Tag Archives: oral

How, and why, some schools provide dental care for needy children

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

In a series of stories, “The Burden of Poverty: A Backpack of Heartache,” reporters at the School News Network, based in Grand Rapids, Mich., are exploring the deep challenges poverty creates for local students and their families as well as strategies schools are employing to helping disadvantaged students succeed.

Articles in the series so far have examined the correlation between low test scores and low income and have provided a candid look at the struggles of a nearly homeless honor student. The series has highlighted the ways schools are trying to address the health disparities that can make it harder for poor children to succeed in school.

One recent story looked at the role school nurses play in helping poor children cope with chronic diseases. A Nov. 14 piece explains how a school-based dental program attends to the oral health needs of children who might otherwise be distracted from their studies by the debilitating pain of untreated dental disease. Continue reading

Legal feud over dental service shows no sign of lightening up

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Mark Blevis via Flickr

Mark Blevis via Flickr

A long feud between North Carolina’s state dental board and a group of non-dentists who provide teeth-whitening services may have wider implications for the dental and medical boards that regulate the health professions nationwide.

The case of North Carolina Board of Dental Examiners v. Federal Trade Commission is headed for the U.S. Supreme Court, with oral arguments are scheduled for Oct. 14. At issue is whether non-dentists should be allowed to bleach teeth.

Dental whitening has grown into a multibillion dollar business and many dentists offer the service, which involves applying peroxide-containing preparations to the teeth.

Do-it-yourself whitening kits are available in pharmacies. In some states, retail salons and mall kiosks offer teeth-whitening services.

In at least 25 states, dental boards have taken steps to shut down these establishments, according to a report by the Institute for Justice (IJ) a non-profit libertarian law firm. Since 2005, at least 14 states have changed their laws and regulations and now ban all but licensed dentists, hygienists and assistants from performing tooth-whitening procedures, according to the IJ.

Dental organizations back such restrictions, arguing that the retailers are practicing dentistry without a license and contending they could be putting customers at risk.

The details of the cases vary from state to state. But the Supreme Court’s decision in the North Carolina case could have wider implications for tooth-whitening shops – and for the dental and medical boards that regulate the health professions nationwide.

See this new tip sheet on the legal battles over teeth whitening, including details of the situation in a number of states, relevant court cases, statements and other useful coverage.

And be sure to watch Covering Health for coverage of the Oct. 14 Supreme Court arguments.

U.S. children lacking in dental care, other preventive treatments

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Photo by Penn State via Flickr

Photo by Penn State via Flickr

A newly published federal study  finds that millions of American young people have been missing out on key preventive health care services, including simple treatments that can protect against tooth decay.

Fifty-six percent of the nation’s children did not see a dentist in 2009. That same year, a full 86 percent did not receive a dental sealant or topical fluoride treatment, two measures shown to greatly reduce cavities, according to the study, published Sept. 12 in the Centers for Disease Control (CDC)’s Morbidity and Mortality Weekly Report.

Meanwhile, oral disease remains prevalent among young people. Approximately 23 percent of children aged 2 to 11 years have at least one primary tooth with untreated decay and 20 percent of adolescents aged 12 to 19 years have at least one permanent tooth with untreated decay, the report notes. Continue reading

Tennessean reporter investigates complaints over Medicaid dental provider

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Tom Wilemon

Tom Wilemon

Quite a few folks in Tennessee are upset right now with DentaQuest, the giant dental benefits company that took over the contract to provide oral health services to poor kids under the state’s Medicaid program earlier this year.

Two hundred black dentists are riled that they were cut from the provider network. The state dental association has withdrawn its support for DentaQuest’s contract. And some consumers (including a group home operator) are saying the company is making it harder for patients to get the care they need.

Meanwhile, company officials insist that no child with TennCare benefits has lost access to dental care under their watch. They defend their performance in Tennessee, saying that screenings have increased and that the state network of 864 providers – one for every 857 patients – exceeds nationally recommended standards.

What is going on? The Tennessean’s Tom Wilemon has been working to find out. His story last month offered a look at the situation.

In this Q&A, he gives an update and some additional insights into his reporting. He also shares some wisdom with others who might find themselves tackling a similar story.

Reporter looks into rise in kids’ orthodontic care in Wash.

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Image by Jlhopgood via flickr.

Image by Jlhopgood via flickr.

Though a state investigation has failed to prove that any dental providers committed fraud, scandal still hovers over Texas’ Medicaid orthodontic program.

Now questions are being raised in Washington, where there has been a spike in the number of poor kids with braces. Medicaid orthodontic spending in the state jumped from $884,000 for braces for just 1,240 kids in 2007 to nearly $27 million for 21,369 children last year, Sheila Hagar reported in a July 5 package for the Union-Bulletin in Walla Walla, Wash.

What is going on? Hagar talked to a Walla Walla orthodontist, Thomas Utt, D.D.S., in her quest to find out. Utt has been worrying about the increase and has been raising concerns on the state level.

“We should be taking care of people who really have a need,” Utt told Hagar. But “need” appears to be a moving and subjective target in the state when it comes to braces, Hagar reported. Continue reading

Study: Midlevel providers expand dental care to those in need

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at mary@healthjournalism.org.

Image by Herry Lawford via flickr.

Image by Herry Lawford via flickr.

From dental therapists working in clinics in rural Alaska and urban Minnesota to hygienists using telehealth technology in California schools, innovative models are showing promise in getting cost-effective dental care to some of the millions of Americans who now lack it, according to a new study from the Pew Charitable Trusts.

Today’s report, “Expanding the Dental Team,” examines three nonprofit settings where midlevel dental providers are employed as part of larger dental teams. The paper concludes that the workers have successfully expanded services to previously underserved populations; and that their employment is a cost-efficient method of delivering care.

The report offers case studies of a tribal-owned clinic in Alaska; a federally qualified health center in Minneapolis and a telehealth project operated by the University of the Pacific School of Dentistry at sites in California.

Study researchers conducted site visits, interviewed dental team members, clinic administrators and patients and reviewed practice records for the three programs. They found wide variation among the practices but concluded that all three models allowed nonprofits to stretch their funds while providing increase access to care. Continue reading