scholarly journals The Effect of Well Child Visit Location on Preventative Dental Visit

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 191
Author(s):  
Tamanna Tiwari ◽  
Jennie Marinucci ◽  
Eric P. Tranby ◽  
Julie Frantsve-Hawley

Recent emphasis has been placed on the integration of dental and medical primary care in an effort to promote recommendations from both American Academy of Pediatrics (AAP) and American Academy of Pediatric Dentistry (AAPD) that highlight the importance of preventing, intervening, and managing oral disease in childhood. The study aims to provide a population level insight into the role of location of service of medical well-child visit (WCV) and its association to preventative dental visit (PDV) for children between the ages of 0–20 years. Administrative claims data for 3.17 million Medicaid-enrolled children aged 0 to 20 years of age in 13 states in 2016 and 2017 were identified from the IBM Watson MarketScan Medicaid Database. Descriptive and survival analysis reveals most Medicaid enrolled children receive their WCV at an office and hospital, as compared to federally qualified health center, or rural or public health clinic. Further, this study demonstrates increased utilization of dental preventive services for children who receive a WCV. Hispanic children, female children, and children 5–9 years of age had a higher rate of PDV after a WCV at all three locations. This study contributes to the understanding of medical-dental integration among Medicaid-enrolled children and offers insight into the promotion of oral health prevention within medical primary care.

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 581-582
Author(s):  
ROBERT J. HAGGERTY

The Centers for Disease Control (CDC) recently recommended that the vaccines usually given at the 15- and 18-month visits could be given simultaneously at 15 months, thereby omitting the 18-month well-child visit. There is little doubt that measles-mumps-rubella (MMR) immunization, now recommended by the American Academy of Pediatrics to be given at 15 months of age, and the diphtheria-tetanus-pertussis (DTP) and oral polio booster immunizations, now recommended to be given at 18 months of age, could be given together with no problem at 15 months. But this is not a good enough reason to abandon the 18-month well-child visit. Although I will not argue that we have solid evidence for the effectiveness of any well-child procedures other than immunizations, I believe that the 18-month visit is one of the more important ones and should not be discontinued for all children.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 240-242
Author(s):  
James R. Little

I see that male genitalia are once again conspicuous in the pages of the Green Journal.1-3 I was horrified to read and see what is happening to young males in the Phoenix area, as described in the article by Bergeson et al.1 Their primary care pediatricians are threatened with litigation. All for a common, normal developmental phenomenon, whose only treatment should be simple reassurance. I first became aware of this "problem" 15 or 20 years ago when an occasional father would show up for the 9- or 12-month well-child visit.


2020 ◽  
Vol 20 (2) ◽  
pp. 234-240
Author(s):  
Maya I. Ragavan ◽  
Kevin N. Griffith ◽  
John D. Cowden ◽  
Jeffrey D. Colvin ◽  
Megan Bair-Merritt

2009 ◽  
Vol 33 (3) ◽  
pp. 265-268 ◽  
Author(s):  
Gayatri Malik-Kotru ◽  
Les Kirchner ◽  
Lance Kisby

Dental caries is the single most common chronic disease affecting children in the USA. Approximately 20-25% children are affected. This not only has serious implications for a child's long term health and well being but also has serious financial implications. The American Academy of Pediatric Dentistry advocates early intervention with the first dental visit by 12 months of age. Objective: The aim of this study was to determine the first dental visit for children living in a socio economically deprived area in Connecticut. This study was conducted at a Federally Qualified Health Center in Connecticut. Study Design: Data was collected prospectively on the children between January to December 2004. Results: We found that the mean age for the first visit was 4 years. The recommendation is that community health programs should emphasize the importance of preventive dental care by assuring the first dental visit be by age 1 year.


2018 ◽  
Vol 42 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Maxwell N Rudie ◽  
Michael M Milano ◽  
Michael W Roberts ◽  
Kimon Divaris

Purpose: The aims of this study were to describe the demographic characteristics of pediatric dentistry patients undergoing dental rehabilitation under general anesthesia (DRGA) at UNC-Chapel Hill during the last 13 years and identify factors associated with multiple (1 versus 2 or more) DRGA visits during that timeframe. Study design: Administrative claims data were used to identify children and adolescents (age <18 years) who underwent DRGA between 1/1/2002 and 12/31/2014 at the UNC Hospitals system. Information on children's age, sex and all treatment-associated CDT codes were collected. Descriptive statistics and bivariate tests of association were used for data analyses. Results: There were 4,413 DRGAs among 3,973 children (median age=4 years 8 months, males=55%) during the study period. The annual rate of DRGAs increased over time, peaking (n=447) in 2013. Overall, 9% of children had ≥2 visits with repeat rates up to 18%. There was no association between children's sex and receipt of one versus multiple DRGAs; however, craniofacial cases were more likely (p<0.0005) to have multiple DRGAs compared to non-craniofacial ones. Conclusion: DRGAs are on the increase—with the exception of craniofacial and special health care needs patients, multiple DRGAs may be reflective of sub-optimal adherence to preventive and continuing care recommendations.


Sign in / Sign up

Export Citation Format

Share Document