Comparing medical and dental providers of oral health services on early dental caries experience

A.M. Kranz, R.G. Rozier, J.S. Preisser, S.C. Stearns, M. Weinberger and J.Y. Lee

American Journal of Public Health, 2014, vol. 104, issue 7, e92-e99

Abstract: Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999-2006) to oral health surveillance data (2005-2006). Regression models estimated oral health status (number of decayed, missing, and filled primary teeth) and untreated disease (proportion of untreated decayed teeth), with adjustment for relevant characteristics and by using inverse-probability-of-treatmentweights to address confounding. Results. We analyzed data for 5235 children with 2 or more oral health visits from a PCP, dentist, or both. Children with multiple PCP or dentist visits had a similar number of overall mean decayed, missing, and filled primary teeth in kindergarten, whereas children with only PCP visits had a higher proportion of untreated decayed teeth. Conclusions. The setting and provider type did not influence the effectiveness of preventive oral health services on children's overall oral health. However, children having only PCP visits may encounter barriers to obtaining dental treatment.

Keywords: ancestry group; article; dental caries; dentist; female; health survey; human; infant; insurance; male; medicaid; organization and management; preschool child; primary health care; statistics; United States, Child, Preschool; Continental Population Groups; Dental Caries; Dentists; DMF Index; Female; Humans; Infant; Insurance Claim Review; Male; Medicaid; North Carolina; Primary Health Care; United States (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301972_4

DOI: 10.2105/AJPH.2014.301972

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