Identifying Unaddressed Systemic Health Conditions at Dental Visits: Patients Who Visited Dental Practices but Not General Health Care Providers in 2008

Strauss, Shiela M.; Alfano, Michael C.; Shelley, Donna; Fulmer, Terry

doi:10.2105/ajph.2011.300420

Cited by 71 publications

(64 citation statements)

References 1 publication

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“…For Latinas in rural areas, screening may be most accessible when using a mobile delivery approach tailored to their needs (Diaz-Perez, Farley, & Cabanis, 2004). In addition, there are many Latinas and other adult women who visit a dentist during a given year, including many who do not visit a general health care provider (Strauss, Alfano, Shelley, & Fulmer, 2012). Several studies have demonstrated that the dental visit offers a feasible and acceptable diabetes screening opportunity from the perspective of both patients and providers Greenberg, Glick, Frantsve-Hawley, & Kantor, 2010;Greenberg, Kantor, Jiang, & Glick, 2012;Laurence, 2012;Rosedale & Strauss, 2012).…”

Section: Discussionmentioning

confidence: 99%

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Strauß

Vega²,

Clayton-Jeter

et al. 2014

Hisp Hlth Care Int

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For Latinas with fasting plasma glucose (FPG) levels in the pre-diabetes and diabetes ranges, early detection can support steps to optimize their health. Data collected in 2009-2010 indicate that 36.7% of Latinas in the U.S. had elevated FPG levels. Latinas with elevated FPG who were unaware of their diabetes status were significantly less likely than non-Hispanic White and nonHispanic Black women to have seen a health care provider in the past year (75.8%, 92.9%, and 90.2%, respectively; p = .018). With almost 1 million Latinas in the U.S. with elevated FPG unaware of their diabetes risk, and less likely than other at-risk women to see health care providers, there is an urgent need to establish alternate sites of opportunity for their diabetes screening.

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Section: Discussionmentioning

confidence: 99%

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Strauß

Vega²,

Clayton-Jeter

et al. 2014

Hisp Hlth Care Int

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“…The continuity of providing ongoing dental services presents an opportunity to identify both oral and general risk factors and points out the benefit of medical screening in dental settings which is why such screening activity has recently been introduced to dentistry and is the subject of research because of its positive results [29][30][31][32][33]8,9,[34][35][36][37].…”

Section: Implications Of This Studymentioning

confidence: 99%

Identifying patients in dental settings at risk of cardiovascular disease and diabetes

Friman¹,

Wårdh²,

Nilsson³

et al. 2013

Cardio Vasc Syst

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Background: The purpose of our study was to identify patients in a dental setting at risk of already having or developing high blood pressure or high plasma glucose, investigate possible associations between these conditions and periodontal status and explore the correlation between screening results and follow-up assessments concerning the need for medical treatment and/or lifestyle changes performed by medical staff. Methods: A total of 170 dental patients were consecutively included at their regular yearly check-up visit. Data on age, weight, height, amount and use of tobacco and medication for cardiovascular disease and diabetes mellitus were collected, as well as data about systolic and diastolic blood pressure, in addition to pulse and plasma glucose. Clinical and radiographic examinations revealed data about periodontal status by probing periodontal pockets and measuring marginal alveolar bone loss by means of x-rays. Patients who exceeded normal diastolic blood pressure and plasma glucose values were referred for diagnosis and care. Results: Thirty-nine patients exhibiting high values were provided referrals and 24 or 14.1% of the 170 participants required additional care. The correlation between oral and medical health care concerning blood pressure recorded was 64.5% (p<0.001), while the correlation was 40.0% (p<0.001) concerning plasma glucose. Among middle aged men and elderly subjects, the data revealed/showed a significant correlation between marginal alveolar bone loss and high systolic blood pressure (p=0.001). Conclusions:The correlation between oral health care and medical health care registrations based on blood pressure and plasma glucose indicates that it may be appropriate for dental professionals to perform opportunistic medical screening and refer risk patients to the medical care system before complications occur. In order to identify medical risk patients in dental settings on the basis of high blood pressure, a suggestion may be to examine middle-aged men and elderly patients of both sexes who exhibit radiographic markers for marginal alveolar bone loss.

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“…They have regular access to a broad proportion of the population, with 42.9% of 21-to 64-year olds and more than 50% smokers reporting at least one annual dental visit ( Manski & Brown, 2007 ;Tomar, Husten, & Manley, 1996 ). There is strong evidence that assistance delivered by dental professionals can increase tobacco cessation rates ( Carr & Ebbert, 2006 ;Fiore, 2008 ;Gordon, Lichtenstein, Severson, & Andrews, 2006 ), and the dental care setting offers opportunities to identify and engage individuals who may not be receiving preventive health services ( Strauss, Alfano, Shelley, & Fulmer, 2012 ). Moreover, in view of the oral hazards of tobacco use, dental professionals have an important stake in providing smoking cessation services ( U.S. Department of Health and Human Services [USDHHS], 2000 ).…”

Section: Reimbursing Dentists For Smoking Cessation Treatmentmentioning

confidence: 99%

Reimbursing Dentists for Smoking Cessation Treatment: Views From Dental Insurers

Shelley

Wright

McNeely

et al. 2012

Nicotine &Amp; Tobacco Research

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Introduction: Screening and delivery of evidence-based interventions by dentists is an effective way to reduce tobacco use. However, dental visits remain an underutilized opportunity for the treatment of tobacco dependence. This is, in part, because the current reimbursement structure does not support expansion of dental providers ' role in this arena. The purpose of this study was to interview dental insurers to assess attitudes toward tobacco use treatment in dental practice, pros and cons of offering dental provider reimbursement, and barriers to instituting a tobacco use treatment-related payment policy for dental providers.Methods: Semi-structured interviews were conducted with 11 dental insurance company executives. Participants were identifi ed using a targeted sampling method and represented viewpoints from a signifi cant share of companies within the dental insurance industry.Results: All insurers believed that screening and intervention for tobacco use was an appropriate part of routine care during a dental visit. Several indicated a need for more evidence of clinical and cost-effectiveness before reimbursement for these services could be actualized. Lack of purchaser demand, questionable returns on investment, and segregation of the medical and dental insurance markets were cited as additional barriers to coverage. Conclusions:Dissemination of fi ndings on effi cacy and additional research on fi nancial returns could help to promote uptake of coverage by insurers. Wider issues of integration between dental and medical care and payment systems must be addressed in order to expand opportunities for preventive services in dental care settings.

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Identifying Unaddressed Systemic Health Conditions at Dental Visits: Patients Who Visited Dental Practices but Not General Health Care Providers in 2008

Cited by 71 publications

References 1 publication

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Latinas With Elevated Fasting Plasma Glucose: An Analysis Using NHANES 2009–2010 Data

Identifying patients in dental settings at risk of cardiovascular disease and diabetes

Reimbursing Dentists for Smoking Cessation Treatment: Views From Dental Insurers

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