Child Health USA 2002

Text: Maternal and Child Health
HEALTH SERVICES AND UTILIZATION

 52


DENTAL CARE

Access to oral health care is a significant problem for low-income children. Analysis of the 1999 National Survey of America's Families found that nearly one in ten low-income children had an unmet need for dental care. Slightly more than 30 percent of low-income children had not been to the dentist in the last year and almost 60 percent had not received the two dental checkups in the last year as recommended by the American Academy of Pediatrics.

Use of dental care among low-income children varies by a number of demographic characteristics. Low-income children who have not had a dental visit in the last year are more likely to be younger, uninsured, Hispanic, and born outside of the United States. These children are also more likely to have parents who did not graduate from high school or earn a GED and lived in the southern or western states.

Although many dental problems can be prevented with regular screening and preventative services, these services are not always available to those children who need them most. In Federal Fiscal Year 1999, only 19 percent of children eligible for dental services under the Medicaid Early and Preventive Screening, Diagnosis, and Treatment (EPSDT) program received a preventive dental service.

Graph: "Percentage of Children Receiving an EPSDT Preventive Dental Service: 1989-1999"[d]


Graphic: "Percent of Children with Dental Care Needs and Those Receiving Dental Care in the Last 12 Months by Income: 1999"[d]


Logo: Maternal and Child Health Bureau