Evidence map›Paper›PMID 34997435›Full record

ArticleMaternal and child health journal2022

Retrospective Study of Prenatal and Postnatal Gaps in Oral Health Care Utilization: Medicaid Policy Implications.

Savannah Puett, Montserrat Tellez, Gentry Byrd, Jane A Weintraub, Brittney Ciszek, Ceib Phillips, Kim Boggess, Rocio Quinonez

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Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Savannah PuettPrivate Practice, Cary, NC, USA.
Montserrat TellezUniversity of North Carolina at Chapel Hill, Adams School of Dentistry, Office of Academic Affairs CB#7450, Chapel Hill, USA.
Gentry ByrdPrivate Practice, Durham, NC, USA.
Jane A WeintraubDepartment of Pediatric and Public Health, University of North Carolina at Chapel Hill, Adams School of Dentistry, Chapel Hill, USA.
Brittney CiszekGeneral Practice Residency, Utah, USA.
Ceib PhillipsUNC Adams School of Dentistry, Chapel Hill, USA.
Kim BoggessDepartment of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, USA.
Rocio QuinonezUniversity of North Carolina at Chapel Hill, Adams School of Dentistry, Office of Academic Affairs CB#7450, Chapel Hill, USA. Rocio_Quinonez@unc.edu.ORCID http://orcid.org/0000-0001-6795-2215

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the frequency and timing of dental treatment completion among pregnant and post-partum women served through the University of North Carolina at Chapel Hill (UNC-CH) Prenatal Oral Health Program (pOHP) dental clinic in the context of North Carolina (NC) dental Medicaid policies.

methodsWe completed a retrospective chart review of pregnant women referred to the program between May 2015 and May 2019. Data were collected from the time of referral until up to 2 years after their estimated due date (EDD). We assessed pre- and post-delivery dental appointment timing and dental treatment completion.

resultsThe initial study population included 264 pregnant women. Overall, 213 patients (81%) attended at least one appointment, and 32 patients (12%) completed recommended treatments prior to their EDD. Fifty patients (19%) returned after delivery to resume dental care, with only 25 patients (10%) completing their recommended treatment plan. Women re-entered dental care at a median of 67 days (range 5-613 days) after their EDD and completed treatment at a median of 378 days (range 52-730 days) following delivery. CONCLUSIONS FOR PRACTICE: Despite dental clinic referral, most pregnant women do not complete recommended dental treatment before giving birth, and women who resumed dental care after birth demonstrated a lag-time between delivery and care completion. These findings highlight the need for extending post-pregnancy dental care coverage, which is limited under current dental Medicaid policies, posing a major public health issue for new mothers to continue oral health care.

Indexed as

MedicaidOral HealthFemaleHumansPatient Acceptance of Health CarePolicyPregnancyPrenatal CareRetrospective StudiesUnited StatesDental careMedicaidOral healthPolicyPregnancy

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Registered trials

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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.