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Journal of Public Health Dentistry

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https://read.qxmd.com/read/30741498/projecting-the-economic-impact-of-silver-diamine-fluoride-on-caries-treatment-expenditures-and-outcomes-in-young-u-s-children
#1
Ben Johhnson, Nicoleta Serban, Paul M Griffin, Scott L Tomar
OBJECTIVE: To quantify the economic impact of using silver diamine fluoride (SDF) to arrest the progression of dental caries in Medicaid-enrolled children (aged 1-5 years) relative to the standard restorative treatment from the Medicaid programs' perspective. METHODS: We used Monte Carlo simulation to estimate averted restorative visits and associated expenditures for varying SDF effectiveness and intervention penetration levels. We compared the current standard of care for treating caries to applying SDF...
February 11, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30741490/oral-health-status-of-adults-in-north-carolina-assisted-living-facilities
#2
Rhonda Stephens, Benjamin Alex White
OBJECTIVES: The specific aims of this study were to describe the baseline oral health status of persons residing in North Carolina assisted living facilities and determine how identified oral health problems vary according to resident and facility demographic variables. METHODS: This cross-sectional descriptive epidemiologic study used a statewide random sample of 40 assisted living facilities and a convenience sample of 854 assisted living residents. Dental hygienists and dentists conducted oral screenings on residents using the Association of State and Territorial Dental Director's Basic Screening Survey for Older Adults tool...
February 11, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30716173/diversity-in-the-use-of-specialized-dental-services-by-older-adults-in-the-united-states
#3
John F Moeller, Haiyan Chen, Richard J Manski
OBJECTIVES: We estimated the use of any dental services and the use of specific types of dental services conditional on any dental use for adults 50 and over in the United States to analyze: a) disparities in the use of specialized dental services and b) whether older adults receiving routine dental care use fewer expensive specialized dental services. METHODS: We relied on data tabulations and estimated logistic regressions from the 2014 Medical Expenditure Panel Study to analyze the influence of various covariates such as age, race/ethnicity, education, dental insurance, income, and health status on the likelihood of a) using any dental care and b) using routine dental care (prophylaxis, examinations, bitewings, etc...
February 4, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30716163/analysis-of-the-oral-health-care-network-development-in-minas-gerais-state-brazil
#4
Daniele Lopes Leal, Renata Castro Martins, Natália Cristina Ruy Carneiro, Mauro Henrique Nogueira Guimarães de Abreu, Marcos Azeredo Furquim Werneck, Ana Cristina Borges-Oliveira
OBJECTIVES: This study aimed to analyze the development stage of the oral health care network of the Brazilian Unified Health System in the state of Minas Gerais, Brazil. METHODS: A cross-sectional descriptive and analytical study was conducted with 205 municipal oral health coordinators from the state. Data collection was carried out through a validated questionnaire to analyze the state of development of the oral health care network. Descriptive and cluster analysis were performed, and two clusters were generated...
February 4, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30702747/dental-health-state-utilities-among-dental-patients
#5
Shashidhar Acharya, Shruthi Acharya, Kalyana Chakravarthy Pentapati, William Murray Thomson
OBJECTIVES: To test the efficacy of a dental health state utility measure among a sample of dental patients using the standard gamble (SG) method and to examine its association with two quality of life constructs, namely the Oral Health Impact Profile-14 questionnaire and the global oral health item. METHODS: A cross-sectional study was conducted with a sample of 202 adult dental patients. Demographic and clinical data were collected. The 14 item oral health impact profile (OHIP-14) and Locker's global rating scale for oral health were administered and a SG utility valuation was carried out...
January 31, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30687926/implementation-of-public-health-genomics-and-applications-to-public-health-dentistry
#6
Debra Duquette
National and state public health genomics efforts exist to effectively and responsibly translate genome-based knowledge to improve population health and reduce health disparities. Over the past two decades, public health genomics efforts have utilized the core public health functions of assessment, policy development, and assurance. Current evidence for a small number of genomic applications suggests that many lives could be saved if these were implemented in recommended populations. With the drastic increase in new genetic tests and technologies, multidisciplinary public health genomics efforts that should include public health dentistry are of greater importance...
January 28, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30663768/identifying-and-critically-examining-government-legislation-relevant-to-children-s-dental-caries-in-calgary-alberta-canada-a-health-inequities-lens
#7
Cynthia Weijs, Sara Gobrail, Jack Lucas, Jennifer Zwicker, Lindsay McLaren
OBJECTIVES: Children's dental caries is an important and urgent public health concern that is largely preventable. Using a social equity framework, our objectives were to identify and critically examine government legislation relevant to the issue of children's dental health in Calgary, Alberta, Canada. METHODS: We conducted a systematic, gray literature search of federal, provincial (Alberta), and municipal (Calgary) statutes and bylaws related to children's dental caries, through the relevant law databases...
