{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:31:18Z","timestamp":1776763878728,"version":"3.51.2"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T00:00:00Z","timestamp":1678147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We showed in a previous analysis the patterns of disruption for private dental insurance claims in the United States caused by the SARS\u2010CoV\u20102 pandemic in 2020. The present report examines trends during 2020 and 2021, that is, contrasting perspectives during 2019 with the acute phase of the pandemic in 2020, and 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Private dental insurance paid claims from a data warehouse were obtained, encompassing a 5% random sample of records between January 2019 and December 2021 for child and adult insureds who filed a claim in 2019, 2020, and 2021. We classified claims into one of four categories based on the likelihood of being associated with urgent\/emergency care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The precipitous reduction in dental care claims in March\u2013June 2020 recovered to almost pre\u2010pandemic levels by the fall of 2020. However, a downward decline in private dental insurance claims started in the late fall of 2020 and continued through 2021. Differential impacts in dental care categories\u2014in terms of urgency of care\u2014were evident 2021, closely resembling previous trends in 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dental care claims from the first year of the 2020 SARS\u2010CoV\u20102 pandemic were contrasted with perspectives in 2021. A downward trend in demand\/availability changes in dental care insurance claims set in for 2021, perhaps linked to perceptions of the overall economic situation. Such downward trend has continued overall, even after considering seasonal changes and the acceleration of the pandemic during the Delta, Omicron, and other variants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12561","type":"journal-article","created":{"date-parts":[[2023,3,7]],"date-time":"2023-03-07T12:08:26Z","timestamp":1678190906000},"page":"147-154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Trends in dental insurance claims in the <scp>United States<\/scp> in the context of the <scp>COVID<\/scp>\u201019 pandemic: A 3\u2010year perspective (2019\u20132022)"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3590-0864","authenticated-orcid":false,"given":"Gerardo","family":"Maupome","sequence":"first","affiliation":[{"name":"Richard M. 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