Patterns of Dental Service Utilization Following Nontraumatic Dental Condition Visits to the Emergency Department in Wisconsin Medicaid
Format of Original
Journal of Public Health Dentistry
Objectives: To examine patterns of dental service utilization for adult Medicaid enrollees in Wisconsin following nontraumatic dental condition (NTDC) visits to the emergency department (ED).
Methods: This is a retrospective, observational study of claims for NTDC visits to the ED and dental service encounters from the Wisconsin Medicaid Evaluation and Decision Support database (2001-2009). We used competing risk models to predict probabilities of returning to the ED versus obtaining follow-up care from a dentist.
Results: We observed a 43 percent increase in the rate of NTDC visits to the ED, with most of this increase occurring from 2001 to 2005. Within 30 days of an NTDC visit to the ED, ∼29.6 percent of enrollees will first visit a dentist office, while ∼9.9 percent will return to the ED. Young to middle-aged adults (18 to <50 years) and enrollees living in counties with a lower supply of dental providers were more likely to return to the ED following a NTDC visit. Among the enrollees that first visited a dental office following an ED visit, 37.6 percent had an extraction performed at this visit.
Conclusions: Almost one in five adult Medicaid enrollees will subsequently return to the ED following a previous NTDC visit. The provision of definitive care for these individuals appears to primarily consist of extractions.
Pajewski, Nicholas M. and Okunseri, Christopher, "Patterns of Dental Service Utilization Following Nontraumatic Dental Condition Visits to the Emergency Department in Wisconsin Medicaid" (2014). School of Dentistry Faculty Research and Publications. 60.
Accepted version. Journal of Public Health Dentistry, Vol. 74, No. 1 (Winter 2014): 34-41. DOI. © 2014 Wiley. Used with permission.
This is the peer reviewed version of the following article: "Patterns of Dental Service Utilization Following Nontraumatic Dental Condition Visits to the Emergency Department in Wisconsin Medicaid," which has been published in final form here: DOI. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.