title: Integrating dental screening and fluoride varnish application into a pediatric residency outpatient program: clinical and financial implications.
abstract: Delivery of preventive oral health services (POHS) has been embraced by many pediatric andfamily medical practices in North Carolina (NC). The outcome of implementing a state-wide Medicaid-supported oral health prevention initiative, "Into the Mouth of Babes Varnish and Screening Program (IMB), in an academic medical residency setting is described Retrospective chart audit of encounterforms and collection of administrative records related to POHS provided by pediatric medical residents for Medicaid recipients less than 3 years of age at the University of North Carolina pediatric continuity care clinic over 31 months were examined A total of 1,081 visits and 655 patients were documented during the study period accountingfor 36.6% of all children aged 6-36 months seen in the clinic during the period of this study. Thirty-eight percentof the patients received one or more IMB follow-up visits. Twenty-nine (4.4%) children were reported to have one or more carious teeth and 94 children (14.1%) were referred to a dentist. The IMB program provides an oral screening, parent oral health counseling and application of fluoride varnish to the teeth at the medical appointment by non-dental personnel. Following a cost/revenue analysis it was concluded that a preventive oral health initiative in an academic setting provides an additional access to oral health preventative services for underserved children and contributes to the financial viability of the clinic.
authors.affiliation: Department of Pediatric Dentistry, School of Dentistry, CB# 7450, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7450, USA.
authors.forename: Jonelle S
authors.initials: JS
authors.lastname: Grant
authors.forename: Michael W
authors.initials: MW
authors.lastname: Roberts
authors.forename: Wallace D
authors.initials: WD
authors.lastname: Brown
authors.forename: Rocio B
authors.initials: RB
authors.lastname: Quinoñez
mesh_terms: D000046:Academic Medical Centers; D000553:Ambulatory Care; D002327:Cariostatic Agents / Q000008:administration & dosage*; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D019140:Dental Care for Children / Q000191:economics / Q000379:methods / Q000458:organization & administration*; D003731:Dental Caries / Q000175:diagnosis* / Q000517:prevention & control; D005260:Female; D005460:Fluorides, Topical / Q000008:administration & dosage*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008403:Mass Screening; D008484:Medicaid; D009657:North Carolina; D010372:Pediatrics / Q000193:education; D011313:Preventive Dentistry / Q000191:economics / Q000458:organization & administration*; D012189:Retrospective Studies; D014481:United States
chemical_list: D002327:Cariostatic Agents; D005460:Fluorides, Topical