Title: 0147 - Non-Traumatic Dental Visits in Medical Settings in Rural Wisconsin


Neel Shimpi (Presenter)
Marshfield Clinic Research Institute

Rajesh Koralkar, Marshfield Clinic Research Institute
Ingrid Glurich, Marshfield Clinic Research Institute
Nagarjuna Meesa, Family Health Center Inc. of Marshfield
Po-Huang Chyou, Marshfield Clinic Research Institute
Gaurav Jain, Family Health Center Inc. of Marshfield
Adham Abdelrahim, Marshfield Clinic Research Institute
Greg Nycz, Family Health Center Inc. of Marshfield
Amit Acharya, Marshfield Clinic Research Institute


Objectives: The study examined trends of dental service utilization across time in medical settings, before and after establisjment of 7 out of 10 dental centers that belonged to a new regional federally qualified dental care delivery infrastructure in rural Wisconsin

Methods: Marshfield Clinic Health System's (MCHS) data warehouse was retrospectively interrogated for:(1) total unique patients visiting MCHS for non-traumatic dental condition(NTDC); (2) total number of visits with NTDCs; (3) the most common diagnoses associated with NTDC visits; (4) trend in number of NTDC visit per person per year.

Results: MCHS's data warehouse query identified 51,528 unique patients with 92,782 NTDC visits between 1991-2015. The most frequently documented diagnostic codes for the total of 106,255 NTDC were 525.9: dental disorder, NOS (32.02%); 524.6: disorders of temporomandibular joint (12.37%); 521.00,unspecified dental caries (10.90%), 522.5, periapical abscess (10.32%), 524.60: temporomandibular joint disorders, unspecified (8.39%), 522.4: acute apical periodontitis (7.37%); 523.9,gingival/periodontal disease NOS (2.37%); 524.69, Other specified TMJ (2.27%) ; 520.6: tooth eruption disturbances (1.63%); 525.8: dental disorder, NEC (1.49%); 523.1: chronic gingivitis (1.06%) and 523.8: periodontal disease, NEC (1.06%). The remaining 8.75% of ICD-9 CM codes included 523.4, 523.40, 524.4, 525.10, 524.9, 523.00 and others. Trend in a number of visits per person per year showed decline as opposed to the increasing trend noted prior to establishment of dental infrastructure.

Conclusions: A decreasing trend for NTDC visits was observed across several MCHS centers monitored for NTDC access rates. Long-term follow-up to observe trends in NTDC is needed to further assess oral health access trends and cost effectiveness of dental infrastructure establishment in rural settings.

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE

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