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* Reflects the AAPD’s clinical guidelines and best principles for the proper delivery of oral health care to all children, with special consideration of infant/age one patients.
* Complete policy available on-line at: http://www.aapd.org/media/Policies_Guidelines/P_DentalHome.pdf
* Enhances the dental professional’s ability to assist children and their parents/care givers in the quest for optimum oral health care, beginning with the age one visit for successful preventive care and treatment as part of an overall oral health care foundation.
The Dental Home
* Endorsed by the American Dental Association, the Academy of General Dentistry and the American Academy of Pediatrics.
* They support this pivotal oral health care initiative to help ongoing public awareness of the importance of infant/age one oral health care and will continue to collaborate with the AAPD in promoting the overall health and well-being of young patients.
Workforce to provide infant oral health exams?
* The AAPD is working closely with the Academy of General Dentistry (representing 35,000 members) to ensure adequate availability of pediatric and general dentists to perform infant oral health exams. AAPD also has Affiliate (general dentist) members.
Strong evidence for its benefits:
* An influential research paper from the October 2004 issue of Pediatrics[1], the official journal of the American Academy of Pediatrics, which found that seeing children earlier for oral health examinations and preventive services saves money. Pediatric dental faculty at UNC-Chapel Hill led by Dr. Jessica Y. Lee spearheaded the research, which examined a cohort of 9200 Medicaid children in North Carolina between 1992 and 1997.
[1] Savage MF, Lee JY, Kotch JB, Vann WF. Early preventive dental visits: effect on subsequent utilization and costs. Pediatrics 2004;114:418-423.
* The average cost per child who had a dental visit before age 1 was $262. This doubled to $546 when the child’s first visit was not until ages 4-5. (these costs are per child over the 5 years of the study, not annual costs);
* Medicaid-enrolled children who had an early preventive dental visit were more likely to use subsequent preventive services and experience lower dentally related costs;
* 348 children in the study were treated in the operating room under general anesthesia before age 5, and 70% of those children did not have a previous preventive dental visit.
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