Periodicity of dental recall visits for young children first seen in community health centers
Identifieur interne : 000618 ( Pmc/Checkpoint ); précédent : 000617; suivant : 000619Periodicity of dental recall visits for young children first seen in community health centers
Auteurs : Ra Kuthy ; G. Kavand ; Et Momany ; Mp Jones ; Nm Askelson ; Dl Chi ; Gl Wehby ; Pc DamianoSource :
- Journal of public health dentistry [ 0022-4006 ] ; 2013.
Abstract
To study whether young children who had their first dental visit (FDV) at a Federally Qualified Health Center (FQHC) are likely to return within 12 months for a second dental episode.
200 Medicaid-enrolled children who were less than 6-years-old were randomly selected from five Iowa FQHCs. Dental charts were abstracted and all Medicaid claims data, regardless of provider, were followed for 36 months. Medical and dental Medicaid claims data were also appended to the data set, along with relevant data from the child’s birth certificate. Multivariable logistic regression, using backward elimination, was used to determine variables that predicted whether a child returned for his or her dental recall visit with one year of the initial dental episode.
56.5% of these children returned within one year. The number of children in the household demonstrated a positive impact for children returning for a second dental episode. However, an increase in the frequency of medical well-child visits at the FQHC prior to the FDV had a negative influence. There was an inverse association between dental caries at the FDV and likelihood of returning for the second visit; however, it was not statistically significant. Age at FDV did not make a difference in regard to returning for a second episode within the allotted time period.
There has been a recent emphasis for children to visit a dentist by age 1. We should not overlook the importance of diligently working with higher risk families to instill the importance of regular, periodic preventive dental care.
Url:
DOI: 10.1111/jphd.12018
PubMed: 23574299
PubMed Central: 4217116
Affiliations:
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PMC:4217116Le document en format XML
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<author><name sortKey="Kuthy, Ra" sort="Kuthy, Ra" uniqKey="Kuthy R" first="Ra" last="Kuthy">Ra Kuthy</name>
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<author><name sortKey="Kavand, G" sort="Kavand, G" uniqKey="Kavand G" first="G" last="Kavand">G. Kavand</name>
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<author><name sortKey="Momany, Et" sort="Momany, Et" uniqKey="Momany E" first="Et" last="Momany">Et Momany</name>
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<author><name sortKey="Askelson, Nm" sort="Askelson, Nm" uniqKey="Askelson N" first="Nm" last="Askelson">Nm Askelson</name>
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<author><name sortKey="Chi, Dl" sort="Chi, Dl" uniqKey="Chi D" first="Dl" last="Chi">Dl Chi</name>
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<author><name sortKey="Wehby, Gl" sort="Wehby, Gl" uniqKey="Wehby G" first="Gl" last="Wehby">Gl Wehby</name>
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<series><title level="j">Journal of public health dentistry</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To study whether young children who had their first dental visit (FDV) at a Federally Qualified Health Center (FQHC) are likely to return within 12 months for a second dental episode.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">200 Medicaid-enrolled children who were less than 6-years-old were randomly selected from five Iowa FQHCs. Dental charts were abstracted and all Medicaid claims data, regardless of provider, were followed for 36 months. Medical and dental Medicaid claims data were also appended to the data set, along with relevant data from the child’s birth certificate. Multivariable logistic regression, using backward elimination, was used to determine variables that predicted whether a child returned for his or her dental recall visit with one year of the initial dental episode.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">56.5% of these children returned within one year. The number of children in the household demonstrated a positive impact for children returning for a second dental episode. However, an increase in the frequency of medical well-child visits at the FQHC prior to the FDV had a negative influence. There was an inverse association between dental caries at the FDV and likelihood of returning for the second visit; however, it was not statistically significant. Age at FDV did not make a difference in regard to returning for a second episode within the allotted time period.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">There has been a recent emphasis for children to visit a dentist by age 1. We should not overlook the importance of diligently working with higher risk families to instill the importance of regular, periodic preventive dental care.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0014207</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5220</journal-id>
