Locking out prevention: Dental care in the midst of a pandemic

Danagoulian, Shooshan; Wilk, Thomas A

doi:10.1002/hec.4558

Cited by 7 publications

(9 citation statements)

References 44 publications

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Section: Plos Global Public Healthmentioning

confidence: 99%

“…Researchers who examined data from March-April 2020, indicated a 12.1% decrease in demand for overall dental visits [15]. The most common dental services that were forgone were preventive and diagnostic services [15]. In another study, caregivers were queried in June and July 2020 about unmet healthcare need that occurred in the previous 3 months [20].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

“…It is important to understand the patterns of dental care utilization, particularly for vulnerable populations in times of disruption. Overall, the U.S. population of Medicaid beneficiaries had an initial drop in dental visits of 14.5% and an overall net decrease of 12.1% in dental services during the initial COVID-19 surge [15]. Preventive and diagnostic services had the largest decreases that were not caught up [15].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, the U.S. population of Medicaid beneficiaries had an initial drop in dental visits of 14.5% and an overall net decrease of 12.1% in dental services during the initial COVID-19 surge [15]. Preventive and diagnostic services had the largest decreases that were not caught up [15]. Researchers reported concerns that the missed visits would result in more short and long-term consequences including an increased use of emergency departments (ED).…”

Section: Introductionmentioning

confidence: 99%

“…Researchers reported concerns that the missed visits would result in more short and long-term consequences including an increased use of emergency departments (ED). The projected increase in ED use due to dental issues is expected to be a 0.14-0.20% increase [15]. Understanding the patterns will help in resource allocation and interventions for equitable dental care.…”

Section: Introductionmentioning

confidence: 99%

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Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children’s health, 2020

Wiener

2023

PLOS Glob Public Health

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It is important to determine access to preventive care among vulnerable populations. The purpose of this research is to compare preventive dental utilization between children with special healthcare needs (CSHCN) and children without special healthcare needs (CWSHCN) using National Survey of Children’s Health, 2020 (NSCH, 2020) data. A cross-sectional study design was used in this secondary data analysis of data from June 2020 to January 2021, NSCH, 2020, a publicly available data set with demographic and healthcare information. Parents/guardians responded to validated questions including one asking them to recall preventive dental services received during the previous year (June 2019 to January 2021). This was a critical time of transition from normal, pre-pandemic activities (June 2019 to March 2020) to the pandemic period (March 2020 to January 2021) with restrictions and no available vaccinations for children. Data analyses for the NSCH, 2020 data included frequency determinations, Chi Square analyses by preventive dental visit, and logistic regression analyses. There were 40,140 children in the sample, and 20.6% were CSHCN. Overall, 75.0% of children received a dental preventive visit. This study had an interaction of CSHCN status and medical visits within the previous year in which having had a medical visit was associated with CSHCN status also having a dental visit; while the CSHCN who did not have a medical visit were less likely to have a dental visit in unadjusted analysis. However, the pattern for CSHCN and the medical visit reversed in adjusted analysis. In adjusted analysis, CWSHCN and a medical visit were the most likely to also have a dental visit during this period. Many factors influenced access to preventive dental care in the months leading up to and including the COVID-19 pandemic. CSHCN with or without a medical visit were less likely to have preventive dental care than CWSHCN with a medical visit in logistic regression analysis adjusted for sex, race/ethnicity, age, smoking in the household, medical visits within the year, insurance coverage, and highest level of education in the household.

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Section: Plos Global Public Healthmentioning

confidence: 99%

Section: Plos Global Public Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children’s health, 2020

Wiener

2023

PLOS Glob Public Health

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Locking out prevention: Dental care in the midst of a pandemic

Danagoulian

Wilk

2022

Health Economics

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On March 15, 2020, as the novel coronavirus spread through US cities, The New York Times published an infographic categorizing occupations by risk of exposure to the virus. 1 The risk was evaluated as a function of physical proximity to others and the extent of exposure. Though health care professionals faced the overall greatest risk, dentists and dental hygienists topped the list as the care they provide involves not only immediate proximity to the patient, but also work in the direct path of the exhalation plume of the patient. In recognition of this risk, most states suspended elective medical procedures, including some dental care. Furthermore, starting in the first week of March, 39 states and DC imposed stay-at-home orders which limited individuals' ability to step outside the home. While these orders did not halt all dental care, many dentists shut their practices temporarily in order to slow the spread of the virus, protect patients and providers, and conserve personal protective equipment. Dental offices took this opportunity to reconfigure their practice to introduce protective measures such as temperature screenings, updated procedures (limited polishing, peroxide swish, etc.), greater spacing of patients, and upgraded air filtration systems.In this study, we evaluate changes in visits to dentists' offices due to the stay-at-home orders imposed by some states to mitigate the spread of COVID-19 starting in March 2020. Though many clinics reopened for limited services in these states, patients avoided dental care for fear of exposure to the virus. We also take advantage of variability in the wording of stay-athome orders to examine whether language actively encouraging dental care during this period yielded the intended policy outcome.

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Effect of COVID-19 lockdowns on quality-of-life and health services access by socio-economic status in Australia

Feng,

Li,

Kristoffersen

et al. 2024

Health Promotion International

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This study examined changes in physical and mental health quality-of-life and health services access before and after the onset of the COVID-19 pandemic among individuals of lower and higher socio-economic status (SES) in Australia. Difference-in-differences and logistic regression models were undertaken using data from the Household, Income and Labour Dynamics in Australia (HILDA) survey and government data on COVID-19 lockdowns between January 2020 and February 2021. Individuals from higher SES reported larger decreases in mental health quality-of-life scores than those from lower SES after the onset of the pandemic. Those from lower SES reported less disruption with any health services (24.2% vs 30.4%; OR = 0.68; p < 0.001), specifically dental services (8.2% vs 15.4%; OR = 0.51; p < 0.001) and allied health services (5.9% vs 8.5%; OR = 0.60; p < 0.001), compared with those from higher SES. Additional days under lockdown were associated with reduced access to all health services (OR = 1.19). Furthermore, long-term health conditions (higher SES: OR = 1.54) and scores indicative of poorer physical (lower SES: OR = 1.17; higher SES: OR = 1.07) and mental health (lower SES: OR = 1.16; higher SES: OR = 1.12) were associated with increased health services disruption. While individuals from higher SES were more likely than those from lower SES to experience greater relative declines in mental health and increased disruption with health services access, individuals with a greater apparent need for health services, regardless of SES, may have faced inequalities in accessing these services during the COVID-19 pandemic.

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Locking out prevention: Dental care in the midst of a pandemic

Cited by 7 publications

References 44 publications

Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children’s health, 2020

Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children’s health, 2020

Locking out prevention: Dental care in the midst of a pandemic

Effect of COVID-19 lockdowns on quality-of-life and health services access by socio-economic status in Australia

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