Effects of Early Dental Office Visits on Dental Caries Experience

被引:35
作者
Beil, Heather [1 ]
Rozier, R. Gary [2 ]
Preisser, John S. [3 ]
Stearns, Sally C. [2 ]
Lee, Jessica Y. [2 ,4 ]
机构
[1] Univ N Carolina, Sch Nursing, Chapel Hill, NC USA
[2] Univ N Carolina, Dept Hlth Policy & Management, Chapel Hill, NC USA
[3] Univ N Carolina, Dept Biostat, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA
[4] Univ N Carolina, Sch Dent, Dept Pediat Dent, Chapel Hill, NC USA
基金
美国医疗保健研究与质量局;
关键词
CHILDREN; IMPACT; MEDICAID; HEALTH;
D O I
10.2105/AJPH.2013.301325
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We determined the association between timing of a first dentist office visit before age 5 years and dental disease in kindergarten. Methods. We used North Carolina Medicaid claims (1999-2006) linked to state oral health surveillance data to compare caries experience for kindergarten students (2005-2006) who had a visit before age 60 months (n = 11 394) to derive overall exposure effects from a zero-inflated negative binomial regression model. We repeated the analysis separately for children who had preventive and tertiary visits. Results. Children who had a visit at age 37 to 48 and 49 to 60 months had significantly less disease than children with a visit by age 24 months (incidence rate ratio [IRR] = 0.88; 95% confidence interval [CI] = 0.81, 0.95; IRR = 0.75; 95% CI = 0.69, 0.82, respectively). Disease status did not differ between children who had a tertiary visit by age 24 months and other children. Conclusions. Medicaid-enrolled children in our study followed an urgent care type of utilization, and access to dental care was limited. Children at high risk for dental disease should be given priority for a preventive dental visit before age 3 years.
引用
收藏
页码:1979 / 1985
页数:7
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