Data on Managed Care Reported by Researchers at University of Washington (Pediatric Dental Providers’ Experiences With Parent Refusal of Radiographic Imaging): Managed Care

2026 SEP 09 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Research findings on Managed Care are discussed in a new report. According to news originating from Seattle, Washington, by NewsRx correspondents, research stated, “To investigate pediatric dental providers’ experiences with parent radiographic imaging refusal and identify practice and parent characteristics associated with refusal. American Academy of Pediatric Dentistry (AAPD) members were invited via email in October and November 2024 to participate in an online questionnaire about radiograph imaging refusal (intraoral, extraoral, and cone beam computed tomography [CBCT]).”

Our news journalists obtained a quote from the research from the University of Washington, “Chi-square tests identified factors associated with refusal. A total of 695 of 8,295 dental providers responded to the survey (8.4%). Most were women (60.7%) and White (71.8%). Between 9% and 23% reported parent radiographic imaging refusal as a big or medium-sized problem (intraoral=23%; extraoral=12%; CBCT=9%). Intraoral and extraoral refusal was more commonly reported by private practice providers (versus community health centers or university/hospitals) and providers treating fewer than 50% Medicaid-insured patients (versus more than 50% Medicaid-insured patients; P<0.05). Providers reported that parents who refused bitewing radiographs also tended to refuse fluoride and immunizations. Most providers (87.6%) continued to use lead shielding because of the belief that it improves acceptance of radiographs (71.9%).”

According to the news editors, the research concluded: “Parent intraoral radiography refusal is a commonly reported challenge in dentistry and highlights the importance of developing chairside strategies aimed at supporting parent decision-making and timely dental disease diagnosis and treatment.”

This research has been peer-reviewed.

For more information on this research see: Pediatric Dental Providers’ Experiences With Parent Refusal of Radiographic Imaging. Pediatric Dentistry, 2026;48(4):273-285. Pediatric Dentistry can be contacted at: Amer Acad Pediatric Dentistry, 211 E Chicago Avenue Suite 1036, Chicago, IL 60611-2616, USA.

The news correspondents report that additional information may be obtained from Courtney M. Hill, Dept. of Oral Health Sciences, University of Washington, Seattle, WA, United States. Additional authors for this research include Andrea Akabike, Gulaiim Almatkyzy, Paul Casamassimo, Chelsea Fosse, Travis Nelson, Peggy P. Lee and Donald L. Chi.

The publisher’s contact information for the journal Pediatric Dentistry is: Amer Acad Pediatric Dentistry, 211 E Chicago Avenue Suite 1036, Chicago, IL 60611-2616, USA.

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