Providing a Dental Home for Pregnant Women: A Community Program to Address Dental Care Access – A Brief Communication

Milgrom, Peter; Ludwig, Sharity; Shirtcliff, R Mike; Smolen, Darlene; Sutherland, Marilynn; Gates, Patricia A.; Weinstein, Philip

doi:10.1111/j.1752-7325.2007.00049.x

Cited by 33 publications

(37 citation statements)

References 8 publications

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“…A community-based Medicaid intervention in Oregon successfully increased the percentage of pregnant women with a dental home. 66 Based on the percentages in Figure 1 and Table 3 odds ratios, if Black mothers without a RSDC later establish a RSDC, our results imply that the annual dental utilization of their preschool children would increase, on average, from 58% to 70%. For Hispanic mothers, the increase would be from 75% to 84%.…”

Section: Discussionmentioning

confidence: 74%

Linking Mother and Child Access to Dental Care

Grembowski

Spiekerman²,

Milgrom

2008

Pediatrics

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Objectives Among young children in low-income families covered by Medicaid, we estimate by racial/ethnic group whether children who have mothers with a regular source of dental care (RSDC) at baseline have greater dental utilization in the following year than children with mothers without a regular source. Patients and Methods From a population of 108,151 children enrolled in Medicaid aged 3 to 6 and their low-income mothers in Washington state, a disproportionate stratified random sample of 11,305 children aged 3 to 6 was selected from enrollment records in four racial/ethnic groups: 3,791 Black; 2,806 Hispanic 1,902 White; and 2,806 other racial/ethnic groups. In a prospective cohort design, we conducted a baseline survey of mothers and for respondents, collected their children’s Medicaid dental claims in the 1-year follow-up period. Mutivariable regression models estimated the associations between the mothers having a RSDC at baseline and their children’s prospective dental utilization. Results About 38% of mothers had a RSDC. Among children of Black and Hispanic mothers, having a mother with a RSDC at baseline was associated with greater odds of receiving any dental care in the following year (OR 1.69, 95% CI 1.10-2.62 for children of Black mothers; OR 1.84, CI 1.23-2.73 for children of Hispanic mothers). For children with dental utilization, children of Black or Hispanic mothers with a RSDC received 1.22 (CI 1.08-1.38) and 1.10 (CI 1.01-1.19) more preventive services, respectively. For children of White mothers, associations were in the same direction but not significant. Conclusions For young children of Black and Hispanic mothers, dental care utilization is higher when their mothers have a RSDC. For low-income young children with Medicaid, increasing the mothers’ access to dental care may increase the children’s utilization of dental and preventive services, which, in turn, may reduce racial/ethnic inequalities in oral health.

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Section: Discussionmentioning

confidence: 74%

Linking Mother and Child Access to Dental Care

Grembowski

Spiekerman²,

Milgrom

2008

Pediatrics

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“…Prior to the initiation of the program, only 8.8% of pregnant women covered by Medicaid received dental care. However, between 2004 and 2006, the years of the initiative, almost 56% of eligible women received dental care [24]. New York State and more recently California convened experts from dentistry and obstetrics to develop a comprehensive set of guidelines for ensuring the oral health of women during pregnancy [25,26].…”

Section: Discussionmentioning

confidence: 99%

The Association between Maternal Oral Health Experiences and Risk of Preterm Birth in 10 States, Pregnancy Risk Assessment Monitoring System, 2004–2006

Hwang

Smith

McCormick

et al. 2011

Matern Child Health J

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The aim of this study is to investigate the association between oral health experiences of women in the peripartum period and the risk of preterm delivery (<37 weeks). We analyzed 2004-2006 data from the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three standard questions pertaining to oral health. White non-Hispanic (WNH), Black non-Hispanic (BNH), and Hispanic women were selected for analysis. Chi-squared analysis was performed for our bivariate analysis and multivariate logistic regression models were created to calculate adjusted odds ratios, controlling for socio-demographic characteristics and peripartum morbidities. Weighted percentages and standard errors were used for all analyses. Among the 35,267 women studied, in the multivariate analysis, mothers who did not receive dental care during pregnancy and did not have a teeth cleaning during pregnancy were at higher risk for delivering a preterm infant (OR 1.15, CI 1.02-1.30; OR 1.23, CI 1.08-1.41). In this populationbased study, women who did not receive dental care or have a teeth cleaning during pregnancy were at slightly higher risk for preterm delivery after adjustment for pertinent confounders.

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“…The importance of the gynaecologist's cooperation with the dentist was confirmed by the effectiveness of the program implemented in Oregon. The increase in the number of dental referrals made by gynaecologists and the education of women about oral health has increased the proportion of women reporting to dentists during pregnancy from 8.8% to 55.8% [27].…”

Section: Discussionmentioning

confidence: 99%

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

et al. 2018

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Objectives: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. Material and methods:An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios. A significance level of 0.05 has been assumed. Results:A total of 3455 questionnaires were analyzed encompassing women aged 13.1-45.4 years. The respondents were on average 1.78 ± 1.44 years after childbirth. The population comprises of women in 59.1% from large cities, in 74.8% with higher education and in 41% with good socio-economic status. A total of 62.3% of women from the study population have visited a dentist for a routine dental examination. Gynaecologists have given a simple referral to a dentist to 17.6% of all women. 45.9% of them were further requested to provide back the feedback of their dental consultation. Dental appointments were upheld by 87.3% of referred women and by 56.9% of those without a referral (OR = 5.20 (4.05-6.67); p < 0.001). Among those who were referred, dental appointments were upheld in 91.7% of cases when further asked to provide oral health feedback and in 83.5% of cases in absence of such further request (OR = 2.19 (1.3-3.66); p = 0.003). Conclusions:It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.

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Providing a Dental Home for Pregnant Women: A Community Program to Address Dental Care Access – A Brief Communication

Abstract: Objective: This paper describes a community-based intervention to provide a dental home for women covered by Medicaid in Klamath County, Oregon. In 2001, 8.8

Cited by 33 publications

References 8 publications

Linking Mother and Child Access to Dental Care

Linking Mother and Child Access to Dental Care

The Association between Maternal Oral Health Experiences and Risk of Preterm Birth in 10 States, Pregnancy Risk Assessment Monitoring System, 2004–2006

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

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