Dentist Supply and Children’s Oral Health in the United States

Guarnizo-Herreño, Carol C; Wehby, George L.

doi:10.2105/ajph.2014.302139

Cited by 21 publications

(25 citation statements)

References 22 publications

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“…These results are consistent with previous studies reporting a positive association between dentist supply and use of preventive dental care using state‐level data (e.g., Lin et al. ), and that such association becomes less prominent after adjusting for additional state‐level characteristics (Guarnizo‐Herreno and Wehby ).…”

Section: Discussionsupporting

confidence: 92%

“…Recently, Guarnizo‐Herreno and Wehby () investigated the relationship between supply of dentists and children's oral health at the national level and found that living in an area with more dentists improved oral health outcomes among children. Chi and Leroux () reviewed county‐level determinants of dental utilization for children with chronic conditions in Iowa and found that professional shortage areas predict a lower likelihood of child dental care.…”

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confidence: 99%

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The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care

Wehby

Shane

Joshi

et al. 2016

Health Services Research

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Section: Discussionsupporting

confidence: 92%

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confidence: 99%

The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care

Wehby

Shane

Joshi

et al. 2016

Health Services Research

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“…16,17 In regions of the United States, as well, the concentration of dentists varies, from highest rates in Northeast to lowest in the South. 18 The majority of work on geographic variability has focused on urban-rural differences in oral health workforce, 18,19 access, 20-24 and oral health status. 23 Recently, the Pew Center on the States published a comparison of state dental policies for children, which showed broad variation by state and a sobering two-thirds of states that are not adequately providing for basic dental care for children.…”

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confidence: 99%

Geography matters: state-level variation in children's oral health care access and oral health status

et al. 2016

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Objectives To ascertain differences across states in children's oral health care access and oral health status and the factors that contribute to those differences Study Design Observational study using cross-sectional surveys Methods Using the 2007 National Survey of Children's Health, we examined state variation in parent's report of children's oral health care access (absence of a preventive dental visit) and oral health status. We assessed the unadjusted prevalences of these outcomes, then adjusted with child-, family-, and neighborhood-level variables using logistic regression; these results are presented directly and graphically. Using multilevel analysis, we then calculated the degree to which child-, family-, and community-level variables explained state variation. Finally, we quantified the influence of state-level variables on state variation. Results Unadjusted rates of no preventive dental care ranged 9.0-26.8% (mean 17.5%), with little impact of adjusting (10.3-26.7%). Almost 9% of population had fair/poor oral health; unadjusted range 4.1-14.5%. Adjusting analyses affected fair/poor oral health more than access (5.7-10.7%). Child, family and community factors explained ~¼ of the state variation in no preventive visit and ~½ of fair/poor oral health. State-level factors further contributed to explaining up to a third of residual state variation. Conclusion Geography matters: where a child lives has a large impact on his or her access to oral health care and oral health status, even after adjusting for child, family, community, and state variables. As state-level variation persists, other factors and richer data are needed to clarify the variation and drive changes for more egalitarian and overall improved oral health.

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“…The greater percentage of dentists reporting paediatric extractions in FH clinics reflects the absence of paediatric dentists. Workforce qualification and availability have a direct effect on oral health (21,22). Endodontic treatment was reported to be provided by more FH than MCH dentists with wider gap in multi-root teeth.…”

Section: Discussionmentioning

confidence: 99%

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

Tantawi

Hamza²,

Sabry

2017

East Mediterr Health J

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This study compared dentists' perceptions of provided services in Family Health (FH) and Mother and Child Health (MCH) clinics. A questionnaire was distributed to 120 dentists in 7 FH and 4 MCH clinics in Alexandria, Egypt in 2012. The questionnaire assessed personal and professional background, perceptions of primary health care (PHC) role, types of services provided, patient recall and referral systems and perception of service quality. The response rate was 100%. More FH dentists perceived their role to include providing care for children and pregnant women. Restorations and scaling were provided by 90% of all dentists. More FH dentists reported providing simple extractions, paediatric extractions and multi-rooted endodontic treatment (P = 0.03, 0.001 and 0.001). In FH clinics, where the performance-based incentive system was implemented, a greater number of patients was served and there was a shift in the type of services provided although dentists had a less positive perception of quality aspects. Thus, there is a need for the establishment of a mission and clear guidelines for the FH clinics to guide service provision. RÉSUMÉ La présente étude avait pour objectif de comparer la perception des dentistes travaillant dans des établissements de santé de la famille et de santé maternelle et infantile vis-à-vis des services offerts. Un questionnaire a été distribué à 120 dentistes de sept cliniques de santé de la famille et de quatre dispensaires de santé maternelle et infantile à Alexandrie (Égypte) en 2012. Ledit questionnaire évaluait l'expérience personnelle et professionnelle, les perceptions du rôle des soins de santé primaires, les types de services offerts, les systèmes de rappel des patients et d'orientation-recours, ainsi que la perception de la qualité des services. Le taux de réponse a été de 100 %. Davantage de dentistes des établissements de santé de la famille pensaient que leur rôle incluait la prestation de soins pour les enfants et les femmes enceintes. Les restaurations dentaires et le détartrage étaient offerts par 90 % de tous les dentistes. Un plus grand nombre de dentistes en santé de la famille ont déclaré procéder à de simples extractions, à des extractions chez l'enfant et à un traitement endodontique des dents pluriradiculées (p = 0,03, 0,001 et 0,001). Dans les cliniques de santé de la famille, où un système d'incitation reposant sur les performances était mis en place, un plus grand nombre de patients étaient traités, bien que les dentistes aient une moins bonne perception de la qualité. Il est donc nécessaire d'organiser une mission, ainsi que de mettre au point des directives claires pour les cliniques de santé de la famille, afin d'orienter la prestation de services. ‫مرص‬ ‫باإلسكندرية‬

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Dentist Supply and Children’s Oral Health in the United States

Abstract: Dentist supply is associated with improved oral health for younger children in urban settings.

Cited by 21 publications

References 22 publications

The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care

The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care

Geography matters: state-level variation in children's oral health care access and oral health status

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

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