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Updated: Jun 19, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Dental care coverage transitions.

Richard J Manski¹, John F Moeller, Haiyan Chen

¹Division of Health Services Research, University of Maryland Dental School, Baltimore, MD 21201, USA. rmanski@umaryland.edu

The American Journal of Managed Care

|October 23, 2009

Summary

This summary is machine-generated.

Older adults often lose dental insurance upon retirement, increasing risks for oral health. This study highlights the critical need for continuous dental coverage post-employment.

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Area of Science:

Gerontology
Health Services Research
Dental Public Health

Background:

Dental insurance is crucial for accessing dental care.
Medicare, covering most Americans 65+, does not include dental insurance.
Employment status significantly impacts dental coverage for older adults.

Purpose of the Study:

To investigate how retirement and employment changes affect dental insurance.
To analyze dental insurance transition dynamics in older populations.

Main Methods:

Utilized data from the Health and Retirement Study (HRS) from 2004-2006.
Focused on individuals aged 51 and older.
Examined the relationship between retirement transitions and dental coverage changes using bivariate and multivariable models.

Main Results:

Older adults are more likely to lose dental coverage when retiring compared to those who continue working.
Coverage varied significantly by age group, with those 75+ experiencing higher rates of no coverage.
Observed substantial fluctuations in dental coverage among older adults, mirroring poverty dynamics.

Conclusions:

Loss of dental insurance during retirement can negatively impact oral health.
The absence of Medicare dental coverage creates a gap for seniors.
Disruptions in dental coverage may lead to delayed care, worsening oral and overall health outcomes.