A LONGITUDINAL-STUDY OF SCHOOLCHILDREN EXPERIENCE IN THE NORTH-CAROLINA DENTAL MEDICAID PROGRAM, 1984 THROUGH 1992

Objectives. This evaluation of a state Medicaid dental program describ es dental treatment received, relates treatment needed to treatment re ceived, and describes enrollment and use over an 8-year period. Method s. Three databases were linked: (1) clinical records from a 1986/87 st atewide epidemiological survey, providing data on treatment need; (2) Medicaid dental claims from 1984 through 1992, providing data on treat ment received; and (3) Medicaid enrollment files from 1984 through 199 2. Results. Half of Medicaid-enrolled children never used dental servi ces. Among users of dental services, 45% and 25% of children needed re storations in primary and permanent teeth, respectively. In this group , 29% had all needs met, 28% had needs partially met, and 43% had no n eeds met. Forty-six percent of children sought care for only 1 year. C onclusions. Federal guidelines for dental care are not met in this typ ical Medicaid population of short-term enrollees who use services spor adically. Programs should aim to increase use and ensure that all need ed services, especially preventive procedures such as sealants, can be completed within the short period of time a child attends for care.