ArticlePreventing chronic disease2021
A Pilot Study of Integration of Medical and Dental Care in 6 States.
Article in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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.
Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Dental Caries in Older Adults: A Narrative Review for Non-Dental Providers.International journal of environmental research and public health · 2026Review
- Developing a Multilayer Framework for Integrating Oral Health into General Health: A Scoping Review from Oral Healthcare Workers' Perspectives.Healthcare (Basel, Switzerland) · 2026Review
- Bridging systems: oral-kidney connections - pathophysiological links, clinical implications, and health system integration - a narrative review.BMC nephrology · 2026Review
- Medicaid Dental Cuts and Emergency Department Utilization: Implications of the 2025 Budget Reconciliation Act.Journal of the California Dental Association · 2026Article
- Patient-related factors that link chronic kidney disease and periodontitis: a scoping review.Odontology · 2025Article
- Association between multimorbidity and having less than 20 natural teeth among Chinese older adults: a cross-sectional study.Scientific reports · 2025Observational
- Toward a Comprehensive Model of Medical-Dental-Behavioral Integration.JDR clinical and translational research · 2024Article
- Dentists´ knowledge about common risk factors for cardiovascular diseases and periodontitis: An opportunity to be part of a multidisciplinary team.Journal of clinical and experimental dentistry · 2024Article
- Dentists' Information Needs and Opinions on Accessing Patient Information via Health Information Exchange: Survey Study.JMIR formative research · 2024Article
- The Contribution of Implementation Evaluation to the Field of Public Health.Preventing chronic disease · 2023Article
- State and Local Health Departments: Research, Surveillance, and Evidence-Based Public Health Practices.Preventing chronic disease · 2023Article
- Partnering for Integrated Care: A Learning Collaborative for Primary Care and Oral Health Teams.Annals of family medicine · 2023Article
- Evaluation of the Oral Health Knowledge Network's Impact on Pediatric Clinicians and Patient Care.Annals of family medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPoor oral health affects overall health. Chronic diseases and related risk factors such as tobacco use or consuming sugar-sweetened beverages can also increase a person's risk of periodontitis. Given the linkages between oral health and certain chronic diseases, we conducted a pilot study to facilitate intradepartmental collaborations between state chronic disease and oral health programs.
methodsState health departments in 6 states (Alaska, Colorado, Georgia, Maryland, Minnesota, and New York) collaborated to develop and implement projects that addressed oral health and the following chronic diseases or risk factors: obesity, diabetes, heart disease, stroke, and tobacco use. States developed various projects, including media campaigns, clinical education, and screening and referrals. We used a mixed-methods approach to understand barriers to and facilitators of states' increasing collaboration and implementation of pilot projects. In-depth interviews were conducted with 12 staff (1 from oral health and 1 from chronic disease for each state). We also reviewed state-submitted documents and performance measures.
resultsAll 6 states increased collaboration between their oral health and chronic disease programs and successfully implemented pilot projects. Collaboration was facilitated by investing in relationships, championing medical-dental integration, and meeting and communicating frequently. Barriers to collaboration included the perception of oral health in chronic disease programs as separate and distinct from other chronic diseases and the structure of funding. The pilot projects were facilitated by partner support, providing technical assistance to clinics, and working early on referral networks. Barriers to implementing the pilot projects included gaining clinician buy-in and establishing referral networks.
conclusionThis pilot study demonstrated that by fostering collaboration, state health departments are able to train dental and medical clinicians, deliver clinical preventive education to patients, implement referral systems, and deliver impressions via media campaigns.
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Registered trials
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.