires were analyzed giving a response rate of 79.2%. Mean age of the participants was 29 ± 5.9 years. There were 43.7% pregnant women who received dental treatment when they have a dental problem and only 13.7% performed routine dental visit. Half the sample (52.6%) avoided dental visits during pregnancy and dental treatment being unsafe was the most common reason for avoiding dental visits. After adjustment, routine dental visits during pregnancy were 7.38 times higher among Saudis compared with non-Saudis women (p 0.05). The participants who had a negative perception about the safety of dental treatment had significantly lower odds (OR 0.31, p 0.036) of dental attendance for routine dental visits. CONCLUSION: Routine dental visits were low among pregnant women and many visited dentists when they had a dental problem. Negative perception about the safety of dental treatment was associated with reduced regular dental visits during pregnancy. Pregnant women should be educated about the importance of receiving dental care for the maintenance of optimal oral health.

scholarly journals Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254310
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Arthur de Almeida Medeiros ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Oral Health ◽  
Multilevel Analysis ◽  
Behavioral Model ◽  
Dental Service ◽  
Individual Factors ◽  
Service Utilisation ◽  
Health Coverage ◽  
Dental Services ◽  
Cross Sectional ◽  
Public Dental Service

Background This study verified the association between contextual and individual factors and public dental services utilisation in Brazil. Methods The study was conducted based on a cross-sectional population-based household survey performed in Brazil (National Health Survey– 2019)). Data was collected between August 2019 and March 2020. Total sample included 43,167 individuals aged ≥15 years who had at least one dental appointment in the last 12 months before interview. Study outcome was ‘public dental service utilisation’, and Andersen’s behavioral model was adopted for selecting independent variables. A multilevel analysis was performed using individual factors as first level and federation units as second level. Results The highest prevalence of public dental service utilisation on an individual level was observed among unable to read or write people (PR: 3.31; p<0.001), indigenous (PR: 1.40; p<0.001), black or brown (PR: 1.16; p<0.001), with per capita household income of up to U$124 (PR: 2.40; p<0.001), living in the rural area (PR: 1.28; p<0.001), and who self-rated oral health as regular (PR: 1.15; p<0.001) or very bad/bad (PR: 1.26; p<0.001). On the contextual level, highest PR of public dental service utilisation was observed among those living in federal units with increased oral health coverage in primary health care. Conclusions Public dental service utilisation is associated with individual and contextual factors. These results can guide decision-making based on evidence from policymakers, demonstrating the potential for mitigating oral health inequalities and increasing service coverage in a public and universal health system.

scholarly journals Kesehatan Gigi Mulut dan Pemanfaatan Pelayanan Kesehatan Gigi Mulut pada Ibu Hamil (Studi Pendahuluan di Wilayah Puskesmas Serpong, Tangerang Selatan)

2015 ◽  
Vol 20 (2) ◽  
pp. 193 ◽  
Author(s):  
Rani Anggraini ◽  
Peter Andreas
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Health Problem ◽  
Health Knowledge ◽  
Dental Health ◽  
Oral Health Status ◽  
Cross Sectional ◽  
Dental Health Services

