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Related Experiment Video

Updated: Nov 28, 2025

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Dental service utilization and immigrant family structure.

Christopher E Okunseri1, Klea Rota1, Elaye Okunseri1

  • 1Department of Clinical Services, School of Dentistry, Marquette University, Milwaukee, WI, USA.

Journal of Public Health Dentistry
|December 1, 2020
PubMed
Summary

Dental care access improved for children, but immigrant children received fewer preventive visits and more surgical procedures. Overall utilization of dental services increased from 2007 to 2015 for all groups.

Keywords:
childrendental proceduresdental service utilizationimmigrant oral health

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Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Health Services Research

Background:

  • Access to dental care and utilization patterns differ between US-born and immigrant children.
  • Understanding these disparities is crucial for equitable healthcare delivery.

Purpose of the Study:

  • To analyze trends in dental service utilization and access to care among immigrant and US-born children in the United States.
  • To identify differences in dental care patterns based on birthplace.

Main Methods:

  • Analysis of nationally representative Medical Expenditure Survey data from 2007-2015.
  • Comparison of dental service utilization between children categorized by their and their parents' birthplace.
  • Calculation of weighted means and frequencies for dental procedures and access to care.

Main Results:

  • Preventive dental service utilization increased overall (37.2% to 44.4%) and across all subgroups.
  • Immigrant children had higher rates of surgical/restorative procedures but lower rates of preventive visits compared to US-born children.
  • Fewer children experienced delayed access to dental care over time, with consistent declines across subgroups.

Conclusions:

  • Dental service utilization, including preventive care, has increased over time for all child subgroups.
  • Immigrant children show distinct patterns, with higher surgical/restorative procedure use and lower preventive care use.
  • While overall access improved, targeted interventions may be needed to address specific needs of immigrant children.