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Dentists Debate the Merits of Mobile Clinics Health Articles | April 20, 2011
There is an ongoing debate among dentists over whether mobile dental clinics should be reimbursed through Medicaid for sealing children?s teeth.

There is a stirring debate currently happening in many areas around the country. It deals with whether or not mobile dental clinics should be able to receive payment from Medicaid. The question is primarily being addressed by pediatric dentists around the country who fear that this measure would prevent parents from bringing their children to more traditional clinics for comprehensive oral care. This question may be either a huge step forward or a stumbling block on the road for these mobile clinics to continue bringing access to care to underserved populations.

Mobile dentists are not a new phenomenon. In fact nonprofit organizations and public health departments have been providing dental care from these roving buses for years. They usually set up at school campuses or church parking lots for a few days or a weekend and then offer free sealants to the teeth of underserved children. These sealants provide protection against cavities and reduce the need for other services. Up until now however it has not been possible to bill the government for these treatments unless a parent is present at the time of treatment. There is among some dentists a push to change this so that they can serve more children.

On the other side of the issue are dentists who fear that by allowing and actively promoting this sort of care it will reduce the overall public opinion of visiting an established dental clinic. They say that this reduces the kids? access to other important diagnostic tools like cleanings and x-rays. They fear that by simply sealing teeth there will be an increase in other oral problems besides cavities.

While this camp is correct in theory that it is better to have kids go to an office and have annual check-ups the reality is that this is not happening. Less than 20% of lower income children even have sealants on their molars. In families where the decision is between paying the rent and going in for preventative care there is no question of where the priority is. The problem is not whether kids should go see their regular dentists. The problem is that many kids do not have regular care. Proponents of this issue state explicitly that if they could they would provide comprehensive dental care for every child.

The best thing that can be done outside of the law is for parents to instill good oral hygiene practices form an early age. Emphasizing the importance of brushing and flossing after every meal and before bed is the first defense against the pain of rotten teeth.
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