Treatment Outcomes and Retention in Medicaid and Non-Medicaid Orthodontic Patients PDF Download
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Author: Ashkan Ghaffari Publisher: ISBN: Category : Languages : en Pages :
Book Description
Medicaid orthodontic patients have been shown to miss more appointments and break more appliances than self-pay patients, indicating a greater tendency toward non-compliance. Lack of compliance during the post-treatment phase can be detrimental to retention. The purpose of this study was to determine whether there is a difference in PAR score changes between Medicaid and non-Medicaid patients during and after orthodontic treatment. PAR scores were determined using study models of 43 Medicaid and 39 non-Medicaid patients before and at the end of active treatment, and 24 Medicaid and 42 non-Medicaid patients at the end of treatment and at an average of 13 months post-treatment. PAR scores generally reduce during treatment and will increase if relapse occurs. Rates of PAR score change during and after treatment were compared between Medicaid and non-Medicaid patients using the Mann-Whitney U-test. The mean initial PAR score was greater in the Medicaid group (31.95 versus 23.28; p=0.003) while there was no significant difference found between the two groups for the end of treatment PAR scores (3.22 versus 2.93; p=0.451). The rates of PAR score improvement during treatment (14.07/year versus 12.14/year; p=0.203) and worsening after the removal of orthodontic appliances (2.04/year versus 2.91/year; p=0.872) were found not to differ between the two groups. It was found that the rate of PAR score improvement during treatment did not differ between Medicaid and non-Medicaid patients. During the post-treatment period, the rate of PAR score worsening was also found not to differ.
Author: Ashkan Ghaffari Publisher: ISBN: Category : Languages : en Pages :
Book Description
Medicaid orthodontic patients have been shown to miss more appointments and break more appliances than self-pay patients, indicating a greater tendency toward non-compliance. Lack of compliance during the post-treatment phase can be detrimental to retention. The purpose of this study was to determine whether there is a difference in PAR score changes between Medicaid and non-Medicaid patients during and after orthodontic treatment. PAR scores were determined using study models of 43 Medicaid and 39 non-Medicaid patients before and at the end of active treatment, and 24 Medicaid and 42 non-Medicaid patients at the end of treatment and at an average of 13 months post-treatment. PAR scores generally reduce during treatment and will increase if relapse occurs. Rates of PAR score change during and after treatment were compared between Medicaid and non-Medicaid patients using the Mann-Whitney U-test. The mean initial PAR score was greater in the Medicaid group (31.95 versus 23.28; p=0.003) while there was no significant difference found between the two groups for the end of treatment PAR scores (3.22 versus 2.93; p=0.451). The rates of PAR score improvement during treatment (14.07/year versus 12.14/year; p=0.203) and worsening after the removal of orthodontic appliances (2.04/year versus 2.91/year; p=0.872) were found not to differ between the two groups. It was found that the rate of PAR score improvement during treatment did not differ between Medicaid and non-Medicaid patients. During the post-treatment period, the rate of PAR score worsening was also found not to differ.
Author: Amy Isenberg Publisher: ISBN: Category : Dental care Languages : en Pages : 18
Book Description
Purpose: This study compares the orthodontic treatment outcomes and appointment compliance of 31 Medicaid Eligible (ME) and 36 private-pay (PP) patients at the University of Detroit Mercy.
Author: Shelby Jace Beattie Publisher: ISBN: Category : Languages : en Pages : 47
Book Description
Orthodontic treatment outcomes have traditionally been determined according to objective measures, but some researchers and clinicians have turned their focus to subjective outcome measures, such as oral health-related quality of life (OHQoL) and body image (BI). A randomized clinical trial (RCT) compared the objective outcomes of interceptive (ETX) and comprehensive (CTX) orthodontic treatment in a Medicaid population. The aim of the current study was to compare the subjective treatment outcomes of these two groups. An attempt was made to contact all of the subjects who had completed the RCT. Of 134 subjects, 58 (27 ETX, 31 CTX) completed two questionnaires--one for OHQoL and one for BI. The questionnaire results of the two treatment groups were compared using Student's t-tests. Univariate linear regression analyses were performed to identify socio-demographic and occlusal/skeletal variables that predicted OHQoL and BI scores. Predictors of appointment-keeping were also identified using the same statistical method. Mean overall OHQoL and BI scores were better for the CTX group than the ETX group. Incisor irregularity and anterior dental esthetics at the end of the trial were found to predict long-term OHQoL and BI scores, whereas ethnicity was found to predict failed and late appointment rates. In adolescent patients with Medicaid insurance, comprehensive orthodontic treatment produces long-term subjective outcomes, which are superior to interceptive treatment alone.
