Objective: 1) Generate period prevalence of diabetes in dental patients at Montefiore Medical Center (MMC) in the Bronx-NY; 2) Estimate the proportion of diabetic patients requiring emergency dental care; 3) Determine if there is a difference in dental emergencies between diabetic and non-diabetic dental patients.
Method: Electronic dental records were utilized to identify patients who had dental visits in a 6 month period (1/1/2011-6/30/2011) across five MMC operated dental clinics. Patient medical records were queried and diagnoses with International Classification of Diseases-9-Clinical Modification (ICD-9) codes 250.xx for diabetes flagged. Appropriate Current Dental Treatment (CDT) codes were used to identify types of dental visits and measure the relative odds (OR) and 95% confidence intervals (CI) for emergency dental visits between diabetic and non-diabetic patients.
Result: During the 6-month period, 65,535 dental visits were generated for 29,816 unique dental patients. Approximately 11,085 (37.2%) had ICD-9 code 250.xx. Frequency of visits per patient varied from 1 to 24; further analysis will be performed for statistical significance. Diabetic dental patients were significantly more likely to be admitted for an emergency visit/extraction than non-diabetic patients with an OR of 1.2 (95%CI: 1.15 to 1.29). Further analysis showed an increased proportion of diabetic patients seeking palliative emergency treatment (CDT-D9110) with an OR of 1.5 (95%CI: 1.32 to 1.64).
Conclusion: This data suggests diabetic patients require more frequent and emergency dental care than non-diabetic patients. Diabetics were 20% were more likely to present for emergency care/extractions and 50% more likely to present for palliative emergency dental treatment.
Keywords: Diabetes, Education research, Emergencies and Epidemiology
See more of: Behavioral, Epidemiologic, and Health Services Research