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. 1998 Nov;88(11):1669–1673. doi: 10.2105/ajph.88.11.1669

A longitudinal study of schoolchildren's experience in the North Carolina Dental Medicaid Program, 1984 through 1992.

V A Robison 1, R G Rozier 1, J A Weintraub 1
PMCID: PMC1508579  PMID: 9807534

Abstract

OBJECTIVES: This evaluation of a state Medicaid dental program describes dental treatment received, relates treatment needed to treatment received, and describes enrollment and use over an 8-year period. METHODS: Three databases were linked: (1) clinical records from a 1986/87 statewide epidemiological survey, providing data on treatment need; (2) Medicaid dental claims from 1984 through 1992, providing data on treatment received; and (3) Medicaid enrollment files from 1984 through 1992. RESULTS: Half of Medicaid-enrolled children never used dental services. Among users of dental services, 45% and 25% of children needed restorations in primary and permanent teeth, respectively. In this group, 29% had all needs met, 28% had needs partially met, and 43% had no needs met. Forty-six percent of children sought care for only 1 year. CONCLUSIONS: Federal guidelines for dental care are not met in this typical Medicaid population of short-term enrollees who use services sporadically. Programs should aim to increase use and ensure that all needed services, especially preventive procedures such as sealants, can be completed within the short period of time a child attends for care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bader J. D., Shugars D. A., Rozier R. G. Relationship between epidemiologic coronal caries assessments and practitioners' treatment recommendations in adults. Community Dent Oral Epidemiol. 1993 Apr;21(2):96–101. doi: 10.1111/j.1600-0528.1993.tb00729.x. [DOI] [PubMed] [Google Scholar]
  2. Capilouto E. The dentist's role in access to dental care by Medicaid recipients. J Dent Educ. 1988 Nov;52(11):647–652. [PubMed] [Google Scholar]
  3. Faine R. C., Isman R. The use of dental sealants in the Washington State Medical Assistance Program: a second-year report. ASDC J Dent Child. 1989 Nov-Dec;56(6):450–451. [PubMed] [Google Scholar]
  4. Gift H. C., Newman J. F. Oral health activities of U.S. children: results of a national health interview survey. J Am Dent Assoc. 1992 Oct;123(10):96–106. doi: 10.14219/jada.archive.1992.0264. [DOI] [PubMed] [Google Scholar]
  5. Ismail A., Brodeur J. M., Gagnon P., Payette M., Picard D., Hamalian T., Olivier M. Restorative treatments received by children covered by a universal, publicly financed, dental insurance plan. J Public Health Dent. 1997 Winter;57(1):11–18. doi: 10.1111/j.1752-7325.1997.tb02468.x. [DOI] [PubMed] [Google Scholar]
  6. Johnson K., Siegal M. Resources for improving the oral health of maternal and child populations. J Public Health Dent. 1990;50(6 Spec No):418–426. doi: 10.1111/j.1752-7325.1990.tb02158.x. [DOI] [PubMed] [Google Scholar]
  7. Long L. M., Jr, Rozier R. G., Bawden J. W. Estimation of actual caries prevalence and treatment needs from field survey caries information on a child population in U.S.A. Community Dent Oral Epidemiol. 1979;7(6):322–329. doi: 10.1111/j.1600-0528.1979.tb01241.x. [DOI] [PubMed] [Google Scholar]
  8. Nuttall N. M. Capability of a national epidemiological survey to predict general dental service treatment. Community Dent Oral Epidemiol. 1983 Oct;11(5):296–301. doi: 10.1111/j.1600-0528.1983.tb01897.x. [DOI] [PubMed] [Google Scholar]
  9. Nuttall N. M., Davies J. A. The capability of the 1983 Children's Dental Health Survey in Scotland to predict fillings and extractions subsequently undertaken. Community Dent Health. 1988 Dec;5(4):355–362. [PubMed] [Google Scholar]
  10. Pickles T. H. The relationship of caries prevalence data and diagnosed treatment needs in a child population. Med Care. 1970 Nov-Dec;8(6):463–473. doi: 10.1097/00005650-197011000-00004. [DOI] [PubMed] [Google Scholar]
  11. Pollick H. F., Pawson I. G., Martorell R., Mendoza F. S. The estimated cost of treating unmet dental restorative needs of Mexican-American children from Southwestern US HHANES, 1982-83. J Public Health Dent. 1991 Fall;51(4):195–204. doi: 10.1111/j.1752-7325.1991.tb02215.x. [DOI] [PubMed] [Google Scholar]
  12. Robison V. A., Rozier R. G., Weintraub J. A. Dental caries and treatment need in schoolchildren related to Medicaid enrollment. J Public Health Dent. 1997 Summer;57(3):163–170. doi: 10.1111/j.1752-7325.1997.tb02968.x. [DOI] [PubMed] [Google Scholar]
  13. Selby M. L., Riportella-Muller R., Sorenson J. R., Walters C. R. Improving EPSDT use: development and application of a practice-based model for public health nursing research. Public Health Nurs. 1989 Dec;6(4):174–181. doi: 10.1111/j.1525-1446.1989.tb00594.x. [DOI] [PubMed] [Google Scholar]
  14. Short P. F., Cantor J. C., Monheit A. C. The dynamics of Medicaid enrollment. Inquiry. 1988 Winter;25(4):504–516. [PubMed] [Google Scholar]
  15. Venezie R. D., Vann W. F., Jr, Cashion S. W., Rozier R. G. Pediatric and general dentists' participation in the North Carolina Medicaid program: trends from 1986 to 1992. Pediatr Dent. 1997 Mar-Apr;19(2):114–117. [PubMed] [Google Scholar]
  16. Waldman H. B. Is Medicaid dentistry worth the effort? Compendium. 1991 Jul;12(7):515–518. [PubMed] [Google Scholar]
  17. Waldman H. B. Some results of the increases in the NY State Medicaid fees. N Y State Dent J. 1989 May;55(5):32–33. [PubMed] [Google Scholar]
  18. Yudkowsky B. K., Fleming G. V. Preventive health care for Medicaid children. Health Care Financ Rev. 1990 Dec;Spec No:89–96. [PMC free article] [PubMed] [Google Scholar]

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