January 21, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30633355/self-perceived-oral-health-normative-need-and-dental-services-utilization-among-dentate-adults-in-the-united-states-national-health-and-nutrition-examination-survey-nhanes-2011-2014
#8
Folasayo Adunola, Isabel Garcia, Timothy Iafolla, Shahdokht Boroumand, Marushka L Silveira, Margo Adesanya, Bruce A Dye
OBJECTIVE: This study investigated the role of self-perceived oral health and normative need on dental services utilization by US adults aged ≥30 years from the 2011-2014 National Health and Nutrition Examination Survey (NHANES). METHODS: Data on 5,806 dentate adult NHANES participants were analyzed. Key independent variables were self-perceived oral health and normative need assessed by a dentist. The dependent variable was dental visit within the past 12 months...
January 11, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30624773/dental-care-utilization-patterns-and-predictors-in-persons-living-with-hiv-in-british-columbia-canada
#9
Abbas Jessani, Jolanta Aleksejuniene, Leeann Donnelly, J Craig Phillips, Belinda Nicolau, Mario Brondani
OBJECTIVES: To identify the predisposing, enabling, and need factors of the Andersen and Newman (A&N) model and their associations with the pattern of dental service utilization in a sample of people living with HIV (PLHIV) in British Columbia. METHODS: Participants responded anonymously to a 40-item online questionnaire to explore the patterns of dental service utilization. Following the descriptive statistics, the associations between A&N model factors and main outcome variables (having a dental visit in the last year and reasons for the dental visit) were evaluated using simple and multiple logistic regression analyses...
January 9, 2019: Journal of Public Health Dentistry
https://read.qxmd.com/read/30566752/tobacco-screening-and-cessation-efforts-by-dental-providers-a-quality-measure-evaluation
#10
Ana Neumann, Shwetha Kumar, Suhasini Bangar, Krishna Kumar Kookal, Heiko Spallek, Oluwabunmi Tokede, Kristen Simmons, Joshua Even, Joanna Mullins, Elizabeth Mertz, Alfa Yansane, Enihomo Obadan-Udoh, Joel White, Muhammad Walji, Elsbeth Kalenderian
OBJECTIVES: The purpose of this study was to adapt, test, and evaluate the implementation of a primary care "Preventive care and Screening" meaningful use quality measure for tobacco use, in dental institutions. We determined the percentage of dental patients screened for tobacco use, and the percentage of tobacco users who received cessation counseling. METHODS: We implemented the dental quality measure (DQM), in three dental schools and a large dental accountable care organization...
December 19, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30566750/the-building-blocks-of-precision-oral-health-in-early-childhood-the-zoe-2-0-study
#11
Kimon Divaris, Ashwini Joshi
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-restorative management of dental caries, remarkably little has been done in the domain of ECC prevention. There is promise and expectation that meaningful improvements in early childhood oral health and ECC prevention can be made via the advent of precision medicine in the oral health domain...
December 19, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30551265/a-survey-of-us-early-childhood-caries-programs-findings-and-recommendations
#12
Marcie S Rubin, Natali Nunez, Jessica D Quick, Burton L Edelstein
OBJECTIVES: To identify and characterize US early childhood caries (ECC) programs. METHODS: A 39 question online survey was fielded to 245 ECC programs identified from the literature and peer programs. The 101 respondents (41 percent response rate) reported their program's geographic reach, type, areas of focus, target populations, approaches, affiliations, providers, goals, costs, and funding. RESULTS: Half of the programs affiliate with formal early childhood social service or nutrition programs...
December 14, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30551255/children-s-untreated-decay-is-positively-associated-with-past-caries-experience-and-with-current-salivary-loads-of-mutans-streptococci-negatively-with-self-reported-maternal-iron-supplements-during-pregnancy-a-multifactorial-analysis
#13
Surani Fernando, Santhosh Kumar, Mahmoud Bakr, David Speicher, Rodney Lea, Paul A Scuffham, Newell W Johnson
OBJECTIVES: This study explored the association of children's salivary characteristics, past caries experience, birth weight, and reported maternal prenatal vitamin and mineral supplementation with the dental untreated decay of the child. METHODS: This cross-sectional study, a sub-study of Griffith University Environments for Healthy Living birth cohort study, was conducted on 174 mother-child dyads. Mother's prenatal usage of vitamin and mineral supplements; child's birthweight; salivary pH, buffering capacity, and levels of salivary MS and LB were explored as risk indicators...
December 14, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30537185/determinants-of-emergency-department-utilization-for-non-traumatic-dental-conditions-in-massachusetts
#14
Ashwini Ranade, Gary J Young, John Griffith, Raul Garcia, Astha Singhal, Jean McGuire
OBJECTIVES: To study the determinants of emergency department (ED) utilization for non-traumatic dental conditions (NTDCs) by adults in Massachusetts. METHODS: We analyzed patient-level factors associated with ED utilization for NTDCs in Massachusetts during 2013, using the Massachusetts All Payer Claims Dataset. The primary independent variables of interest were use of preventive dental service in the year preceding the ED visit and dental insurance coverage. Key covariates included age, gender, income, day of the ED visit, payer type, and residing in a geographically designated dental health professional shortage area (DHPSA)...
