Journal of public health dentistry最新文献

Improving Equity in Access to Dental Care in Canada: Historical Lessons for Policy Change. 改善公平获得牙科护理在加拿大：政策变化的历史教训。

Journal of public health dentistry Pub Date : 2025-07-17 DOI: 10.1111/jphd.70002

Christiana Martine, Carlos Quiñonez, Gregory P Marchildon

{"title":"Improving Equity in Access to Dental Care in Canada: Historical Lessons for Policy Change.","authors":"Christiana Martine, Carlos Quiñonez, Gregory P Marchildon","doi":"10.1111/jphd.70002","DOIUrl":"https://doi.org/10.1111/jphd.70002","url":null,"abstract":"Objectives: This paper outlines and compares the major provincial initiatives on dental care from the 1970s-with emphasis on Saskatchewan's innovative children's dental program-and their relevance to the current changes in Canadian dental policy.Methods: Narrative review methodology. A snowball search was conducted on articles obtained through MEDLINE, Scopus, and ProQuest, followed by other databases such as Google Scholar. Primary data was collected from different sources: historical professional journals, archives, government reports, Hansard debates, and historical newspapers.Results: Saskatchewan and Ontario were on opposite ends of a government-sponsored dental care policy continuum during the 1970s. While Ontario never implemented a large-scale public dental plan, Saskatchewan carried out an effective province-wide children's dental plan using an alternate model of delivery, despite strong opposition from the dental profession. Dental public initiatives in other provinces lie between these two poles. While several considered employing dental therapists, they faced opposition from the dental profession, which reinforced the traditional model, despite its inability to resolve issues of access to care.Conclusions: This study argues that while the current Canadian Dental Care Plan represents a major advancement towards more equality in dental care, it is unclear whether persistent issues of physical barriers to access will be fully resolved, and suggests employing an alternate model of delivery, proven to improve access to dental care in Canada. However, given organized dentistry's continuing resistance to dental therapists working largely independently, future studies should examine whether different levels of supervision and/or program format could yield greater acceptance.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Head and Neck Examinations Among Patients Presenting to HRSA-Funded Health Centers in the United States. 在美国hrsa资助的健康中心就诊的患者头颈部检查。

Journal of public health dentistry Pub Date : 2025-06-23 DOI: 10.1111/jphd.70001

Leah I Leinbach

{"title":"Head and Neck Examinations Among Patients Presenting to HRSA-Funded Health Centers in the United States.","authors":"Leah I Leinbach","doi":"10.1111/jphd.70001","DOIUrl":"10.1111/jphd.70001","url":null,"abstract":"Objective: Health centers funded by the Health Resources and Services Administration (HRSA) are a safety net for people who may not be able to access care elsewhere. Patients eligible for care at these facilities share some of the same risk factors for developing head and neck cancer. The objective of this study is to examine the prevalence of head and neck cancer examinations among patients of HRSA-funded health centers.Methods: This is an analysis of the cross-sectional 2022 Health Center Patient Survey (HCPS). Self-reported data from this survey of patients of health centers regarding receipt of head and neck examinations is summarized, with results stratified by sociodemographic, behavioral, and health-related factors.Results: Four thousand four hundred and fourteen unweighted patients (20,693,940 weighted) participated in the HCPS, 69.5% of whom answered questions about a head and neck exam. Of these, 9.9% of patients reported a history of a head and neck exam (HNE). Patients from minoritized racial/ethnic groups were less likely to report an HNE compared to White, non-Hispanic patients. Patients with Medicare, Medicaid, and lower incomes were also less likely to report an HNE compared to patients with private insurance and incomes above $50,000 per year. A dental exam anywhere within the last year was associated with a report of an HNE.Conclusions: Disparities in reported HNEs were observed by patient race/ethnicity, medical payor, income, and recency of dental visit among patients of US health centers. Health centers may be uniquely positioned to explore and generate evidence regarding HNEs that could inform changes in practice.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial/Ethnic Differences in the Joint Effect of Edentulism and Diabetes on All-Cause Mortality Risks: A 12-Year Prospective Cohort Analysis. 一项为期12年的前瞻性队列分析：牙髓病和糖尿病对全因死亡风险共同影响的种族/民族差异

