A Comparison of Urban School‐ and Community‐Based Dental Clinics

Larsen, Charles; Larsen, Michael Due; Handwerker, Lisa; Kim, Maile S.; Rosenthal, Murray

doi:10.1111/j.1746-1561.2008.00395.x

Cited by 28 publications

(27 citation statements)

References 17 publications

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Section: Discussioncontrasting

confidence: 44%

“…Caries was only found to be the reason in 31% of extracted primary teeth (17). The difference in that study's result may be due to the fact that the authors only investigated primary molars (17). In addition to caries, Ak et al (18) also evaluated other reasons for the extraction of primary molar teeth, such as pain and sepsis.…”

Section: Discussionmentioning

confidence: 93%

“…In addition to caries, Ak et al (18) also evaluated other reasons for the extraction of primary molar teeth, such as pain and sepsis. Moreover, the authors explained that a small sample size was a limitation of their study (17). The differences in the rates for tooth caries as the reason for extraction could also be due to differences in the sample sizes or study protocols used in various studies.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, studies that focus on groups of primary school-age children are also limited, even though schools are accepted as favorable places to provide oral health education and efficient and effective preventive services (16). Moreover, school-based oral health programs have been reported to be effective in providing preventive and curative services than community-based approaches (17). Therefore, in the present study, primary school-age children were chosen as the population to be investigated.…”

Section: Discussionmentioning

confidence: 99%

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Reasons for the Extraction of Primary Teeth in Primary School-age Children in Zonguldak, Turkey: A Retrospective Study

Demiriz¹,

Bodrumlu²

2018

meandros

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Anah tarKe li me ler Öz AbstractObjective: Determination of the factors causing the extraction of primary teeth is important for countries to take the necessary precautions while establishing their health policies. This study aimed to evaluate the reasons for the extraction of primary teeth in primary school-age children in Zonguldak, Turkey. MaterialsandMethods:Age, sex, medical condition, type of tooth extracted, and the reason for the primary teeth extraction were examined retrospectively in the records of patients who applied to Bülent Ecevit University Faculty of Dentistry, Department of Pedodontics between 2012 and 2016. As a result of the examination, information about the reasons for the primary teeth extraction, the type of tooth extracted, and each patient's age and gender were collected and analyzed.Results: A total of 2429 primary teeth were extracted from 1812 children (1013 females and 799 males). Caries (51.6%) was the most frequent reason for extraction of primary teeth. Primary molar teeth (73.7%) were the most common type of teeth was extracted. When the distribution of the reasons for extraction was examined based on age groups, the most prominent reason in the 7-, 8-, and 9-year-old age group was tooth caries (p<0.05), whereas physiologic mobility was the most prominent reason in the 10-and 11-year-old age groups (p<0.05). Conclusion: Based on this study's findings, it can be obtained that tooth caries is the most common reason for extraction of primary teeth in primary school-age children in Zonguldak, Turkey. The most common type of tooth extracted was a primary molar tooth. Oral and dental health programs should be developed and implemented to reduce primary tooth extraction caused by tooth caries.Amaç: Süt dişi çekim nedenlerinin belirlenmesi ülkelerin sağlık politikalarını oluştururken gerekli önlemleri almaları açısından önem taşımaktadır. Bu çalışma Türkiye'nin Zonguldak ilindeki ilkokul çağı çocuklarında süt dişi çekimine neden olan etkenlerin belirlenmesini amaçlamıştır. Gereç ve Yöntemler: Çalışmamızda 2012-2016 yılları arasında Bülent Ecevit Üniversitesi Diş Hekimliği Fakültesi, Pedodonti Anabilim Dalı'na tedavi amacıyla başvuran hastaların kayıtlarında yer alan yaş, cinsiyet, tıbbi durum, çekilen diş sayısı

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Section: Discussioncontrasting

confidence: 44%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Reasons for the Extraction of Primary Teeth in Primary School-age Children in Zonguldak, Turkey: A Retrospective Study

