Poster Presentation

Poster Presentation

PR43 - The Impact of the Affordable Care Act on Endodontic Services Within a Dental School Setting

Thursday, April 26
10:00 AM - 1:00 PM
Room: Exhibit Hall

Introduction: Since 1990, Oregon has provided limited dental benefits, including selected endodontic procedures, for children and adults as part of the Oregon Health Plan (OHP). With the passage of the Affordable Care Act (ACA) in 2009 and its expansion in 2014, there was a substantial increase in the number of Oregonians eligible for dental services. The aim of this study was to evaluate the influence of ACA on endodontic services provided in the Graduate Endodontic Clinic at Oregon Health and Sciences University (OHSU). Hypothesized was that the implementation of ACA would have a significant positive impact on the provision of endodontic services for adults and children insured by OHP. Methods: A retrospective chart review of axiUm dental records was conducted. De-identified records were reviewed from July 1, 2010 through June 30, 2017. Data was extrapolated for age, procedure and insurance coverage before and after Jan. 1, 2014. Data were analyzed using Chi-squared and Fisher’s exact tests. Results:There was a significant increase in the number of non-surgical root canals (anterior, premolar and molar) performed after ACA for patients 21 years and older (p<0.001). While there was a significant increase in the number of procedures completed for patients under 21 years (p>0.05). Conclusion: The Affordable Care Act had a significant impact on endodontic care at OHSU’s Graduate Endodontic Clinic. Expansion of care resulted in age ≥21 seeking care for molar root canal therapy even when care was not covered by OHP.

Joseph Peck

Endodontic Resident
Oregon Health & Science University

Dr. Peck received his BA in Psychology from the University of Utah. Later, he moved to Pennsylvania to attend the University of Pittsburgh School of Dental Medicine. There he earned his DMD degree in 2012. Most recently, he worked as the lead dentist of a community health center in Walla Walla, WA. The clinic focused on providing care to migrant farm workers. While working there, he developed an interest in endodontics. He is currently in year second year of endodontic residency at Oregon Health and Sciences University.

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Karan Replogle

Associate Professor/Program Director
Oregon Health & Science University

Dental School education: the Ohio State University DDS 1992 and Certificate in Endodontics with Master of Science in 1994. Private practice from 1994-2001. Served as Program Director Advanced Education Specialty Program in Endodontics at Virginia Commonwealth University from 20014- 2015.

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Christine Sedgley

Professor and Chair of Department of Endodontology
Oregon Health & Science University

Dr. Sedgley did her dental training at the University of Sydney, Australia and her endodontic training at the University of Melbourne, Australia. She received her PhD in Microbiology from the University of Hong Kong. She is currently the Department of Endodontology Chair at OHSU. Go Blue!

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Eli Schwarz

Chair of the Department of Community Dentistry
Oregon Health & Science University

Dr. Schwarz is a Professor & Chair of the Department of Community Dentistry. His previous professional appointments include Professor of Population Oral Health, Faculty of Dentistry, University of Sydney, and Adjunct Professor in professional studies at the University of Nevada, Las Vegas, School of Dental Medicine; Professor and Dean, Faculty of Dentistry, University of Sydney; Executive Director of the American and International Associations for Dental Research (AADR/IADR); Professor of Public Health Dentistry and Dean of Dentistry, University of Hong Kong; and Chief Dental Officer, National Board of Health, Denmark, and Associate Professor, at the University of Copenhagen in Denmark.

He has a DDS and a doctoral degree from University of Copenhagen, Denmark, and a Master's degree in Public Health from Hadassah Medical School, University of Jerusalem. He is a founding fellow of the Hong Kong Academy of Medicine and a fellow in the specialty of Community Dentistry in the Hong Kong College of Dental Surgeons. He is also a fellow of the American College of Dentists and a fellow of the Royal Australasian College of Dental Surgeons. In 1987, he was conferred the Royal Order, Knight of the Order of Dannebrog, by Her Majesty Queen Margrethe II of Denmark.

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