TY  - JOUR
AU  - Lee, Helen H.
AU  - Faundez, Luis
AU  - Nasseh, Kamyar
AU  - LoSasso, Anthony T.
PY  - 2020
TI  - Does Preventive Care Reduce Severe Pediatric Dental Caries?
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E136
VL  - 17
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Tertiary oral health services (caries-related surgery, sedation, and emergency department visits) represent high-cost and ineffective ways to improve a child's oral health. We measured the impact of increased Texas Medicaid reimbursements for preventive dental care on use of tertiary oral health services. METHODS  We used difference-in-differences models to compare the effect of a policy change among children (<=9 y) enrolled in Medicaid in Texas and Florida. Linear regression models estimated 4 outcomes: preventive care dental visit, dental sedation, emergency department use, and surgical event. RESULTS  Increased preventive care visits led to increased sedation visits (1.7 percentage points, P < .001) and decreased emergency department visits (0.3 percentage points, P < .001) for children aged 9 years or younger. We saw no significant change in dental surgical rates associated with increased preventive dental care reimbursements. CONCLUSION  Increased access to preventive dentistry was not associated with improved long-term oral health of Medicaid-enrolled children. Policies that aim to improve the oral health of children may increase the effectiveness of preventive dentistry by also targeting other social determinants of oral health.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd17.200003
DO  - 10.5888/pcd17.200003
ER  - 
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