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Published on: February 2, 2020
Effectiveness of an Alternative Dental Workforce Model on the Oral Health of Low-Income Children in a School-Based
Melanie Simmer-Beck1, Mary Walker1, Cynthia Gadbury-Amyot1
1Melanie Simmer-Beck and Bonnie Branson are with the Department of Dental Public Health and Behavioral Science, School of Dentistry, University of Missouri-Kansas City. Mary Walker is with the Department of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City. Cynthia Gadbury-Amyot is with the Division of Dental Hygiene, School of Dentistry, University of Missouri-Kansas City. Ying Liu is with Research and Graduate Programs, School of Dentistry, University of Missouri-Kansas City. Patricia Kelly is with the School of Nursing and Health Studies, University of Missouri-Kansas City.
Objectives:
We evaluated the effect of an alternative dental workforce program-Kansas's Extended Care Permit (ECP) program--as a function of changes in oral health.
Methods:
We examined data from the 2008 to 2012 electronic medical records of children (n = 295) in a Midwestern US suburb who participated in a school-based oral health program in which preventive oral health care was delivered by ECP dental hygienists. We examined changes in oral health status as a function of sealants, caries, restorations, and treatment urgency with descriptive statistics, multivariate analysis of variance, Kruskal-Wallis test, and Pearson correlations.
Results:
The number of encounters with the ECP dental hygienist had a statistically significant effect on changes in decay (P = .014), restorations (P = .002), and treatment urgency (P = .038). Based on Pearson correlations, as encounters increased, there was a significant decrease in decay (-0.12), increase in restorations (0.21), and decrease in treatment urgency (-0.15).
Conclusions:
Increasing numbers of encounters with alternative providers (ECP dental hygienists), such as with school-based oral health programs, can improve the oral health status of low-income children who would not otherwise have received oral health services.
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