<journal-id journal-id-type="nlm-ta">J Public Health Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Public Health Dent</journal-id>
<journal-title-group><journal-title>Journal of public health dentistry</journal-title>
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<issn pub-type="ppub">0022-4006</issn>
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<article-id pub-id-type="doi">10.1111/jphd.12018</article-id>
<article-id pub-id-type="manuscript">NIHMS636342</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
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<title-group><article-title>Periodicity of dental recall visits for young children first seen in community health centers</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kuthy</surname>
<given-names>RA</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Kavand</surname>
<given-names>G</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Momany</surname>
<given-names>ET</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Jones</surname>
<given-names>MP</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Askelson</surname>
<given-names>NM</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Chi</surname>
<given-names>DL</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Wehby</surname>
<given-names>GL</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Damiano</surname>
<given-names>PC</given-names>
</name>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>19</day>
<month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>09</day>
<month>4</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><season>Fall</season>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>03</day>
<month>11</month>
<year>2014</year>
</pub-date>
<volume>73</volume>
<issue>4</issue>
<fpage>271</fpage>
<lpage>279</lpage>
<pmc-comment>elocation-id from pubmed: 10.1111/jphd.12018</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">To study whether young children who had their first dental visit (FDV) at a Federally Qualified Health Center (FQHC) are likely to return within 12 months for a second dental episode.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">200 Medicaid-enrolled children who were less than 6-years-old were randomly selected from five Iowa FQHCs. Dental charts were abstracted and all Medicaid claims data, regardless of provider, were followed for 36 months. Medical and dental Medicaid claims data were also appended to the data set, along with relevant data from the child’s birth certificate. Multivariable logistic regression, using backward elimination, was used to determine variables that predicted whether a child returned for his or her dental recall visit with one year of the initial dental episode.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">56.5% of these children returned within one year. The number of children in the household demonstrated a positive impact for children returning for a second dental episode. However, an increase in the frequency of medical well-child visits at the FQHC prior to the FDV had a negative influence. There was an inverse association between dental caries at the FDV and likelihood of returning for the second visit; however, it was not statistically significant. Age at FDV did not make a difference in regard to returning for a second episode within the allotted time period.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">There has been a recent emphasis for children to visit a dentist by age 1. We should not overlook the importance of diligently working with higher risk families to instill the importance of regular, periodic preventive dental care.</p>
</sec>
</abstract>
<kwd-group><kwd>dental episodes</kwd>
<kwd>dental recall</kwd>
<kwd>well-child visits</kwd>
<kwd>Federally Qualified Health Centers</kwd>
<kwd>community health centers</kwd>
<kwd>dental utilization</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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<tree><noCountry><name sortKey="Askelson, Nm" sort="Askelson, Nm" uniqKey="Askelson N" first="Nm" last="Askelson">Nm Askelson</name>
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<name sortKey="Damiano, Pc" sort="Damiano, Pc" uniqKey="Damiano P" first="Pc" last="Damiano">Pc Damiano</name>
<name sortKey="Jones, Mp" sort="Jones, Mp" uniqKey="Jones M" first="Mp" last="Jones">Mp Jones</name>
<name sortKey="Kavand, G" sort="Kavand, G" uniqKey="Kavand G" first="G" last="Kavand">G. Kavand</name>
<name sortKey="Kuthy, Ra" sort="Kuthy, Ra" uniqKey="Kuthy R" first="Ra" last="Kuthy">Ra Kuthy</name>
<name sortKey="Momany, Et" sort="Momany, Et" uniqKey="Momany E" first="Et" last="Momany">Et Momany</name>
<name sortKey="Wehby, Gl" sort="Wehby, Gl" uniqKey="Wehby G" first="Gl" last="Wehby">Gl Wehby</name>
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