Evidence map›Paper›PMID 39977952›Full record

ArticleJournal of public health dentistry2025

The Disproportionate Impact of the COVID-19 Pandemic on Preventive Dental Care and Treatment for Children Who Are American Indian: Public Health Surveillance Utilizing School-Based Sealant Program Data.

Jordan Jaeger, Shawnda Schroeder

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Jordan JaegerUniversity of North Dakota, Grand Forks, North Dakota, USA.
Shawnda SchroederDepartment of Indigenous Health, University of North Dakota, School of Medicine & Health Sciences, Grand Forks, North Dakota, USA.ORCID https://orcid.org/0000-0002-5733-4285

Funding

American Indian Higher Education Consortium (AIHEC) Building Indigenous Research Capacity in Health (BIRCH) projectS06GM142131 · NIGMS · AMERICAN INDIAN HIGHER EDUCATION CONSRTM · PI NADEAU, MELANIE, PARISIEN, TYLER JAMES · 2022 to 2025
$5.0M
Department of Indigenous Health at the University of North Dakota School of Medicine & Health Sciences through the grant award, Building Indigenous Research Capacity in Health 1S06GM142131-01A1Native American Research Centers for Health - Building Indigenous Research Capacity for Health PAR-20-125NIGMS NIH HHS S06 GM142131
6 · The paper itself

Abstract

objectivesSchool-based dental sealant programs are important in expanding the reach of oral health care to underserved populations. However, data collection during these visits is also valuable for public health surveillance and program planning. This study aimed to utilize these data to identify groups disproportionately impacted by pandemic closures.

methodsSEAL!ND is a program in North Dakota that serves schools, where 45% or more of students are enrolled in the free and reduced-fee school lunch program. SEAL!ND provides dental screening, application of fluoride varnish and dental sealants, and oral health surveillance. Data are collected for evaluation and to track pediatric oral health. In the spring of 2020, the COVID-19 pandemic and subsequent public health emergency stalled the program and left these children without access to preventive dental services. We examined previous dental visits, untreated decay, treated decay, and early and urgent care need during the 2019-2020, 2020-2021, and 2021-2022 school years. Binomial and multinomial logistic regressions were conducted to examine the odds ratios of the oral health outcomes by race.

resultsThe proportion of poor outcomes had noticeably increased for American Indian students compared to White students. There was also increased odds of untreated decay, treated decay, and early and urgent care need for American Indian students compared to White students.

conclusionsThese findings aid in identifying groups of students whose oral health was disproportionately impacted by the disruption in community-based, preventive dental care services during the pandemic for the purpose of future intervention.

Indexed as

COVID-19Dental Care for ChildrenIndians, North AmericanPit and Fissure SealantsPreventive DentistryPublic Health SurveillanceAdolescentChildFemaleHumansMaleOral HealthPandemicsSchool DentistrySchool Health ServicesPit and Fissure SealantsAmerican Indian Alaska nativedental treatmentoral healthsealant data

Identifiers

PMID39977952
PMCPMC12147429

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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.