Tag Archives: oral

Study: Midlevel providers expand dental care to those in need

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

Complaints about dental benefits provider mounting

The rumblings in Tennessee started earlier this year, after a new company took over the contract to provide dental services to the state’s children covered by Medicaid.

Now the state dental association, a number of black dentists, a youth-home operator and at least one angry grandmother are weighing in against the Boston-based dental benefits giant DentaQuest. They claim the company is making it harder for poor kids in the state to get dental care.

The Tennessean’s Tom Wilemon captured the mood in a June 6 story, “Complaints Mount about TennCare Dental Provider:”    Continue reading

When a charity clinic is only option for dental care

Image by Official U.S. Nacy Page via flickr.

Image by Official U.S. Navy Page via flickr.

Reporter Katie Hiler decided to look into dental care for the poor in Missouri. The situation, she concluded in her reporting for KBIA Mid-Missouri Public Radio, might best be summed up by a quote from the film Argo: “There are only bad options. It’s about finding the best one.”

Nearly a decade ago, the state eliminated funding for all Medicaid beneficiaries except children, pregnant women and the disabled, she explained.

The move “left a lot of people with only bad options,” she says in a May 15 report.

“Many find themselves in the ER with tooth infections, where cost for treatment per patient can run on average around $9,000. Some try to find affordable care at Federally Qualified Health Centers where services are discounted for low-income patients, but aren’t free.” For the very poor, she added “the only option is charity dental care.” Continue reading

Lack of access to dental care leads to expensive emergency room care

In recent years, hospital emergency departments (EDs) have drawn millions of poor and underinsured patients coping with dental problems. Yet EDs remain tremendously expensive and ineffective sources of dental care, two new studies remind us.

Between 2008 and 2010, more than 4 million patients turned to hospital EDs for help with dental conditions at a cost of $2.7 billion. Research suggests that the vast majority did not receive dental procedures, but were instead treated with prescription medications. A total of 101 of the patients died in the emergency rooms, according to the study published in the April issue of the Journal of the American Dental Association.

The authors used data gleaned from the Nationwide Emergency Department Sample of the Healthcare Cost and Utilization Project, sponsored by the Agency for Healthcare Research and Quality (AHRQ), to produce their paper. They found that uninsured patients made slightly more than 40 percent of all dental-condition related ED visits. Continue reading

Questions arise about oversight of pediatric dentists, sedation

Alia Wong

The state of Hawaii continues to investigate the death of a 3-year-old girl who went into a coma after visiting a dentist’s office.

Last month, I wrote about the coverage by Susan Essoyan of the Honolulu Star Advertiser. I also put together a pediatric anesthesia tip sheet with links to some helpful resources.

In the meantime, reporter Alia Wong has also been following the tragic story of the death of Finley Boyle and weighed in with a long Jan. 21 piece for the Honolulu Civil Beat. Wong brings us up to date on the kinds of questions that are being raised in the wake of the child’s death. She writes that questions are being raised about whether dentist Lilly Geyer, who was treating Finley, should have been advertising herself as a “children’s dentist.”

And she explains that “pediatric dentists do a rigorous and competitive two-year residency program in which they get training in specific skills such as child sedation while general dentists aren’t required to do a residency program.”

In a Q&A for AHCJ, she reveals what other questions have come up and what she learned about sedating children for dental procedures. See what story ideas her experience might spark for you.