Hospital Utilization for Non-Traumatic Dental Conditions in Oregon from 2013 to 2015

Brow, Avery; Tranby, Eric; Boynes, Sean G.

doi:10.35565/dqp.2020.2003

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…This is probably because toothache and dental abscesses are generally a complication of caries. As in other work, we found that people from Indigenous, poorer or rural backgrounds were generally at greater risk of all types of avoidable dental conditions 16–18 . There were similar findings for people with mental illness although this did not apply to all forms, the associations being non‐significant for periodontal disease and stomatitis.…”

Section: Discussionsupporting

confidence: 81%

“…As in other work, we found that people from Indigenous, poorer or rural backgrounds were generally at greater risk of all types of avoidable dental conditions. [16][17][18] There were similar findings for people with mental illness although this did not apply to all forms, the associations being nonsignificant for periodontal disease and stomatitis. This excess of presentations in psychiatric patients is consistent with findings of inequitable access to guideline-appropriate care for physical ill-health in general.…”

Section: Discussionmentioning

confidence: 70%

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A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

Kisely

Lalloo

2021

Australian Dental Journal

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Background: Attendances at emergency departments (EDs) for dental conditions are unnecessary and come at a significant cost to health services. Methods: A population-based record-linkage analysis of a retrospective cohort over 2 years across state-based facilities in Queensland. This was to determine if people with mental illness were more likely than the general population to attend EDs for a range of non-traumatic or avoidable dental conditions. Results: There were 1 381 428 individuals in the linked database, of whom 177 157 (13%) had a psychiatric history and 22 046 (1.5%) had one or more avoidable dental presentations. These were toothache (n = 9619), dental abscesses (n = 8449), caries (n = 1826), stomatitis (n = 1213) and gum disease (n = 939). After adjusting for confounders, psychiatric patients were significantly more likely to present with toothache, dental abscesses and caries but not stomatitis or gum disease. Depending on the dental outcome, other risk factors were male sex, lower income, rurality and Indigenous status. Conclusions: Given these findings, possible interventions should include an increased emphasis on assessing oral health in mental health or primary care, especially in non-metropolitan areas, as well as early dental referral. Service planning for this population should including easier navigation of dental services, availability outside normal office hours and free outreach dental clinics.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 70%

A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

Kisely

Lalloo

2021

Australian Dental Journal

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A systematic review of dental‐related emergency department visits among Medicaid beneficiaries

Cothron¹,

Diep

Shah

et al. 2021

J Public Health Dent

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Objectives: Dental-related emergency department (ED) visits are a growing public health concern. Dental insurance coverage is a strong predictor of dental service access. The objective of this study was to conduct a systematic review to assess the incidence of dental-related ED visits for Medicaid dental enrollees compared to those with other insurances. Methods: PubMed, EMBASE, and Google Scholar were searched for surveillance and observational data published in English from January 1999 to April 2020 to address the following PECOT question: Do patients with nontraumatic dental conditions (NTDC) (P1), or patients with any dental condition (P2) who have Medicaid (E) compared to other insurance status (private insurance, Medicare, no insurance) (C) have a differential incidence of single dental-related ED visits (O) in the literature search results from 1999 to April 2020 (T)? A critical appraisal was performed using a combination of the AXIS tool (for crosssectional studies with observational data and MetaQAT (for public health evidence). Results: This systematic review included 32 studies. Overall, risk of bias was low. Due to significant statistical heterogeneity, a synthesis without metaanalysis was conducted. NTDC ED visits ranged from 16.0 percent to 79.8 percent for Medicaid patients and 0.9 percent to 57.2 percent for uninsured patients. The range for any dental visit to the ED was 2.2-63.8 percent for Medicaid patients and 2.9-40.8 percent for uninsured patients. Conclusions: The results of this study support expanding insurance coverage in Medicaid programs to reduce ED use for NTDC visits in the United States.

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Hospital Utilization for Non-Traumatic Dental Conditions in Oregon from 2013 to 2015

Cited by 2 publications

References 23 publications

A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

A state‐wide study of dental comorbidities in psychiatric disorders resulting in avoidable emergency department presentations

A systematic review of dental‐related emergency department visits among Medicaid beneficiaries

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