Does preventive dental care reduce nonpreventive dental visits and expenditures among Medicaid‐enrolled adults?

Taylor, Heather L.; Sen, Bisakha; Holmes, Ann M.; Schleyer, Titus; Menachemi, Nir; Blackburn, Justin

doi:10.1111/1475-6773.13987

Cited by 5 publications

(2 citation statements)

References 35 publications

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“…Regular dental visits contribute to the early detection of oral diseases, and continuous preventive care by dental professionals is effective in maintaining and improving oral health. Previous studies reported that preventive dental visits reduce future non-preventive dental care 7 and dental expenditures 7,8 . This suggests that health policy should prioritize frequent dental visits to improve people's health.…”

Section: Introductionmentioning

confidence: 98%

Public oral health screening leads to regular dental visits: the LIFE Study

Tamada,

Kusama,

Maeda

et al. 2023

Preprint

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Background: Although periodontal disease screening has been implemented as a public oral health screening program in Japan, it remains unclear whether screening encourages regular dental visits. This study aimed to test the hypothesis that periodontal disease screening leads to subsequent regular dental visits among adults using a difference-in-differences (DID) approach. Methods: This study used healthcare claims data of municipality residents who underwent periodontal disease screening in 2017 or 2018. For each screening recipient, four individuals of the same age and sex were extracted from those who did not undergo screening as controls. In the DID analysis, we assessed the change in the prevalence of dentist visits at least once every 180 days after screening. Results: A total of 4,270 participants were included in the analysis. The prevalence of visiting dentists was consistent before screening among the participants who underwent screening (181-360 days before, 62.4%; 1-180 days before, 60.3%). While the prevalence was also consistent in those who did not undergo screening throughout the study period (approximately 45%), the prevalence in those who underwent screening sharply increased after undergoing the screening (1-180 days after, 81.1%) and then declined (181-360 days after, 67.8%). DID analysis indicated that the prevalence increased by 12.1% owing to screening. In addition, the age-subgroup DID estimates were higher in the younger population (aged 20-35 years, 17.4%; 40-55 years, 11.5%; 60 years, 11.0%). Conclusion: Periodontal disease screening increased subsequent dental visits, especially in younger populations.

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Section: Introductionmentioning

confidence: 98%

Public oral health screening leads to regular dental visits: the LIFE Study

Tamada,

Kusama,

Maeda

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Timely dental care services, either for preventive care or necessary interventions, are imperative for good oral health [1,2]. Oral health can be viewed as a window into the overall health and health history, as evidenced by tooth loss, chronic periodontitis, and oral cancer [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The impact of dentition status and barriers to dental care services on perceived oral health of medicare beneficiaries

Kim,

Rosenberg

2023

J Public Health Dent

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ObjectiveTo examine the association among barriers to dental care services, dentition groups, and self‐reported oral health status for Medicare beneficiaries.MethodsWe used data from the 2017 to 2018 National Health and Nutrition Examination Survey (NHANES), which included participants aged ≥65 years who were enrolled in Medicare and had completed the oral health exam. We created a dentition group variable using the detailed dental examination data to account for the presence of natural, replaced, removable, or missing teeth. Through bivariate and logistic analyses, we explored the relationship between barriers to receiving dental care services, dentition groups, and reported oral and general health statuses, along with other control variables.ResultsFor the total Medicare population as well as in the four subgroup analyses, we showed that those with barriers to dental care services were more likely to report fair or poor oral health status. Those who were edentulous, had complete dentures, or had less than a full mouth of teeth had greater barriers and worse oral and general health than did those with all‐natural teeth. Among those who reported fair or poor general health, those with less than a full mouth of teeth showed similar levels of barriers to dental care services and worse perceived oral health than did those without any teeth.ConclusionsHelping the 65 years and older population retain their teeth in good condition will improve their overall health. Investment in oral hygiene and health for the current and future Medicare populations could improve their overall health.

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State-level variation in Medicaid dental coverage for services beneficial to adults with intellectual and developmental disabilities

Jones,

Taylor

2024

The Journal of the American Dental Association

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Does preventive dental care reduce nonpreventive dental visits and expenditures among Medicaid‐enrolled adults?

Abstract: Objective: To determine whether preventive dental visits are associated with fewer subsequent nonpreventive dental visits and lower dental expenditures.

Cited by 5 publications

References 35 publications

Public oral health screening leads to regular dental visits: the LIFE Study

Public oral health screening leads to regular dental visits: the LIFE Study

The impact of dentition status and barriers to dental care services on perceived oral health of medicare beneficiaries

State-level variation in Medicaid dental coverage for services beneficial to adults with intellectual and developmental disabilities

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