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Special Health Care Needs

486 - Transition to Adult Dental Care from a Children’s Hospital

Saturday, May 25, 2024
12:30 PM – 12:40 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • Roshni Desai, DMD

    Resident
    University of Southern California
    University of Southern California
    Los Angeles, California, United States

    • Co-Author(s)

  • JP

    Jose Polido, DDS, MS

    University of Southern CA

    • Program Director(s)

  • AA

    Alexander Alcaraz, DMD

    Program Director
    University of Southern CA
    Los Angeles, California, United States

Abstract:

Transition to Adult Dental Care from a Children’s Hospital

Desai R, Alcaraz A, Polido J

Herman Ostrow School of Dentistry of USC, Los Angeles, CA

 



Purpose: For patients with special health care needs (SHCN), the transition process from their pediatric dental home to adult dental care entails many challenges. The purpose of this study is to 1) describe the characteristics/ demographics of adolescents with SHCN transitioning from a hospital-based pediatric dental home to an adult dental home and 2) survey these patients at least one year after their final visit in their pediatric dental home to: determine efficacy of the current transition method, examine the influence of selected patient characteristics on transition efficacy, and identify barriers to successful transition.

 



Methods: The study population includes 1) patients for whom Children’s Hospital Los Angeles (CHLA) served as their pediatric dental home meaning he/she had completed a comprehensive exam to be a patient of record and had completed at least two recall examinations 2) the patient has SHCN 3) the adult patient is not competent to consent, and 4) the patient graduated from the CHLA pediatric dental clinic between July 1, 2017 and October 1, 2022. After obtaining consent, a phone survey was conducted with the legal guardian of the patient to assess the effectiveness of current transition processes. Demographic data was collected from these patients’ charts including: patient age at referral, ASA categorization, insurance type, Frankl behavior rating, years at CHLA, and number of previous GA appointments.

 



Results: Descriptive statistics will be used to analyze the data.

 



Conclusion: This study may reveal the challenges faced by adults with special health care needs to find oral health care.

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