ArticlePreventing chronic disease2016
Integration of Oral Health Into the Well-Child Visit at Federally Qualified Health Centers: Study of 6 Clinics, August 2014-March 2015.
Article in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review.BMC oral health · 2023Pooled it
- Developing a Multilayer Framework for Integrating Oral Health into General Health: A Scoping Review from Oral Healthcare Workers' Perspectives.Healthcare (Basel, Switzerland) · 2026Review
- Comprehensive Dental Rehabilitation in a 6-Year-Old Child with Juvenile Focal Osteoporosis Receiving IV Bisphosphonate Therapy: A Case Report.Journal of pharmacy & bioallied sciences · 2025Article
- Chronic Disease Management of Early Childhood Dental Caries: Practices of US Pediatric Dentists.Preventing chronic disease · 2025Article
- Clinician characteristics associated with fluoride varnish applications during well-child visits.The American journal of managed care · 2024Observational
- The Patient Protection and Affordable Care Act and Pediatric Medical Clinicians' Application of Fluoride Varnish.JAMA network open · 2023Article
- Examining Patient and Provider Experiences with Integrated Care at a Community Health Clinic.The journal of behavioral health services & research · 2022Article
- Social-Ecological Barriers to Access to Healthcare for Adolescents: A Scoping Review.International journal of environmental research and public health · 2021Article
- Formative and Pilot Study for an Effectiveness-Implementation Hybrid Cluster Randomized Trial to Incorporate Oral Health Activities into Pediatric Well-Child Visits.Dentistry journal · 2020Article
- Do Oral Health Services in Medical Offices Replace Pediatric Dental Visits?Journal of dental research · 2020Article
- Evaluation of a Comprehensive Oral Health Services Program in School-Based Health Centers.Maternal and child health journal · 2018Article
- Barriers and facilitators in the integration of oral health into primary care: a scoping review.BMJ open · 2017Article
- Parental Perception of Oral Health-related Quality of Life of Syrian Refugee Children.Journal of International Society of Preventive & Community DentistryArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
introductionEarly childhood caries, the most common chronic childhood disease, affects primary dentition and can impair eating, sleeping, and school performance. The disease is most prevalent among vulnerable populations with limited access to pediatric dental services. These same children generally receive well-child care at federally qualified health centers. The objective of this study was to identify facilitators and barriers to the integration of oral health into pediatric primary care at health centers to improve problem recognition, delivery of preventive measures, and referral to a dentist.
methodsWe collected and analyzed background data and data from structured observations and 39 interviews with administrators and staff at 6 clinics in 2 states, Maryland and Massachusetts.
resultsParticipants valued oral health across professional roles but cited limited time, lack of training and expertise, low caregiver literacy, and lack of shared medical and dental electronic records as barriers to cooperation. Facilitators included an upper-level administration with the vision to see the value of integration, designated team leaders, and champions. An administration's vision, not structural determinants, patient characteristics, or geographic location, predicted the level of integration. Interviewees generated multilevel recommendations to promote delivery of oral health preventive measures and services during a well-child visit.
conclusionPoor oral health contributes to health care disparities. Barriers to integrating dental care into pediatric medical practice at health centers must be overcome to improve oral health for children living in poverty, with a disability, at a rural address, or any combination of these. Implementation will require adapting delivery systems to support multidisciplinary collaboration. Strategies suggested here may point the way to enhancing children's oral health.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.