Endnotes Introduction Oral health is a critical but often overlooked component of overall health and well-being. Racial and ethnic disparities in these measures are also pronounced. Medicaid, the major health coverage program for low-income Americans, provides a uniquely comprehensive mandatory benefit package for children that includes oral health screening, diagnosis, and treatment services.
More than one-third of Americans face serious challenges in accessing dental care, including lack of insurance, prohibitive cost, too few providers, and mobility and transportation problems.
Evidence is growing that expanding the dental team to include midlevel providers, often called dental therapists, helps dentists build their businesses while increasing access to high-quality, cost-effective care.
A report from the Minnesota Board of Dentistry and Department of Health evaluated the impact of these providers and found that they expand access to care for vulnerable populations and improve the efficiency of clinics and dental offices. More states—including Kansas, Massachusetts, Michigan, New Mexico, Ohio, Oregon, Vermont, and Washington—are considering legislation, pilots, and other proposals to authorize such providers.
Education standards for dental therapy. The Commission on Dental Accreditation CODA —the accrediting body for academic dental programs—is working on implementing the dental therapy training standards that it finalized in August Once in place, these educational criteria would enable more students to enter the field of dental therapy.
CODA has indicated that the first dental programs may be able to apply for accreditation as early as spring A strong body of research has documented the oral health disparities between low-income children and their more well-to-do peers. Research shows that these programs reduce tooth decay by an average of 60 percent over five years.
Although the Affordable Care Act requires state Medicaid programs and private insurers to include dental care for children, the federal health law did little to expand dental coverage for adults.
Erosion of private and public dental insurance, mounting costs of care, and a limited number of dentists who accept public coverage have fueled a drop in utilization by working-age adults ages across income levels and insurance status in recent years.
But the newly insured in most states will receive a narrow package of dental benefits and struggle to find dentists who accept public insurance. Most states offer Medicaid enrollees either exclusively emergency dental care such as tooth extractions to relieve pain or limited care subject to restrictions such as caps on annual spending or numbers of procedures.
Oral health and aging. Americans are living longer and keeping more of their teeth in old age. As the elderly population increases, its oral health needs and ability to access care are garnering more attention.
About 1 in 5 older Americans has untreated tooth decay, and more than 40 percent have periodontal diseases. Learn more about these and other important trends and topics by signing up for the latest dental news and research from Pew. PDF ; and R.Latest issue Special issues All issues About the journal Follow journal.
Review article Full text access Improving Access to Oral Health Care for Children by Expanding the Dental Workforce to Include Dental Therapists. Private Sector Response to Improving Oral Health Care Access. Council on Access, Prevention and Interprofessional. Access to oral health care is a not only a health issue; it reflects the ability of a profession to respond to the needs of the public and exhibit the principles of social justice and moral responsibility.
29 While the American Dental Association (ADA) and the American Dental Hygienists' Association (ADHA) agree that the dental profession has a.
Access to Dental Care: A National Scandal With all of the attention being paid to health care reform, Medicaid and Medicare, one area of clinical need largely has been ignored: dentistry.
July 15, Access to oral health care for children is an important concern Policy on Workforce Issues and Delivery of Oral Health Care Services in a Dental Home ABBREVIATIONS AAP: American Academy of Pediatrics.
AAPD: American Academy access to dental care for the underserved. Therefore, practice. Articles in press Latest issue Special issues All issues About the journal Sign in to set up alerts.
select article Improving Access to Oral Health Care for Children by Expanding the Dental Workforce to Include Dental Therapists.
select article Private Sector Response to Improving Oral Health Care Access. Review article Full text access. 1. (IOM) Institute of Medicine and (NRC) National Research Council. Improving access to oral health care for vulnerable and underserved populations.
Washington, DC: The National Academies Press. 2. Report Brief. July Improving access to oral .