Pediatricians and the Oral Health Needs of Children One Potential Means for Reducing Oral Healthcare Inequities - Exam 70
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by Roberts, Erwin
Children in poverty have limited access to oral healthcare. One approach to reduce
such health inequities is to expand the involvement of primary care physicians
in the provision of oral healthcare. The purpose of this study was to assess
pediatricians’ knowledge, attitudes, and professional experiences regarding oral
health in children, and to determine their willingness to incorporate preventive
dental education and procedures into their practices.

Questions:
 1) What is the most commonly cited reason for the gap that exists between pediatricians’ attitudes and practices in regards to their role in providing oral health care to children:
  1. Low reimbursement rates from Medicaid
  2. The ability of pediatricians to refer their patients to dentists who have insurance, regardless if the patient has Medicaid or private dental insurance.
  3. Pediatricians’ lack of clinical training in oral health in both medical school and residency programs.
  4. Low rate of dental caries present in pediatrician offices
 2) Which statements are true:
  1. Statement 1 – Currently, Tennessee provides a way in which non-dental providers can apply to become eligible for Medicaid reimbursements for preventive dental procedures.
  2. Statement 2 – The overwhelming majority of pediatricians believe they play an important role in a child’s overall health but not specifically a child’s oral health.
  3. Statement 3 – Increasing pediatrician involvement in oral health prevention during well-child care visits may improve the quality of oral health in a child who has difficulty obtaining professional dental care.
  4. Statement 4 – According to the Accreditation Council for Graduate Medical Education, pediatricians receive little or no education on dental services in either medical school or residency.
  5. 1,2,4
  6. 1,4
  7. 3,4
  8. 1,3,4
 3) Which of the following is false:
  1. The majority of pediatricians seen in this study were willing to provide a reimbursement rate for applying fluoride varnish in their offices despite a low reporting of pediatricians’ knowledge of use of fluoride.
  2. The majority of Tennessee pediatricians responding to the survey reported that they are likely to include anticipatory guidance in oral health and participate in assessment practices such as examining children’s teeth for cavities during well-child care visits.
  3. The majority of Tennessee pediatricians responding to the survey correctly answered each of the four questions testing requisite knowledge in preventive dental treatments.
  4. The majority of Tennessee pediatricians responding to the survey were unlikely to inquire to the oral health of the patient’s mother during a well-child check.
 4) Which of the following are barriers that limit the expansion of pediatrician involvement in oral health as noted in this study?
  1. Pediatricians often have difficulty referring their patients to dentists.
  2. Oral health literacy rates among pediatricians are low.
  3. Lack of private practice dental offices participating in Medicaid compared to that of a pediatricians’ office.
  4. All of the above.
 5) Are the following statements true or false?
  1. Statement 1 - In order to be eligible for reimbursement, a non-dental provider who has completed online training must provide both a dental screening and fluoride varnish application at the time of the child’s medical visit.
  2. Statement 2 - Participants in this study reported that uninsured or Medicaid patients are roughly two times more difficult to refer compared to patients with private insurance.
  3. Both statements are true.
  4. Both statements are false.
  5. Statement 1 is true and Statement 2 is false.
  6. Statement 1 is false and Statement 2 is true.