The relationships between unmet social needs, oral health measures, and dental service utilization in a pediatric population.

Objectives: Social Determinants of Health (SDoH) have been linked to health, including oral health and oral health behaviors. Objectives of this retrospective records review were to evaluate the relationships between self-reported unmet social needs and (1) oral health measures and (2) dental service utilization in a pediatric population at a hospital-based dental clinic.

Methods: Children 2-5 years of age whose families had completed a SDoH survey and who had an encounter with one United States (U.

Filled Opioid Prescriptions Following Pediatric Dental Procedures Among Medicaid-Insured Children in Ohio.

To investigate opioid prescription fills following pediatric/adolescent dental procedures in central/southeastern Ohio. This population-based, retrospective cohort study utilized health insurance claims from a pediatric public accountable care organization (???Medicaid???) in central/southeastern Ohio. Patients aged 18 years and younger who had a dental procedure between January 2012 and February 2019 were identified, and claims were searched for opioid prescription fills within 14 days post-procedure.

Age of first dental visits: A benefit of the pediatric medical home.

Objective: This retrospective cohort study compared differences in age one dental visit use and age at first dental visit according to fluoride varnish receipt at the pediatric medical home.

Methods: Enrollment and claims data were used from Partners For Kids, a pediatric accountable care organization covering Medicaid-enrolled children living in 47 of 88 counties in Ohio. The main outcomes were having an age one dental visit and the mean age at first dental visit.

Evaluating the type of pediatric dental care use in the context of neighborhood opportunity.

Background: Increasing evidence supports the influence of neighborhood factors on health care use and outcomes. This study measured the association between area-level social determinants of health (SDH) and type of dental care use among Ohio pediatric Medicaid beneficiaries.

Methods: A retrospective dental claims analysis was completed for children aged 1 through 5 years enrolled in Ohio Medicaid with a dental visit in 2017.

Impact of Reduced Operating Room Access on Dental Departments in Children's Hospitals.

Access to hospital operating rooms (HORs) for pediatric dental patients worsened with the COVID-19 pandemic. The purpose of this study was to assess the impact of hospital operating room denials for dental patients on service and teaching missions in selected US children's hospitals (CHs). A 12-question online survey was sent to administrative heads of 34 CH dental departments.

Knowledge and Perceptions of Dental Care During Pregnancy: A Cross-Sectional Survey of Adolescents and Young Adults.

To evaluate knowledge, perceptions and current practices regarding care-seeking behaviors and oral health in pregnant and non-pregnant adolescent and young adults, and to assess barriers to dental care during pregnancy.
An 18-question survey was distributed to patients in three tertiary hospital clinics in Columbus, Ohio, USA. Statistical analyses used chi-square and Fisher's exact tests, with significance at <0.

Comparison of Spanish-Speaking Parental Understanding Using Two Alternative Consent Pathways.

The purpose of this study was to assess the understanding of Spanish-speaking caregivers consenting to dental care using general anesthesia (GA) utilizing two consent-delivery pathways. Seventy-eight parents of children who never had GA were randomly assigned to one of two groups: (1) interpreter; or (2) video; they completed a survey to evaluate comfort level with GA and comprehension of areas of informed consent. Most parents in both groups understood the risks associated with GA (89 percent in the interpreter group and 90 percent in the video group).

Impact on Dental Utilization of the Integration of Oral Health in Pediatric Primary Care Through Quality Improvement.

Objectives: To evaluate child-level dental utilization and expenditure outcomes based on if and where children received fluoride varnish (FV) at quality improvement (QI) medical practices, at non-QI medical practices, at dental practices, or those who never received FV from any practice.

Design: Retrospective claims-based analysis cohort study.

Setting: Children with Medicaid insurance through an Ohio pediatric accountable care organization.

Safety Training in US Pediatric Dentistry Advanced Education Programs: A Survey of Program Directors.

Incorporation of patient safety and quality improvement into the educational framework of all health care trainees, including those in dentistry, is growing. The purpose of this study was to characterize the current state of patient safety training and education in US pediatric dentistry residency programs. A 19-item web-based survey was emailed to all US pediatric dentistry residency program directors in 2021.

Oral Health Advocacy Education Impacts Future Engagement: Exploration at a Midwestern US Dental School.

With the emergence of COVID-19, and the potential inclusion of dental benefits in Medicare, it is critical that dentists are able to engage in legislative advocacy to support public oral health. Dental education has an opportunity to teach advocacy skills to future dentists, although advocacy training in predoctoral dental education has been largely ignored. The purpose of this study was to evaluate fourth-year dental student's attitudes toward advocacy, identify the type and extent of advocacy experiences during dental school, and assess their future intentions to engage in advocacy.

Ohio Dentists' Perceptions on Children School Absenteeism for Dental Care Appointments.

This cross-sectional study evaluated knowledge, practices, and beliefs of Ohio dentists treating school-aged children regarding school absenteeism in relation to compliance with dental appointments.
A 26-item questionnaire was distributed to 7,274 dentists licensed in the state of Ohio in 2019. Eligible participants were pediatric dentists (PDs) and general dentists (GDs) who treated individuals younger than 16 years of age.

Aspiration of an exfoliated primary molar in a child with cerebral palsy: A case report.

