Online Program

Preventive dental services in a home visiting program and the impact on children's dental utilization

Monday, November 4, 2013

Tegwyn Brickhouse, DDS, PhD, Department of Pediatric Dentistry, VIrginia Commonwealth University, Richmond, VA
Bhanu Evani, MS, Department of Biostatistics, Virginia Commonwealth University School of Medicine, Richmond, VA
Robin Haldiman, Child Health Investment Partnership of Roanoke Valley, Roanoke, VA
Objectives: CHIP (Child Health Investment Partnership) of Roanoke Valley is a home visiting program that promotes children's health and family self-sufficiency. CHIP's Begin with a Grin program provides home-based dental anticipatory guidance and fluoride varnish for children 0-6 years of age. The purpose of this study was to examine the dental utilization of CHIP children with and without tooth decay. Methods: This study included children (N=205) enrolled in CHIP between Sept 2008 and March 2010. Tooth decay was the main effect variable using a calibrated visual exam measuring the presence of frank (d2) and non-cavitated decay (d1), as well as filled and missing teeth. The outcomes were dental utilization in Medicaid as measured by preventive and restorative treatment. Logistic regression models were run using SAS 9.3 to obtain the odds ratio contrasting CHIP children with decay vs. those without decay. Results: Of the 205 CHIP enrolled children, 49% had dental decay. A child enrolled in CHIP with tooth decay had a 3.88 times greater likelihood (95% CI 1.2-12.8) of having a preventive claim, and a 3.96 times greater likelihood (95% CI 2.0-8.0) of having a restorative claim then a CHIP enrolled child with no dental decay adjusting for the child's age. Conclusions: There was a significant increase in dental utilization for children in the CHIP program with tooth decay compared to those without decay. A home visiting model can introduce children and their families to the establishment of a dental home and appropriate utilization of dental services in Medicaid.

Learning Areas:

Implementation of health education strategies, interventions and programs

Learning Objectives:
Evaluate the impact of providing preventive dental services in a home visiting program on dental utilization.

Keyword(s): Maternal and Child Health, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator federally and locally funded grant related to dental health disparities in children and their utilization of dental services in publicly funded dental insurance program. I am the principal investigator on this project overseeing both data collection and analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.