The Effects of Medical Well Baby Visits in Promoting Earlier First Dental Visits for Children

S Park1, E T Momany2, M P Jones2

  • 1University of Washington, Seattle, WA, USA.

Insights

Medical well-baby visits can influence early dental care. More visits before 11 months delayed dental visits, while later visits promoted them, improving rates for Medicaid children.

Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Health Services Research

Background:

  • Early dental visits are crucial for preventive oral health in children.
  • Understanding factors influencing timely dental care access for Medicaid-enrolled children is essential.

Purpose of the Study:

  • To evaluate the impact of medical well-baby visits on the timing of first dental visits among children enrolled in Medicaid.
  • To identify specific visit windows where medical well-baby visits influence dental visit initiation.

Main Methods:

  • Analysis of Iowa Medicaid claims data from 2000-2013 for 38,211 children across four birth cohorts.
  • Survival analysis was employed to estimate first dental visit rates based on medical well-baby visit frequency.
  • Independent variables included cohort year and frequency of medical visits at different child age intervals.

Main Results:

  • First dental visit rates significantly improved from 2000 to 2013, with earlier visits in later cohorts.
  • Increased medical well-baby visits before 11 months were associated with delayed first dental visits.
  • Conversely, more medical well-baby visits between 11-19 months and 20-36 months were linked to earlier first dental visits.

Conclusions:

  • While first dental visit rates have improved for Medicaid children, further interventions are needed.
  • The timing of medical well-baby visits significantly impacts the initiation of dental care.
  • Policy makers can leverage these findings to enhance dental care access and outcomes for young, publicly insured children.

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