Factors that have contributed to improving the data:
Access legislation promotes sealant programs • CMS prepaid dental has impacted preventive services • Additional children are being covered by Medicaid • Fluoride-varnish is being applied in health access settings • Collaboration between oral health and primary care is increasing • There is greater access to information about preventive dental care • Increased reimbursement rates • Fluoridation has increased across the state • Dental benefits promote preventive treatment • Managed care companies are focused on patient outreach
Factors that restrict the data:
There is a lack of access to preventive dental care due to its high cost and low percentage of individuals with dental insurance • Negative perceptions about dental care, painful experiences that result from acute conditions and fear al discourage people from seeking preventive treatment • People perceive dental care as acute and not preventive. • Generational and cultural differences determine belief about oral health • There is a shortage of providers because of: extremely poor Medicaid reimbursement • There is a lack of oral health funding • There is a lack of parental focus on children's oral health because of: lack of knowledge of importance of oral health; decreasing school oral health programs and health education • Dental is not integrated into overall health care • Unknown status around health equity • More education of consumers to seek services • Setting up transportation and appointments • Continued outreach to physicians to conduct preventive services and connect patients to dentists.