{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T04:18:47Z","timestamp":1787545127817,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["CDC\u2010DD15\u20101506"],"award-info":[{"award-number":["CDC\u2010DD15\u20101506"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["CDC\u2010DD19\u20101902A"],"award-info":[{"award-number":["CDC\u2010DD19\u20101902A"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Preventive dental care is recommended in children with congenital heart disease (CHD) to prevent infective endocarditis (IE). We examined average annual preventive dental care utilization and the association between preventive dental care and IE in children with CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study examining children (1\u201318\u2010year\u2010olds), covered by Georgia Medicaid, with at least one CHD\u2010related ICD code and a healthcare encounter between 2008 and 2019. Preventive dental care encounters were based on Current Dental Terminology (CDT) codes (D1000\u2010D1999). CHD native anatomy was captured based on ICD\u20109\u2010and\u201010\u2010CM codes. Log binomial regression estimated adjusted risk ratios (aRRs) and 95% confidence intervals (CIs) for IE risk, controlling for sex, race and ethnicity, birth year cohort, rurality, and Social Deprivation Index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 61,024 children with CHD, 65.64% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940,058) had at least one annual preventive dental visit on average, of which 0.30% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009181) had IE. For subgroups with valve or shunt lesions, having at least one annual preventive dental care visit showed a significantly lower risk of IE (aRR\u2009=\u20090.32; 95% CI\u2009=\u20090.18, 0.58, and aRR\u2009=\u20090.17; 95% CI\u2009=\u20090.07, 0.38, respectively) compared to no dental visits. No association was found between preventive dental care and IE in those with severe CHD (aRR\u2009=\u20090.81; 95% CI\u2009=\u20090.51, 1.26).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although dental health is important for patients with CHD, and despite universal dental coverage, many children with CHD do not seek annual preventive dental care. Integrating dental health assessments into routine CHD management protocols is imperative not only to promote oral health but also to prevent IE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bdr2.70064","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T09:26:24Z","timestamp":1781947584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preventive Dental Care Utilization and Infective Endocarditis Among Georgia Medicaid Beneficiaries With Congenital Heart Defects, 2008\u20132019"],"prefix":"10.1002","volume":"118","author":[{"given":"Ketki","family":"Joshi","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Book","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"},{"name":"Department of Cardiology, School of Medicine Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Raskind\u2010Hood","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey C.","family":"Ivey","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Haffner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, School of Medicine Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Kancherla","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,20]]},"reference":[{"issue":"5","key":"e_1_2_9_2_1","first-page":"E148","article-title":"Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance\/Counseling, and Oral Treatment for Infants, Children, and Adolescents","volume":"35","author":"American Academy of Pediatric Dentistry","year":"2013","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_9_3_1","volume-title":"Translation of Current Dental Terminology","author":"American Dental Association","year":"2020"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2012.01449.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31805371bf"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7106a1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.20.1.112"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1308\/135576110790307690"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"228","article-title":"Dental Disease, Caries Related Microflora and Salivary IgA of Children With Severe Congenital Cardiac Disease: An Epidemiological and Oral Microbial Survey","volume":"18","author":"Franco E.","year":"1996","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv319"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.210060"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehae548"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010019\u20100094\u20100"},{"key":"e_1_2_9_14_1","first-page":"1","article-title":"NCHS Urban\u2013Rural Classification Scheme for Counties","author":"Ingram D. 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