ArticleJournal of the American Dental Association (1939)2026
Emergency department use for nontraumatic dental conditions for Medicaid-enrolled children with special health care needs: A multistate cross-sectional study.
Article in Journal of the American Dental Association (1939), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
backgroundChildren with special health care needs (CSHCNs) have greater unmet oral health care needs than children without special health care needs (SHCNs). The authors evaluated whether US CSHCNs have higher odds of nontraumatic dental condition (NTDC)-related emergency department (ED) visits than children without SHCNs, and whether opioid prescribing after such visits differs according to SHCN status.
methodsIn this cross-sectional study, the authors used 2019 Centers for Medicare & Medicaid Services unredacted Transformed Medicaid Statistical Information System Analytic Files Research Identifiable Files for Medicaid enrollees up to age 20 years (n = 24,959,716). To evaluate associations between SHCN and NTDC-related ED visits and opioid prescriptions, clustered robust SE regression models were used to estimate adjusted odds ratios and 95% CIs.
resultsApproximately 16.5% of Medicaid enrollees (n = 4,117,103) had an SHCN, and 1.6% (n = 398,262) visited the ED for an NTDC. Of those with an NTDC-related ED visit, 3.6% (n = 14,146) received an opioid prescription. CSHCNs were at significantly higher odds of visiting the ED for an NTDC (adjusted odds ratio, 1.28; 95% CI, 1.25 to 1.30; P < .001) and were 1.11 times more likely to receive an opioid prescription after an NTDC-related ED visit than children without SHCNs (95% CI, 1.03 to 1.19; P = .006).
conclusionsMedicaid-enrolled CSHCNs are more likely to visit the ED for an NTDC and be prescribed opioids from such ED visits than children without SHCNs. In future studies researchers should identify the drivers of these disparities and inform preventive strategies. PRACTICAL IMPLICATIONS: Improving access to preventive and routine oral health care for CSHCNs could reduce avoidable ED visits and reliance on opioid prescribing.
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