Few Children Under 1 See a Dentist

Unfortunately, new research has shown that few children under the age of 1 are seeing a dentist. This was touched on in an earlier blog post over at https://blog.teethremoval.com/will-health-care-reform-result-in-more-dental-visits/ where it was mentioned that for children between ages 1 and 4 around 60% of them have seen a medical doctor (physician) during the year, but not a dentist. The new research appears in an article titled “Factors Associated With Dental Care Utilization in Early Childhood,” by Denise Darmawikarta and et al. which was published online in Pediatrics in May 2014. The study looked at 2505 children in Toronto, Canada, who were seen for primary health care between September 2011 and January 2013. The study was past of TARGet Kids (The Applied Research Group for Kids), a collaboration between doctors and researchers from St. Michael’s Hospital and the Hospital for Sick Children in … Read more

Will Health Care Reform Result in More Dental Visits

An interesting article titled “Health care reform brings new opportunities,” appears in the April 2014 edition of JADA written by Marko Vujicic (vol. 145, no. 4, pp. 381-382). The article discusses how health care reform in the U.S., specifically the Affordable Care Act (ACA) may help bring about new opportunities for dentists. The article opens by discussing how the U.S. spends more money on health care than any other developed country and there is little measurable benefit in terms of health outcomes, patient satisfaction, and access to care. The author discusses how ACA is expected to bring access to dental care to an additional 8.7 million children by 2018. The author discusses how the focus is on implementing new health care delivery models and payment mechanisms that focus on value and not volume of care. The author believes that due to … Read more

What to Do about Patients Who Call After Hours Wanting Prescription Drugs

An interesting article titled “Addressing after-hours requests for prescription drugs,” appears in the April, 2014, issue of  JADA written by G. J Muller II (vol. 145, no. 4, pp. 389-390). The article discusses how the oral and maxillofacial surgeon has had several instances of after hours or weekend phone calls from people claiming to be current or past patients who have had a sudden onset of a toothache and want narcotic pain medication. The surgeon says that the people always agree to be seen in his office the next day or following Monday if it is a weekend. However, often the person will not follow up with the surgeon and not show up for the appointment after having received the medication. The surgeon says occasionally he checks if the person is a patient of record and sometimes the person is not, … Read more

The Cost of Health Care in the U.S. compared to Other Countries

An interesting article titled “How affordable is health care in the United States and other countries,” appears in the May 2014, issue of JADA written by Dr. Marko Vujicic (vol. 145, no. 5, pp. 482-483). The article discusses how the cost of medical and dental care stacks up against 10 other countries. The article opens by addressing how the U.S. spends more on health care than any other country but that the by measures of access, efficiency, and satisfaction of health care the U.S. ranks below lower spending countries. This is believe to be partially due to wasteful spending which the Affordable Care Act may help reduce. The article discusses data from the Commonwealth Fund which presents data for 11 Organization for Economic Cooperation and Development (OECD) countries showing the percentage of adults who can not obtain medical or dental care due … Read more

Infection Control Lapse in Hawaii at VA Dental Clinic

The U.S. department of Veteran Affairs (VA) has said that 20 patients treated on May 23 and May 27 in Hawaii may have been exposed to viruses due to instruments that were not sterilized. The dental instruments used were believed to be clean, but the VA monitors said they were not sterilized. Only a single load of dental equipment, which was typically sent from one medical center with a dental clinic to a different medical center for sterilization was not performed. It is believed that the risk of contracting anything like HIV or hepatitis is low but patients at risk are recommend to be tested for viruses. The source of the story is over at khon2 titled Veterans Affairs apologizes to dental patients for unsterilized instruments written by Nestor Garcia on June 27, 2014, and located over at  http://khon2.com/2014/06/27/veterans-affairs-apologizes-to-dental-patients-for-unsterilized-instruments/. Staff … Read more