|2753 Oral Health Status of Medicaid and Non-Medicaid Children|
A. BHAVNANI, and S. NARENDRAN, Case Western Reserve University, Cleveland, OH, USA|
Objectives: The purpose of the study was to assess the oral health status and dental treatment needs among a group of Medicaid and non-Medicaid children. Methods: The study sample was 191 including 98 Medicaid and 93 non-Medicaid children, with a mean age of 5.14±2.7 and 50.8 percent females. Data were abstracted from existing charts in a hospital-based pediatric dental clinic. Dental caries prevalence and severity (dfs and DMFS) were estimated and comparisons were made between Medicaid (M) and non-Medicaid (NM) groups. Results: While the prevalence of dental caries among the study population was 58.1%, the mean dfs and DMFS scores were 7.5±9.8 and 0.06±0.4. No significant differences were observed in the caries severity or the dental treatment needs between males and females. The prevalence of dental caries in Medicaid and non-Medicaid children was 71.4% and 44.1% respectively. Children enrolled in Medicaid were more than three times likely as those not enrolled to have untreated caries (OR=3.15, 95% CI=1.67, 6.05). A significant difference (p<0.05) was observed in the mean number of decayed and filled primary teeth and decayed and filled surfaces between M (4.2±4.1, 9.6±10.8) and NM (2.0±3.1, 4.1±7.3) children. Similarly, Medicaid children had significantly higher dental treatment needs than non-Medicaid children: one-surface fillings (0.92±1.4 vs. 0.31±0.8), two-surface fillings (0.25±0.8 vs. 0.05±0.2) and extractions (0.65±1.5 vs. 0.19±0.7). Conclusions: Results indicate that the Medicaid group had higher prevalence and severity of dental caries as well as treatment needs, which reiterate the need for improved access to dental care including preventive services to this vulnerable group of children.
|Seq #285 - Epidemiology|
10:45 AM-12:00 PM, Saturday, March 24, 2007 Ernest N. Morial Convention Center Exhibit Hall I2-J