Demiriz¹,

Bodrumlu²

2018

meandros

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“…Amazingly, dental caries is the most common chronic disease of childhood, with approximately 25% of children from low-income families entering kindergarten without ever having seen a dentist (Larsen, Larsen, Handwerker, Kim, & Rosenthal, 2009). Early childhood caries (ECC) is an especially damaging form of tooth decay that attacks primary teeth.…”

mentioning

confidence: 99%

Oral Health Care for Underserved Children in the United States

Culyer

Brown

Kelly

2014

Journal of Community Health Nursing

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Dental caries is the most common chronic disease of childhood with approximately 25% of children from low-income families entering kindergarten without ever having seen a dentist ( Larsen, Larsen, Handwerker, Kim, & Rosenthal, 2009 ). Youth, poverty, and race are characteristics of populations susceptible to oral disease (Dye, Xianfen, & Thorton-Evans, 2012). Services delivering oral health care to underserved populations are referred to as dental safety-net clinics. This article explores the impact of the dental safety-net on improving access to oral health care for underserved children in the United States.

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School-Based Health Centers, Access to Care, and Income-Based Disparities

Boudreaux,

Chu,

Lipton

2023

JAMA Netw Open

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ImportanceSchool-based health centers (SBHCs) are primary care clinics colocated at schools. SBHCs have the potential to improve health care access and reduce disparities, but there is limited rigorous evidence on their effectiveness at the national level.ObjectiveTo determine whether county-level adoption of SBHCs was associated with access, utilization, and health among children from low-income families and to measure reductions in income-based disparities.Design, Setting, and ParticipantsThis survey study used a difference-in-differences design and data from a nationally representative sample of children in the US merged with SBHC indicators from the National Census of School-Based Health Centers. The main sample included children aged 5 to 17 years with family incomes that were less than 200% of the federal poverty level observed in the National Health Interview Survey, collected between 1997 to 2018. The sample was restricted to children living in a county that adopted a center between 2003 and 2013 or that did not have a center at any time during the study period. Analyses of income-based disparities included children from higher income families (ie, 200% or higher than the federal poverty level). Data were analyzed between January 2020 and July 2023.ExposureCounty-by-year SBHC adoption.Main Outcomes and MeasuresOutcomes included access (usual source of care, insurance status, barriers), ambulatory care use (general physician, eye doctor, dental, mental health visits), and health (general health status, missed school days due to illness). P values were adjusted for multiple comparisons using the sharpened q value method.ResultsThis study included 12 624 unweighted children from low-income families and 24 631 unweighted children from higher income families. The weighted percentage of children in low-income families who resided in counties with SBHC adoption included 50.0% aged 5 to 10 years. The weighted percentages of the race and ethnicity of these children included 36.7% Hispanic children, 25.2% non-Hispanic Black children, and 30.6% non-Hispanic White children. The weighted percentages of children in the counties that never adopted SBHCs included 50.1% aged 5 to 10 years. The weighted percentages of the race and ethnicity of these children included 20.7% Hispanic children, 22.4% non-Hispanic Black children, and 52.9% non-Hispanic White children. SBHC adoption was associated with a 6.4 percentage point increase in dental visits (95% CI, 3.2-9.6 percentage points; P &lt; .001), an 8.0 percentage point increase in having a usual source of care (95% CI, 4.5-11.5 percentage points; P &lt; .001), and a 5.2 percentage point increase in insurance (95% CI, 1.2-9.2 percentage points; P = .03). No other statistically significant associations were found with other outcomes. SBHCs were associated with relative reductions in income-based disparities to dental visits by 76% (4.9 percentage points; 95% CI, 2.0-7.7 percentage points), to insured status by 63% (3.5 percentage points; 95% CI, 1.3-5.7 percentage points), and to having a usual source of care by 98% (7.2 percentage points; 95% CI, 5.4-9.1 percentage points).Conclusions and RelevanceIn this survey study with difference-in-differences analysis of SBHC adoption, SBHCs were associated with access to care and reduced income-based disparities. These findings support additional SBHC expansion.

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A Comparison of Urban School‐ and Community‐Based Dental Clinics

Cited by 28 publications

References 17 publications

Reasons for the Extraction of Primary Teeth in Primary School-age Children in Zonguldak, Turkey: A Retrospective Study

Reasons for the Extraction of Primary Teeth in Primary School-age Children in Zonguldak, Turkey: A Retrospective Study

Oral Health Care for Underserved Children in the United States

School-Based Health Centers, Access to Care, and Income-Based Disparities

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