Introduction: The Salzmann Evaluation Index (SEI) was chosen by the state of Pennsylvania to evaluate the treatment needs of prospective orthodontic patients and to help determine the allocation of funding for orthodontic treatment, with a score of 25 being the threshold for funding allocation. This study will compare the summed scores of the columns under the inter-arch deviation (IAD) rows, which represent eight types of malocclusion (overjet, overbite, anterior crossbite, anterior openbite, Class II, Class III, posterior crossbite, and posterior openbite) to determine whether there is a difference in the scores of those approved and denied orthodontic insurance coverage.
Materials and Methods: 560 Patients with SEI >25, submitted for Medicaid orthodontic insurance approval from Temple University were stratified into “approved” (n=289) and “unapproved” (n=271) for treatment. Their mean IAD column scores (representing the malocclusions listed above) were compared and tested with Wilcoxon test for significance.
Results: Anterior crossbite, anterior openbite, posterior crossbite, and posterior openbite were identified as significantly higher scores in the “approved” group compared to the “unapproved” group. Overjet, overbite, Class II, and Class III had no significant differences between approved and unapproved groups.
Conclusions: Patients with anterior crossbite, anterior openbite, posterior crossbite, and posterior openbite may be more likely to receive coverage for orthodontic treatment by Medicaid insurance companies in Pennsylvania. Scores denoting presence of overjet, overbite, Class II, and Class III malocclusions were not different in patients approved and denied coverage for orthodontic treatment. / Oral Biology
| Identifer | oai:union.ndltd.org:TEMPLE/oai:scholarshare.temple.edu:20.500.12613/10716 |
| Date | 06 1900 |
| Creators | Seebold, Daniel, 0000-0001-8447-1093 |
| Contributors | Godel, Jeffrey H., Sciote, James J., Doumit, Carmen |
| Publisher | Temple University. Libraries |
| Source Sets | Temple University |
| Language | English |
| Detected Language | English |
| Type | Thesis/Dissertation, Text |
| Format | 89 pages |
| Rights | IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available., http://rightsstatements.org/vocab/InC/1.0/ |
| Relation | http://dx.doi.org/10.34944/dspace/10678, Theses and Dissertations |
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