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Related Experiment Videos

Patterns of sealant delivery under variable third party requirements.

S B Corbin1, N L Clark, B J McClendon

  • 1Centers for Disease Control, National Institutes of Health, Bethesda, MD 20892.

Journal of Public Health Dentistry
|January 1, 1990
PubMed
Summary

Dental sealants effectively prevent tooth decay but have low utilization. This study found dentists used sealants reasonably under insurance, suggesting minimal abuse risk but highlighting a need for provider education on optimal timing.

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Area of Science:

  • Dental Public Health
  • Caries Prevention
  • Health Services Research

Background:

  • Dental sealants are proven effective in preventing pit and fissure caries.
  • Low utilization rates among US school-aged children persist, with cost being a significant barrier.
  • Understanding dentist behavior is crucial for effective sealant program implementation.

Purpose of the Study:

  • To evaluate dentist behavior and sealant utilization when sealants were added as a benefit to a third-party dental insurance system.
  • To compare sealant use under a liberal reimbursement policy versus a stricter one.
  • To assess the risk of inappropriate use or abuse of sealants within insurance programs.

Main Methods:

  • The study observed dentist practices when sealants were introduced as a new benefit in two different third-party dental care systems.

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  • Dentist behavior was analyzed concerning patient selection, tooth selection, and timing of sealant application.
  • Utilization patterns and costs were compared between a program with few restrictions and one with stricter reimbursement policies.

    • Main Results:

    • Sealants were generally provided appropriately regarding tooth selection and cost in both programs.
    • A small percentage of sealants were applied to patients younger than six or older than 19.
    • A significant proportion of sealants were placed on teeth distant from their highest risk period for decay, indicating minimal overall use by dentists.

    Conclusions:

    • Adding dental sealants to third-party dental programs carries a low risk of inappropriate use or abuse.
    • Dentists' utilization of sealants appeared minimal, suggesting a need for targeted education.
    • Provider education on the optimal timing for sealant application is recommended to maximize caries prevention benefits.