Analysis of hospital‐based emergency department visits for dental caries in the United States in 2008

Walker, A; Probst, Janice C.; Martin, Amy B.; Bellinger, Jessica D.; Merchant, Anwar T.

doi:10.1111/jphd.12045

Cited by 17 publications

(30 citation statements)

References 18 publications

(23 reference statements)

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“…) and living in the more deprived areas of the UK. This demographic is in keeping with previous studies carried out in the United States , Canada , Australia and Korea . Interestingly, it is also this demographic who are known not to attend a dentist on a regular basis, and instead opt for emergency dental treatment .…”

Section: Discussionsupporting

confidence: 86%

Dental pain in the medical emergency department: a cross‐sectional study

Currie

Stone

Connolly

et al. 2016

J of Oral Rehabilitation

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Toothbrushing programmes The BDA has backed new calls from NICE for oral health programmes in schools, calling on national government to support local authorities to turn the tide on an epidemic of tooth decay. NICE has recommended councils provide toothbrushing schemes in schools and nurseries in areas where children have poor oral health. Similar schemes exist in both Wales and Scotland, where devolved governments have set out dedicated oral health strategies that include outreach to early years and primary schools, and which have contributed to record breaking falls in decay. Despite progress by many local authorities , there is no equivalent programme in England. Health officials have claimed that devolution of powers to local authorities in England represents a barrier to rolling out a dedicated national programme. UPFRONT © 2 0 1 7 B r i t i s h D e n t a l A s s o c i a t i o n. A l l r i g h t s r e s e r v e d .

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Section: Discussionsupporting

confidence: 86%

Dental pain in the medical emergency department: a cross‐sectional study

Currie

Stone

Connolly

et al. 2016

J of Oral Rehabilitation

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“…Consistent with previous research, our results confirm and highlight the racial disparities in NTDC visits . Black individuals continue to have the highest rates of NTDCs in the population in both states.…”

Section: Discussionsupporting

confidence: 91%

“…Most individuals presenting to EDs for dental complaints are either uninsured or receive Medicaid benefits . The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 offered states the opportunity to voluntarily expand Medicaid programs.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] Most individuals presenting to EDs for dental complaints are either uninsured or receive Medicaid benefits. 6,7 The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 offered states the opportunity to voluntarily expand Medicaid programs. In 2014, Medicaid became the largest payer for dental ED visits nationally and this utilization trend continues on a state-by-state basis.…”

Section: Introductionmentioning

confidence: 99%

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Trends in non‐traumatic dental emergency department use in New York and New Jersey: a look at Medicaid expansion from both sides of the Hudson River

Laniado

Brow²,

Tranby³

et al. 2019

J Public Health Dent

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Objective The aim of this study was to examine the effect of Medicaid expansion on non‐traumatic dental condition (NTDC) emergency department visits in New York (NY) and New Jersey (NJ). Methods The 2010–2014 State Emergency Department Databases for NY and NJ were analyzed. NTDCs were defined as ICD‐9‐CM codes 520.0–529.9. Primary payers for ED discharges and patient's race were considered. Results In NY, from 2010 to 2011, there was a 51 percent decrease in private insurance and a 91 percent increase in Medicaid for NTDCs. In NJ, with the 2014 expansion, NTDCs fell 35 percent for uninsured and rose 57 percent for Medicaid. Black individuals have by far the highest population rates of NTDC ED visits, particularly in NJ. Conclusions The experiences in NY and NJ suggest that the timing of expansion had significant effects on payer distribution for NTDCs. Racial disparities continue exist with black individuals disproportionately accessing EDs for NTDCs.

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“…[1] Immediate assessments are vital for patients experiencing oral trauma, orofacial pain, infections, or similar conditions, however access to care is often limited by distance and time. [2] Many dental emergencies occur during the weekend and evening hours when dental offices are usually closed [3–7] . With few options, many patients will seek initial treatment at medical emergency clinics where physicians provide symptomatic treatment and may not necessarily address the cause.…”

Section: Introductionmentioning

confidence: 99%

A prototype mobile application for triaging dental emergencies

Stein¹,

Xiao²,

Levine³

et al. 2016

The Journal of the American Dental Association

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Evidence suggests that dental emergencies are likely to occur when preferred care is less accessible. Communicative barriers often exist that cause patients to receive sub-optimal treatment or remain in discomfort for extended lengths of time. Furthermore, limitations in the conventional approach for managing dental emergencies prevent dentists from receiving critical information prior to patient visits. We developed a mobile application to mediate the uncertainty of dental emergencies. Patient-provided information accompanied by high-resolution images may significantly help dentists predict urgency or prepare necessary treatment resources. The development and study consisted of a needs analysis and quality assessment of intraoral images captured by smartphones; prototype development; refining the prototype through usability inspection methods; and formative evaluation through usability testing with prospective users. The developed application successfully guided all users through a series of questions designed to capture clinically meaningful data using familiar smartphone functions. All participants were able to complete a report within 4 minutes and all clinical information was comprehendible by the users. Our results illustrate the feasibility of patients utilizing smartphone applications to report dental emergencies. This technology allows dentists to remotely assess care when direct patient contact is less practical. This study demonstrates that patients can use mobile applications to transmit clinical data to their dentists and suggests the possibility of expanding its use to enhance access to routine and emergency dental care. Here, we address how we can enable patients to directly communicate emergent needs to a dentist while relieving them of enduring emergency room visits.

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Analysis of hospital‐based emergency department visits for dental caries in the United States in 2008

Abstract: The Affordable Care Act may reduce the proportion of self-pay visits for dental care. Medicaid expansion may not result in improved dental use among Medicaid patients unless dental services are covered and dental practitioners appropriately engaged.

Cited by 17 publications

References 18 publications

Dental pain in the medical emergency department: a cross‐sectional study

Dental pain in the medical emergency department: a cross‐sectional study

Trends in non‐traumatic dental emergency department use in New York and New Jersey: a look at Medicaid expansion from both sides of the Hudson River

A prototype mobile application for triaging dental emergencies

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