Evidence map›Paper›PMID 26122805›Full record

ArticlePediatrics2015

Effects of Physician-Based Preventive Oral Health Services on Dental Caries.

Ashley M Kranz, John S Preisser, R Gary Rozier

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Ashley M KranzDepartment of Pediatric Dentistry, School of Dentistry, and akranz@unc.edu.
John S PreisserDepartments of Biostatistics and.
R Gary RozierHealth Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · US

Funding

Training Program for the Next Generation of Oral Health Researchers (NextGen)T90DE021986 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVERETT, ERIC T. · 2011 to 2017
$2.3M
PREVENTION OF EARLY CHILDHOOD CARIES IN MEDICAL PRACTICER01DE013949 · NIDCR · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI ROZIER, RICHARD GARY · 2001 to 2005
$2.1M
Referrals for Dental Care from a Medical Office-Based Preventive Dental ProgramR03DE017350 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STEARNS, SALLY C. · 2006 to 2007
$288k
NIDCR NIH HHS 5T90DE021986-03NIDCR NIH HHS R01 DE013949NIDCR NIH HHS R03 DE017350NIDCR NIH HHS T90 DE021986
6 · The paper itself

Abstract

backgroundMost Medicaid programs reimburse nondental providers for preventive dental services. We estimate the impact of comprehensive preventive oral health services (POHS) on dental caries among kindergarten students, hypothesizing improved oral health among students with medical visits with POHS.

methodsWe conducted a retrospective study in 29,173 kindergarten students by linking Medicaid claims (1999-2006) with public health surveillance data (2005-2006). Zero-inflated regression models estimated the association between number of visits with POHS and (1) decayed, missing, and filled primary teeth (dmft) and (2) untreated decayed teeth while adjusting for confounding.

resultsKindergarten students with ≥4 POHS visits averaged an adjusted 1.82 dmft (95% confidence interval: 1.55 to 2.09), which was significantly less than students with 0 visits (2.21 dmft; 95% confidence interval: 2.16 to 2.25). The mean number of untreated decayed teeth was not reduced for students with ≥4 POHS visits compared with those with 0 visits.

conclusionsPOHS provided by nondental providers in medical settings were associated with a reduction in caries experience in young children but were not associated with improvement in subsequent use of treatment services in dental settings. Efforts to promote oral health in medical settings should continue. Strategies to promote physician-dentist collaborations are needed to improve continuity of care for children receiving dental services in medical settings.

Indexed as

Dental Health ServicesOral HealthChildChild, PreschoolDental CariesDMF IndexFemaleHumansInfantMaleMedicaidPhysiciansPreventive Health ServicesRetrospective StudiesStudentsUnited States

Identifiers

PMID26122805
PMCPMC4485004
OpenAlexW2168803695

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.