December 10, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30516837/from-high-definition-precision-healthcare-to-precision-public-oral-health-opportunities-and-challenges
#15
REVIEW
Harold C Slavkin
In anticipation of a major transformation in healthcare, this review provides highlights that anticipate the near future for oral public health (and beyond). Personalized or precision healthcare reflects the expectation that advances in genomics, imaging, and other domains will extend our risk assessment, diagnostic, and prognostic capabilities, and enables more effective prevention and therapeutic options for all Americans. Meanwhile, the current healthcare system does not meet cost, access, or quality criteria for all Americans...
December 5, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30516828/periodontal-treatment-needs-in-the-medicaid-patient-population-a-retrospective-study-in-a-us-dental-school
#16
Jennifer M C Sukalski, Susan C McKernan, Gustavo Avila-Ortiz, Marsha A Cunningham-Ford, Fang Qian, Peter C Damiano
OBJECTIVES: The aim of this study was to use electronic health records (EHRs) from a US dental school clinic to retrospectively investigate associations between periodontal treatment needs and insurance type in a newly insured adult Medicaid population. We hypothesized that newly insured Medicaid patients, covered by the Iowa Dental Wellness Plan (DWP), would display greater need for treatment than patients with other sources of financing. METHODS: A retrospective chart review of EHRs of patients at the University of Iowa College of Dentistry and Dental Clinics (UI COD) from 2014 to 2016 was completed...
December 5, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/30485438/association-of-food-insecurity-with-early-childhood-caries
#17
Matina V Angelopoulou, S D Shanti, Cesar D Gonzalez, Ashley Love, Jeffrey Chaffin
OBJECTIVES: The aim of this study was to examine the association of food insecurity on the prevalence of dental caries in preschool children. METHODS: Eighty-two children, aged 12-71 months old, from the Marquette University School of Dentistry Community South Clinic and their caregivers participated in this cross-sectional study. Following informed consent, parents completed the validated six-item US Department of Agriculture food insecurity questionnaire and questions regarding demographic information and family structure...
November 28, 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/28884829/preventive-dental-care-among-medicaid-enrolled-senior-adults-from-community-to-nursing-facility-residence
#18
Mary C Kelly, Daniel J Caplan, Mercedes Bern-Klug, Howard J Cowen, Marsha A Cunningham-Ford, Leonardo Marchini, Elizabeth T Momany
OBJECTIVE: The primary objective of this study was to determine whether the utilization rate of preventive oral health care services while senior adults were community-dwelling differed from the rate after those same senior adults were admitted to nursing facilities. A secondary objective was to evaluate other significant predictors of receipt of preventive oral health procedures after nursing facility entry. METHODS: Iowa Medicaid claims from 2007-2014 were accessed for adults who were 68+ years upon entry to a nursing facility and continuously enrolled in Medicaid for at least three years before and at least two years after admission (n = 874)...
December 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/28805253/temporal-association-of-implementation-of-the-arizona-health-care-cost-containment-system-ahcccs-with-changes-in-dental-related-emergency-department-visits-in-maricopa-county-from-2006-to-2012
#19
Ahmed Mohamed, Brooke Alhanti, Mac McCullough, Kate Goodin, Kirsten Roling, Larry Glickman
OBJECTIVE: To evaluate changes in emergency department (ED) dental-related visits in Maricopa County before and after the elimination of dental benefits for adult Medicaid-insured patients as of October 2010. METHODS: Hospital visits extracted from a hospital discharge dataset were used to calculate a yearly rate ratio of dental-related versus non-dental-related ED visits (as a comparison group) for adults, children, and payer types. Changes in ED visits over time were evaluated from 2006 to 2012...
December 2018: Journal of Public Health Dentistry
https://read.qxmd.com/read/28771746/evaluation-of-enrollee-satisfaction-with-iowa-s-dental-wellness-plan-for-the-medicaid-expansion-population
#20
Julie C Reynolds, Susan C McKernan, Jennifer M C Sukalski, Peter C Damiano
BACKGROUND: Dental coverage for Iowa's Medicaid expansion population is provided through the Dental Wellness Plan (DWP), implemented in May 2014. The plan targets healthy behavior incentives via an earned benefits structure, whereby additional services are covered if enrollees return every 6-12 months for routine dental visits. This study examines enrollee satisfaction with the DWP. METHODS: We surveyed a random sample of DWP enrollees 1 year after program implementation about their experiences...
December 2018: Journal of Public Health Dentistry
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