{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:01:25Z","timestamp":1780732885743,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Oral health disparities disproportionately affect low\u2010income populations, with cost a significant barrier to accessing dental care. In Canada, individuals with untreated oral conditions often visit publicly funded medical services, which are not designed to provide dental treatment. The recently launched Canadian Dental Care Plan (CDCP) is intended to expand access to dental services for low\u2010income populations. This commentary argues that reduced medical service use for non\u2010traumatic dental conditions (NTDCs) is a potential benefit that should be monitored to evaluate the impact of the CDCP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Canadian studies reporting use and cost estimates of physician visits, emergency department use, and hospital\u2010based care for dental conditions were described. Data sources for routine monitoring of use were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In Ontario Canada, use and costs of physician and emergency department visits, and hospital\u2010based care for NTDCs were estimated at over $29M annually during 2003\u20132015 (population approximately 30 million). These estimates were conservative, with other studies suggesting higher visit volumes and costs depending on case definitions. National hospital and provincial physician billing databases are available for routine monitoring but indicators need to be standardized and data quality assessed. Stratified reporting can monitor equity impacts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical oral health care use is a potential indicator of effectiveness of public dental programs. A decline could signal improved access to dental services while persistent rates may highlight gaps in program reach. Monitoring this indicator is relevant to Canada and other jurisdictions seeking to advance oral health equity through expanded public coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70054","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T11:59:50Z","timestamp":1775563190000},"page":"159-162","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monitoring Use of Medical Services for Oral Health Care to Assess an Expansion of Public Dental Programs in Canada"],"prefix":"10.1111","volume":"86","author":[{"given":"Anna","family":"Durbin","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"},{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9233-9348","authenticated-orcid":false,"given":"Sonica","family":"Singhal","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Toronto  Toronto Ontario Canada"},{"name":"Public Health Ontario  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2042-7805","authenticated-orcid":false,"given":"Stephen","family":"Abrams","sequence":"additional","affiliation":[{"name":"Cliffcrest Dental Office  Scarborough Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"McConnachie","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9368-818X","authenticated-orcid":false,"given":"Janet","family":"Durbin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"},{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.2014.1"},{"key":"e_1_2_4_3_1","unstructured":"Government of Canada \u201cCanadian Health Measures Survey (CHMS) \u201d2010 Ottawa (ON) Government of Canada."},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997\u2010022\u201000692\u2010y"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12315"},{"key":"e_1_2_4_6_1","article-title":"Factors Associated With Emergency Department Use for Non\u2010Traumatic Dental Problems: A Scoping Review","volume":"84","author":"Van Malsen J. R.","year":"2019","journal-title":"Journal of the Canadian Dental Association"},{"key":"e_1_2_4_7_1","doi-asserted-by":"crossref","unstructured":"S.SchappertandL.Santo \u201cEmergency Department Visits for Tooth Disorders: United States 2020\u20132022 \u201d2025 NCHS Data Brief.","DOI":"10.15620\/cdc\/174597"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.17269\/CJPH.108.5915"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084418801273"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.17269\/cjph.106.4866"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12328"},{"key":"e_1_2_4_12_1","article-title":"The Cost of Treating Caries\u2010Related Complaints at a Children's Hospital Emergency Department","volume":"84","author":"Friedman M. E.","year":"2018","journal-title":"Journal of the Canadian Dental Association"},{"key":"e_1_2_4_13_1","article-title":"Treating Early Childhood Caries Under General Anesthesia: A National Review of Canadian Data","volume":"82","author":"Schroth R. J.","year":"2016","journal-title":"Journal of the Canadian Dental Association"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2019.03.013"},{"key":"e_1_2_4_15_1","unstructured":"Health Canada \u201cCanadian Dental Care Plan Expands to Include Millions of New Eligible Canadians \u201d2025 Ottawa (ON) Government of Canada."},{"key":"e_1_2_4_16_1","first-page":"p15","article-title":"Initial Findings From the Canadian Dental Care Plan: Policy in Action","volume":"91","author":"Brondani M.","year":"2025","journal-title":"Journal of the Canadian Dental Association"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12550"},{"issue":"7","key":"e_1_2_4_18_1","first-page":"36","article-title":"The Canada Dental Care Plan: Missing Pieces","volume":"115","author":"McConnachie I.","year":"2025","journal-title":"Oral Health"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj11020033"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.13261"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12494"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010023\u201006380\u20105"},{"key":"e_1_2_4_23_1","unstructured":"J.Maund \u201cInformation on Hospital Emergency Room Visits for Dental Problems in Ontario \u201dToronto (ON) Alliance for Healthier Communities 2014."},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12386"},{"key":"e_1_2_4_25_1","unstructured":"Canadian Institute for Health Information \u201cDAD and NACRS Provisional Data Timeliness 2024\u20132025 \u201dOttawa (ON) CIHI 2024."},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj10040053"},{"key":"e_1_2_4_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/mco2.70052"},{"key":"e_1_2_4_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2024.2320120"},{"issue":"9","key":"e_1_2_4_29_1","first-page":"567","article-title":"Periodontal Disease and Systemic Health: An Update for Medical Practitioners","volume":"51","author":"Kalhan A. 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