Faine R C, Isman R
Department of Social and Health Services, State of Washington.
ASDC J Dent Child. 1989 Nov-Dec;56(6):450-1.
The second year utilization and cost data were reviewed for the Medical Assistance sealant program in Washington State. This report covers the period from November 1, 1986 to October 31, 1987. A total of 6,814 children received sealants, or 17.2 percent of all individuals (ages six to fourteen) who made at least one visit to a dentist. Sealants were placed on 21,685 teeth, with an average of 3.18 teeth sealed per child. This represents 2,095 or 10.7 percent more teeth sealed than in the first year of the program. There were 726 dentists who participated in the sealant program during the study period, for an increase of 22 percent over the previous year of the project. The total cost of providing sealants to this group of children was $193,303. This represents an increase of 12 percent for the second project year. In 1987 there were eighteen states that included sealants as a dental benefit for EPSDT children. A 1988 survey of dental programs in Medicaid reveals, however, that twenty-two states now provide sealants as a covered service. The second-year report shows steady progress in the Washington State Medical Assistance sealant program.
对华盛顿州医疗救助窝沟封闭项目第二年的使用情况和成本数据进行了审查。本报告涵盖1986年11月1日至1987年10月31日期间。共有6814名儿童接受了窝沟封闭，占所有至少看一次牙医的6至14岁儿童的17.2%。共为21685颗牙齿进行了窝沟封闭，平均每名儿童封闭3.18颗牙齿。这比该项目第一年多封闭了2095颗牙齿，即多了10.7%。在研究期间，有726名牙医参与了窝沟封闭项目，比项目上一年增加了22%。为这组儿童提供窝沟封闭的总成本为193303美元。这是第二个项目年度成本增长了12%。1987年，有18个州将窝沟封闭作为儿童早期和定期筛查、诊断与治疗项目（EPSDT）儿童的牙科福利。然而，1988年对医疗补助牙科项目的一项调查显示，现在有22个州将窝沟封闭作为一项承保服务。第二年的报告显示，华盛顿州医疗救助窝沟封闭项目取得了稳步进展。