Journal of public health dentistry Pub Date : 2025-06-17 DOI: 10.1111/jphd.70000

Xiang Qi, Chenxin Tan, Huabin Luo, Brenda L Plassman, Frank A Sloan, Angela R Kamer, Mark D Schwartz, Bei Wu

{"title":"Racial/Ethnic Differences in the Joint Effect of Edentulism and Diabetes on All-Cause Mortality Risks: A 12-Year Prospective Cohort Analysis.","authors":"Xiang Qi, Chenxin Tan, Huabin Luo, Brenda L Plassman, Frank A Sloan, Angela R Kamer, Mark D Schwartz, Bei Wu","doi":"10.1111/jphd.70000","DOIUrl":"10.1111/jphd.70000","url":null,"abstract":"Objectives: Edentulism and diabetes mellitus (DM) are frequently seen among older adults. However, the joint effect of edentulism and DM on mortality was understudied. We aim to examine the joint effect of edentulism and DM on all-cause mortality and to what extent the joint effect varies by race/ethnicity.Methods: Analysis of US Health and Retirement Study (HRS) data (2006-2018) included 11,813 non-Hispanic Whites, 2216 non-Hispanic Blacks, and 1337 Hispanics aged ≥ 50 years old. Mortality data came from the National Death Index or HRS surveys. Edentulism was self-reported and DM was determined by self-reported diagnosis, medication use, or glycosylated hemoglobin. Cox proportional-hazard models with inverse probability treatment weighting were applied.Results: During mean follow-up of 9.6 years, 2874 Whites, 703 Blacks, and 441 Hispanics died. DM was associated with higher mortality across all groups (Whites: HR = 1.43, 95% CI = 1.25-1.64; Blacks: HR = 1.62, 95% CI = 1.28-2.04; Hispanics: HR = 1.46, 95% CI = 1.07-1.99). However, edentulism predicted higher mortality only in Whites (HR = 1.65, 95% CI = 1.51-1.80). Having both conditions showed highest mortality risk in all groups (Whites: HR = 2.31, 95% CI = 1.56-3.42; Blacks: HR = 1.94, 95% CI = 1.45-2.59; Hispanics: HR = 1.77, 95% CI = 1.16-2.70), with a significant additive interaction observed only in Whites (relative excess risk due to interaction = 0.22, p < 0.05).Conclusions: DM and edentulism pose an additive risk for mortality in Whites, and there are racial/ethnic differences in edentulism-related mortality.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings. 在牙科机构为幼儿提供预防性牙科保健的障碍和促进因素。

Journal of public health dentistry Pub Date : 2025-06-17 DOI: 10.1111/jphd.12678

Sarah L Goff, Charlotte F Gilson, Marisa DaCosta, Erin DeCou, Ashley M Kranz

{"title":"Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings.","authors":"Sarah L Goff, Charlotte F Gilson, Marisa DaCosta, Erin DeCou, Ashley M Kranz","doi":"10.1111/jphd.12678","DOIUrl":"https://doi.org/10.1111/jphd.12678","url":null,"abstract":"Objectives: This qualitative study aimed to understand dental professionals' perspectives and practices regarding preventive dental care for very young children and preventive oral health services (POHS) provided outside of dental practices.Methods: Semi-structured interviews were conducted on Zoom with a purposive sample of dental professionals in Massachusetts between December 12, 2022, and June 15, 2023, until theoretical saturation was reached. The Consolidated Framework for Implementation Research was the study's conceptual framework. Applying Charmaz's approach to grounded theory, transcripts were coded line-by-line in an iterative process, using memos and axial coding to identify themes.Results: Twenty-eight interviews were conducted with general dentists (n = 18), pediatric dentists (n = 5), registered dental hygienists (n = 3), a dental assistant (n = 1), and a dental administrator (n = 1). Major themes included: (1) facilitators and barriers to providing preventive dental care for children under 3 years old; (2) perceptions of POHS delivery outside of dental practices and care coordination; (3) public policies potentially impacting the provision of preventive dental care for young children; and (4) potential levers for change to improve receipt of recommended preventive dental services. Sub-themes included training, concerns about the quality of care in non-dental sites, public insurance barriers, and increasing joint dental-medical curriculum programs.Conclusions: Potentially modifiable barriers were identified at provider, practice, and policy levels. Further research is needed regarding the financial impacts of public insurance reimbursement rates, the potential role of bias in access to preventive dental services, and the effects of systematic accountability for performance on quality and equity measures related to preventive dental care.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions and Experiences With a Virtual Dental Home Teledentistry Program Among Community Health Center and Long-Term Care Facility Staff: A Qualitative Study. 社区卫生中心和长期护理机构工作人员对虚拟牙科家庭远程牙科计划的看法和经验：一项定性研究。

