Policy on Medically-Necessary Care

Question 1

What % of children experience caries in their primary teeth by age 5?

Answer 1

60%

Question 2

By 17 years of age, what % of children in the US have experienced caries?

Answer 2

78%

Question 3

What % of caries in school-aged children occurs in pits and fissures?

Answer 3

90%

Question 4

What type of caries is associated with insufficient development in children who have no other medical problems?

Answer 4

Rampant caries

Question 5

What type of disease is often associated with both cardiovascular disease and adverse pregnancy outcomes?

Answer 5

periodontal disease

Question 6

What fraction of the US population does not benefit from community water fluoridation?

Answer 6

more than 1/3

Question 7

A child who receives sealants if what % likely to receive restorative services over the next three years than children who do not?

Answer 7

72%

Question 8

Is sealant placement on primary molars in young children a cost-effective strategy for children at risk for caries?

Answer 8

Yes

Question 9

With follow up care, the success rate of sealants may be __ to __%, even after a decade

Answer 9

80-90%

Question 10

What fraction of medicaid programs reimburses dentists for sealant placement on primary molars?

Answer 10

1/3

Question 11

What is the most common reason for denials of dental care under general anesthesia?

Answer 11

“not medically necessary”