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Preventive service utilisation as a predictor for emergency dental examinations
L J Powers1, J R Grana, N D Keen
1Quality Algorithms, Blue Bell, PA 19422, USA.
Community Dental Health
|October 20, 2000
Summary
Regular dental check-ups significantly reduce the need for emergency dental care. Preventive dental services, like oral examinations, are key to avoiding costly and urgent treatments.
Area of Science:
- Dental Health
- Preventive Medicine
- Health Services Research
Background:
- Emergency dental services are frequently utilized for non-trauma related issues.
- The relationship between routine preventive dental care and emergency service utilization requires further quantification.
Purpose of the Study:
- To determine the association between receiving routine dental care and the subsequent use of non-trauma related emergency dental services.
- To quantify the impact of preventive dental examinations and cleanings on emergency dental care needs.
Main Methods:
- A multiple logistic regression analysis was performed using administrative dental claim and encounter data.
- Data from 2,947 insured members of a Texas-based dental health maintenance organization (HMO) from 1995-1996 were analyzed.
- Predictors included previous year's oral examinations, radiographs, and dental cleanings, controlling for member age.
Main Results:
- Individuals utilizing preventive dental services were significantly less likely to use non-trauma related emergency dental services (P<0.01).
- Those with a dental examination in 1995 had a 42.7% lower probability of needing non-trauma related emergency dental services in 1996.
- While dental cleanings showed a significant association in simple regression, this did not hold in the controlled model, likely due to multicollinearity.
Conclusions:
- This study provides empirical evidence supporting the value of periodic preventive dental examinations and services.
- Routine preventive dental care is associated with a reduced likelihood of utilizing non-trauma related emergency dental services.
- Promoting regular dental check-ups can potentially decrease the demand for emergency dental care.
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