Disease Management of Early Childhood Caries: Results of a Pilot Quality Improvement Project

2012 ◽  
Vol 23 (3A) ◽  
pp. 193-209 ◽  
Author(s):  
Man Wai Ng ◽  
Gay Torresyap ◽  
Alex White ◽  
Patrice Melvin ◽  
Dionne Graham ◽  
...  
Keyword(s):  
Early Childhood ◽  
Quality Improvement ◽  
Disease Management ◽  
Early Childhood Caries ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Childhood Caries

scholarly journals Disease Management of Early Childhood Caries: ECC Collaborative Project

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Man Wai Ng ◽  
Francisco Ramos-Gomez ◽  
Martin Lieberman ◽  
Jessica Y. Lee ◽  
Richard Scoville ◽  
...  
Keyword(s):  
Early Childhood ◽  
Disease Management ◽  
Health Care Providers ◽  
Early Childhood Caries ◽  
Standard Of Care ◽  
The United States ◽  
Care Providers ◽  
Restorative Treatment ◽  
Wide Scale ◽  
Childhood Caries

Until recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease. Despite costly surgeries and reparative treatment, the onset and progression of caries are likely to continue. A successful rebalance of risk and protective factors may prevent, slow down, or even arrest dental caries and its progression. An 18-month risk-based chronic disease management (DM) approach to address ECC in preschool children was implemented as a quality improvement (QI) collaborative by seven teams of oral health care providers across the United States. In the aggregate, fewer DM children experienced new cavitation, pain, and referrals to the operating room (OR) for restorative treatment compared to baseline historical controls. The teams found that QI methods facilitated adoption of the DM approach and resulted in improved care to patients and better outcomes overall. Despite these successes, the wide scale adoption and spread of the DM approach may be limited unless health policy and payment reforms are enacted to compensate providers for implementing DM protocols in their practice.

Cost-effectiveness of a disease management program for early childhood caries

2014 ◽  
Vol 75 (1) ◽  
pp. 24-33 ◽  
Author(s):  
Mihail Samnaliev ◽  
Rashmi Wijeratne ◽  
Eunhae Grace Kwon ◽  
Henry Ohiomoba ◽  
Man Wai Ng
Keyword(s):  
Early Childhood ◽  
Cost Effectiveness ◽  
Disease Management ◽  
Disease Management Program ◽  
Early Childhood Caries ◽  
Management Program ◽  
Childhood Caries
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