Journal of public health dentistry Pub Date : 2025-06-06 DOI: 10.1111/jphd.12683

McAllister Castelaz, Tessa Heeren, Jennifer E Hartshorn, Pamela C Nwachukwu, Steve M Levy, Julie C Reynolds

{"title":"Perceptions and Experiences With a Virtual Dental Home Teledentistry Program Among Community Health Center and Long-Term Care Facility Staff: A Qualitative Study.","authors":"McAllister Castelaz, Tessa Heeren, Jennifer E Hartshorn, Pamela C Nwachukwu, Steve M Levy, Julie C Reynolds","doi":"10.1111/jphd.12683","DOIUrl":"https://doi.org/10.1111/jphd.12683","url":null,"abstract":"Objectives: Teledentistry, a branch of telehealth, broadens the reach of diagnostic and preventive dental services. The virtual dental home (VDH) addresses barriers for nursing facility residents, offering promise in overcoming challenges. This study explores the experiences and perceptions of a new VDH program among healthcare professionals and allied workers, aiming to determine its perceived value, challenges, and successes.Methods: Structured interviews were conducted with current and former employees of a federally qualified health center and long-term care facilities (LTCF) involved in the development, implementation, and maintenance of a VDH. The interviews were recorded, transcribed, and coded to identify perceived common values, challenges, and successes of stakeholders involved in this project.Results: Interviewees indicated transportation was a common barrier to LTCF residents receiving dental treatment and believed participation in the VDH helped improve access to dental care for these individuals. There was a higher than anticipated administrative burden for the community health center participants; notwithstanding, all interviewees indicated an interest in continued participation in this program.Conclusions: As technology advances and interest in the VDH model grows, ongoing evaluation and improvement are essential. Effective care coordination and comprehensive communication strategies, including designated communication managers, can reduce administrative burdens and support comprehensive care delivery.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends of Oral Health Status of Older Adults by Immigration Status in the United States: 1999-2018. 1999-2018年美国移民身份对老年人口腔健康状况的影响

Journal of public health dentistry Pub Date : 2025-05-30 DOI: 10.1111/jphd.12679

Huabin Luo, Bei Wu, Xiang Qi, Mark E Moss

{"title":"Trends of Oral Health Status of Older Adults by Immigration Status in the United States: 1999-2018.","authors":"Huabin Luo, Bei Wu, Xiang Qi, Mark E Moss","doi":"10.1111/jphd.12679","DOIUrl":"https://doi.org/10.1111/jphd.12679","url":null,"abstract":"Introduction: This study examined oral health trends of older immigrants in the US from 1999 to 2018 and disparities between immigrants and non-immigrants across different races/ethnicities.Methods: Data were from the 1999-2018 National Health and Nutrition Survey (NHANES). Outcome variables were self-reported poor oral health and significant tooth loss (i.e., < 20 permanent teeth). Participants were categorized into three groups as US natives, naturalized citizens, or noncitizen residents. The analytical sample comprised 13,424 older adults (ages 60+), including 10,087 US natives, 2280 naturalized citizens, and 1057 noncitizen residents. We assessed the trends in poor oral health and significant tooth loss across the three groups and conducted analyses stratified by race/ethnicity to examine within-group disparities.Results: From 1999 to 2018, noncitizen residents consistently showed higher rates of poor oral health and significant tooth loss compared to US natives and naturalized citizens. Multiple logistic regression model results showed that naturalized citizens were less likely (AOR = 0.79, p = 0.03) to report poor oral health. Stratified analyses by racial/ethnic groups showed that among Blacks, naturalized citizens were less likely to report poor oral health (AOR = 0.59, p = 0.02) than Blacks who were born in the US.Conclusion: While overall oral health improved among older immigrants from 1999 to 2018, oral health disparities persisted, especially between noncitizen residents and US natives. There were significant differences in oral health between Black immigrants and their US-born counterparts. Future research is needed to corroborate these findings and monitor the trend of oral health disparities.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Veteran Status and Oral Health Indicators in Older Men: An Analysis Using the 2016 and 2018 Behavioral Risk Factor Surveillance System. 老年男性退伍军人身份与口腔健康指标：2016年和2018年行为风险因素监测系统分析

