Elise W Sarvas1, Colleen E Huebner2, JoAnna M Scott3, Johan K M Aps4, Donald L Chi5. 1. Clinical Assistant Professor, Division of Pediatric Dentistry, University of Minnesota, Minnesota. elisesarvas@gmail.com. 2. Associate Professor, Department of Health Services, University of Washington, Washington. 3. Acting Assistant Professor, Department of Pediatric Dentistry, University of Washington, Washington. 4. Clinical Associate Professor, Department of Oral Medicine, University of Washington, Washington. 5. Associate Professor, Department of Oral Health Sciences, University of Washington, Washington.
Abstract
OBJECTIVES: Despite a multitude of risk factors, children with cystic fibrosis (CF) have lower reported dental caries prevalence. A potential explanation is preventive dental care use, but no studies to date have examined dental use for children with CF. METHODOLOGY: Iowa Medicaid data were analyzed for children age 3 to 17 years (N = 156,268). Poisson regression models were used to compare utilization rates for any dental care and also for specific categories of dental care, by CF status. RESULTS: Children with CF were significantly less likely to use any dental care than children without CF (incident rate ratio: 0.819, 95% CI: 0.80 to 0.84, p < .001). There were no significant differences in use across specific categories of dental care. CONCLUSIONS: Medicaid-enrolled children with CF are less likely to use dental care than children without CF. These findings suggest that use of dental care use is an unlikely explanation for lower purported caries rates among children with CF.
OBJECTIVES: Despite a multitude of risk factors, children with cystic fibrosis (CF) have lower reported dental caries prevalence. A potential explanation is preventive dental care use, but no studies to date have examined dental use for children with CF. METHODOLOGY: Iowa Medicaid data were analyzed for children age 3 to 17 years (N = 156,268). Poisson regression models were used to compare utilization rates for any dental care and also for specific categories of dental care, by CF status. RESULTS:Children with CF were significantly less likely to use any dental care than children without CF (incident rate ratio: 0.819, 95% CI: 0.80 to 0.84, p < .001). There were no significant differences in use across specific categories of dental care. CONCLUSIONS: Medicaid-enrolled children with CF are less likely to use dental care than children without CF. These findings suggest that use of dental care use is an unlikely explanation for lower purported caries rates among children with CF.
Authors: Donald L Chi; Margaret Rosenfeld; Lloyd Mancl; Whasun O Chung; Richard B Presland; Elise Sarvas; Marilynn Rothen; Alaa Alkhateeb; Sharon McNamara; Alan Genatossio; Isabel Virella-Lowell; Carlos Milla; JoAnna Scott Journal: J Cyst Fibros Date: 2018-07-10 Impact factor: 5.482