Evidence map›Paper›PMID 33119483›Full record

ArticlePreventing chronic disease2020

Does Preventive Care Reduce Severe Pediatric Dental Caries?

Helen H Lee, Luis Faundez, Kamyar Nasseh, Anthony T LoSasso

Open access · diamondAbstract read
In one paragraph

Article in Preventing chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Helen H LeeDepartment of Anesthesiology, College of Medicine, University of Illinois at Chicago, 1740 W Taylor St, Ste 3200W, MC 515, Chicago, IL 60612. Email: leehelen@uic.edu.
Luis FaundezDepartment of Economics, University of Illinois at Chicago, Chicago, Illinois.
Kamyar NassehHealth Policy Institute, American Dental Association, Chicago, Illinois.
Anthony T LoSassoDepartment of Economics, DePaul University, Chicago, Illinois.
University of Illinois Chicago · USAmerican Dental Association · USDePaul University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTertiary oral health services (caries-related surgery, sedation, and emergency department visits) represent high-cost and ineffective ways to improve a child's oral health. We measured the impact of increased Texas Medicaid reimbursements for preventive dental care on use of tertiary oral health services.

methodsWe used difference-in-differences models to compare the effect of a policy change among children (≤9 y) enrolled in Medicaid in Texas and Florida. Linear regression models estimated 4 outcomes: preventive care dental visit, dental sedation, emergency department use, and surgical event.

resultsIncreased preventive care visits led to increased sedation visits (1.7 percentage points, P < .001) and decreased emergency department visits (0.3 percentage points, P < .001) for children aged 9 years or younger. We saw no significant change in dental surgical rates associated with increased preventive dental care reimbursements.

conclusionIncreased access to preventive dentistry was not associated with improved long-term oral health of Medicaid-enrolled children. Policies that aim to improve the oral health of children may increase the effectiveness of preventive dentistry by also targeting other social determinants of oral health.

Indexed as

Case-Control StudiesChildDental Care for ChildrenDental CariesFemaleFloridaHumansMaleMedicaidPreventive DentistryTexasUnited States

Identifiers

PMID33119483
PMCPMC7665577
OpenAlexW3097460421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.