Evidence map›Paper›PMID 35419826›Full record

ArticleHealth services research2022

Does preventive dental care reduce nonpreventive dental visits and expenditures among Medicaid-enrolled adults?

Heather L Taylor, Bisakha Sen, Ann M Holmes, Titus Schleyer, Nir Menachemi, Justin Blackburn

Abstract read
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Association of Treatments With Prevalence and Incidence of Periodontitis.Clinical and experimental dental research · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

6 authors.

Heather L TaylorDepartment of Health Policy and Management, Indiana University Fairbanks School of Public Health., Indianapolis, Indiana, USA.ORCID 0000-0003-0958-9408
Bisakha SenDepartment of Health Care Organization & Policy, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
Ann M HolmesDepartment of Health Policy and Management, Indiana University Fairbanks School of Public Health., Indianapolis, Indiana, USA.ORCID 0000-0002-2418-1710
Titus SchleyerCenter for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.ORCID 0000-0003-1829-971X
Nir MenachemiDepartment of Health Policy and Management, Indiana University Fairbanks School of Public Health., Indianapolis, Indiana, USA.ORCID 0000-0002-3411-2700
Justin BlackburnDepartment of Health Policy and Management, Indiana University Fairbanks School of Public Health., Indianapolis, Indiana, USA.ORCID 0000-0002-1811-2081

Funding

The Indiana Training Program in Public & Population Health InformaticsT15LM012502 · NLM · INDIANA UNIVERSITY INDIANAPOLIS · PI Brian E. Dixon, William F Fadel · 2017 to 2026
$4.7M
NLM NIH HHS T15 LM012502
6 · The paper itself

Abstract

objectiveTo determine whether preventive dental visits are associated with fewer subsequent nonpreventive dental visits and lower dental expenditures. DATA SOURCES: Indiana Medicaid enrollment and claims data (2015-2018) and the Area Health Resource File. STUDY

designA repeated measures design with individual and year fixed effects examining the relationship between preventive dental visits (PDVs) and nonpreventive dental visits (NPVs) and dental expenditures. DATA COLLECTION/EXTRACTION

methodsNot applicable. PRINCIPAL

findingsOf 28,152 adults (108,349 observation-years) meeting inclusion criteria, 36.0% had a dental visit, 27.8% a PDV, and 22.1% a NPV. Compared to no PDV in the prior year, at least one was associated with fewer NPVs (β = -0.13; 95% CI -0.12, -0.11), lower NPV expenditures (β = -$29.12.53; 95% CI -28.07, -21.05), and lower total dental expenditures (-$70.12; 95% -74.92, -65.31), as well as fewer PDVs (β = -0.24; 95% CI -0.26, -0.23).

conclusionsOur findings suggest that prior year PDVs are associated with fewer subsequent NPVs and lower dental expenditures among Medicaid-enrolled adults. Thus, from a public insurance program standpoint, supporting preventive dental care use may translate into improved population oral health outcomes and lower dental costs among certain low-income adult populations, but barriers to consistent utilization of PDV prohibit definitive findings.

Indexed as

Health ExpendituresMedicaidAdultDental CareHumansPovertyUnited Statesadministrative data usedentistry/dental carehealth care costsMedicaidstate health policies

Identifiers

PMID35419826
PMCPMC9643079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.