ArticleJournal of the American Dental Association (1939)2018
Assessing the validity of existing dental sealant quality measures.
Article in Journal of the American Dental Association (1939), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Visit-level quality measurement reveals missed opportunities and overuse in preventive oral health care.Journal of the American Dental Association (1939) · 2026Article
- Second molar sealants among US adolescents and their association with select sociodemographic factors and first molar sealants: A cross-sectional study using National Health and Nutrition Examination Survey data.Journal of the American Dental Association (1939) · 2024Article
- Improvements in appropriate placement of dental sealants after implementation of a clinical decision support system.Journal of the American Dental Association (1939) · 2024Article
- Development of quality measures to assess tooth decay outcomes from electronic health record data.Journal of public health dentistry · 2023Article
- BigMouth: development and maintenance of a successful dental data repository.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Measuring the quality of dental care among privately insured children in the United States.Health services research · 2022Article
- Caries Risk Documentation And Prevention: eMeasures For Dental Electronic Health Records.Applied clinical informatics · 2022Article
- Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care.BMC oral health · 2021Article
- Measuring sealant placement in children at the dental practice level.Journal of the American Dental Association (1939) · 2020Article
- Increasing value, reducing waste: tailoring the application of dental sealants according to individual caries risk.Journal of public health dentistry · 2020Article
- Leveraging Electronic Dental Record Data for Clinical Research in the National Dental PBRN Practices.Applied clinical informatics · 2020Article
- Feasibility and usability of measuring receipt of sealants in 2 states.Journal of the American Dental Association (1939) · 2019Article
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Authors and funding
14 authors.
Funding
Abstract
backgroundAlthough sealants are highly effective in preventing caries in children, placement rates continue to be low. The authors' goals were to implement and assess the performance of 2 existing sealant quality measures against a manual audit of charts at 4 dental institutions and to identify measurement gaps that may be filled by using data from electronic health records.
methodsThe authors evaluated the performance of 2 quality measures designed for claims-based data: the Dental Quality Alliance (DQA) sealant measure, which includes patients at risk of developing elevated caries, and the Oregon Health Authority (OHA) sealant measure (irrespective of caries risk). The authors adapted and validated these measures at 4 sites: 3 dental schools and 1 large dental accountable care organization.
resultsThe overall modified DQA and modified OHA measure scores in the 6- through 9-year-old age group were 37.0% and 31.6% and in the 10- through 14-year-old age group were 15.8% and 6.6%, respectively. Results from the manual review of charts showed that 67.6% of children who did not receive sealants did not have any teeth to seal because their molars had not yet erupted, had been extracted, had been sealed previously, or had existing caries or restorations.
conclusionsBoth the DQA and OHA measures, which rely mainly on Current Dental Terminology procedure codes, led to underestimation of the care delivered from a practice perspective. Future sealant quality measures should exclude patients whose teeth cannot be sealed. PRACTICAL IMPLICATIONS: This study's results support the suitability of using electronic health record data for assessing the quality of oral health care, particularly for measuring sealant placement in children.
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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.