Challenges connecting emergency department patients with oral health care

Simon, Lisa; Cardenas, Vanessa; Davila-Parrilla, Laura; Marsh, Regan H.; Samuels-Kalow, Margaret

doi:10.1016/j.adaj.2023.09.020

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Dentists are first responders against hypertension, assisting physicians with coordinated treatment and preoperative blood pressure tests. Regular dental checkups also contribute to the early identification and referral of undiagnosed disorders, highlighting the vital role oral healthcare professionals play in the management of illnesses like type 2 diabetes ( Simon et al, 2023 ). Patients with T2DM have considerable changes in salivary content, which raises the incidence of dental caries, according to research by Singh et al (2016) .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of type 2 diabetes mellitus and hypertension in patient’s visiting the conservative dentistry and endodontics department: a cross-sectional study in Surabaya City

Manihar,

Wahjuningrum,

Manihar

et al. 2024

PeerJ

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Background This descriptive cross-sectional study focuses on the prevalence of hypertension (HTN) and type 2 diabetes mellitus (T2DM) amongst patients who visited the Conservative Dentistry and Endodontics department. Recognizing these incidence statistics is critical for improving endodontic therapy delivery and assuring high-quality dental care with positive treatment outcomes. Methods In advance of getting dental care, all patients visiting the department were advised to get their blood sugar and blood pressure levels checked at random. Measurements were taken with digital equipment, and individuals with high levels were encouraged to seek medical advice before undergoing dental procedures. The obtained data was imported into Excel and analyzed with IBM SPSS software (version 21). Results The investigation had 1,100 participants (55.8% female and 44.2% male), with an average age of 44.58 ± 12.77 years. Of the individuals, 40.6% were referred for type 2 diabetes, 12.6% for hypertension, and 24.0% for both diseases. There was a significant correlation (p < 0.05) between referral status and gender. The average blood pressure and random blood sugar readings were 141.02 mmHg ± 56.28 mmHg (systolic), 79.83 mmHg ± 10.68 mmHg (diastolic), and 126.68 mg/dL ± 15.36 mg/dL, respectively. There was a substantial (p < 0.05) difference in mean systolic blood pressure between men and women. Furthermore, age was strongly connected with random blood sugar levels (p < 0.05) and systolic and diastolic blood pressure (p < 0.05). There were significant (p < 0.05) variations in mean blood pressure and blood sugar levels between referred and non-referred individuals. Conclusion Age had a relationship with higher random blood sugar levels, systolic blood pressure, and diastolic blood pressure. Dentists should consider patient age while planning treatment, as type 2 diabetes mellitus and hypertension require unique techniques to emphasize patient safety and produce excellent outcomes.

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Section: Discussionmentioning

confidence: 99%

Prevalence of type 2 diabetes mellitus and hypertension in patient’s visiting the conservative dentistry and endodontics department: a cross-sectional study in Surabaya City

Manihar,

Wahjuningrum,

Manihar

et al. 2024

PeerJ

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“…For example, a patient who reports they face food insecurity might receive a printed list of local food banks. Qualitative studies highlight that both patients and CBOs frequently report that resource sheets are out of date, provide incorrect information, are not relevant due to eligibility criteria (Loo et al, 2023; Simon et al, 2023; Vasan et al, 2022). While resource sheets can be considered low cost in a resource-constrained environment, there is little evidence that they have any benefit (Gottlieb et al, 2016; Marpadga et al, 2019).…”

Section: Social Care Managers Provide Better Communication and Better...mentioning

confidence: 99%

Thoughtful Investing in Social Care Management

Byhoff,

Rudel,

Taylor

2024

Journal of Ambulatory Care Management

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Mapping Oral health and Local Area Resources (MOLAR): protocol for a randomised controlled trial connecting emergency department patients with social and dental resources

Simon,

Marsh,

Sanchez

et al. 2023

BMJ Open

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IntroductionThere are substantial inequities in oral health access and outcomes in the USA, including by income and racial and ethnic identity. People with adverse social determinants of health (aSDoH), such as housing or food insecurity, are also more likely to have unmet dental needs. Many patients with dental problems present to the emergency department (ED), where minimal dental care or referral is usually available. Nonetheless, the ED represents an important point of contact to facilitate screening and referral for unmet oral health needs and aSDoH, particularly for patients who may not otherwise have access to care.Methods and analysisMapping Oral health and Local Area Resources is a randomised controlled trial enrolling 2049 adult and paediatric ED patients with unmet oral health needs into one of three trial arms: (a) a standard handout of nearby dental and aSDoH resources; (b) a geographically matched listing of aSDoH resources and a search link for identification of geographically matched dental resources; or (c) geographically matched resources along with personalised care navigation. Follow-up at 3, 6, 9 and 12 months will evaluate oral health-related quality of life, linkage to resources and dental treatment, ED visits for dental problems and the association between linkage and neighbourhood resource density.Ethics and disseminationAll sites share a single human subjects review board protocol which has been fully approved by the Mass General Brigham Human Subjects Review Board. Informed consent will be obtained from all adults and adult caregivers, and assent will be obtained from age-appropriate child participants. Results will demonstrate the impact of addressing aSDoH on oral health access and the efficacy of various forms of resource navigation compared with enhanced standard care. Our findings will facilitate sustainable, scalable interventions to identify and address aSDoH in the ED to improve oral health and reduce oral health inequities.Trial registration numberNCT05688982.

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Challenges connecting emergency department patients with oral health care

Cited by 3 publications

References 15 publications

Prevalence of type 2 diabetes mellitus and hypertension in patient’s visiting the conservative dentistry and endodontics department: a cross-sectional study in Surabaya City

Prevalence of type 2 diabetes mellitus and hypertension in patient’s visiting the conservative dentistry and endodontics department: a cross-sectional study in Surabaya City

Thoughtful Investing in Social Care Management

Mapping Oral health and Local Area Resources (MOLAR): protocol for a randomised controlled trial connecting emergency department patients with social and dental resources

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