Evidence map›Paper›PMID 41510237›Full record

ArticleResearch square2025

The Role of Medicaid Dental Benefits in Access to Preventive Dental Care and Unmet Dental Needs During Pregnancy.

Cilia E Zayas, Sarah H Gordon, Hawazin W Elani, Astha Singhal

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In one paragraph

Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Cilia E ZayasUniversity of Florida.
Sarah H GordonBoston University.
Hawazin W ElaniHarvard University, The Harvard T.H. Chan School of Public Health.
Astha SinghalUniversity of Florida.

Funding

Research Supplement to Promote Diversity in Health-Related Research Parent Project: Effects of Pregnancy and Postpartum Medicaid Dental Benefit Generosity On Use Of Dental ServicesR03DE033075 · NIDCR · UNIVERSITY OF FLORIDA · PI SINGHAL, ASTHA · 2023 to 2024
$395k
NIDCR NIH HHS R03 DE033075
6 · The paper itself

Abstract

Background: Maintaining oral health during pregnancy is important for maternal and child health, yet many lowincome individuals face barriers to dental care. Medicaid dental benefits vary by state and may influence access to preventive services and unmet dental needs during pregnancy. This study examined whether state Medicaid dental benefits for pregnant women were associated with preventive dental care use and unmet dental needs, overall and by race and ethnicity. Methods: We analyzed data from the Pregnancy Risk Assessment Monitoring System for 45 states from 2012 to 2021 using a pooled cross-sectional design. The sample included Medicaid-enrolled pregnant women. Outcomes were receipt of a dental cleaning and reporting unmet dental needs during pregnancy. State Medicaid dental benefit status was the primary exposure. Descriptive and bivariate analyses summarized sample characteristics and outcome prevalence. Multivariable regression models estimated adjusted differences in outcomes by benefit status. Subgroup analyses were conducted for Hispanic, non-Hispanic White, non-Hispanic Black, and non-Hispanic Other groups. Results: Among Medicaid-enrolled pregnant women, 34.1% reported a dental cleaning and 10.8% reported unmet dental needs. Living in a state with Medicaid dental benefits was associated with a 6.7 percentage point higher likelihood of receiving a dental cleaning (95% CI: 4.0, 9.5) and a 4.0 percentage point lower likelihood of reporting unmet dental needs (95% CI: -6.4, - 1.7). The association with dental cleaning was strongest among non-Hispanic Black women (9.1 percentage points; 95% CI: 2.6, 15.6), followed by Hispanic women (8.3; 95% CI: 1.6, 15.1) and non-Hispanic White women (5.7; 95% CI: 2.0, 9.4). A significant association with reduced unmet needs was observed only among non-Hispanic White women. Conclusions: State Medicaid dental benefits were associated with greater use of preventive dental care and fewer unmet dental needs during pregnancy. Expanding dental coverage for pregnant Medicaid beneficiaries may improve access to oral health care and help reduce disparities.

Indexed as

dental accessmaternal healthMedicaidpregnancypreventive care

Identifiers

PMID41510237
PMCPMC12776438

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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.