{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:49:37Z","timestamp":1780361377090,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":30,"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":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to evaluate the relationship between preventive dental care utilization and untreated dental caries for Medicaid\u2010enrolled adolescents and to determine if the relationship is moderated by chronic conditions (CC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This analysis was based on 2015\u20132016 Medicaid claims files and survey data collected from adolescents ages 12\u201318\u2009years enrolled in Oregon Medicaid, who received a dental screening between December 2015 and December 2016 (<jats:italic>n<\/jats:italic>\u2009=\u2009240). To assess the relationship between preventive dental care utilization and untreated dental caries (defined as decayed tooth surfaces), prevalence ratios (PR) and 95% confidence intervals (CI) were generated using log\u2010linear regression models. We also tested for an interaction between preventive dental care utilization and CC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 60.4% of adolescents utilized preventive dental care, 21.7% had CC, and 29.6% had \u22651 decayed tooth surfaces. There were no significant differences in untreated dental caries between adolescents who did and did not utilize preventive dental care (PR: 0.73, 95% CI: 0.33\u20131.60; <jats:italic>p<\/jats:italic>\u2009=\u20090.43). There was not a significant interaction between preventive dental care utilization and CC (<jats:italic>p<\/jats:italic>\u2009=\u20090.65). Preventive dental care utilization was not significantly associated with untreated dental caries for adolescents with CC (PR: 0.51, 95% CI: 0.10\u20132.65; <jats:italic>p<\/jats:italic>\u2009=\u20090.42) nor among adolescents without CC (PR: 0.79, 95% CI: 0.33\u20131.91; <jats:italic>p<\/jats:italic>\u2009=\u20090.61).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preventive dental care was not shown to be associated with lower untreated dental caries for Medicaid\u2010enrolled adolescents or those with CC. Future work that is adequately powered should continue to elucidate this relationship in Medicaid enrollees.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12583","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T04:16:04Z","timestamp":1690863364000},"page":"309-316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preventive dental care utilization and dental caries for <scp>Medicaid<\/scp>\u2010enrolled adolescents in <scp>Oregon<\/scp>"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4368-5180","authenticated-orcid":false,"given":"Kimia","family":"Imani","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lloyd A.","family":"Mancl","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney M.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2289-7747","authenticated-orcid":false,"given":"Donald L.","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513490168"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.200915"},{"key":"e_1_2_7_4_1","volume-title":"Oral health in America: advances and challenges [Internet]","author":"National Institutes of Health","year":"2021"},{"key":"e_1_2_7_5_1","first-page":"1","article-title":"Prevalence of total and untreated dental caries among youth: United States, 2015\u20102016","volume":"307","author":"Fleming E","year":"2018","journal-title":"NCHS Data Brief"},{"key":"e_1_2_7_6_1","volume-title":"National Health and Nutrition Examination Survey (NHANES) Survey: examination manuals, 2011\u20132012, 2013\u20132014, 2015\u20132016","author":"National Center for Health Statistics","year":"2023"},{"key":"e_1_2_7_7_1","volume-title":"Adolescence: a period needing special attention \u2013 recognizing\u2010adolescence","author":"World Health Organization [Internet]","year":"2014"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12317"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2019.100936"},{"key":"e_1_2_7_10_1","first-page":"1","article-title":"Access and utilization of selected preventive health services among adolescents aged 10\u201317","volume":"246","author":"Black LI","year":"2016","journal-title":"NCHS Data Brief"},{"key":"e_1_2_7_11_1","article-title":"Fluoride varnishes for preventing dental caries in children and adolescents","volume":"7","author":"Marinho VC","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"e_1_2_7_12_1","article-title":"Sealants for preventive decay in the permanent teeth","volume":"3","author":"Ahovuo\u2010Saloranta A","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_13_1","unstructured":"TiwariT DiepVK TranbyEP Franstve\u2010HawleyJ.Trends in adolescent dental care use. 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