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.
Bibliographical noteFunding Information:
The National Institute of Dental and Craniofacial Research provided funding for this study (Grant Nos. 5T90DE021984-03 and K08DE020856). This work was supported by Grant #T76MC00011 from the Maternal and Child Health Bureau, Health Resources and Services Administration. Thank you to the Iowa Department of Human Services and the University of Iowa Public Policy Center for providing the Medicaid data.
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- Medicaid-enrolled children
- cystic fibrosis
- dental utilization