Journal of public health dentistry Pub Date : 2025-05-24 DOI: 10.1111/jphd.12680

Victoria Tian, Steffany Chamut, R Monina Klevens

{"title":"Veteran Status and Oral Health Indicators in Older Men: An Analysis Using the 2016 and 2018 Behavioral Risk Factor Surveillance System.","authors":"Victoria Tian, Steffany Chamut, R Monina Klevens","doi":"10.1111/jphd.12680","DOIUrl":"https://doi.org/10.1111/jphd.12680","url":null,"abstract":"Objectives: US veterans exhibit higher rates of oral disease than nonveterans, affecting their quality of life and systemic disease risk. Regular dental care is essential for preventing tooth loss, especially among older adults. The aim of this study was to assess the association between veteran status, dental visits, and tooth loss among older male Americans.Methods: We analyzed data from the 2016 and 2018 Behavioral Risk Factor Surveillance System (BRFSS) surveys in a national cross-sectional study. The study focused on males aged 65 years and older, using descriptive and multivariable logistic regression analyses to measure the association between veteran status and having a dental visit < 1 year ago, and the loss of ≥ 6 teeth due to tooth decay or gum disease. The analyses were adjusted for sociodemographic factors, including age, race/ethnicity, and education level.Results: Veterans displayed a higher prevalence and increased odds of tooth loss compared to nonveterans after controlling for race and education. However, there was no difference in recent dental visits based on veteran status. The effect of dental visits on the odds of tooth loss indicated that veterans experienced a stronger protective effect of visits on tooth loss (OR: 0.34, 95% CI: 0.31-0.37) than nonveterans (OR: 0.41, 95% CI: 0.37-0.45).Conclusions: Our findings indicate a potential opportunity to reduce disparities in tooth loss among older men. Promoting dental care among veterans could mitigate the risk of tooth loss and its subsequent adverse effects on overall systemic and brain health in this population.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating the Association Between Parental Paid Sick Leave Benefit and Children's Dental Care Utilization. 父母带薪病假福利与儿童牙科保健利用的关系研究。

Journal of public health dentistry Pub Date : 2025-05-08 DOI: 10.1111/jphd.12674

Rashmi Lamsal, Shillpa Naavaal

{"title":"Investigating the Association Between Parental Paid Sick Leave Benefit and Children's Dental Care Utilization.","authors":"Rashmi Lamsal, Shillpa Naavaal","doi":"10.1111/jphd.12674","DOIUrl":"https://doi.org/10.1111/jphd.12674","url":null,"abstract":"Objective: The purpose of this research is to examine the association between paid sick leave (PSL) benefit for employed parents and their child's dental care utilization, including preventive, diagnostic, and treatment services.Methods: Using pooled data from the 2017-2019 Medical Expenditure Panel Survey, we created a dyadic observational unit linking children aged 0-17 years with their parents (n = 7652) specifically focusing on the younger children of employed parents. Descriptive statistics and a multivariate logistic regression model were employed to examine the association between parental PSL benefit and child dental care utilization, accounting for various child and parent level covariates. All analyses were adjusted for complex survey design, and survey weights were used to get national estimates.Results: Seventy-six percent of children had at least one employed parent with PSL benefit in 2017-19. Among them, 44% of children had preventive visits, 45% had diagnostic visits, and 17% had treatment visits. The adjusted logistic regression analysis showed that children with parental PSL benefit had higher odds of having preventive dental visits (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.01-1.38) and diagnostic visits (OR 1.20, 95% CI 1.03, 1.41) compared with children without parental PSL benefit.Conclusion: Parental PSL benefit was associated with augmenting the use of preventive and diagnostic dental care visits among children. Collaboration among policymakers, employers, and dental providers is essential to address disparities in children's dental services utilization and support PSL policies for working parents.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mapping the "X" Debate: Water Fluoridation Sentiment Analysis With Advanced Machine Learning. 映射“X”辩论：用水氟化情绪分析与先进的机器学习。

