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2021 MIPS Measure #379: Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Quality ID

379

eMeasure ID

CMS74v10

High Priority Measure

No

Specifications

EHR

Measure Type

Process

Specialty

Dentistry Pediatrics

Measure description

Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period

 

Rationale

The literature reflects that fluoride varnish, when applied to the teeth of high-risk children, reduces, in conjunction with anticipatory guidance provided to the caregiver, the risk of the child developing caries (Weintraub et al., 2006).


Clinical Recommendation Statements

ADA clinical recommendations for use of professionally applied or prescription-strength, home-use topical fluorides for caries prevention in patients at elevated risk of developing caries:

- Younger Than 6 Years - 2.26 percent fluoride varnish at least every three to six months

- 6-18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF*) gel for four minutes at least every three to six months

- Older Than 18 Years - 2.26 percent fluoride varnish at least every three to six months OR 1.23 percent fluoride (APF) gel for four minutes at least every three to six months (Weyant et al., 2013)

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