If you haven’t already heard about the rising number of ER visits for dental injuries or other emergencies across the U.S., do yourself a favor and look it up. No time for that? Here’s a quick summary:
According to an April 2015 report published by the American Dental Association, trips to the ER due to dental conditions nearly doubled between 2000 and 2010, and the number continues to rise. Overall, ER visits have gone down for those aged 19 to 25 and remained about the same for children. The increased number of visits is by people aged 25 and older.
However, as investigative reporters across the country have shown, few emergency rooms are equipped to deal fully with dental emergencies. In many, perhaps most cases, ER patients with dental concerns are treated with painkillers and antibiotics, and are then referred to a dentist.
What is behind the rising number of dental ER visits?
Many issues are likely to be fueling the continued rise in the number of people who go to the ER due to dental
conditions. For one, insurers have traditionally separated dental coverage from health coverage, an incongruity that carried over and now affects how health benefits are defined in the Affordable Care Act. Dental and vision coverage for children is defined as one of the 10 essential health benefits, but dental coverage for adults is not required.
Medicaid attempts to ensure older Americans have adequate access to dental care, but compared to adults with private health insurance, adults with Medicaid are nearly 5 times as likely to have poor oral health. (Source: National Center for Health Statistics, 2012.)
Another piece of the puzzle is the lack of access to dental professionals in some rural or remote parts of the U.S. In many parts of the nation, there is an uneven distribution of dentists, which is having serious consequences. Kaiser Health News reported in 2013 that 16% of Americans live in areas with an insufficient number of dentists.
Federal guidelines, according to Kaiser, call for one dentist to every 5,000 people. Those who live in under-represented areas cope with the lack of dentists as well as they can, often by putting off or doing without necessary dental care until a trip to the ER is unavoidable.
What is being done to address the problem?
The increase in dental emergency room visits is straining the limits of emergency departments and costing far more than routine care and prevention would have cost. For example, it is estimated that for every dollar spent on children’s preventive care, between $8 and $50 could be saved on emergency treatment. (Source: Insuring Bright Futures: Improving Access to Dental Care and Providing a Healthy Start for Children.)
Dental schools, dentists, community health centers with dental clinics, dental associations, and non-profit organizations are doing all they can to provide help for people who have no dental coverage or who have poor access to dental professionals. Hardly a month goes by without at least one major free dental event being held somewhere across the U.S., and many smaller events are being held frequently, as well.
In addition, support continues to build for dental therapists. Proponents of creating this new type of “mid-level” dental practitioner say dental therapists can help to increase access to oral health care and free up dentists to do other, more critical work.
What can you do? Prevention is Key
At a policy level, the rise in ER visits for dental complaints indicates a need for more spending on adult oral health education and programs that support preventive dentistry for at-risk populations. On an individual level, understanding this situation should encourage more individuals to focus on preventing oral health problems long before they get out of control.
People with dental insurance are twice as likely to see a dentist as are those without a dental plan. (Source: National Institute of Health, 2010.) The generally low cost of dental insurance makes it highly affordable compared to emergency care.
In addition, many people who purchase dental insurance can benefit immediately. That is because dental insurance encourages, and generally pays for, regular check-ups.
Here are some of the key reasons why dental coverage is important to have, and – arguably – among the health benefits that should be considered “essential.”
- To Help You Pay for Costly Care: Dental care can be simple – such as a twice-yearly visit for a professional cleaning and x-rays – or it may involve costly care, such as oral surgery, getting a full set of dentures, or needing a crown. Depending on the type of dental insurance you get, dental plans generally pay either all or a percentage of the charges.
- To Help You Maintain a Healthy Mouth: Studies have shown regular dental exams and dental cleanings help people keep their teeth and gums healthy. In fact, most insurance plans pay 100% for check-ups every 6 months because the insurers know prevention is the key to cost-control.
- To Help You Protect Your Overall Health: The artificial barrier between oral health and health, period, is an illusion. Studies show our mouths can exhibit the symptoms related to more than 120 different non-dental diseases. So, even if there’s nothing wrong with your teeth and gums, regular visits to the dentist can help ensure early detection of serious diseases such as diabetes and heart disease. And that alone can make dental insurance well worth the investment.
And if you are a woman, you have even more reason to take charge of your oral health. That’s because, year after year, the percentage of U.S. women in the 18 to 64 age group who miss needed dental care due to cost is consistently higher than it is for men. (Source: National Center for Health Statistics, 2013.)
Many types of dental plans can help you take charge or your oral health, including dental health maintenance organization plans (DHMOs), discount dental plans or cards, and preferred provider organization plans (PPOs). To receive instant online quotes for plans available in your area, enter your zip in the box on our home page.
Why Dental Insurance is Important: Learn more about the top three reasons why dental insurance makes sense.
Common Causes of a Broken Tooth: Learn what to do in case of a dental emergency as well as the situations that need attention right away.
Knocked-Out Tooth: Learn what you can do to help make sure a tooth survives if it is knocked out.
With something as important as choosing a dentist, it’s vital you make a well-informed choice. Glowing recommendations from friends and family are certainly a big help if you’re searching for any type of service provider. But you should look for other things in a dentist.
First, there are some purely practical considerations. Things like the dentist’s location. Will it be convenient for you to visit them whether you’re coming from home or from work? Location may not be an option, but if it is, and if you will need frequent care, it may make a difference.
If you need to schedule an appointment on the weekend or in the evening, will the dentist be available? Are the waiting room, office space, furnishings and equipment clean and well maintained? The answers to these types of questions can help narrow your final selection, especially if you have a large number of options.
Preventive Oral Health
Beyond these types of practical considerations, there are number of other questions you can ask that will help you make the best choice.
Don’t think of the dentist simply as someone who can restore oral health.
At its most basic, oral health comes down to prevention and restoration. Don’t think of the dentist simply as someone who can restore oral health. Instead, see your dentist as someone who can help you understand and practice good oral health prevention strategies.
A caring dentist will take the time to explain the preventive techniques needed to keep you in the best oral health. In addition, the dentist should draw your attention to any problem areas that may be developing and provide specific instructions – and, if needed, a plan – for how to deal with the areas in question.
Emergency Dental Services
While it’s very important, prevention is only one part of good oral care. What will happen, though, if you have a dental emergency? Will the dentist see you right away if you break a tooth? What if the dentist is out of the office or on vacation?
Many dentists do make special arrangements…
Many dentists do make special arrangements, so if they’re unavailable when emergencies happen, their patients will still receive the timely care they need. That’s not always the case though. Be sure you understand a prospective dentist’s emergency procedures before you really need them.
Treatment Fees and Payment Plans
Finally, before you choose a dentist, you’ll want to find out whether specific information about treatment fees and the dentist’s payment plan is provided to patients before treatment is scheduled.
If you have dental insurance, you may need to determine whether the dentist participates in your plan. With certain types of dental insurance, pretreatment authorization for services may be required. Even if you don’t have insurance, most dentists will be happy to discuss the fees for needed services and the ways you can plan to pay.
You should never put off needed dental treatment. However, be sure to take the time you need to find the dentist that’s right for you.
Is there anything you would add to this list? Let us know in a comment below!
To learn more about dental insurance plans and dental terminology, visit the Resources section.
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