Journal of public health dentistry Pub Date : 2025-05-07 DOI: 10.1111/jphd.12669

Nilesh Torwane, Ratilal Lalloo, Diep Ha, Loc Do

{"title":"Mapping the \"X\" Debate: Water Fluoridation Sentiment Analysis With Advanced Machine Learning.","authors":"Nilesh Torwane, Ratilal Lalloo, Diep Ha, Loc Do","doi":"10.1111/jphd.12669","DOIUrl":"https://doi.org/10.1111/jphd.12669","url":null,"abstract":"Objectives: This study aimed to examine public sentiment regarding community water fluoridation (CWF) using data from \"X\" (formerly Twitter) over the past decade. The goal was to understand public opinion trends and identify opportunities for targeted public health communication.Methods: We conducted a sentiment analysis utilizing a natural language processing technique. Specifically, we applied the Sentiment Intensity Analyzer tool to classify tweets related to CWF into negative, positive, or neutral categories. Additionally, a word co-occurrence network analysis was performed to explore key discussion themes. We also compared machine learning models to assess their accuracy in classifying tweet sentiments.Results: Analysis of the tweets revealed a balanced distribution of sentiments: 37.4% negative, 34.4% positive, and 28.2% neutral. Peaks in public engagement occurred between 2015 and 2016, with a subsequent decline after 2018. Sentiment spikes were often associated with significant events, including policy changes and media coverage. The word co-occurrence network highlighted recurring themes related to safety and dental health. Among the machine learning models evaluated, Logistic Regression demonstrated the highest accuracy in sentiment classification.Conclusions: Our findings highlight the polarized nature of public sentiment toward CWF and the temporal fluctuations in public engagement. These insights can inform public health policymakers in developing timely, targeted communication strategies. Specifically, efforts to engage neutral audiences through transparent messaging and counter misinformation during key periods may strengthen public trust in CWF. The application of machine learning in this analysis underscores its value in enhancing real-time monitoring and supporting evidence-based public health strategies.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacologic Management of Non-Traumatic Dental Conditions in US Emergency Departments, 2018-2022. 美国急诊部门非创伤性口腔疾病的药物管理，2018-2022。

Journal of public health dentistry Pub Date : 2025-04-11 DOI: 10.1111/jphd.12668

Leah I Leinbach, Xiaobai Li, Timothy Iafolla, Hosam Alraqiq

{"title":"Pharmacologic Management of Non-Traumatic Dental Conditions in US Emergency Departments, 2018-2022.","authors":"Leah I Leinbach, Xiaobai Li, Timothy Iafolla, Hosam Alraqiq","doi":"10.1111/jphd.12668","DOIUrl":"https://doi.org/10.1111/jphd.12668","url":null,"abstract":"Objective: This study examines opioid and antibiotic prescribing by United States emergency departments (EDs) for non-traumatic dental conditions (NTDCs) between 2018 and 2022.Methods: This is a secondary analysis of nationally representative ED visits using the National Hospital Ambulatory Medical Care Survey (NHAMCS) with an NTDC as the primary discharge diagnosis. Descriptive statistics and odds ratios using chi-squared testing and multivariable logistic regression were used to examine analgesic and antibiotic prescriptions, as well as patient, visit, and hospital characteristics.Results: There were 1,838,729 weighted ED visits for NTDCs between 2018 and 2022, 1.3% of all visits. Findings demonstrate a continued decline in NTDC visits resulting in an opioid, with an increase in those with non-opioids. Overall, 25% of NTDC visits included an opioid analgesic in 2022, compared to 33% in 2018. The proportion of visits with non-opioid analgesics increased over the study period; nearly 60% of NTDCs seen in 2020 included a non-opioid analgesic. Overall, 63% included an antibiotic, with the highest proportion observed in 2020 (70%). No increase in the proportion of ED visits for NTDCs was seen between the pandemic years (2020-2022) and the pre-pandemic period (2018-2019).Conclusions: Antibiotics and non-opioid analgesics were a common approach used by ED providers during the pandemic years. Opioid prescriptions for NTDCs declined between 2018 and 2022, while antibiotic prescriptions remained roughly stable. Reducing avoidable opioid and antibiotic prescriptions, and more broadly ED visits for NTDCs, requires a comprehensive approach.","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0