Document Detail


The effects of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment.
MedLine Citation:
PMID:  18402104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to examine the impact of state-level general anesthesia (GA) legislation on operating room visits for the treatment of dental caries on preschool-aged children. METHODS: The North Carolina Ambulatory Surgery Discharge Database was used to observe GA visits for fiscal years (FY) 1997 to 2001. A pretest/post-test design with concurrent comparison groups was used for 2 analyses: (1) all children treated for dental caries were compared to those treated for otitis media; and (2) those whose treatment for dental caries was reimbursed by Medicaid were compared to those whose treatment for dental caries was not reimbursed by Medicaid. RESULTS: In the prelegislation period (FY 1997 and 1998), there were 3,857 GA visits for dental core and 21,038 for otitis media. Postlegislation (FY 2000 and 2001) dental visits increased to 5,511(43%), and otitis media visits increased to 22,279 (6%)-a statistically significant difference (P<.05). Before the legislation, there were 1,370 non-Medicaid dental visits and 2,487 Medicaid dental visits. Non-Medicaid and Medicaid dental visits postlegislation increased to 2,195 (60%) and 3,316 (33%), respectively. This difference was significant (P<.05). CONCLUSIONS: General anesthesia legislation resulted in an increase in access to care for children needing dental care in North Carolina.
Authors:
Halley R White; Jessica Y Lee; R Gary Rozier
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric dentistry     Volume:  30     ISSN:  0164-1263     ISO Abbreviation:  Pediatr Dent     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-5     Citation Subset:  D; IM    
Affiliation:
Department of Pediatric Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Ambulatory Surgical Procedures / legislation & jurisprudence,  statistics & numerical data
Anesthesia, Dental* / statistics & numerical data
Anesthesia, General* / statistics & numerical data
Anesthesiology / legislation & jurisprudence*
Child, Preschool
Cross-Sectional Studies
Dental Care for Children / legislation & jurisprudence*,  statistics & numerical data
Dental Caries / therapy
Female
Health Services Accessibility / statistics & numerical data
Humans
Male
Medicaid / statistics & numerical data
North Carolina
Operating Rooms*
Otitis Media / therapy
Reimbursement Mechanisms / statistics & numerical data
Sex Factors
United States
Grant Support
ID/Acronym/Agency:
1 K22 DE 14743/DE/NIDCR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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