Kehamilan memiliki efek penting pada kesehatan mulut terkait perubahan hormonal, pola makan dan perilaku. Wanita hamil menjadi sangat rentan terhadap penyakit gingiva dan periodontal. Kondisi kesehatan gigi dan mulut ibu hamil yang buruk dapat memberikan dampak seperti kelahiran prematur, dan bayi dengan berat badan lahir rendah (BBLR). Tujuan penelitian ini untuk memperoleh gambaran kesehatan gigi mulut ibu hamil, pengetahuan kesehatan gigi mulut dan pemanfaatan pelayanan kesehatan gigi mulut pada ibu hamil. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Wawancara terstruktur melibatkan 34 ibu hamil di wilayah kerja Puskesmas Serpong. Pertanyaan meliputi karakteristik responden, tindakan pemeliharaan kesehatan gigi, keluhan atau masalah terkait kesehatan gigi, pengetahuan kesehatan gigi mulut dan kunjungan ke dokter gigi pada ibu hamil. Data deskriptif di Analisis secara Bivariat menggunakan Uji ChiSquare untuk melihat hubungan sosiodemografi, masalah kesehatan gigi dan pengetahuan kesehatan gigi terhadap kunjungan perawatan kesehatan gigi. Hasil penelitian menunjukkan bahwa lebih dari setengah jumlah responden ibu hamil (52,94%) merasa keadaan kesehatan gigi mulut mereka baik dan 61,8% tidak memiliki masalah kesehatan gigi mulut. Sejumlah 55,9% responden mengaku belum pernah mendapatkan informasi mengenai pentingnya kesehatan gigi mulut selama kehamilan. Hanya sekitar 35,5% responden yang ke dokter gigi kurang dari 1 tahun yang lalu. Terdapat hubungan signifikan antara masalah Kesehatan Gigi Mulut terhadap pengetahuan kesehatan gigi mulut ibu hamil dan kunjungan perawatan kesehatan gigi. Kesimpulan penelitian adalah adanya keluhan dan masalah kesehatan gigi mulut pada ibu hamil berpengaruh pada kunjungan perawatan kesehatan gigi mulut saat kehamilan dan terkait pengetahuan yang dimiliki mengenai kesehatan gigi mulut saat kehamilan.Oral Health and Dental Visit of Pregnant Women (Pilot Study in Serpong, South Tangerang). Pregnancy has a significant effect on oral health-related hormonal changes, diet and behavior. Pregnant women become very susceptible to gingival and periodontal disease. Oral health condition of pregnant women may adversely bring impacts such as preterm low birth weight (PLBW). The aim of this study is to gain an overview of oral health status, knowledge and use of dental care service in pregnant women. This was a descriptive study with cross sectional approach. The structured interviews involved 34 pregnant women in Puskesmas Serpong. The questions included the characteristics of the respondents, oral health care practice, problem related to oral health during pregnancy, oral health knowledge and dental health service utilization in pregnant women. Chi-squares test were conducted to examine bivariable relationships between sociodemographic, oral health status and knowledge to dental health services utilization. The results show that more than half of pregnant woman respondents (52.94%) descibed their oral health as good and 61.8% did not have any dental health problems. As many as 55.9% of the respondents had knowledge about the importance of oral dental health during pregnancy. Only about 35.5% of the respondents visited dentists in the last one year. There is a significant correlation between dental health problem and dental health knowledge of pregnant women to the use of dental health services. The conclusion from this study is that dental health problem in pregnant women affects the utilization of dental care during pregnancy and is associated with the knowledge about dental health during pregnancy.

Maternal Oral Health: An Examination Survey Conducted in Three Referral Hospitals in Bhutan

2018 ◽  
Vol 4 (1) ◽  
pp. 23-32
Author(s):  
Sonam Ngedup ◽  
Mary Alice Lee ◽  
Dorji Phurpa ◽  
Neyzang Wangmo
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Periodontal Diseases ◽  
Permanent Teeth ◽  
Modifiable Risk Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Referral Hospitals

Background: Good oral health is important for women during pregnancy and throughout their lives. Mothers with good oral health are less likely to transmit cariogenic bacteria to their infants and toddlers. Thus, maternal oral health is directly related to family health. Objective: To determine the prevalence of dental caries, periodontal diseases and modifiable risk factors among pregnant women seeking antenatal care in three referral hospitals in Bhutan. Methods: A descriptive cross-sectional survey of pregnant women was conducted in April-May 2017. We used a non-probability sampling method to recruit pregnant women (n=443). Oral examinations were done according to methods recommended by the WHO. Participants completed a questionnaire for modifiable risk factors. Results: Overall, caries prevalence was 40% among pregnant women, ranging from 54% in those under 25 to 81% in women 35 and older. The mean decayed, missing and filled permanent teeth (DMFT) was 1.93 (SD=2.66). Nearly 72% of women had calculus on their teeth. Just over 2% had periodontitis. Most women rated their oral health as good to excellent (89%) versus poor (11%). Just 11% reported having had dental care during pregnancy. Conclusions: There is an urgent need for professional dental care during pregnancy, especially among older and multiparous women. Increasing awareness on the importance of oral health during pregnancy will improve maternal health and the health of their young children.

scholarly journals Dental care for early childhood in Brazil

2019 ◽  
Vol 53 ◽  
pp. 15 ◽  
Author(s):  
Gustavo Essvein ◽  
Alexandre Baumgarten ◽  
Rafaela Soares Rech ◽  
Juliana Balbinot Hilgert ◽  
Matheus Neves
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Dental Care ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Dental Care For Children ◽  
Cross Sectional ◽  
Early Childhood Health ◽  
Dental Procedures ◽  
Access And Quality

OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.

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