Foreign body aspiration is a concern in children which may occur with anything introduced to the oral cavity and can result in significant morbidity and mortality. Food and foreign objects are the most commonly aspirated objects in young children. Aspiration of a normally exfoliated primary tooth is thought to be extremely rare, if not unheard-of.

Primary Second Molar Treatment as a Predictor of Repeat General Anesthesia.

The purpose of this study was to investigate an association between treatments on the primary second molars (PSMs) under general anesthesia (GA) and odds of repeat GA. This was a retrospective study of children who received dental treatment under GA between the ages of 24 to 48 months. Descriptive statistics and logistic regression models (P<0.

Denial of Operating Room Access for Pediatric Dental Treatment: A National Survey.

U.S. pediatric dentists require access to hospital operating rooms (ORs) to deliver safe and effective dental care to some children but have reported denial of access to ORs for general anesthesia (GA), causing long waiting times, deferral of medically necessary dental care, and unmeasured pain and anxiety for patients.

Feasibility and usability study of a pilot immersive virtual reality-based empathy training for dental providers.

Purpose: Social determinants of health (SDOH) significantly impact individuals' engagement with the healthcare system. To address SDOH-related oral health disparities, providers must be equipped with knowledge, skills, and attitudes (KSAs) to understand how SDOH affect patients and how to mitigate these effects. Traditional dental school curricula provide limited training on recognizing SDOH or developing empathy for those with SDOH-related access barriers.

Contemporary predoctoral paediatric behaviour guidance education in the United States and Canada.

Purpose: To determine the contemporary educational experiences of predoctoral dental students in the United States and Canada regarding behaviour guidance (BG) of the child patient and assess trends from a previous study in 2004.

Methods: Data were collected from 32 predoctoral paediatric dentistry programme directors in the United States and Canada via a web-based survey.

Results: The didactic curriculum hours devoted to the teaching of BG techniques in 2019 are similar to 2004.

A survival analysis of primary second molars in children treated under general anesthesia.

Background: The authors examined time to need new treatment of primary second molars in very young children treated under general anesthesia (GA).

Methods: During this retrospective chart review, the authors examined patients aged 2 through 4 years with severe early childhood caries (ECC) who received dental treatment under GA. Primary second molars were tracked in periodic recall visits after GA for 6 through 89 months.

Evaluation of the Ability of Five- to 11-Year-Olds to Brush Their Teeth Effectively with Manual and Electric Toothbrushing.

This study's purposes were to: (1) correlate toothbrushing effectiveness measured by plaque removal with children's parent- reported ability to perform life tasks and their executive function; and (2) compare plaque removal by children using a manual versus electric toothbrush. A convenience sample of 120 healthy five- to 11-year-olds was randomly and evenly assigned to manual or electric tooth- brush groups. A questionnaire was developed from items selected from previously validated social science instruments and completed by caregivers.

Infant Oral Health: An Emerging Dental Public Health Measure.

Infant oral health (IOH) is a preventive service advocated by major medical and dental organizations. IOH aims to prevent early childhood caries (ECC) and impart health strategies to families for continued oral health and prevention of future caries. IOH reaches across disciplines, is low cost, and is covered by Medicaid and many private dental payers.

Safety and Efficacy of 3 Pediatric Midazolam Moderate Sedation Regimens.

Our aim was to characterize effectiveness and complications in children receiving oral midazolam alone, nasal midazolam alone, or oral midazolam with other sedatives. Children received oral midazolam alone, nasal midazolam, or oral midazolam in combination with other sedative medications. All subjects received a presedation history and physical examination and were sedated per protocol by any of 28 resident providers under attending supervision.

Ohio dentists' awareness and incorporation of the dental home concept.

Background: The authors measured the awareness of the dental home concept among pediatric dentists (PDs) and general practice dentists (GPs) in Ohio and determined whether they included dental home characteristics for children 5 years and younger into their practices.

Methods: The authors sent a pretested 20-question survey to all Ohio PDs and to a random sample of approximately 20 percent of GPs in Ohio. The authors designed the survey to elicit information about dental home awareness and the extent to which dental home characteristics were incorporated into dental practices.

Advocacy practices among U. S. pediatric dentists.

Purpose: Advocacy is the primary mission of the American Academy of Pediatric Dentistry (AAPD), but members' participation in advocacy is not well known. The purpose of this study was to examine advocacy by AAPD members and their attitudes toward various advocacy-related activities.

Methods: An Internet-based questionnaire, e-mailed to 4,328 AAPD members via Survey Monkey, consisted of 19 questions on: demography; advocacy training; attitudes toward advocacy; and past, recent, and current advocacy practices.

The comparative morbidities of acute dental pain and acute asthma on quality of life in children.

Purpose: The purpose of this prospective cross-section survey study was to examine the comparative burden of acute exacerbations of the two most common chronic illnesses of childhood: acute dental pain and acute asthma.

Methods: All patients came from one of three distinct clinics within Nationwide Children's Hospital, Columbus, Ohio: (1) outpatient dental clinic; (2) urgent medical care unit; or (3) emergency department. Caregivers were asked information about their child's condition and the impact on their daily function.

Prenatal dental care: a review.

Good oral health during pregnancy is necessary for the health of both the mother and the baby. Dental care during pregnancy is safe, effective, and recommended, yet many dental professionals delay treatment due to concerns for fetal safety. This article discusses common dental findings and treatment considerations during pregnancy.