Oral health care use among an insured population after COVID-19

The Journal of the American Dental Association, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Pandemic-driven shift: increase in silver diamine fluoride utilization among Medicaid-enrolled children during the COVID-19 public health emergency

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 25, 2025

Introduction Untreated dental caries remains a significant public health issue, particularly among children and adolescents from low-income families, where disparities persist. The COVID-19 emergency (PHE) changed care practices, leading to an increased focus on minimally aerosolizing treatments such as silver diamine fluoride (SDF). This study aimed describe the temporal changes in SDF utilization Medicaid-enrolled across United States before during first half of PHE. Additionally, examined impact demographics state-level policies utilization. Methods We conducted multiyear cross-sectional using enrollment claims data Transformed Medicaid Statistical Information System (T-MSIS) for 2019, 2020, 2021. population included Children’s Health Insurance Program (CHIP) beneficiaries aged <21 years. analyzed rates compared them with other services, stratifying by age, sex, race/ethnicity, rurality. Multilevel logistic regression models were used identify predictors Results approximately 39 million each year. per 1,000 enrollees 9.10 2019 16.81 2021, most increases observed 0–6 years, those living rural areas, American Indian/Alaskan Native children. reimbursement policy was predictor, states being 10.5 times more likely receive treatment. Conclusion PHE significantly impacted children, highlighting importance policies. findings can be develop targeted approaches clinicians improve access treatment address oral disparities.

Language: Английский

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Effects of Expanding Medicaid Dental Coverage on General Health Status of Low-Income Adults

Medical Care, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Oral health is considered a key component of general health. However, causal evidence examining the effects dental coverage on sparse. To examine Affordable Care Act (ACA) Medicaid expansions with extensive benefits versus less generous status individuals low income. A difference-in-differences design comparing states that expanded eligibility in 2014 by whether they offered or benefits. Adults aged 18-64 years below 138% federal poverty level who participated 2011-2022 Behavioral Risk Factor Surveillance System surveys. Self-rated and number days not good physical mental past 30 days. The likelihood fair/poor rated declined benefits, including 2.3 (95% CI: -3.90 to -0.69) percentage-points when aggregating 2014-2022, declines first observed 2015 almost all after. There were no statistically significant 2014-2022. fewer mentally unhealthy 0.93 2019 2021 -1.80 -0.06 -1.70 -0.15, respectively). findings suggest improves self-rated among low-income adults. suggestive improved 2 but discernable effect

Language: Английский

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Impact of the COVID-19 pandemic on oral health care use in the United States through December 2021

The Journal of the American Dental Association, Journal Year: 2023, Volume and Issue: 154(10), P. 937 - 947.e3

Published: Aug. 30, 2023

The purpose of this study was to assess the effects COVID-19 pandemic on oral health care provided from July 2020 through December 2021 using national claims data.Deidentified quarterly 2017 were analyzed (2017-2019 prepandemic data). Data sorted into multiple treatment categories. Analyses compared with postpandemic procedure volumes and stratified according age groups (0-5 years, 6-18 19-64 ≥ 65 years).For children aged 0 5 use sealants topical fluorides other than varnish considerably lower in 2021, as direct operative palliative procedures 2021. Only silver diamine fluoride, prefabricated crowns, surgery increased significantly (P < .05) some quarters. For 6 18 diagnostic, operative, periodontic, surgery, most only crowns indirect more 3 adults 19 64 diagnostic preventive quarters, gingival endodontic, occlusal guards scaling root planing years older, osseous quarters; all quarters.The associated changes provision that persisted for 1 year.Reductions across younger may have implications longer-term pandemic.

Language: Английский

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Changes in the utilization of outpatient and visiting dental care and per-attendance care cost by age groups during COVID-19 pandemic waves in Japan: A time-series analysis from LIFE study

Journal of Epidemiology, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 1, 2024

Background: The influence of the coronavirus disease (COVID-19) pandemic on dental care utilization may have differed according to individual characteristics or type provision. This study aimed evaluate changes in and per-attendance costs by age group during COVID-19 Japan.

Language: Английский

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Age of first dental visits: A benefit of the pediatric medical home

Journal of Public Health Dentistry, Journal Year: 2024, Volume and Issue: 84(3), P. 329 - 333

Published: April 29, 2024

This retrospective cohort study compared differences in age one dental visit use and at first according to fluoride varnish receipt the pediatric medical home.

Language: Английский

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