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AAP Grand Rounds 18:27-28 (2007)
© 2007 American Academy of Pediatrics
| The first 20% of the full text of this article appears below. |
Many US children have difficulty accessing dental care because of a shortage of dentists, uneven distribution of dentists within states, and dentists low rate of participation in Medicaid.1,2 In North Carolina, for example, 25% of children entering kindergarten have untreated dental disease, a burden for the child, family, and health care system.3 This study from the University of North Carolina sought to evaluate the potential for pediatric residents to improve access to dental care, particularly for children enrolled in Medicaid, by providing preventive dental care in continuity clinic.
In 2000, a physician-based Medicaid-funded "Into the Mouths of Babes Varnish and Screening Program" (IMB) was introduced.4 To be eligible for this program, resident physicians participate in a required training session, and then are reimbursed by Medicaid for providing oral screening, fluoride varnish application, and parent counseling for children age three years and younger. The current study was a retrospective chart audit of children ages six to 36
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