Author: Zachary DiSpirito Publisher: ISBN: Category : Languages : en Pages : 54
Book Description
Objectives: Various indices exist to determine priority for orthodontic treatment need. The American Association of Orthodontists (AAO) Auto-Qualifiers (AQs) are proposed criteria to standardize treatment priority. We investigated how the AAO Auto-Qualifier criteria compares to the Salzmann Index (SI) for determining treatment need, and thus Medicaid funding for orthodontic treatment. Methods: 81 subjects were previously screened, with completed SI scores, at Temple University Kornberg School of Dentistry (TUKSoD) between December 2019 and February 2020. Records were analyzed using the AAO Auto-Qualifier criteria. AQ results were compared to funding decisions by Insurance Company A, one of the primary Medicaid insurance companies for patients seeking treatment at TUKSoD. Malocclusion characteristics for transverse (presence of posterior crossbite), vertical (presence of open bite or deep bite) and sagittal (Class I, II, or III or presence of anterior crossbite) dimensions were recorded when funding decisions were discrepant between Insurance Company A and the AQs. Results: Funding approval by Insurance Company A and potential approval based on the AAO AQs was found to be 37.04% and 44.44%, respectively. Funding agreement between the two assessments was 77.7% (Cohen's kappa = 0.56). Disagreement occurred with malocclusion characteristics identified in all three dimensions, most often sagittal. Crowding or spacing ≥10mm (in either arch) and impinging overbite with evidence of occlusal contact into the opposing soft tissue were the two most common Auto-Qualifiers that resulted in funding approval. Crowding or spacing ≥10mm (in either arch) and anterior and/or posterior crossbite of ≥3 teeth per arch were the most common AAO AQs that disagreed with SI scores. Conclusions: There is a moderate level of agreement for determining Medicaid funding for orthodontic treatment between Insurance Company A (based on SI scores) and the proposed AAO AQs. Adopting the proposed AAO Auto-Qualifiers nationally may result in a greater number of approvals for Medicaid funding for patients seeking orthodontic treatment in states that utilize Salzmann Index scores for determining funding decisions.
Author: Bastiaan J. Njio Publisher: ISBN: Category : Medical Languages : en Pages : 252
Book Description
The objective of the EURO-QUAL programme has been to improve the quality of care for the individual patient. At the same time the need for harmonisation of health care in Europe was recognised. This Quality Improvement System (QIS) for orthodontic care in Europe comprises of 'Guidelines for how to implement a QIS' and reference material from the project teams: Financial Resources, Professional Development, Consumer Satisfaction, and Industrial Co-operation. In this respect the following topics are discussed: * The differences and similarities in local (national) quality initiatives. * The use of databases, as a technique to improve quality by comparing one's own performance against that of colleagues. * The influence of the different national systems of funding on both the amount of care provided as well as the quality of care. * The contents and the quality of the educational programmes, at all levels of orthodontic care. * Promotion of patients' rights and responsibilities before, during and after the orthodontic treatment. * A common goal and common language with the industrial partners by which the interaction can be optimised and communication will be enriched. This book provides the background information for the appropriate use of the European Orthodontic Quality Manual (EOQM). Strategies for the implementation of a QIS in orthodontics, taking into account the complex of the outlined aspects, make this book interesting for the orthodontic professional as well as the stakeholders (education, funding, industry, and consumers) in orthodontic care.
Author: Zane Karrer Haider Publisher: ISBN: Category : Languages : en Pages : 144
Book Description
Abstract Introduction: Early Orthodontic Treatment (EOT) has been extensively studied, but questions still remain regarding the prevalence of its need in the United States. Without information regarding the epidemiology of EOT need, it is difficult to make determinations as to its viability as a Medicaid service. The Index for Preventive and Interceptive Orthodontic Needs (IPION) developed by Coetzee is the only index specifically meant for children in the mixed dentition. The purpose of this study was to utilize the IPION to measure EOT need in two pediatric dental populations in Philadelphia. Methods: 87 children between the ages of 6 and 9 were screened using the IPION. Overall scores, demographic information, and prevalence of specific malocclusions were recorded and analyzed. Results: A substantial proportion of children fell into the definite treatment need category (60.92% ±5.2% when including restorations and caries in the score, 31.03%±5.0% when excluding restorations and caries from the score). Site of screenings, race and sex had no significant effects on prevalence of EOT need, while IPION rubric used (IPION6 versus IPION9) had marginally significant effects on the prevalence of EOT need. Conclusions: There is a significant proportion of children in Philadelphia pediatric dental populations who have unmet EOT needs. Patients, communities, Medicaid, orthodontists and residents could all benefit from treatment of these children if policy were changed to allow EOT to be covered by Medicaid in Pennsylvania.
Author: Ashkan Ghaffari
Author: Ashkan Ghaffari
Author: Amy Isenberg
Author: Shelby Jace Beattie
Author: Jacqueline Ryan Thrower
Author: Paula L. Harre
Author: Carroll-Ann Trotman
Author: Jennifer Thomas Mirabelli
Author: Zachary DiSpirito
Author: Bastiaan J. Njio
Author: Zane Karrer Haider