Age One Dental Visits - Michigan Oral Health …

1 Check-Up on oral Health Age One Dental Visits Michigan County Profile 2017. M I C H I G A N O R A L H E A LT H C O A L I T I O N. Michigan County Profile AGE ONE Dental Visits . OVERVIEW FACTORS CONTRIBUTING TO LOW ACCESS. Tooth decay is the most prevalent chronic This lack of access to Dental care for Michigan 's childhood disease in the United States. Each year youngest citizens is a complex problem fueled by a in the United States, tens of millions of children, number of factors: disproportionately low-income, go without seeing a dentist. Although tooth decay is largely preventable, An uneven distribution of dentists statewide with it remains largely untreated in young children, 59 Michigan counties designated as a Dental Health especially those under three years of Professional Shortage The American Association of Public Health Dentistry, In 2012, only 48% of Michigan Medicaid-enrolled American Academy of Pediatric Dentistry, American children under age 21 received Dental care.

2 The Dental Association, American Academy of Pediatrics, relatively small number of dentists who participate and American Public Health Association recommend in Medicaid means that many low-income people that infants receive an oral evaluation within six are not receiving Dental months of the eruption of the first primary tooth, In 2012, of Michigan children ages 1-5 yrs. but no later than 12 months of did not receive a preventive Dental visit during the previous Healthy Kids Dental is recognized for improving Percent of Michigan Medicaid beneficiaries, under access to care for Medicaid-enrolled children by age two, with at least one Dental visit in 2015 improving provider reimbursement rates. The program is a public-private partnership between the Michigan Department of Health and Human Services and Delta Dental of According to a Child Health and Research Unit at the University of Michigan study, as many as three out of four general dentists said they were aware of the American Academy of Pediatric Dentistry's Legend call for routine Dental care to start by age one.

3 But - - only one third of them said they recommended Suppressed Rate* their own patients start care then. Why? The report noted that many dentists aren't comfortable with *State rate is providing routine and problem-oriented care for * Rates were suppressed young if there were less than 5. beneficiaries with a Dental visit in county MEDICAID BENEFICIARIES BELOW AGE TWO. In 2015, of Michigan Medicaid beneficiaries below MEDICAID MEMBERS the age of two had at least one Dental visit . Charlevoix Medicaid members were included in the ( ), Ontonagon ( ) and Otsego ( ). analysis if their age was less than 2 years. Age counties had the highest rate of Dental Visits and Barry and county for each member are determined ( ), Benzie ( ) and Missaukee ( ) counties as of the end of each calendar year.

4 A Dental had the lowest. On average each Michigan Medicaid visit was defined as a visit record with a beneficiary under age two had Dental Visits . procedure code beginning with D. 2 Michigan oral Health Coalition | Age One Dental Visits M I C H I G A N O R A L H E A LT H C O A L I T I O N. Michigan County Profile AGE ONE Dental Visits . AGE ONE Dental EXPERIENCE. The following table lists the 2015 percentages of Michigan Medicaid beneficiaries, under age two, with at least one Dental visit in the calendar year. 2015 2015 2015. County Percent County Percent County Percent Alcona Gratiot Missaukee Alger Hillsdale Monroe Allegan Houghton Montcalm Alpena Huron Montmorency Antrim Ingham Muskegon Arenac Ionia Newaygo Baraga Iosco Oakland Barry Iron Oceana Bay Isabella Ogemaw Benzie Jackson Ontonagon Berrien Kalamazoo Osceola Branch Kalkaska Oscoda Calhoun Kent Otsego Cass Keweenaw ~ Ottawa Charlevoix Lake Presque Isle Cheboygan Lapeer Roscommon Chippewa Leelanau Saginaw Clare Lenawee Sanilac Clinton Livingston Schoolcraft ~.

5 Crawford Luce Shiawassee Delta Mackinac ~ St. Clair Dickinson Macomb St. Joseph Eaton Manistee Tuscola Emmet Marquette Van Buren Genesee Mason Washtenaw Gladwin Mecosta Wayne Gogebic Menominee Wexford Grand Traverse Midland State of Michigan ~Rates were suppressed if there were less than 5 beneficiaries with a Dental visit in a county. Michigan oral Health Coalition | Age One Dental Visits 3. M I C H I G A N O R A L H E A LT H C O A L I T I O N. Michigan County Profile AGE ONE Dental Visits . AGE ONE Dental EXAM. ANTICIPATORY GUIDELINES. The Michigan Perinatal oral Health Program has created Michigan Perinatal oral Health Guidelines which developed evidence based perinatal oral Health guiding principles that integrate oral Health into the Health home for women and infants.

6 Their Pregnancy oral Health Screenings: A Guide for Perinatal Care Professionals states that during the last post-partum visit , professionals should stress the importance of The American Academy of Pediatric Dentistry the first Dental visit for infants at the eruption of the (AAPD) advocates interaction with early intervention first tooth or at age programs, schools, early childhood education and child care programs, members of the medical and The American Academy of Pediatric Dentistry and the Dental communities, and other public and private American Academy of Pediatrics recommend the first community agencies to ensure awareness of age- Dental visit includes the following components: specific oral Health oral Health risk assessment Children who have their first preventive Dental Visits Individualized oral care prevention plan based on early in life are more likely to have subsequent caries-risk assessment preventive Visits and less restorative or emergency Emergency plan for Dental trauma management Visits .

7 Consequently, these children incur fewer Dental Anticipatory guidance for families and other related costs than children who begin Dental care at caregivers related to the child's growth and an older development issues oral Health counseling regarding oral hygiene and lifestyle modifications REFERENCES. Nutrition and dietary counseling 1. ASTDD Association of State and Territorial Dental Directors Comprehensive oral Health care in accordance with (2012). First Dental visit by Age One Policy Brief. recommended periodicity schedules for pediatric 2. Health Resources and Services Data Warehouse (2016). Michigan oral Health Dental Health Provider Shortage Areas. Referral to Dental specialists for emergency or 3. Centers for Medicaid & Medicare Services (2013).

8 CMS oral specialized oral Health care, as needed Health Strategy Statistics. 4. National Survey of Children's Health . NSCH 2011/12. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved 11/02/15 from 5. University of Michigan 's Child Health Evaluation and Research Acknowledgments Unit (2012). oral Health Care for Young Children 0-5 Years: From Research to Recommendations. The Michigan 6. Michigan Department of Health and Human Services (2014). oral Health Program Michigan Perinatal oral Health Guidelines. Support for this publication was provided by Increasing Access to Prevention Michigan oral Health Coalition, through the LE 7. American Academy of Pediatric Dentistry, Policy on the oral Health 2020 Initiative of the DentaQuest Foundation.

9 Now that's something to S about! Dental Home (2015). Michigan 4 Michigan oral oral Health Health Coalition Coalition | Age 106 Dental n One W. Allegan Visits Street n Suite 310 n Lansing, MI n